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Curriculum Vitae KAREN N. BRYANT PROFESSIONAL DATA Department of Communication Sciences and Disorders University of Iowa 120F WJSHC Department of Otolaryngology-Head and Neck Surgery 200 Hawkins Drive 21011 PFP University of Iowa Hospitals and Clinics Iowa City, IA. 52333 phone (319) 536-2292 e-mail [email protected] CURRENT POSITION: Associate Clinical Professor EDUCATIONAL AND PROFESSIONAL HISTORY Higher Education Ph.D., Speech-Language Pathology May 2008 Master of Science, Speech Pathology University of Wisconsin, 1989 Bachelor of Arts, Communicative Disorders Augustana College, 1984 PROFESSIONAL EXPERIENCE June 2013 present Director of SLP Clinical Education Oversee organization and cooperation of all clinical practicum experiences and conduct regular student reviews. Manage approximately 75 outplacement assignments. Provide clinical advising for the SLP students. July 2003 Present Assistant/Associate Clinical Professor. University of Iowa and University of Iowa Hospital and Clinics, Iowa City, Iowa. Expertise testing and providing therapy for a broad range of individuals with speech, language, swallowing disorders associated with neurological impairment.

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Page 1: Curriculum Vitae - University of Iowa College of Liberal ... · Karen N. Bryant 2 Providing clinical service while participating in student training at UIHC, an acute-care/tertiary

Curriculum Vitae KAREN N. BRYANT

PROFESSIONAL DATA

Department of Communication Sciences and Disorders

University of Iowa

120F WJSHC

Department of Otolaryngology-Head and Neck Surgery

200 Hawkins Drive

21011 PFP

University of Iowa Hospitals and Clinics

Iowa City, IA. 52333

phone (319) 536-2292

e-mail [email protected]

CURRENT POSITION: Associate Clinical Professor

EDUCATIONAL AND PROFESSIONAL HISTORY

Higher Education

Ph.D., Speech-Language Pathology

May 2008

Master of Science, Speech Pathology

University of Wisconsin, 1989

Bachelor of Arts, Communicative Disorders

Augustana College, 1984

PROFESSIONAL EXPERIENCE

June 2013 – present

Director of SLP Clinical Education

Oversee organization and cooperation of all clinical practicum experiences and

conduct regular student reviews. Manage approximately 75 outplacement

assignments. Provide clinical advising for the SLP students.

July 2003 – Present

Assistant/Associate Clinical Professor. University of Iowa and University of

Iowa Hospital and Clinics, Iowa City, Iowa.

Expertise testing and providing therapy for a broad range of individuals with

speech, language, swallowing disorders associated with neurological impairment.

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Karen N. Bryant 2

Providing clinical service while participating in student training at UIHC, an

acute-care/tertiary health care center.

January 2001 – January 2004

Speech-Language Pathologist: Mercy Medical Center, Clinton IA.; Thera

Peak, Coal Valley, IL.; Veterans Hospital, Iowa City, IA.; HCR Manor Care,

Davenport, IA.

Per diem contract work in various hospitals and long-term care facilities.

September 2001 – 2003

Research and Teaching Assistant, Department of Speech Pathology and

Audiology, University of Iowa

Swallowing Disorders (M. Karnell, Ph.D.).

Speech Pathology II (M. Karnell, Ph.D.; E. Finnegan, Ph.D.; K. Ballard,

Ph.D.; J. Gordon, Ph.D.).

Foundations of Clinical Practice (H. Sharp, Ph.D.).

Neurogenic Speech and Language Disorders (K. Ballard, Ph.D.; J.

Gordon, Ph.D.)

Anatomy and Physiology of the Vocal Mechanism (J. Moon, Ph.D.)

Quality of Life Survey Project: Data collection with patients having head

and neck cancer (H. Sharp, Ph.D.).

January 1997 – January 2001

Director of Rehabilitation

June 2000 – January 2001

Director of Radiation Oncology. Mercy Medical Center, Clinton, IA.

Management of daily operations, fiscal budget, program development, and

marketing. Establishing and monitoring the performance of quality patient care.

December 1993 – 1996

Manager of the Speech Pathology Department, Speech-Language

Pathologist, and Human Resource Extender. Mercy Medical Center,

Clinton, IA.

Diagnostic evaluations and treatment for any speech, language, voice, and/or

swallowing disorder. Conducted modified barium swallows with

videofluoroscopy. Provided education, lectures, inservices, and training programs

to health care professionals on disorders of speech and swallowing. Actively

participated in program development. Responsible for up-dating records on staff

competency, orientation, and mandatory inservices.

March 1992 – November 1993

Speech-Language Pathologist and Clinical Supervisor. Novacare Inc.

Clinical supervision of staff speech-pathologists. Facilitation of day to day

operations, program development, and marketing services. Participated in

inservices and training programs. Diagnostic evaluations and treatment for any

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Karen N. Bryant 3

speech, language, voice, and/or swallowing disorder. Conducted modified barium

swallows with videofluoroscopy.

May 1990 – February 1992

Speech-Language Pathologist. Central Wisconsin Center of the

Developmentally Disabled, Madison, Wisconsin.

Assessment and treatment of children with hearing impairment, speech and

language disorders. Assessment and treatment of adults with profound mental

retardation and severe maladaptive behaviors. Provided clinical swallow

assessments. Trained and inserviced staff and outside groups on a consulting

basis.

January 1989 – May 1990

Speech-Language Pathologist. Divine Savior Hospital, Portage, Wisconsin

Assessment and treatment of children and adults with speech, language, cognitive

language, voice, and/or swallowing disorders.

Memberships

American Speech-Language-Hearing Association

Special Interest Division # 2: Neurophysiology and Neurogenic Speech and

Language Disorders

Special Interest Division # 13: Swallowing and Swallowing Disorders

Council of Academic Programs in Communication Sciences and Disorders

Midwest Clinical Directors Group

LICENSURE & CERTIFICATION

License in Speech-Language Pathology, State of Iowa

Certification – Lee Silverman Voice Treatment

Certificate of Clinical Competence in Speech-Language Pathology

American Speech-Language-Hearing Association

TEACHING AT THE UNIVERSITY OF IOWA

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Didactic Teaching Assignment

Semester

and Year

Courses Taught

Number and Title

Students

Enrolled

Selected ACE Summary Scores

Advisees

U G

#7

Instructor

Competence

#2

Increased Interest

#6 Overall

Excellent Course

Fall 2014 Foundations III

3:137

5.91 5.63 5.39

Fall 2014 Foundations I

3:135

26 5.88 5.39 5

Spring 2014 Aphasia

003:233

8 5.93 5.93 5.93

Fall 2013 Foundations I

3:135

24 5.87 5.33 5.23

Fall 2013 Structural

Disorders

3:115

32 5.94 5.73 5.75

Fall 2012 Structural

Disorders

3:115

38 5.68 5.55 5.53

Fall 2011 Independent Study

3:186

1 Results not obtained

Fall 2011

Structural

Disorders

3:115

30 5.85 5.71 5.71

Fall 2010

Structural

Disorders 3:115

35

5.95

5.78

5.91

Fall 2009 Structural

Disorders

28 5.92 5.86 5.92

Spring 2008 Neurogenic Motor

Speech Disorders

003:047

15 5.92 5.88 5.75 N/A

Fall 2008 Neurogenic

Language

Disorders

003:146

17 5.89 5.56 5.73 N/A

Spring 2008 Neurogenic Motor

Speech Disorders

003:047

23 5.95 5.78 5.18 N/A

Spring 2007

Neurogenic Motor

Speech Disorders

003:047

29

5.84

5.32

5.15

N/A

Clinical Teaching Assignments

Semester

Courses Taught

Students

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and Year Number and Title Enrolled Selected ACE Summary Scores Advisees

U G

#5 Clinical

Techniques

#6

Problem Solving

#8

Balanced Feedb5.88

ack

#2 Oral

communi- cation

Fall 2014 3:301/Clinical

Practicum

3 6 5.33 6 6

Summer 2014 3:301/Clinical

Practicum

1 6 6 6 6

Spring 2014 3:301/Clinical

Practicum

5 6 6 6 6

Summer 2013 3:301/Clinical

Practicum

4 5.83 5.17 5.5 5.83

Fal2013 3:301/Clinical

Practicum

14 5.36 5.29 5.0 5.21

Spring 2013 3:301/Clinical

Practicum

3 6 6 6 5.67

Fall 2012 3:301/Clinical

Practicum

7 6 6 6 6

Summer 2012 3:301/Clinical

Practicum

3 6 6 6 5.67

Spring 2012 3:301/Clinical

Practicum

Results not obtained

Fall 2011 3:301/Clinical

Practicum

8 6 6 6 5.9

Summer 2011 3:301/Clinical

Practicum

4 6 6 6 6

Spring 2011 3:301/Clinical

Practicum

2 6 6 6 6

Fall 2010 3:301/Clinical

Practicum

5 6 5.88 5.88 6

Summer 2010 3:301/Clinical

Practicum

4 6 5.83 5.83 6

Spring 2010 3:301/Clinical

Practicum

2 6 6 6 6 N/A

Fall 2009

3:301/Clinical

Practicum

8 6 6 6 6 N/A

Summer 2009

3:301/Clinical

Practicum

4 6 6 6 6 N/A

Spring 2009 3:301/Clinical

Practicum

Results not obtained N/A

Summer 2009 3:301/Clinical

Practicum

N/A

Fall 2009 3:301/Clinical

Practicum

N/A

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Karen N. Bryant 6

Spring 2008 3:301/Clinical

Practicum

Results not obtained N/A

Summer 2008 3:301/Clinical

Practicum

4 6.0 5.83 5.83 5.83 N/A

Fall 2008 3:301/Clinical

Practicum

8 5.9 5.75 5.9 5.75 N/A

Fall 2007

Leave of absence

Summer 2007

2

Results not obtained

Spring 2007

1

Fall 2006

3:301/Clinical

Practicum

7 (6 retruned

eval)

5.5

5.5

5

5

N/A

Summer 2006

3:301/Clinical

Practicum

4

Results not obtained

N/A

Spring 2006

3:301/Clinical

Practicum

2

Results not obtained

N/A

Fall 2005

3:301/Clinical

Practicum

8 (1 returned

eval)

4

6

6

5

N/A

Summer 2005

3:301/Clinical

Practicum

4

Results not obtained

N/A

Spring 2005

3:301/Clinical Practicum

3

Results not obtained

N/A

Fall

2004

3:301/Clinical

Practicum

8

6.00

6.00

5.5

6.00

N/A

Summer

2004

3:301/Clinical

Practicum

4

6.00

5.83

6.00

5.83

N/A

Spring

2004

3:301/Clinical

Practicum

2

Results not obtained

N/A

Fall

2003

3:301/Clinical

Practicum

8

Results not obtained

N/A

Guest Lectures: 2014

Future: Oral Pharyngeal Motility Studies: Radiology February 6, 2014

Guest Lectures: 2011

Weekly presentations/lecture in Foundations of Clinical Practice II (003:136) .

Reflective Writing

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136) May, 2011

“Swallowing Disorders”. Presented in Introduction to Speech and Hearing Processes and

Disorders (003:015). October 2011

Guest Lectures: 2010

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Karen N. Bryant 7

Weekly presentations/lecture in Foundations of Clinical Practice II (003:136) .

Reflective Writing

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136) May, 2010

“Swallowing Disorders”. Presented in Introduction to Speech and Hearing Processes and

Disorders (003:015). October 2010

Guest Lectures: 2009

“Motor Speech Disorders”. Presented in Introduction to Speech and Hearing Processes

and Disorders (003:015). October 12, 2009

“Clinical Swallow Assessment”. Presented in Structural Disorders (003:115).

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136) May, 2009

Guest Lectures: 2008

"Swallowing and neurological disorders". "Clinical swallow assessment". Presented in

Swallowing Disorders (003:236)

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136)

Guest Lectures: 2007

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136)

Guest Lectures: 2006

"Swallowing and neurological disorders". "Clinical swallow assessment". Presented in

Swallowing Disorders (003:236)

"Speech - Language pathology in medical settings". . Presented in Foundations of

Clinical Practice II (003:136)

Guest Lectures: 2005

"Swallowing and neurological disorders". "Clinical swallow assessment". Presented in

Swallowing Disorders (003:236)

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136)

Guest Lectures: 2004

"Swallowing and neurological disorders". Presented in Swallowing Disorders (003:236)

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136)

Guest Lectures: 2003

"Swallowing and neurological disorders". Presented in Swallowing Disorders (003:236)

Guest Lectures: 2002

"Swallowing and neurological disorders". Presented in Swallowing Disorders (003:236)

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Karen N. Bryant 8

"Speech - Language pathology in medical settings". Presented in Foundations of Clinical

Practice II (003:136)

Guest Lectures: Fall, 2001:

"Legal and ethical issues in forgoing nutrition". October 2001.

"Clinical swallow assessment". September 2001. Presented in Speech Seminar.

Meetings and Courses Attended

Iowa Speech and Hearing Association Fall Convention. October, 2014

CAPCSD Annual Conference: Orlando, Florida. April 9-12, 2014

Midwest Clinic Director’s Meeting. Davenport, Iowa. January 24, 2014

American Speech and Hearing Association Conference. Chicago, Il. 11/2013

The Art of Clinical Teaching Workshop. Pittsburgh, PA. June 13-15, 2013

CAPCSD Annual Conference. Scottsdale, AZ. April 16 – 24, 2013

American Speech and Hearing Association Conference. Atlanta, GA. November 14-18,

2012

Consensus Conference on a Post Entry Clinical/Professional Doctorate in SLP. Boston,

MA. June 21-24, 2012

Dysphagia Research Society Meeting. Toronto, ON, Canada. March 7-10, 2012

American Speech and Hearing Association Conference. San Diego, CA. November 2011

Dysphagia Research Society Meeting. San Antonio 3/11

Seventeenth Annual Brain Injury Conference. Mayo Clinic. Rochester, Minnesota.

6/18/2010.

The Examined Life: Writing and the Art of Medicine. Iowa City, Iowa. 4/28/2010

Voice Therapy: A Comprehensive Approach. Pittsburgh,PA. 5/13/2009

Dysphagia Research Society Meeting. Palms, South Carolina. 3/08

American Speech and Hearing Association Conference. Chicago, Il. 11/08

Dysphagia Research Society Meeting. Vancouver, BC, Canada. 3/7/07

Differential Diagnosis Among Motor Speech Disorders. Chicago, Illinois. 4/20/06

Dysphagia Research Society Meeting. Scottsdale, Arizona. 3/22/06.

Comprehensive Neuroscience Update: Life Altering Changes, Life Changing Care. Iowa

City, Iowa. 9/8/05

Dysphagia Research Society Meeting. Montreal, Canada. 10/14/04

Lee Silverman Voice Treatment. Chicago, Illinois 6/4/2004

26th

Midwestern Conference on Health Care in the Elderly. UIHC 1/30/04

Working Together: An Arsenal of Strategies for Treating Adult Dysphagic Clients. Iowa

Methodist Medical Center. De Moines, Iowa 5/15/2004

SCHOLARSHIP

1. Publication

* = senior author, major contribution

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Karen N. Bryant 9

** = secondary contribution

*** = equal contribution

**** = minor contribution

* Bryant, K., Speech-Language and Swallowing Difficulties in Huntington’s Disease.

HDSA Family Guide Series. 2014.

*Bryant, K., **Finnegan, E., **Berbaum, K. VFS Inter-judge Reliability Using a Free &

Directed Search. Dysphagia. February 2011.

*Bryant, K. & Dawson, C. Media review article for the ORL Journal on “Swallowing

Exercises Improve Swallow Function after Chemoradiation” published in The Laryngoscope in January 2008.

*** Sharp, H. & Bryant, K. “Ethical Issues in Managing Patients with Dysphagia:

when patients refuse assessment or treatment.” Seminars in Speech-Language

Pathology March 2003.

2. Research Activities

Co-investigator. R01. Using Deep Brain Stimulation to investigate speech motor

control in Parkinson’s Disease. In review

Co-investigator. Investigation of the neural mechanisms of speech motor control in

patients undergoing Deep Brain Stimulation. Pending.

Primary Investigator. SLP graduate student’s perception on learning benefits and

the supervisory relationship.

Team Member. Nursing –SLP IPE Activity

Team Member. Alternative Nurse Call

Master’s Thesis Committee Member and Co-Chair: student Brandon Eddy. 2014-

2015.

Ph.D. Dissertation committee Member: Ph.D. candidate Samantha Shune. 2014

Master’s Thesis Committee Member and Co-Chair: student Megan Dean

Project Title: Anatomical changes of the pharynx resulting from different head positions.

2012

Master’s Thesis Comittee Member : student Whitney Achenbaugh. 2012

Dissertation

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Karen N. Bryant 10

“Inter-Judge Reliability of Videofluoroscopic Swallow Measures.” Thesis Supervisor:

Associate Professor Eileen Finnegan

Pre-dissertation

Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement: Benefit or Burden for

Individuals with Severe Dysphagia? Status: (Mentor: Helen Sharp, Ph.D. CCC-SLP).

Pilot Project

Treatment Efficacy Study: Surgical Management of Zenker’s Diverticulum. Status:

Survey developed (including 10 patient reported swallowing ratings) sent to

approximately 34 subjects meeting research criteria to identify current swallowing

status and change since right after surgery. (Tim McCulloch, MD; Doug VanDaele,

MD).

3. Professional Presentations

Bryant, K. Speech-language and swallowing difficulties. Webinar – Huntington’s

Disease Society of America Family Guide. November 12, 2014.

Bryant, K. Swallowing and Huntington’s Disease. Huntington ’s Disease Education

Workshop. De Moines, Ia. May 3, 2014.

Bryant, K., Delsandro, L. An Innovative Practicum Model: Developing Mentoring and

Coaching Skills. CAPCSD Annual Conference: Orlando, Florida. April 9-12, 2014.

Invited Panel Participant: SLP Doctorate. American Speech and Hearing Association

Conference. Atlanta, GA. November 14-18, 2012.

Conference Presenter: Video nasendoscopy for the purposes of swallowing and

velopharyngeal assessment by speech-language pathologists in a medical setting. Speech

and Swallowing Service, Otolaryngology Head and Neck Surgery Department. October

8,9, 2012.

Dean, M., Bryant, K. Anatomical changes of the pharynx resulting from different head

positions. Poster Presentation. American Speech and Hearing Association Conference.

March 2012.

* Bryant, K.. *Louko, L., *Zebrowski, P. Reflective Writing in Graduate Clinician

Training. American Speech and Hearing Association Conference. San Diego, CA.

November 2011.

* Bryant, K. & Louko, L. Reflective Writing in Graduate Clinician Training. Clinical

Director’s Meeting. Iowa City, Ia. January 21, 2011.

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Karen N. Bryant 11

* Bryant, K. Neurogenic Swallowing disorders. Integrating the Art and Science of

Neuroscience Nursing. September 22, 2010.

* Bryant, K. Management and Treatment of Neurogenic Speech and Swallowing

Disorders. Invited full day workshop at the Iowa Speech and Hearing Association

Meeting. Iowa City, Iowa. October 2008.

* Bryant ,K. & Finnegan, E. VFS Inter-judge Reliability Using a Free & Directed

Search. American Speech and Hearing Association Conference. Chicago, Il. 11/08.

* Bryant, K. & Sharp, H. Utilization of Gastrostomy Tube Feeding. Proseminar.

Wendell Johnson Speech and Hearing Center. October 31, 2003.

* Bryant K. & Sharp, H. SLP’s Involvement Prior to Gastrostomy Tube Placement.

ASHA Convention. November 2003.

* Bryant, K. Dysphagia Management: Clinical Outcomes and the Impact on Quality of

Life. Western Michigan University. Kalamzoo, MI. September 2003.

* Bryant, K. Dysphagia Protocols and Alternative Treatment. Rehabilitating Rehab:

Improving the Function of Providers and Patients. Western Michigan University.

Kalamzoo, MI. October 1999.

* Bryant, K. Analysis of Swallow Studies: Treatment Options. The Many Images of

Stroke & Neurological Disorders. Samaritan Hospital Clinton, IA. May 1999.

* Bryant (Mount), K. Speech-Language Treatment for Adults with Profound Mental

Retardation and Severe Maladaptive Behaviors. Wisconsin Speech & Hearing

Association. 1991.

University of Iowa Hospitals and Clinic Presentations

March 2

Oral Pharyngeal Motility Studies. Radiology Department. February 6, 2014

Nursing Swallow Screen. Nursing Competency Training. November 2011

Neurogenic Motor Speech Disorders. Neurology Rounds. April 20th

, 2010

Video nasendoscopy for the purposes of swallowing and velopharyngeal assessment by

speech-language pathologists in a medical setting. Speech and Swallowing Service,

Otolaryngology Head and Neck Surgery Department. October 8,9, 2010

Nursing Swallow Screen. Nursing Competency Training. November 2,3,4,9, 2009

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Karen N. Bryant 12

A Taste of Swallowing. Neurology Rounds. September 25th

, 2009

Swallow Screen, Oral Pharyngeal Motility Study, Fiberoptic Endoscopic Swallow Study.

April 15th

, 2009.

Video nasendoscopy for the purposes of swallowing and velopharyngeal assessment by

speech-language pathologists in a medical setting. Speech and Swallowing Service,

Otolaryngology Head and Neck Surgery Department. June 2008

Tracheostomy: Speech and Swallowing. Nursing Competency Training.

September, 2006.

Dysphagia Screening Tool: Acute Stroke. Neurology Rounds. October 27, 2005.

Dysphagia. Dietician Lectures. October 2003, 2004, 2005, 2006.

SERVICE

Department Service

Curriculum committee - 2013-2014-2015

Executive committee - 2013-2014-2015

Summative committee – 2014-2015

Community Service

Guest Speaker at the NSSLA student meeting. April 2005

Community

Guest Speaker at the Huntington Disease support group May 23, 2010

Guest Speaker at the Parkinson’s support group May 17th

, 2005.

State

Bryant, K. Swallowing and Huntington’s Disease. Huntington ’s Disease Education

Workshop. May 3, 2014.

Invited full day workshop at the Iowa Speech and Hearing Association Meeting. Iowa

City, Iowa. October 2008

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Karen N. Bryant 13

National

Planning Committee Member at large for the Council of Academic Programs in

Communication Sciences and Disorders (CAPCSD). 2014

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Comparison of voluntary and reflexive cough

effectiveness in Parkinson’s Disease. September 2014.

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Swallowing Disturbances in the Corticobasal Syndrome.

Oct. 2014.

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Concordance and discriminatory power of cough

measurement devices for individuals with Parkinson’s disease. December, 2013

Invited and reviewed a manuscript submitted for publication for Dysphagia. Title of

manuscript: Acoustic Parameters of the sound of normal swallowing. April 2013

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Attentional resource allocation and swallowing safety in

Parkinson’s disease: A Dual Task Study. 2013

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Clinical assessment of swallowing in Parkinson’s

disease: The accuracy of a symptom questionnaire. 2011

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: A Swallowing Clinical Assessment Score (SCAS) to

evaluate outpatients with Parkinson’s disease. 2011

Invited and reviewed a manuscript submitted for publication for Parkinsonism & Related

Disorders. Title of manuscript: Adherence to recommendations for improving

swallowing functions among Parkinson’s disease patients with dysphagia. 2010

Invited and reviewed a manuscript submitted for publication for The Annals. Title of

manuscript: Dysphagia in severe anorexia nervosa: a case series. 2010

Review article for the ORL Journal on “Swallowing Exercises Improve Swallow Function after

Chemoradiation” published in The Laryngoscope in January 2008.

Respond to e-mail questions sent to the Dysphagia list serve.

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