We break down the Dysphagia Outcome and Severity Scale (DOSS)—a 7-point scale created to bring consistency, clarity, and objective severity ratings to dysphagia evals. We dig into the original 1999 article, why the scale was developed, and how SLPs can use it to support documentation, payor justification, and person-centered goal writing.

In this episode, you’ll learn:



What the DOSS measures and how each level (1–7) is defined




Why nutrition, diet modifications, and independence all matter




How the DOSS improves inter-rater reliability in dysphagia evaluations




The importance of environment and supervision in diet recommendations




How to use DOSS levels to build clear goals and treatment plans




Limitations in the original study (and what to consider clinically)




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