Office and
Hours: 007 Brauer Hall,
UNC Craniofacial Center,
Required
Textbook:
Kummer, A. Cleft Palate & Craniofacial
Anomalies: Effects on Speech and
Resonance.
The following will be used for some course
materials but are not required:
Golding-Kushner, K. Therapy
Techniques for Cleft Palate Speech and Related Disorders.
Peterson-Falzone,
S., Hardin-Jones, M., and Karnell, M. Cleft Palate Speech, 3rd
Edition.
Peterson-Falzone, S., Trost-Cardamone,
J., Karnell, M., and Hardin-Jones, M. The
Clinician’s Guide to Treating Cleft Palate Speech.
Room Assignment and Meeting Times: 036
Brauer Hall (except as noted below in Course
Outline), 5:00-7:45 PM, Thursday.
Objectives
of the Seminar:
1)
To
introduce graduate students to the multidisciplinary aspects of craniofacial
speech anomalies relative to diagnosis, treatment, and research. Focus of the
seminar will be on individuals with repaired cleft lip and palate.
2)
To
introduce graduate students to clinical knowledge needed to provide effective
services to individuals with repaired cleft palate and other craniofacial
disorders. Emphasis will be on diagnostic skills – perceptual and
instrumental – relative to velopharyngeal
function and its effects on speech production and intelligibility.
3)
To foster
critical thinking in graduate students relative to clinical care and research.
Course
Evaluations:
1)
Mid-term
examination (30% of grade).
2)
Final
examination (30% of grade). Both exams will be take-home and may consist of
short answer, essay, and/or case studies.
3)
Critical
review of 1 research article per week (25% of grade). Articles will be selected
by the student from references cited in the text and/or provided by the
instructor. Each 1-2 page review should succinctly summarize the purpose of the
study, procedures, and results/conclusions. In addition, the student should critique
a) any aspect of the study that might be a threat to its validity (i.e.,
subject selection, procedures, interpretation of results), and b) the overall
significance of the study either to clinical practice and/or future research.
Selected articles may also be clinical case studies.
4)
Seminar
participation (10% of grade). Students are expected to participate in seminar
discussions. Parts of some classes will be devoted to discussion of the
research articles critiqued by students.
5)
Instrumental
Assessments (5% of grade). Students are required to evaluate their VP function
using both Nasometry and pressure-flow
instrumentation. This will require
approximately 30 minutes of time in the Pressure-Flow Laboratory. Students
should schedule a time with the Instructor.
SEMINAR OUTLINE
Date: Tentative Activity: Assignment:
|
1/11/07 |
Introduction
and Overview of Seminar |
K:
Chapter 3 |
|
1/18/07 |
Embryology
& Common Syndromes (Note: Meet in Brauer 142) |
K:
Chapter 4 |
|
1/25/07 |
Team
Approach & Psychosocial Issues |
K:
Chapters 11 & 10 |
|
2/1/07 |
Genetics,
VP Anatomy, & Feeding* |
K: Chapters 2, 1, & 5 |
|
2/8/07 |
Surgical
Management* |
K:
Chapter 18 |
|
2/15/07 |
Airway*,
Hearing, & Dental Issues |
K:
Chapter 9 P:
Chapter 6** |
|
2/22/07 |
Speech
Issues |
K:
Chapter 7 (pp 157-176) |
|
3/1/07 |
Non
Cleft VP Problems |
K:
Chapter 7 (pp 145-157) |
|
3/8/07 |
Midterm
Examination |
Take-home: Due
3/22/07 |
|
3/22/07 |
Perceptual
Assessment of VPI |
K:
Chapter 12 |
|
3/29/07 |
Nasometry & Nasoendoscopy* |
K:
Chapters 14 & 17 |
|
4/5/07 |
Speech
Aerodynamics and Video Fluoroscopy |
K:
Chapters 15 & 16 (Nasometry assignment due) |
|
4/12/07 |
Treatment Issues –
Prosthetics and PSNE (Note: Meet in Brauer 142) |
K: Chapter 19 (P-F
assignment due) |
|
4/19/07 |
Treatment
Issues – Articulation & Obligatory Symptoms |
K:
Chapter 21 |
|
4/26/07 |
Final
Examination |
Take-home:
Due 5/3/07 |
* Guest
speaker on these topics
** Chapter 6
on hearing disorders (Peterson-Falzone et al., 2001)
distributed by instructor
Additional Course
Information:
Critical reviews are due each week beginning on Jan. 18, 2007. A research article or clinical case study may be selected from the reference lists provided at the end of the chapter assigned for that date or from a reference list provided by the instructor. No reviews are due on 4/5/07 and 4/12/07 as the VP assessment assignments are due.
Articles published in the Cleft Palate-Craniofacial Journal between 1990 to present can be found online using the Health Sciences Library resources. Articles published from 1964 to 1989 can be accessed online at http://digital.library.pitt.edu/c/cleftpalate
The Pressure-Flow Lab is located in Brauer
02-016 in the
Students are encouraged to observe patients in clinic, attend video fluoroscopy, and/or attend team meetings. Clinics are held on Tuesday and Thursday mornings of each week (beginning at 8 AM). Team meetings are held at 12:30 to 2:30 PM each Tuesday. Video fluoroscopies are scheduled at various times at UNC Hospitals (see DJZ’s website for updated schedule).
Discussions are encouraged as part of the seminar format. Please be respectful of others by (1) refraining from talking while someone else is speaking, and (2) turning off cell phones during the seminar.
The Honor Code is, as always, in effect in this course.
To David J. Zajac's Homepage Last Updated: 1/18/07