The Annual Vocal Physical Checklist

Your Physician should:

  • Be board-certified in ENT (Otolaryngology)

  • Be fellowship-trained in Laryngology (one extra year of training)

  • Perform and interpret your videostroboscopy themselves

  • Spend significant time understanding your voice and concerns (30-60 minutes for a complete annual voice physical)

  • Respond to your concerns themselves, even after hours (vital for touring artists, those who work off-hours, etc.)

An Annual Voice Physical should include:

  • Full history: Questioning anything that may affect your voice

  • Medical history: Updating with changes, including new medications, interval surgeries, etc.

  • Voice History: Listening to sound samples over time, testing in the office

  • General ENT exam: Examining ears, nose, mouth, and neck, not just vocal cords

  • Manual Exam: Assessing neck musculature for asymmetry, tenderness, tightness

  • Videostroboscopy: Assessing vocal fold vibration, recorded and reviewed with you

  • Review and comparison: Comparing your current exam against prior exams, explaining differences

Your Care Plan Should Include:

  • Your records: A copy of the video of your exam (your phone can capture adequate quality)

  • Your ENT plan: A treatment plan for any ENT issues that were discovered

  • Your voice plan: A treatment plan for any voice issues that were discovered

  • Your general health plan: A treatment plan for other conditions that may affect your voice (i.e. thyroid, autoimmune)

  • Contact plan: how to access your laryngologist if symptoms develp or you get a cold and need to perform

  • Follow up: schedule visits for the next Annual Voice Physical and Pre- and Post- tour checks

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