Enhancing Vestibular Screening and Referral Efficiency
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Before enrolling in this educational activity, you must log in or create an account. Once you register, you will have access to the course through June 30, 2026. |
Target Audience
Healthcare professionals.
Educational Need
Dizziness is a prevalent but diagnostically complex complaint, and many clinicians struggle to obtain a focused vestibular history and determine the essential components of an appropriate triage-level medical work-up. Limited familiarity with vestibular screening techniques and early interventions contributes to inconsistent assessment, delayed diagnosis, unnecessary testing, and inappropriate or missed referrals. Education is needed to strengthen clinicians’ ability to perform efficient history-taking and triage screening, apply basic management strategies for common vestibular conditions, and identify when specialty evaluation is warranted, thereby improving care pathways and patient outcomes.
Learning Objectives
- Identify the essential features of history-taking for patients with dizziness.
- Discuss the elements of a basic dizziness triage/medical work-up.
- Describe an effective triage-level vestibular screening and basic interventions for common vestibular conditions.
- Establish a differential diagnosis pathway and referral considerations for individuals with dizziness, as appropriate.
Speaker

HELENA ESMONDE, PT, DPT, NCS
Chief Clinical Officer, Dizzy Care Network
Dr. Esmonde specializes in treating patients with neurologic, balance, and vestibular (inner ear balance system) conditions. She received her psychology undergraduate degree at Northwestern University and graduated Cum Laude from Marquette University’s Doctoral Physical Therapy program in 2005. She worked at an acute care hospital for eight years. She developed the vestibular program there to help address the needs of dizzy patients, unfortunately, without access to infrared video goggles, but luckily with quality continuing education courses and mentorship.
When she transitioned to the outpatient setting in 2014, she gained access to infrared video goggles. She found that they vastly improved her ability to accurately diagnose and treat vestibular conditions, particularly for more complex patients, such as those with concurrent post-concussive syndrome and BPPV. Dr. Esmonde became Vestibular Competent at Emory University in 2015, certified to treat Cervicogenic Dizziness in 2016, and assisted in teaching the lab portion of an Advanced Concussion course for North American Seminars in 2017. In 2018, she completed the clinical practice requirements and examination to attain the certification as a Neurologic Clinical Specialist (NCS).
Dedicated to student education, Dr. Esmonde has served as a teaching assistant at Temple, Jefferson, Neumann, and the University of the Sciences in Philadelphia, and earned an advanced clinical instructor certification. She has also presented at organizational and area Vestibular Special Interest Groups, Balance Center rounds at the Hospital of the University of Pennsylvania, and the Penn Medicine Mind Your Brain Conference. As an avid runner herself, she enjoys volunteering at local races to support her community.
Terms of Use and Privacy Policy
Recording date: December 1, 2025
Date of original release: December 1, 2025
Most recent review/update: December 1, 2025
Termination date: June 30, 2026
Accreditation Statements
- MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University Medicine and Health Sciences (DMU) is accredited by the IMS to provide continuing medical education for physicians. DMU designates this enduring materials activity for 1.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- DO: Des Moines University Medicine and Health Sciences (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this activity for a maximum of 1.25 AOA Category 2-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
- Other healthcare providers: This activity is designated for 1.25 AMA PRA Category 1 Credit(s)™.
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Educational Grants
No ineligible company provided financial support for this continuing education activity.
Disclosures
The speaker(s) will disclose if any pharmaceuticals, medical procedures, or devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). The activity director is responsible for determining educational content and selecting speakers.
Relevant to the content of this educational activity, the following individual(s) have conflict(s) with ineligible companies to disclose. All relevant financial relationships have been mitigated either through peer review by individuals with no relevant financial relationships or attestation to adhere to evidence-based guidelines for clinical recommendations.
- Helena Esmonde, PT, DPT, NCS - Speaker
- Chief Clinical Officer: Dizzy Care Network
- The financial relationship has not ended and is relevant to the content of the educational activity.
Disclaimer
The information provided in this activity is for continuing education purposes only. It is not a substitute for a healthcare provider's independent medical judgment regarding diagnostic and treatment options for a specific patient's medical condition.
Available Credit
- 1.25 AMA PRA Category 1 Credits™
- 1.25 AOA Category 2B
- 1.25 CE Contact Hour(s)

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