I sent you a PM. A&P with Bougie is a very heavy workload and very time consuming between reading, lectures, projects, essays, quizzes and tests. Having taken A&P might help you some, you can concentrate on the parts that you may not have covered in a lower division class, like innervation and some of the speech musculature perhaps. It all depends on how in depth you went into speech and swallowing-specific A&P. If it was general A&P it may not help you a great deal. This is all specific to speech and swallowing, so 99.9% of class is spent between the navel, the cranium and clavicles. I don't know anything about Barrow. A&P won't be a cakewalk anywhere, I'm afraid.