Take Courses When You Want

For years the only way to become a SOFFI® certified clinician was in person. However, we are now happy to offer the teachings to be taken at your convenience online with pre-recorded webinars (SOFFI® Online Certificate Course). You can purchase a video course package or individual courses below.  If you would rather take the course conducted via ZOOM you may instead attend a Virtual SOFFI® Course.

SOFFI® Online Certificate Course

Sign up for SOFFI® training provided online as recorded webinars. Enjoy the cost savings of not having to travel! The same information is provided that you would get in an online ZOOM SOFFI® Virtual Full Course or by buying the series of 12 of our online courses (marked by the asterisk ***).  Total time:  13 hours

SOFFI® is an integrated approach to supporting oral feeding in preterm and in medically complex infants, both in the NICU and in the Early Intervention setting. The primary approach offered online is the same as the online ZOOM virtual course and provides the practitioner with evidence-based information regarding feeding development as well as assessment and intervention strategies. A free question and answer period is offered monthly . After you complete the 12 webinars that are part of the course, and pass the quizzes, you will receive a Certified SOFFI® Professional certificate.

Price for package = $369. Price if purchased individually = $495.



  • Identify necessary components of infant development that indicate a readiness to begin and sustain oral feeding
  • Discuss development of oral-motor skills
  • Describe the interaction between medical and developmental level as they relate to feeding readiness and progression
  • Identify infants who are not progressing in feeding skill development
  • List at least one way to involve the family in early, pre-feeding activities to support their infant’s later feeding skills
  • Identify/Name and describe at least two distinct sucking patterns in infant feeding development using the BROSS approach terminology
  • List at least two medical conditions that influence oral feeding success in infants
  • Describe the difference between regulated and rested pacing, and explain why external regulated pacing is the last intervention listed along the SOFFI® Algorithm
  • List at least 3 things that affect flow rate in bottles
  • List at least 2 intervention strategies to help support mothers to provide breast milk



Newest Offerings of Feeding FUNdamentals

Communication Skills for Teamwork within the NICU Culture

Every workplace has a culture, and the Newborn intensive care unit is no different. Staffing is multidisciplinary which brings perspectives that often differ.  To be successful, we need the ability to be responsive to the attitudes and feelings of our colleagues.  Effective communication improves patient outcomes as well as staff satisfaction. And yet communication is often hampered in this acute setting by limited time as well as the diverse backgrounds of the disciplines.  This webinar helps the participant understand work cultures and what contributes to healthy work environments.  Specific strategies for creating healthy work environments and improve effectiveness of feeding plans will also be shared.  Experiences are shared to help the participant apply these concepts to their daily work life.  Commonly asked questions are addressed, such as 1) how do I get people to follow feeding plans; 2) How do I get people to respect what I do as a therapist; 3) How do I as a staff nurse effectively communicate with my team members so that they listen to me?

Virtual stream via ZOOM "live" on August 17, 2021. 1:00 pm to 3:00 pm MST (GMT-7)

PRICE = $69.00

Copy of Communication Skills(1)

Gastroesophageal reflux: When to worry and what to do

Gastroesophageal Reflux (GER) is a very common and normal occurrence in infancy. However, a portion of the infants with GER actually have Gastroesophageal Reflux Disease (GERD).  This course provides the practitioner with a deep understanding of the difference between GER and GERD while offering extensive evidence-based information regarding signs and symptoms of GERD.  Practical strategies are offered for working with infants and their families when GERD is present, along with cautions for using certain interventions.

PRICE = $160.

GER screenshot

SOFFI® Quizzes for Certification - Quizzes only

We have created a certification process! For those of you who have already taken the SOFFI® course, you may now take the associated 12 quizzes and become certified as a SOFFI® Professional. While not required (you may continue practicing with your certificate of completion), now that we have a verification process in place we can offer this certification as well. You must first be a member of one of the SOFFI® memberships as only those who have taken a course (virtual or live) may take the quizzes. If you are taking the courses online, you are getting the quizzes as part of the course and do not need to purchase this product. If you just want to take the quizzes for the certification, sign-up for a 6 month period during which you can take each quiz repeatedly until you pass. You will not have access to the webinars - just the quizzes. Once you have passed all 12 modules you will be sent a certification as a SOFFI® Professional.



Individual SOFFI® Modules

You may take the individual SOFFI® Modules rather than taking the SOFFI® Online Certificate Course.  These modules, identified by the ***, are all part of the SOFFI® Online Certificate Course.


***Supporting Parents and Infants During Early Feedings in the Intensive Care Unit and at Home

Parents are integrally involved, and influenced, by their baby’s ability to eat and their own ability to feed their infant.  When feedings are uncomfortable, or babies are developing aversions, family functioning is often affected. This webinar focuses on the influence of early birth and the neonatal intensive care unit and other intensive care units on infant and parent interactions as well as feedings. Preterm infant feeding outcomes as well as the effect of the hospitalization of the newborn on the parental role are explored. Infant-led feedings are discussed and supportive interventions for parents are offered.

PRICE = $25.



***Homeostasis as the Foundation for Feeding

This webinar focuses on the influence of early birth and medical comorbidities on Homeostasis, and the influence of Homeostasis on learning and feeding outcomes.  Homeostasis is the foundation for all development and influences the ability and desire to eat.  The first challenge for a baby after birth is to establish internal regulation.  Brain development requires both a certain level of core stability and repeated experiences.  This webinar discusses the theories of dynamic systems and learning.  These concepts provide the professional caregiver with an understanding of the importance of stability and the influence of experiences on both short- and long-term feeding outcomes.

PRICE = $25.



***Development of Internal Regulation and Feeding

This webinar describes how feeding influences stability in physiologic, motor, and sensory systems. The central nervous system also affects eating. The behavioral state system supports the infant’s ability to attend and interact during feedings.  These systems are developing in the preterm infant, and often are problematic for infants with ongoing medical conditions. This webinar discusses how these systems combine during eating.

PRICE = $20.

development of internal regulation and feeding


***Development of The Oral Motor System

This webinar provides a thorough review of how the oral-motor system develops, as it relates to infant feeding.  Anatomical differences between infants and adults are described, and the development of sucking and swallowing is explored. Examples of motor-based and infant-led approaches are offered, with a review of outcome data. The benefits of breast feeding are highlighted.

PRICE = $50.

Development of the oral motor system(1)


***Development of Feeding Across the First Year

Feeding skills rely upon skills across the domains of gross and fine motor skills, oral-motor skills, sensory skills, and emotional/cognitive/self-regulatory skills.  This webinar provides a brief review of these developmental domains. The task of eating becomes more challenging as the infant ages. Caregivers should understand that the time within a Neonatal Intensive Care Unit as well as the early months of life provides a foundation for these later transitions.

PRICE = $10.

Development of feeding across the first year


***Medical Issues that Impact Oral Feeding Skills

This webinar focuses attention on the influence of medical comorbidities on oral feeding skills.  Research regarding prevalence of feeding problems correlated with medical problems is reviewed. Information related to both the influence on feeding and intervention strategies for the following is provided:  respiratory, cardiac, neurologic/central nervous system, gastrointestinal, and structural and genetic conditions. There are five parts to this webinar.

PRICE = $60.



***Understanding the Language of the Newborn

This webinar focuses on how newborn infants communicate, through their physiologic system as well as using motor and behavioral state behaviors.  Practical information is provided to the professional to better understand how the newborn communicates a readiness to attempt a new task (e.g., feeding) and how to know when to implement interventions or stop a feeding.

PRICE = $25.

Understanding the language of the newborn


***The BROSS Approach

This webinar focuses on the BROSS Approach:  Baby Regulated Organization of Subsystems and Sucking.  Published in 2011, this approach conceptualizes eating as a progressively complicated task, that begins with internal regulation and minimal challenges, and progresses to mature sucking patterns.  Sucking/swallowing/breathing patterns observed in preterm and medically fragile infants are described.

PRICE = $30.



***Evidence Base for SOFFI®

This webinar provides evidence in support of SOFFI®: Supporting Oral Feeding in Fragile Infants. It also provides the model for SOFFI®.



Final SOFFI® Courses

To access these courses you must request access and have completed the SOFFI® pre-requisite courses that are noted by (***) and are included in the course package. Email [email protected] for the product password.


***Interventions to Support Internal Regulation using SOFFI®

There are many interventions that can improve a baby’s ability to rise to the challenge of oral feeding.  This webinar focuses on evidence-based interventions that support infant regulation.  It teaches professional caregivers how to help families prepare their infant, even in the first days after birth.  The webinar focuses the caregiver on the first 5 steps in the SOFFI® Algorithms.

PRICE = $60.

interventions to support internal regulation


***Interventions to Support Homeostasis During Oral Feedings using SOFFI®


This webinar uses the SOFFI® Algorithms to provide a pathway to support infants during oral feedings. Evidence-based interventions to support oral feedings are provided in this webinar. Interventions include creating feeding plans, flow rate considerations, positioning, pacing, thickeners, and breast-feeding interventions.

PRICE = $140.

Interventions to support homeostasis during oral feedings


***Supplemental Tube Feeding Considerations

Not all babies will be oral feeders. And many babies need supplemental tube feedings both in the NICU and after discharge to home. This webinar provides information about how to use supplemental tube feedings to help babies in the NICU, as well as at home.   It also provides practical intervention strategies for professionals who are assisting these babies and their families to transition from tube feedings to more oral feedings, as appropriate.

PRICE = $50.


Individual Courses

Overview of Feeding Development and Treatment Strategies:  What all Professionals Should Know

This webinar is designed for the professional who wants to have a strong foundation of how feeding develops, and what interferes with typical development.  It provides a general overview. Professionals looking for more in-depth information are directed towards the 2-day SOFFI® training.  Physicians, nurse practitioners, dietitians, and lactation consultants may benefit from this webinar.


Communication Skills for Teamwork within the NICU Culture

Ever struggle to gain respect in the NICU? Ever wonder how to “break in” to the tight society of the NICU?  This webinar gives practical tips on how to work with staff, and how to gain their respect.


Using Data to Guide Interventions: How are You Monitoring Success?

Are you monitoring the success, or lack of progress, of your interventions?  What does progress look like? Volume is one of many outcomes we can look at to verify we are appropriately addressing the problems that the baby is experiencing.  This webinar provides specific and practical ideas for monitoring success, and for knowing how to interpret your data.