
TOTS Training ®
In this cutting edge continuing education course, participants will learn the E3 Model of Care® for tethered oral tissues. This includes relevant background information on how tethered oral tissues affect oral function from birth to maturity. The course format includes lecture, video/photograph examples, case studies, pre and post assessment activities, demonstrations, and hands-on application of techniques in an interactive atmosphere where questions and discussion are welcomed. This course is a specialty training that is targeted for the oral function professional including Speech-Language Pathologists and Assistants, Occupational Therapists and Assistants, Orofacial Myofunctional Therapists, and Lactation Consultants and Counselors. However, this training is appropriate for other professionals including Pediatricians, Physician Assistants, Nurse Practitioners, Nurses, Dental Hygienists, Dentists and Assistants, Dietitians, Early Intervention Specialists, Osteopaths, Otolaryngologists, Chiropractors, Applied Behavior Analysts, and Psychologists to learn about tethered oral tissues and make appropriate referrals. Participants who complete the training in its entirety with optional listing on the Chrysalis Orofacial® website as a “TOTS: Tethered Oral Tissues Specialty Trained®” professional. Participants who complete the training in its entirety will be granted permission to use and display “TOTS: Tethered Oral Tissues Specialty Training®” logo, as a designation to the public of their completion of the training.

How TOTS Training® Helps
Our Method: The E Model of Care®
3

Evaluate
TOTS Training® provides the protocol for doing a complete evaluation of all types of tethered oral tissues. Be confident in identifying tethered oral tissues with our model.

Educate
Educating clients and fellow medical professionals on this topic is challenging. TOTS Training® demonstrates ways to educate for the best outcomes.

Execute
TOTS Training® guides professionals in building an effective treatment plan for tethered oral tissues. Our model and techniques yields outcomes for optimal oral function and dissipation of symptoms.
What Our TrainedProfessionals
Have to Say
"Great class. I'm happy that we have high quality TOTs training for all disciplines."
Michelle Emanuel, Occupational Therapist

GET TRAINED
Our training comes with exclusive benefits. With our training:
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You can use the TOTS Training® seal as a designation of your training
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You earn continuing education credit in your field
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You get added to our directory of practitioners which can lead to referrals!

The Syllabus
Schedule may vary based on location.
Day 1
Registration/Breakfast
Introduction, Background, & Pre-Assessment Activities
Embryology, Anatomy, Physiology, & Developmental Milestones
Break
Embryology, Anatomy, Physiology, & Developmental Milestones
Lunch
History, Theory, & Research
Break
Principles and Introduction of E3 Model of Care
Evaluation
7:30 - 8:00 AM
8:00 - 9:30 AM
9:00 - 10:15 AM
10:15 - 10:30 AM
10:30 - 12:00 PM
12:00 - 1:00 PM
1:00 - 2:45 PM
2:45 - 3:00 PM
3:00 - 3:30 PM
3:30 - 4:30 PM
Day 2
Registration/Breakfast
Evaluation
Break
Education
Lunch
Education
Execution
Break
Execution
Conclusion, Questions, & Post-Assessment Activities
7:30 - 8:00 AM
8:00 - 10:15 AM
10:15 - 10:30 AM
10:30 - 12:00 PM
12:00 - 1:00 PM
1:00 - 1:45 PM
1:45 - 2:45 PM
2:45 - 3:00 PM
3:00 - 4:00 PM
4:00 - 4:30 PM

Learning Outcomes/Objectives:
By the end of this course, participants will be able to:
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Define various tethered oral tissues
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Dispel common myths regarding tethered oral tissues
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Describe normal embryology, anatomy, physiology, and developmental milestones for optimal oral function
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Reference current research regarding tethered oral tissues and correlated conditions
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List signs/symptoms of tethered oral tissues and correlated conditions
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Evaluate for presence and impact tethered oral tissues have on oral function, including specific evaluation protocols, proper oral exam and report writing
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Educate and communicate with patients, family, and other medical professionals regarding identification and treatment of tethered oral tissues, including educational tools and resources
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Execute a treatment plan for optimizing oral function in the post release of tethered oral tissues, including active wound management and specific treatment techniques
Credentials and Accreditation
Speech-Language Pathologists
This course is offered for 1.4 ASHA CEUs (Intermediate Level, Professional Area). It is recognized by The American Speech-Language Hearing Association (ASHA). Please make sure to have your ASHA member number available if applicable. Satisfactory completion requires full attendance on both days. For in-person courses, there will be a sign-in and sign-out sheet. For online courses, the CE Assistant Director/Administrator will check usernames at the beginning of each day and periodically throughout each day and link them to the attendance roster. Each attendee who completes the course in full will receive a certificate of completion/attendance. Any other entities/organizations/professions vary by requirements and state boards of licensure. Please check with your individual governing body for requirements. We will do everything in our power to provide you with documentation needed to qualify for continuing education credits.
Lactation Professionals
Please review the Individual CERPs Guide here.
Occupational Therapists
Please review the following links and contact your licensure board and certifying organization: Licensure and Renewal
Dental Professionals
Please review the following links and contact your licensure board and certifying organization: CE Submission Guidelines
Medical Professionals
Please review the following links and contact your licensure board and certifying organization: CE Booklet
IAOM
This course is an approved CE course for the IAOM.
This course is not approved for partial credit. Participants must attend the course in its entirety to receive continuing education units. All disciplines in attendance will receive a certificate upon completion of the course in its entirety for 14 hours of continuing education.

Policies and Disclosures
Policies
Cancellation - Registrants may cancel their registration up to 7 days before the course start date to receive a 75% refund minus non-refundable eventbrite processing fee or their registration may be transferred to another participant or rescheduled to another course/date with at no additional charge, with written request and subject to availability. No-shows or cancellations received less than 7 days prior to the course are non-refundable, but can be rescheduled for a future course date or transferred to another participant with written request and subject to availability at no additional charge. Chrysalis Orofacial® reserves the right to cancel any course at any time. Chrysalis Orofacial® is not responsible for any expenses incurred by registrants (i.e. non-refundable travel arrangements).
Special Accommodation Requests - If you require special accommodations, please notify Chrysalis Orofacial® at the time of registration, so that necessary accommodations may be arranged.
Complaint Policy - When taking courses, Chrysalis Orofacial, LLC students are encouraged, at all times, to communicate their concerns to course creators and/or the administrative team by emailing info@chrysalisorofacial.com. If a situation arises in which a student had a complaint or grievance regarding instruction or other topics related to his or her course, the student is to adhere to the following procedure:
1. Within 72 Hours: Discuss the matter with his or her online course instructor(s), if applicable. If not resolved,
2. Within the following 72 hours: Discuss the matter with the CE Director. The CE Director has the responsibility of reaching a decision that is in balance with the best interest of both the student and the organization. If a written response is needed, the student will be notified in writing within 5 business days of the CE Director’s decision. A student or any member of the public may file a grievance about this organization with the Better Business Bureau by calling (864) 242-5052 or by completing a complaint form, which can be obtained on the bureau’s internet web site (http://www.bbb.org).
Technical Issues - Please note that Autumn Henning and Chrysalis Orofacial are not responsible for acts of God or technical difficulties on the end of the participant including organizational firewalls that may block the downloading of our materials. For any technical difficulties, please contact your ISP or local IT department for support.
Disclosures
Content - This presentation will focus exclusively on the E3 Model of Care® for tethered oral tissues.
Financial - Autumn R. Henning, MS, CCC-SLP, COM, IBCLC is the owner of Chrysalis Orofacial® and receives a salary, speaking fees, and royalties for presenting continuing education courses. Lunch may be sponsored.
Non-financial - Autumn R. Henning, MS, CCC-SLP, COM, IBCLC is currently appointed and in good standing as an Assistant Professor within the voluntary faculty series in the Department of Communication Sciences & Disorders at the University of Kentucky College of Health Sciences. She is a former Founding Board Member for the International Consortium for Oral Ankylofrenula Professionals (ICAP) and has personal experience with tethered oral tissues. She is a a member of IAOM and AAPPSPA.
Disclaimer - Chrysalis Orofacial® does not endorse the use of any particular product. Any product shown during the course is for educational purposes. All participants are cautioned to practice within their legal and ethical scope of practice.