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Speech Language Pathology Expert Witness

Provides Opinion & Testimony In:

Speech, Language, Pathology, Board Certified, Swallowing Disorders, Hearing, Speech Communication, Dysphagia, Pediatric Dysphagia, Pill Swallowing, Oropharyngeal Physiology, Apnea, Neurogenic Communication Disorders, Dysphonias, Tracheostomy Tube Management, Videofluoroscopic, Nasopharyngoscopic


Ph.D., May 2012
Speech-Language-Hearing Sciences

M.S., August 1986
Speech and Language Pathology

B.A., June 1984
Speech Communication


NEW YORK MEDICAL COLLEGE, Dept. of Speech-Language Pathology, Valhalla, New York
Associate Professor, Speech-Language Pathology – April 2013-Present
Director, Advanced Certificate Program in Pediatric Dysphagia – August 2016-Present
Research Scholar, Center for Long-Term Care – December 2016-Present
Assistant Professor, Speech-Language Pathology – September 2008-April 2013
Faculty appointment in medical speech-language pathology program. Responsible for courses in dysphagia and medical management, as well as adult diagnostic methods modules; Bioinstrumentation and Professional Ethics/Issues. Also involved in multicultural infusion to existing curriculum. Developed and supervise hands-on diagnostic practicum rotation in acute hospital setting. Developed and direct post-master’s advanced certificate program in pediatric dysphagia. Developed and piloted first overseas program in the School of Health Sciences and Practice. Involved in several university and school-wide faculty committees. Research agenda includes swallow physiology changes in Parkinson disease, impact of pill swallowing on oropharyngeal physiology, changes in swallowing patterns in persons with dementia, impact of apnea on oropharyngeal bolus transport in several neurological populations and various aspects of aspiration pneumonia and deglutition. Actively supervise capstone (research) projects, leading to presentations at local and national meetings. Co-Chair, Research and Scholarship Day, School of Health Sciences & Practice (2016-present); Chair, School of Health Sciences and Practice Research Committee (2018-present).

BARRIQUE Speech-Language Pathology, P.C., Brooklyn, NY – October 2010-Present RIQUELME & ASSOCIATES, P.C., Brooklyn, New York–October 2005-October 2010 Executive Director; Bilingual Speech-Language Pathologist
Director, Center for Swallowing & Speech-Language Pathology @ NYP – Brooklyn Methodist Hospital Manage team of clinicians providing full range of acute-care based inpatient and outpatient services to adults and children. Provide diagnostic and therapeutic intervention services to adults with varied communication and swallowing disorders. Clinical affiliation maintained with NYP-Brooklyn Methodist Hospital. Specialization includes providing services to adults with dysphagia, neurogenic communication disorders and/or dysphonias. Experience with tracheostomy tube management for communication and swallowing; and speaking valve evaluations/placement. Regularly conduct videofluoroscopic and nasopharyngoscopic examinations.
Experience with MDS+/CCP systems in long-term care. Responsible for, and consultant on, program development and performance improvement activities in healthcare setting. Strong multidisciplinary involvement with other medical and allied health professionals. Regularly participate in Geriatric Rounds, Pulmonary Rounds, Nutrition Rounds, Rehabilitation Rounds. Regularly conduct in-service on communication and dysphagia to medical residents, registered nurses, persons post-stroke and persons with progressive neurological disorders. Developed service enhancement to pediatric dysphagia services in NICU/PICU. Developed outpatient services program for adults and children with speech/voice, language/cognition or swallowing disorders. Maintain active research agenda. Represent the Department on Stroke/Neurological Emergencies Committee. Developed first Center for Swallowing and Speech-Language Pathology in Brooklyn at NYP-Brooklyn Methodist Hospital. Strong program development and performance improvement focus.

Assistant Professor, Speech-Language Pathology – September 1998-August 2008
Involved in the development of a multicultural emphasis graduate program from its inception. Developed curricula for graduate courses in dysphagia, advanced neuroanatomy, aphasia and adult neurogenic communication disorders. Collaborated on curricula for bilingual/multicultural coursework. Primarily teach graduate coursework, however occasionally teach undergraduate courses in anatomy and physiology of the speech and hearing mechanisms and introduction to neuroanatomy. Co-authored first version of clinical practicum handbook for graduate training. Serve on departmental committees, including: library faculty liaison; operations committee (chair); academic standing; re-designed departmental website (chair); and graduate academic advisory (chair). Served as faculty liaison for student Speech & Hearing Society/NSSLHA Chapter Advisor. Co-chaired design committee that generated new floor plan for joint department and clinic. Was NSSLHA Chapter Advisor when LIU Chapter received NSSLHA Award for outstanding contributions (1998).

Also serve/have served on the following committees: Curriculum, Admissions, Clinical Practicum. Responsible for adult neurogenics/medical speech-language pathology track within graduate program. Conduct Clinical Grand Rounds for all graduate students and coordinate adult/hospital-based diagnostic practicum rotation at affiliated acute care facility. Developed unique university/acute care facility collaboration, to ensure student exposure to medical speech-language pathology and to adult neurogenics. Regularly supervise advanced practicum for graduate students enrolled in SLP 612/adult externship. Presently developing Swallowing Disorders Laboratory at affiliated acute care site. Developed proposal for Departmental Multicultural Resources Library (unfunded). Interdisciplinary campus collaboration: (1) Grant project with Nursing and Psychology: developed and taught course on use of validation techniques to communicate with institutionalized elderly (1997-2000). Target students: undergraduate SLP, undergraduate/senior students in Nursing, undergraduate Psychology; (2) Collaborated and served as API for federal grant with PT and OT entitled, “Interdisciplinary, Community-Based, Health Care Education for Elders from Diverse Backgrounds (2001-2005).

RIQUELME & SANTO, P.C., Brooklyn, New York
Co-Executive Director; Bilingual Speech-Language Pathologist – November 1992-September 2005 Provided services to adults with neurogenic communication and swallowing disorders, as listed above. In addition, evaluated and treated bilingual (Spanish/English) adolescents with language delays/disorders. Maintained active office-based practice.

VISITING NURSE REHABILITATION – VNAB and Empire Home Care, Brooklyn, New York
Supervisor, Speech-Language Pathology – March 2001-May 2004
Responsible for supervision of home care communication disorders and swallowing services. Agency presently covering five NYC boroughs. Conduct utilization review audits quarterly. Member of Professional Advisory Committee. Re-designed all appropriate clinical documentation to meet reimbursement and quality standards.

Director, Speech and Hearing Center – May 1990-November 1992
Responsible for complete departmental operations, including administrative and clinical functions. Major focus on establishing Dysphagia Program; improving clinical outpatient services; and developing Outreach Program. Created liaisons with community agencies, Head Start Programs and nursing homes. Also developed instrumentation and microcomputer laboratory. Revised departmental documentation practices to meet required standards for quality improvement. Obtained grant funding for capital
equipment and projects. Increased clinical staff by 60% and developed largest bilingual/Spanish clinical team in metropolitan area. In general, expanded scope of practice for hospital-based communication disorders clinic.

Supervisor, Speech-Language Pathology, Home Health Agency, May 1990-June 1995 Responsible for supervision of home care communication disorders services and quarterly chart review.
Chief, Speech Pathology and Audiology – February 1989-May 1990

Responsible for departmental administrative and clinical functions. Developed and established Dysphagia Program Protocol, including implementation of videofluoroscopic examinations. Established Audiology Program. Revised overall departmental documentation requirements to meet quality improvement standards.

Speech-Language Pathologist – July 1986-January 1989
Provided services to adults and adolescents with neurogenic communication disorders and language/learning disabilities. Supervised graduate practicum students. Established Dysphagia Program. Developed protocol for documentation of nasoendoscopic examinations, in conjunction with otolaryngology.

Student Intern – Spring 1986
Student Intern – Fall 1985
Speech Pathology Trainee – Spring 1985
Graduate Student Clinician – Practicum, Fall 1984-Spring 1986


Awards for Continuing Education, American Speech-Language-Hearing Association, 7/89, 1/91, 12/92, 8/94, 6/95, 7/98, 12/99, 6/00, 11/02, 5/04, 6/06, 10/07, 3/09, 6/10, 10/11, 7/13, 5/14, 6/15, 6/18
Distinguished Achievement Award, NYS Speech-Language-Hearing Association, 2017
Certificate of Recognition for Outstanding Contributions in International Achievement, ASHA 2016 Healer’s Hall of Fame. Inducted March 2013 and November 2013. New York Methodist Hospital, Brooklyn, NY. Fellow of the American Speech-Language-Hearing Association, elected 2009
Diversity Champion, American Speech-Language-Hearing Association, 2009
Certificate of Recognition for Special Contributions in Multicultural Affairs, ASHA 2006 Professional Achievement Award, NYC Speech-Hearing-Language Association, December 2005 Certificate of Appreciation,
President American Speech-Language-Hearing Association, November 2004
Most Valuable Volunteer Award, ASHA Multicultural Student Leadership Program, November 2003
Advocacy Award, ENLACE-Latino Children Educational Network, November 2002 Outstanding Leadership Award, Hispanic Caucus for SLPs and Audiologists, November 2002 Distinguished Service Award, NYS Speech-Language-Hearing Association, March 2001 Certificate of Appreciation,
President American Speech-Language-Hearing Association, November 2001 Certificate of Appreciation for Multicultural Contributions
Hispanic Caucus, November 2000
Certificate of Appreciation for Multicultural Contributions
L’GASP-LGBT Audiologists and Speech Pathologists, November 2000 Certificate of Appreciation,
President American Speech-Language-Hearing Association, June 1994 President, National Student Speech-Language-Hearing Association
Columbia University Chapter, Fall 1985 – Spring 1986
Office of Education Grant, Teachers College (full tuition), Fall 1985, Spring 1986 Speech Pathology Traineeship, Veterans Administration Medical Center, Spring 1985 Service/Merit Award, Long Island University, Academic Years 1979, 1980 and 1982 President/Founder, Speech Club, Long Island University, Fall 1982 – Spring 1983

Available on full CV

Member, Editorial Board, Perspectives in Global Issues, ASHA Special Interest Group 17 (2010-2014) Member, Editorial Board, Perspectives in Gerontology, ASHA Special Interest Group 15 (2008-2009)


American Speech-Language-Hearing Association:
Member, Political Action Committee Board, 2010-2013; Chair, 2012
Member, Vice President’s Coordinating Committee: Relationships with US Territories, 2007, 2008, 2009 Member, Scope of Practice in Speech-Language Pathology Committee, 1994, 2006
Program Committee, ASHA Convention 1993, 1994, 1996, 2000, 2002, 2005, 2011, 2012, 2013, 2014,
2015, 2016
Topic Coordinator, Multicultural Issues 2009
Chair, Vice President’s Coordinating Committee: Certification Status – Puerto Rico, 2005 Member, ASHA/ETS Praxis in SLP Re-Writing Committee, 2004 – 2007, 2009
Chair, Multicultural Issues Board (MIB), 2002-2004; Member, 2001-2004
MIB Subcommittee on Knowledge and Skills Needed by Speech-Language Pathologists and Audiologists for Providing Culturally Competent Services document, 2002-2003
Member, Executive Director Search Committee, 2003
National representative for the professions on Bilingualism (Media project), 2001-present Guest Mentor, Minority Student Leadership Program, November-January 2003
Co-Chair/Founder, Hispanic Caucus, a related professional organization of ASHA Legislative Councilor, NYS, 2001
Task Force on Scope of Practice in SLP, 1994-1995
Chair, Public Information Subcommittee, Dysphagia S.I.D., 1993
Member, Special Interest Group (SIG) #13: Swallowing and Swallowing Disorders Associate Coordinator, Steering Committee, SID #13, 2005, 2006, 2007
Member, SIG #02: Neurophysiology & Neurogenic CommunicationDisorders Member, SIG #14: Culturally & Linguistically Diverse Populations
Program Planning Committee, First Research Conference on CLD Issues, 6/08 Member, SIG #15: Gerontology
Member, Editorial Review Board, Perspectives in Gerontology Member, SIG #17: Global Issues in Communication Sciences & Disorders
Member, Editorial Review Board, Perspectives

Dysphagia Research Society (DRS) – Assoc. Member, 1996-2006; Full member, 2007-present Reviewer, Springer Early Investigator Scholarship Program, 2016
Member, Program Planning Committee, 2011, 2012 Member, Springer Award Committee, 2015-2016
American Board of Swallowing & Swallowing Disorders (formerly: Specialty Board), ASHA (BCS-S) Member/Secretary/Vice-Chair/Chair, 2012-2014/Chair, 2015-2017
Chair, Nominations Committee, 2015, 2016, 2017
Member, Joint Committee on Dysphagia Competencies, 2017-2019 (AB-SSD with ASHA SIG #13) NYS Education Department
State Board for Speech-Language Pathology & Audiology, 2008-2018
Vice-Chair, 2013-2014; Chair, 2014-2015
New York State Speech-Language-Hearing Association: Member, Honors & Awards Committee, 2019 Member, Membership Committee, 2009, 2010 Chair, Task Force on Membership, 2007-2008
President-Elect, 1998; President, 1999; Past-President, 2000 Chair, Legislative & Governmental Affairs Committee, 2000 Member, Legislative & Governmental Affairs Committee, 1995-2002 Vice President, Private Practice, April 1995 – December 1997 Program Chair, Convention 1996
Member, Convention Program Committee, 2000, 2004, 2014, 2015 Student Issues Committee Chair 2012
Delegate, Private Practice, January 1994- April 1995 Committee on Dysphagia, 1993-2000
Chair, Task Force on Health Care Reform, January 1994-1995 Task Force on CQI, January 1994- 1996
Co-Chair, Multicultural Concerns Committee, Jan. 1994- April 1997 Chair, Local Arrangements, Convention 1995
International Dysphagia Diet Standardisation Initiative Member, Board of Directors, 2015-present Translation Management Lead, 2016-present
New York Head and Neck Society, 2018-present NYC Dysphagia Study Group
Council of State Speech-Language-Hearing Association Presidents (CSAP) Treasurer, 2000-2001
Chair, By-Laws Committee, 1999
New York City Speech-Hearing-Language Association: Vice President, July 1991 – July 1995
Newsletter Editor, July 1993 – July 1995 Treasurer, June 1990 – October 1991 Legislative Affairs Committee, 1993-1995
American Academy of Private Practice in Speech-Language Pathology and Audiology NYC Association of Bilingual Clinicians in SLP/A (ABC)
Council of Hospital Hearing and Speech Directors:
Chair, Program Committee, April 1991 – November 1992 Chair, 1992 Survey Subcommittee
Constitution Revision Committee Universities Liaison Committee
Society of Hospital Directors of Communicative Disorders Programs (1991-1993) New York Academy of Sciences
National Aphasia Association
Chair, Multicultural Task Force, 2009 – 2014 Member, Advisory Board, 2010 – 2014 Member, Multicultural Task Force, 2007-2008
Computer Users In Speech and Hearing (CUSH) (1989-1993) Myasthenia Gravis Alliance
Member, Medical Advisory Board, 2010-2014


-Fully bilingual (Spanish/English) and multicultural
-Instrumentation: TIMS DICOM system, Kay Pentax Digital Swallow Workstation with Swallow Signals Lab, Visi-Pitch II and IV, P.M. Pitch Analyzer, IBM Speech Viewer, Electroglottograph, Surface EMG, Sono-graph, Pneumotachograph, Oscilloscope. Also, nasopharyngoscopy and videofluoroscopy.
-Administrative and management experience in program development and CQI/PI.


-New York State Speech-Language Pathology License/Registration


-Certificate of Clinical Competence in Speech-Language Pathology, ASHA
-Certification, Lee Silverman Voice Treatment
-Board Certified Specialist in Swallowing & Swallowing Disorders (BCS-S), American Board of Swallowing and Swallowing Disorders
-Teacher of Speech & Hearing Handicapped, NYS Education Department
-Bilingual Speech-Language Clinician, NYC Board of Education