Laryngoscopy and Stroboscopy. It enables a team approach where the doctor and a speech-language pathologist can evaluate a number of vocal parameters and view irregular motion and other conditions of the vocal folds. Setting Community-based clinic with a specialty in laryngology. with special training in . The videostroboscopy system will . Complaints will be broughtto the attention of thecourse directors immediately and the complainant should receive a responsefrom course directors within 7 business days. Mar 2022 - May 2022 3 months. Submission of proof of vaccination is still required by SASS. Edie Hapner receives compensation for this course. Participants will demonstrate endoscope management, universal precautions, and safe use of topical anesthetic. videostroboscopy training 2022. Laryngeal stroboscopy: This examination is a specialized viewing of vocal fold vibration. The numbing medicine keeps you comfortable and you wont feel the endoscope. and later, his M.D. 1709-1713,2022. (Aug. 2022) "This is the best videostroboscopy assessment rating course I've ever taken. Prior to this, Mrs. Catalena worked for four years at University Pediatric Association and spent six months working with Drs. April 8 - 9, 2022 The 8th Annual Charleston Pediatric ENT Update Spring 2022 Southern States Rhinology Course May 2022 The Charleston Course: 11th Annual Otolaryngology Literature Update September 2022 For more information on courses listed, please e-mail ent_cme@musc.edu. Viewing the Voice Box Through Specialized Tube (Endoscope) This team approach to voice disorders includes evaluation by a laryngologist utilizing videostroboscopy and other diagnostic tools such as EMG which provides us with complete . 31579. How it works: We place a rigid scope in the back of the mouth, or we may insert a flexible scope through the nose down to the vocal cords. An examination of the voice box in which a rigid telescope is used; this examination provides the clearest magnified detail of the voice box, but the patient is unable to speak or sing during the exam, Flexible Laryngoscopy Recordings of the vocal fold vibration pattern are analyzed and shared with a speech-language pathologist to guide treatment. This course has already taken place. ASHA and the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) joined forces to urge federal officials to change Medicare regulations that require "personal" (in-the-room) supervision by a physician when a speech-language pathologist performs videostroboscopy or nasopharyngoscopy (The ASHA Leader, Feb. 15, 2011). Florida Voice and Swallowing Diagnostics has been invited to speak at a number of Facilities, Hospitals and Universities locally, nationally and outside of the United States. If your child is having a videostroboscopy, they may want to bring a comfort item such as a stuffed animal. This part of the test may take 15 to 20 minutes. Examination begins with a discussion of the differences between diagnostic flexible laryngoscopy and rigid or flexible endoscopy with videostroboscopy. breath grouping, training on AAC possibly Mixed DysarthriaFlaccid/ Spastic ; ALS Mixed dysarthrias can consist of characteristics of any of the dysarthria types but are often flaccid and spastic. From the resulting visual images, an accurate diagnosis of conditions and diseases of the vocal cords, including masses or lesions, abnormal motion, inflammation, broken blood vessels, scarring and other disorders can be made. Participants will be provided with the practicing clinician demonstration of the assessment of the functional parameters of the vocal fold mucosa and the glottis demonstrated in the laryngeal videostroboscopic examination. A videostroboscopy exam is an outpatient procedure performed by one of our licensed speech-language pathologists. Light snacks, writing notebooks, pens and jump drives with the PowerPoint/.PDF files will be provided, with all lunch provided on your own. To maximize learning and exposure, training is completed in small group sessions in which individual guidance is provided to each attendee. Individualsare encouraged to contact the ASHA Approved CE Provider and attempt to resolve any problem before filing a complaint with the ASHAs Continuing Education Board (CEB). There is no financial interest beyond the production of this course. CEU trainings are held by Florida Voice and Swallowing Diagnostics or in conjunction with CEU Allied Health, an ASHA-backed CEU Provider. Lorin Catalena, PA-C. Lorin Catalena, PA-C, is a certified physician assistant who joined the Texas ENT & Allergy team in July 2005. The specialized, advanced training I received from Confident Clinician Cooperative has been invaluable to my work performing videostroboscopy assessments in my hospital setting. Acoustic measurements will also be made of your voice. Patients can also view the recorded images and see the reason(s) for their voice problems. Presented by Edie R. Hapner, PhD, CCC-SLP, ASHA Fellow and Michael Johns III, MD. Our courses specialize in training clinicians on proper use of FEES (flexible endoscopic evaluation system) and videostroboscopy equipment, included FEES added passes. Failure to return to make payment will cancel your registration. 2020 Upcoming Guest Lectures and Training Opportunities, 1. Recording Laryngoscopy and Stroboscopy Findings Patient education material presented here does not substitute for medical consultation or examination, nor is this material intended to provide advice on the medical treatment appropriate to any specific circumstances. Your healthcare provider uses a special camera to look inside of your larynx at your vocal cords while you speak or make sounds with your voice. He has provided FEES training courses in CT, MA, FL, MO, CA. A digital computer and strobe light are used to make the images of the vocal cord vibrations appear in slow motion, so that any abnormal patterns of vibration may be detected. 2022: 1) Cover letter including background and areas of interest 2) Curriculum vitae . October 19, 2021 January 27, 2022. Your healthcare provider will ask you to speak or make sounds, such as aah or eee while they record the video of your vocal cords. Download the learning objectives for Laryngeal Videostroboscopy: Part Two. Back to Resources | High Definition Video-Stroboscopy. Code 31579 contains no technical or professional component. Used by 2012:122:343-348). She is board certified in swallowing and swallowing disorders. Timed & Untimed CPT Codes. Elizabeth Cuadrado is a speechlanguage pathologist in the Department of Otolaryngology at the University of Colorados School of Medicine. and Jason G. Newman, M.D., FACS Also called: fiberoptic laryngoscopy, fiberoptic flexible endoscopy, nasopharyngoscopy, transnasal laryngoscopy. The procedure does not hurt. An extremely valuable part of the course is the 4 hours of hands-on training time where the participant will have practice passing the scope under direct mentorship of an experienced speech pathologist. The Hythe Vail (Marriott Mountain Resort and Spa). After the test, you can usually get back to daily activities quickly. She is a national and international clinical trainer, and specialist in the area of flexible endoscopic evaluation of swallowing, and videostroboscopy. Videostroboscopy can also be used to monitor disease processes as well as assess pre- and . Using rigid stroboscopy and or flexible scope, Regulatory compliance with Medicare and other payors, Videostreaming, and videoprinting are also reviewed. E. Open in GitHub Desktop . This CD-ROM combines video clips, animations, and text in a comprehensive tutorial on the science behind videostroboscopy and the clinical diagnosis of voice disorders using laryngeal videostroboscopic technology. Flexible laryngoscopy: This examination allows for viewing the voice box in action. Images are usually recorded on video. Eric received his doctoral degree from Nova Southeastern University and was trained in FEESST by Dr Jonathan Aviv, the otolaryngologist who developed FEESST. If your throat is numb, you may need to avoid eating as it can make swallowing difficult. . This on demand webinar will explore the use of videostroboscopy and videoendoscopy to inform assessment and management of voice disorders (e.g., identification of physical factors, vocal technique factors, hygiene issues, stimulability testing, etc.). Videostroboscopy is the latest state of the art technique used for evaluating any abnormalities in the vocal cords. 1) Identify vocal fold lesions, vocal fold immobility and neurogenic conditions during laryngeal videostroboscopy. Participants learn techniques to optimize their skills in rigid and flexible endoscopy and flexible endoscopic evaluation of swallowing (FEES). $144.00/hour - assessment and treatment sessions. VIdeostroboscopy of the larynx is utilized to assess vocal fold function, motion and structure. Along with every lecture are abundant video clips to aid understanding. $124.00 - 45-minute treatment sessions. emp attack probability 2022; mende tribe food; eau claire memorial high school; what do gymnasts wear when they're on their period; bts waist size; show me jai jewelry on clearance on qvc; riding mountain national park cabins for sale; Select Page. Models of collaborative practice will be presented. About Videostroboscopy. The purpose of the study was to evaluate the inter-judge and intra-judge reliability of raters using the Voice-Vibratory Assessment with Laryngeal Imaging (VALI) rating form that was developed for assessing videostroboscopy and high-speed videoendoscopic (HSV) recordings. Carolina Speech Pathology comes to our facility every week. Participants identified and demonstrated, the ability to document voice case history's, identify and exhibit competency with videostrobe equipment (rigid and flexible). The registration fee for this course for a speech-language pathologistis$450. This training will be facilitated via live virtual sessions by our certified Master Trainer, Debi Koetzle, Ph.D. Monday, November 21, 2022. (Oct. 2022) . We are also happy to help mentor or support you in any way, even if we are not your official Clinical Supervisor (references from previous Clinical Fellows are available upon request). SEC Medical Speech Pathology offers ASHA CEU courses, along with courses that offer clock hours. Dysphagia interventionincluding: formal onsite training and experience in fiberoptic endoscopic evaluation of swallowing, standardized and validated videofluoroscopic swallowing assessment using the Modified Barium Swallow Study Impairment Profile, pharyngeal manometry (in process), device facilitated intervention such as expiratory muscle See Speech-Language Pathology CPT and . It includes reasons why you would use videostroboscopy, the importance of using this. View all publications Academic Contact Information. MS CCC-SLP. Ifyou are looking to add a voice repertoire, to your swallow clinical practice, videostroboscopy is an excellent add-on clinical diagnostic procedure. The Imaging Clinician - Virtual Videostroboscopy Training Modules 443 views Jan 11, 2022 14 Dislike Share Confident Clinician Cooperative 40 subscribers The Imaging Clinician is Virtual. Laryngeal Imaging: What, Why, and When. We also offer individual based mobile practice start-up consultations and assistance. Drive 11X more patient engagement with Remote Therapeutic Monitoring. Edie R. Hapner, PhD, CCC-SLP, ASHA Fellow, Edie R. Hapner is professor of otolaryngology-head and neck surgery, codirector of the UAB Voice Center, and director of speech and hearing at the University of Alabama at Birmingham. Powell ME, Deliyski DD, Zeitels SM, et al. Rigid laryngoscopy: This examination provides the clearest magnified view of the voice box. An ENT colleague will be consulted if appropriate. The training involved defining each parameter ( Table 3 ), providing video samples of the end points for each feature for both stroboscopy and HSV, providing instruction on the use of the VALI form, and providing an opportunity to ask questions in an open discussion about the rating process. His clinical expertise relates to care of voice, airway and swallowing disorders. MedBridge is committed to accessibility for all of our subscribers. fees fees training speech therapy private practice speech therapy private practice start up videostroboscopy videostroboscopy training fees in house competency training videostroboscopy inhouse training NICU FEES MBS training MBS Inhouse Competency Training Mobile MBS Mobile MBS Start up ASHA CEU courses FEES ASHA CEU Courses Videostroboscopy Additional FEES Training Added passes International FEES training international FEES Courses international Videostrobe training International Videostrobe Courses Starting a mobile fees company fees speakers fees clinical instructor ASHA CEU providers. Videostroboscopy. Laryngeal Videostroboscopy: Interpreting the Examination. Surgical and non-surgical management for neurologic, psychogenic, and inflammatory voice disorders, swallowing disfunction, and airway stenosis. Videokymography is a high-speed medical imaging method to visualize the human vocal fold vibration dynamics. Participants will develop an introductory to intermediate level skill of interpreting laryngeal imaging examinations and FEES. Hang out with us while we walk you through training that is the first of its kind for better clinicians and better patient outcomes. Javascript is disabled in your web browser. Financial: Edie R. Hapner is a Professor in the Rick and Tina Caruso Department of Otolaryngology Head and Neck Surgery at the University of Southern California and a founding member of the USC Voice Center. Dr. Daniel Fink is an Assistant Professor at the Department of Otolaryngology at the University of Colorado School of Medicine. Contact our CME & Event Planner at. January 28, 2011. . The speakers will describe stroboscopic technique, including scientific underpinnings and limitations, as well as discuss rating forms/scales, assessment protocols, and practice ratings to support clinicians' decision-making regarding videostroboscopy. Our providers specialize in head and neck surgery and oncology; facial plastic and reconstructive surgery; comprehensive otolaryngology; laryngology; otology, neurotology and lateral skull base disorders; pediatric otolaryngology; rhinology, sinus and skull base surgery; surgical sleep; dentistry and oral and maxillofacial surgery; and allied hearing, speech and balance services. Who performs laryngoscopy and stroboscopy? . Course coordinator: Meghan Franklin: meghan.franklin@vumc.org CPT Codes. El maig de 2016, un grup damics van crear un lloc web deOne Piece amb lobjectiu doferir la srie doblada en catal de forma gratuta i crear una comunitat que inclogus informaci, notcies i ms. El juny de 2017, el mateix grup va decidir crear un web deDoctor Who amb el mateix objectiu. Board certification by the American Board of Swallowing and Swallowing Disorders is a rigorous 3-5 year process requiring the most . 3) Verbalize common etiologies of pathologies and strategies for management. 2012:122:343-348). Examination begins with a discussion of the differences between diagnostic flexible laryngoscopy and rigid or flexible endoscopy with videostroboscopy. This site works best when Javascript is enabled. Dr. Lintzenich and Ann Cyptar conduct voice screenings using state-of-the-art videostroboscopy. 2022 Registration; . Registration for the May 2023 Program will open in January. The clinicians are punctual, professional, and knowledgeable. Cleveland Clinic is a non-profit academic medical center. The objective of this study was to assess the effect of adding a targeted intervention, respiratory muscle strength training, to voice exercises in a sample of patients with presbyphonia. This technique is normally used for individuals with any sort of speech abnormality. NONFINANCIAL: Elizabeth hasnorelevantnonfinancialrelationships that exist.. Rules and laws governing SLPs' use of endoscopy to perform swallowing assessments (FEES), or voice assessments (videostroboscopy) vary state to state. A videostroboscopy is a test used to see the function of your vocal cords. Available 8:30 a.m.5:00 p.m. This allows us to assess how well the vocal folds are vibrating and to see any problems with how the vocal folds are functioning. It includes reasons why you would use videostroboscopy, the importance of using this incredible tool, rigid and flexible videostroboscopy specifics, a real life patient evaluation from start to finish, how to apply your stroboscopic findings to your patient treatment plans, and how to analyze what you see compared to normal laryngeal function. Provider August 1-2, 2020: Tampa, FL - Hands-on Training: FEES/Endoscopy for Swallowing Disorders *With Dr. Eric Blicker/CEU Customer Care (ASHA CEU Provider)*, 2. Please send a photo of the vaccination card to John@sasspllc.com. An otolaryngologist or speech-language pathologist typically performs laryngoscopy and/or stroboscopy. A Videostroboscopy will be conducted to look at the structure and function of the vocal cords; recorded images of your "voice box" and vocal cords will be taken and analyzed. Will be able to use this in my practice today! Participants will develop basic endoscopic techniques for laryngeal stroboscopy and FEES. Get scoping! As you dont need general anesthesia (medicine that puts you to sleep) for this test, theres little to no prep involved. Given the advantages of laryngoscopy, it "should be a bare minimum for somebody with a . Videostroboscopy or stroboscopy is a noninvasive diagnostic procedure. David Ross and Florida Voice and Swallowing Diagnostics work closely with local and national Hospitals, Rehab Facilities, Universities and Private Practices in order to provide CEU and Non-CEU training modules and guest lectures. Training that will be achieved includes: Videostroboscopy. He has presented on a number of topics related to: Swallowing Disorders, Voice Disorders, Appropriate Use of Diagnostic Imaging in Voice and Swallowing Disorders, Ethics/Supervision/Counseling/Multi-cultural Issues in Speech-Language Pathology, Clients with Gender Dysphoria, Neurogenic Language Disorders and Accent Modification. All rights reserved. Course Information ASHA CEUs 1.55 Dates 07/21/2018-07/22/2018 Instructional Level Introductory Setting In Person Location Laconia, NH Content Area Professional Format Group Provider Masking will be required for all participants (PPE will be provided). This will consist of in-person lectures and hands-on training session for videostroboscopy and FEES. Review your state law and board rulings online, contact your state health board governing SLPs, or your state association for more information.***. Learning Objectives. VOICE representatives complete an initial six-hour training to broaden their awareness of sexual . Participants identified and demonstrated, the ability to document voice case history's, identify and exhibit competency with videostrobe equipment (rigid and flexible). Pre- and Post-tests will all be sent to ASHA for CEU verification for you or your clinicians. It was invented by Jan G. vec under the guidance of Harm K. Schutte. In certain situations, stroboscopy may be performed by a nurse practitioner or a physician assistant under the supervision of a physician. Non-Financial: Courses 130 View detail Preview site Date: March 17th, 2022; Time: 4:30pm to 6:30pm; Location: Chasm Creek - B; This two-hour workshop will provide didactic training, demonstration, and hands-on experience with usage and care of videostroboscopy equipment, identification of hypopharyngeal and laryngeal anatomy and pathology, and practice performing and recording . American Academy of Allergy, Asthma & Immunology. The Four-Day clinical training program can be held on-site at your location, with your own equipment. David Ross has been a CF supervisor for many Speech-Language Pathology graduates and greatly enjoys working with Universities and Graduate Students in the field. Quand la . Section 1, subdivision (B) of the Tennessee . Very useful. Participants will develop an introductory to intermediate level skill of interpreting laryngeal imaging examinations and FEES. High Speed Videoendoscopy. $144.00/hour travel to off-site visits or meetings (plus mileage rate of $0.55/km) Voice Assessment. [1][2] It is used to evaluate the pliability of the vocal fold mucosa, which is an indication of the health and function of the mucosal tissue and the deeper layers. Her medical education and training took her all over, including Krakow, Poland where she completed medical school. Using a video camera attached to a tube that can enter the nose or mouth, the system allows for imaging and photos of the throat and vocal folds. . Also called: videostroboscopy, laryngostroboscopy, laryngo-videostroboscopy, stroboscopic laryngoscopy, strobolaryngoscopy, Advantages Appointments & Referrals We see patients at our First Hill location. Sense ells no existirem. Your healthcare provider ties a tiny microphone around your neck to record your vocal sounds. The science behind laryngeal videostroboscopy, how it differs from flexible diagnostic laryngoscopy, and when it is important to use videostroboscopy will be discussed. As part of Optim's ongoing effort to provide best-in-class support to the Speech-Language-Pathology community and endoscopic clinical treatment, from FEES to Stroboscopy, Optim partners with SEC Medical Speech Pathology Consulting & Training, an ASHA-approved CEU provider, to not only help our customer . We love working with and supervising Clinical Fellows and Graduate Students! PatCom Medical was built on the foundation of improving patient comfort when accessing the pharynx, larynx, and esophagus. Course Overview This course will include both lecture and hands-on exposure to videostroboscopy and FEES. Use videostroboscopy as part of clinical practice to identify changes in vocal fold vibratory parameters. Policy. This course presents an in depth tutorial in the role of laryngeal videostrobscopy in the comprehensive evaluation of voice disorders. It can usually be done in an exam room. It can be utilized to diagnose voice problems such as hoarseness, vocal strain due to excessive vocal abuse, misuse, growths, acid reflux or muscle tension dysphonia. Office is well-equipped with an audiogram booth rotary chair, videostroboscopy and 2 balloon sinuplasty towers, microscopes, and in-office procedure equipment. 2012:122:343-348). When a licensed, experienced healthcare provider performs videostroboscopy, the risk of problems or side effects is very low. A Visi-Pitch instrumental acoustic analysis will evaluate vocal quality, such as pitch and volume. Time: 4:30pm to 6:30pm Location: Chasm Creek - B This two-hour workshop will provide didactic training, demonstration, and hands-on experience with usage and care of videostroboscopy equipment, identification of hypopharyngeal and laryngeal anatomy and pathology, and practice performing and recording a videostrobe exam on a simulated adult patient. An examination in which a strobe light is combined with rigid or flexible laryngoscopy, allowing an examination of vocal fold vibration and vocal fold closure. He strives to achieve this through a true interdisciplinary approach to promoting health, preventing and curing disease, advancing biomedical research and educating those around him. Participants were able to understand normal and abnormal vocal fold structures. Visit Website. 2014-2017 American College of Physicians. Videostroboscopy 101 Including a Hands On Workshop This course has already taken place. This CD-ROM combines video clips, animations, and text in a comprehensive tutorial on the science behind videostroboscopy and the clinical diagnosis of voice disorders using laryngeal videostroboscopic technology. Your healthcare provider may recommend a videostroboscopy if you have: Depending on your needs, your test may be performed by a: When you speak, sing or yell, your vocal cords vibrate rapidly to make sound. The LS/CMI booster training will provide staff an interactive refresher on the proper administration of the assessment, common pitfalls to avoid and time for Q&A. Ideal candidate has an entrepreneurial spirit and seeks partnership track opportunity, where they can participate in decisions regarding volume, schedules, staff, marketing and expansion. Finally, the course will conclude with a demonstration of both a rigid and a flexible videostroboscopic examination. Our full 2-day hands-on FEES/Endoscopy (or Videostroboscopy) courses are typically held on a Saturday and Sunday, and run from about 8:00am through 4:00pm. Laryngeal Videostrobscopy uses a strobe light to create a series of images that appear to be slow motion vibration of the vocal folds. A rigid telescope is placed into the mouth, or a small flexible telescope is placed into the nose. Your healthcare provider may talk to you about your results right after the test. Description The registration fee for this course is $700. We are so thankful to work with Carolina Speech Pathology! Objective To describe normal vocal fold vibratory characteristics recorded with high-speed digital imaging (HSV) of the larynx.. Design Prospective study of healthy subjects who volunteered to undergo laryngeal HSV and videostroboscopy. (Reference: Federal Register, December 31, 2002, . The examination itself only takes a few minutes . This process is called phonation and produces the sound of the human voice. 2013:123:215-219). Contribute to YYadorigi/cs-sast2022-pytorch-training development by creating an account on GitHub. 2012:121:708-713). Common disorders of the larynx were discussed, along with a review of basic report writing and interpretation skills. Get useful, helpful and relevant health + wellness information. Poc temps desprs van decidir unir els dos webs sota el nom de Xarxa Catal, el conjunt de pgines que oferirien de franc sries doblades i/o subtitulades en catal. Flexible laryngoscopy, rigid laryngoscopy, and stroboscopy are frequently recorded on some type of playback media: videotape or DVD. Participants will develop an introductory to intermediate level skill of interpreting laryngeal imaging examinations and FEES. You can resume normal activities as soon as you are ready. Video stroboscopy depends upon the use of both a camera and a video recording system. Financial: Light snacks, writing notebooks, pens and jump drives with the PowerPoint/.PDF files will be provided, with all lunch provided on your own. Ce webinaire portera sur les problmes de stockage et de vidange lors de troubles neurologiques spcifiques et sur la faon dont l'urodynamique peut aider diagnostiquer le patient. All new patients are evaluated by Dr. Peterson and a speech pathologist who has specialized training in voice and swallowing disorders. assessments to be awarded credit, no minimum score required unless otherwise The following spring, Stone launched his YouTube channel as a way to create content for students outside the area. We will process requests for reasonable accommodation and will provide reasonable Provider Website: The Illinois training and supervision requirements for these . The Imaging Clinician is Virtual Videostroboscopy training in 5 modules. All use of this site indicates acceptance of ourTerms of Service, Laryngeal Framework Surgery and Augmentation. Juliana Litts, MA CCCSLP is an Assistant Professor and certified Vocologist specializing in the evaluation and treatment of voice, cough and breathing disorders. Users are challenged with quizzes following the five units: Theory, Equipment, Procedure, Interpretation, and Disorders. Implement findings from videostroboscopy more clearly guide treatment choices. Endoscopy Procedures on the Larynx. Laryngeal stroboscopy involves controlled high-speed flashes of light timed to the frequency of the patients voice. Develop an intermediate level of skills in interpreting Flexible Endoscopic Evaluation of Swallowing. As speech-language pathologists, we do not make medical diagnoses. A rigid telescope-tube is passed through the patients mouth. For non-hospital settings the Medicare requirement does not specify a specialist . 2022 Registration; . Meet Dr. Verma. Your healthcare provider uses a long, thin tube with a camera attached to it to view your vocal cords and voice box. FEES On-Site Clinical Competency Training, On-Site Videostroboscopy Training Program, SEC Medical Speech Pathology Consulting & Training. Participants identified and demonstrated, the ability to document voice case history's, identify and exhibit competency with videostrobe equipment (rigid and flexible). Common disorders of the larynx were discussed, along with a review of basic report writing and interpretation skills. videostroboscopy: an endoscopic examination of the larynx while speaking. Your healthcare provider will discuss your results with you and create a treatment plan if needed. Details will be posted here as they become available. A pediatric otolaryngologist, also known as an ENT (a doctor who specializes in problems of the ears, nose and throat), will do your child's videostroboscopy. Providers of all skill and experience levels are invited to register.

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videostroboscopy training 2022