February 19-20, 2021

Join us for a Train-the-Trainer session on the Early Feeding Skills Assessment (EFS) Tool. Effective feeding care starts with assessment of what the infant needs to be successful. Learn to use the EFS to effectively plan provide an infant-guided approach to feeding. Simultaneously learn to train others back home to use the EFS to strengthen your unit’s feeding care. Review current research, the role of experience, dynamic systems theory, and feeding outcomes after NICU. Videotapes with enhanced audio of swallowing and breathing to learn key skill areas of the EFS: respiratory regulation, oral motor and swallowing function, physiologic stability, engagement, and change in coordination patterns of s-s-b as infants develop. Gain confidence scoring early feeding skills as not yet evident, emerging or established. Learn components of an infant-guided, co-regulated approach to feeding and contingent adaptations that make this approach so effective, using the EFS to plan individualized interventions.  Receive resources to train others to use the EFS. As a group, network and navigate challenging issues and role-model a collaborative feeding practice.

Course Objectives

  • Discuss outcomes related to feeding in preterms
  • Describe the scoring process for the EFS
  • Describe application of the EFS to a cue-based feeding approach and problem-solving
  • Identify infant cues of stress during feeding specific to physiology, swallowing and feeding
  • Score and profile infant feeding specific to readiness, physiologic stability, oral-motor, and swallowing using videotaped feedings



Cost -  

$425.00; Check only by mail to Pediatric Resources at address above; must be postmarked at least 14 days before seminar date

$440.00 On-Site Registration Course Fee, if not postmarked 14 days before seminar date; call to check space availability and details


Pediatric Resources, Inc.
P. O. Box 2536
Windermere, FL  34786-2536

Earned credits -  

1.3 ASHA CEUs (Advanced level, Professional area)
13 contact hours


Catherine S. Shaker MS/CCC-SLP, BCS-S, is a Pediatric Speech-Language Pathologist in Orlando, FL, with advanced training in clinical/instrumental assessment and treatment of swallowing. With over 42 years’ experience, Ms. Shaker is nationally-recognized as an expert om swallowing/feeding across the continuum of pediatric settings, including neonates, medically-fragile infants, and children through school age. She is an ASHA Board-Certified Specialist in Swallowing and Swallowing Disorders, one of the unique group of speech-language pathologists nationally who have earned this designation. Ms. Shaker has been an integral part of large Level IV Neonatal Intensive Care Units for over 33 years and is known for her work on Cue-Based Feeding approaches in the NICU. She has published several manuscripts on NICU intervention, and co-authored The Early Feeding Skills Assessment Tool for NICU Infants with Suzanne Thoyre, Ph.D., RN, of Chapel Hill. Ms. Shaker received the Pioneer Award from NANT (The National Association of Neonatal Therapists) and is a recognized leader in NICU practice and supporting E1 clinicians following NICU graduates. She provides swallow studies for infants and children, is NDT-trained, Vital Stim, and SOS (The Sequential Oral Sensory Approach to Feeding). Ms. Shaker lectures across the US and internationally for therapists, nurses, and physicians.

Suzanne Thoyre, RN, Ph.D., is a Professor at the University of North Carolina at Chapel Hill School of Nursing. Dr. Thoyre has worked as a neonatal nurse for 31 years and coordinated the Neonatal Nurse Practitioner Program at the University of North Carolina. She lectures extensively nationally and internationally on cue-based feeding. Her research studies focus on the physiology of preterm infant feeding, mother/nurse-infant feeding interactions, and infants’ behavioral and physiologic responses to specific feeding interventions. A gifted and amazing researcher who brings current insights to infant-guided NICU feeding – will change your practice!


Wyndham Medical Center
6800 Main
Houston, Texas 77030
Nightly rate: $115.00 (price varies based on room availability)

Ask for Texas Children’s Hospital ESP Rate

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