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The complex pediatric feeder you can't quite figure out isn't a behavior case, a sensory case, an oral-motor case, or a swallow case. They're all of those at once —and your training never gave you a framework that holds all of it together. This one does.
You're not alone. Every pediatric clinician in the trenches with complex feeders has thought every one of these.
I think this baby is silently aspirating but I'm not confident enough to call for a swallow study.
I've been doing oral-motor exercises with her for six months. Nothing is changing.
The team keeps calling it behavior. My gut says it's not. But I can't articulate why.
Mom asked me about probiotics today. I had no real answer.
This kid has been on the tube for three years and the family is begging me to start weaning. I don't know where to start.
Grad school gave me ninety minutes on pediatric feeding. Ninety. Minutes.
The pediatrician keeps saying “wait and see.” My gut says we shouldn't wait.
I'm Googling at 9 p.m. again. There has to be a better way to do this.
You're not in over your head. You were just never given the right framework.
Pediatric feeding training in this country is broken into camps. Take an oral-motor course from one camp. A behavior course from another. A sensory course from a third. Then sit down with a real toddler — who is a tangled knot of all of those systems — and you have nothing that holds it together.
This course is built on the only framework that actually matches how kids present: complex feeding is multi-system. Refusal isn't always behavior. Pocketing isn't always weakness. Coughing isn't always aspiration. Once you can see all five systems at once, every plateau you've ever hit starts to make sense.
By module six, you stop guessing. You start diagnosing.
Each module names the exact problem you've been hitting in the clinic — and gives you the framework, the evidence, and the strategies to solve it. Watch on demand. Each runs 60-90 minutes. Finish a module, earn the CE credit immediately — no need to complete all six at once.
"Is this normal — or am I missing something?"
"What if I'm missing silent aspiration?"
"They keep calling it behavior. My gut says it's GI."
"I've been doing oral-motor for six months. Nothing's changing."
"Is it sensory? Anxiety? Trauma? Hunger? I don't know which."
"The family is begging me to wean. I don't know where to start."
Everything else in this course you can binge, rewind, screenshot, and watch in your pajamas at midnight. But on December 8, for one hour, you get something the on-demand world doesn't give you: a live, unscripted hour with a BCS-S — one of just a few hundred swallowing specialists with that credential in the country — and a small room of clinicians who actually get what it's like to sit across from a kid you can't figure out.
Bring whatever you've been stuck on. The toddler whose oral-motor exam looks fine but who hasn't moved past purees in eight months. The 6-year-old whose family is begging to wean off the tube and you don't know where to start. The kid the team keeps calling "behavioral" when your gut says it's GI. Bring it. Ask Angela. Watch her think out loud the way she thinks through her own caseload.
You'll also hear what other clinicians ask — which, half the time, are the questions you didn't know you needed answers to. That's the magic.
MA/CCC-SLP, BCS-S — Board-Certified Specialist in Swallowing Disorders
Angela has spent 30+ years in the trenches with complex pediatric and adult dysphagia patients at Cooley Dickinson Hospital. She holds the BCS-S — a credential earned by a small fraction of SLPs nationwide. She wrote Let's Eat!, the clinical guide PESI publishes for managing complex pediatric feeding and swallowing disorders. She's adjunct faculty at Elms College, a guest lecturer at UMass, and a recent recipient of the Massachusetts Speech-Hearing Association's Award for Clinical Excellence. When she teaches, she blends current research with three decades of "what actually works on a Tuesday morning."
The full six-module course, a hardcover clinical reference you'll keep on your desk for ten years, a 43-page printable clinical toolkit, and a seat at her live Q&A on December 8 — where you can bring your hardest cases and ask the BCS-S behind it all what she'd do.
Excellent course! Speaker was very knowledgeable and I enjoyed every minute of it.
”This was one of the best continuing education courses I have taken. I walked away with a great deal of practical information and strategies that I can use immediately.
”The training is built around the way real interdisciplinary teams treat real kids. CE credit available across rehab and medical disciplines.
Six modules. One BCS-S in your corner. The book on your desk. And on December 8, an hour to ask Angela anything about your hardest cases.
Enroll & reserve my seat →
MA/CCC-SLP, BCS-S
Board-Certified Specialist in Swallowing Disorders
Angela Mansolillo, MA/CCC-SLP, BCS-S, is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 30 years of experience. She is a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts where she provides evaluation and treatment services for adults and children with dysphagia and is involved in program planning and development including quality improvement initiatives, patient education, and clinical policies and protocols. She is also adjunct faculty at Elms College Department of Communication Sciences and Disorders in Chicopee, Massachusetts and a guest lecturer in the Department of Communication Disorders at the University of Massachusetts. Over the course of her career, she has worked in a variety of clinical settings with children and adult populations with a career-long focus on feeding and swallowing disorders. Recently, she authored Let’s Eat!: A Clinical Guide to the Management of Complex Pediatric Feeding and Swallowing Disorders. Angela is a recent recipient of the Massachusetts Speech and Hearing Association’s Award for Clinical Excellence and is a sought-after speaker for both live and online continuing education courses as she seamlessly blends current research with clinical experience.
Speaker Disclosures:
Financial: Angela Mansolillo has an employment relationship with Elms
College and Cooley Dickinson Hospital. She is a consultant with
Dysphagia Services and receives speaking honorarium from ContinuEd,
Medbridge, Advantage CE, and Dilgem Continuing Education. Angela
Mansolillo receives a speaking honorarium, recording, and book
royalties from PESI, Inc. She has no relevant financial relationships
with ineligible organizations.
Non-financial: Angela Mansolillo is a member of ASHA.
