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Orthopedic Excellence: The Upper Quarter

Advance your clinical skills in the evidence-based evaluation and management of patients with upper extremity-related conditions.

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About this Certificate Program

Enhance the quality of care you provide patients who suffer from upper extremity-related conditions by becoming skilled in the best evidence approaches available. In this Certificate Program, you will learn examination and treatment fundamentals through a clinical decision making paradigm for disorders and dysfunctions for the shoulder, elbow, wrist, and hand, and integrate advanced technical concepts to improve clinical outcomes in your practice.

Target Audience

The Certificate Program is designed to improve clinical outcomes for all clinicians who treat orthopedic-related conditions of the shoulder, elbow, wrist and elbow, but would be especially beneficial for recent graduates, residents in training, individuals who function in a closed system of healthcare who are interested in designing best treatment pathways, or individuals who are returning to treatment for patients with orthopedic problems.

Goals & Objectives

  • Demonstrate advanced understanding and clinical competency in the evaluation and treatment of disorders and dysfunction with shoulder, elbow, wrist and hand-related conditions.
  • Synthesize course materials to standardize course care pathways and reduce clinical variation.
  • Practice and apply the best clinical tests to maximize clinical efficiency.
  • Compare and contrast intervention methods for each of the shoulder, elbow, wrist, and hand-related conditions.
  • Apply classification models and the latest evidence to optimize treatment choices by clinical presentation.

What's Included in the Certificate Program

Accredited Online Courses*

25 hours of online video lectures and patient demonstrations.

Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Section 1: Introduction

1 Chapters

Orthopedic Clinical Examination, Diagnosis and Treatment: Becoming an Expertkeyboard_arrow_down

  • IntroductionChapter 1

    Explain the funnel shape of the examination sequence. Identify the type of clinical reasoning represented by the paradigm. Outline the ideal clinical decision making model. Justify the need for a treatment-based/impairment-driven diagnosis.

  • Foundational Concepts of DiagnosisChapter 2

    Compare and contrast sensitivity and specificity in the context of clinical diagnosis. Identify the correct formula for determining sensitivity and specificity. Outline the utility of specificity and sensitivity in the context of clinical diagnosis.

  • Overview of Patient Interview, Outcomes Measures, and ObservationChapter 3

    Outline the biases involved in the patient interview process. Identify the factors that can help assess depression in a patient. Explain the keys factors in active listening when taking a patient history. Discuss the importance of using a broad to narrow approach in patient observation.

  • Triage/Screening/Sensitive Tests: Ruling Out and Making the First Order DecisionChapter 4

    Discuss the utility of a screening examination in the clinical assessment process. Compare and contrast the key elements in the upper and lower quarter screen.

  • The Rest of the ExaminationChapter 5

    Discuss the level of objective evidence regarding the diagnostic value of motion testing, palpation, and muscle testing. Explain the utility of motion testing in the screening process. Compare and contrast “make” and “break” tests in the motion testing examination. Explain the importance of PPM’s in the musculoskeletal examination.

  • Orthopaedic Diagnosis, Treatment, and Treatment-Based ClassificationChapter 6

    Identify the most important skills in the treatment based classification process. Justify the use of a treatment-based classification system in clinical practice. Explain the inverted funnel shape of the examination sequence. Identify an example of a diagnosis that typifies regional interdependence.

  • View full course details »

Section 2: Shoulder

2 Chapters

Evidence-Based Examination of the Shoulderkeyboard_arrow_down

  • EpidemiologyChapter 1

    Define shoulder pain. Outline the prevalence and incidence of shoulder pain. Identify risk factors for sources of shoulder pain. Evaluate the economic impact of shoulder dysfunction.

  • Patient History and Self-Report Outcomes MeasuresChapter 2

    Recognize patient interview questions unique to the shoulder and the value of those questions. Identify best SRMs for shoulder pain.

  • ObservationChapter 3

    Observe asymmetries and /or anomalies in the shoulder joint complex. Identify the link or lack thereof between shoulder pain and observed asymmetries.

  • Triage and ScreeningChapter 4

    Identify common Red Flags and yellow flags in the treatment of patients with shoulder pain. Understand the role of referral from adjacent body segments in shoulder pain. Explain how to perform two common screening tests for bony abnormalities of the shoulder

  • Motion TestingChapter 5

    Perform basic motion testing of the shoulder with focus on the concordant sign. Perform motion testing of the shoulder beyond cardinal or straight planes.

  • Palpation and Manual Muscle TestingChapter 6

    Perform an appropriate palpatory examination of the shoulder. Perform an appropriate muscle testing examination of the shoulder.

  • Special TestsChapter 7

    Identify the most diagnostic shoulder oriented special tests. Apply the tests to the appropriate diagnoses.

  • Physical Performance MeasuresChapter 8

    Demonstrate the most commonly used physical performance measures of the shoulder complex. Identify the utility of the physical performance measures of the shoulder complex.

  • View full course details »

Evidence-Based Treatment of the Shoulderkeyboard_arrow_down


Section 3: Elbow, Wrist, & Hand

2 Chapters

Evidence-Based Examination of the Elbow, Wrist and Handkeyboard_arrow_down

  • Prevalence and Economic ImpactChapter 1

    Evaluate the economic impact of elbow, wrist and hand dysfunction. Consider the prevalence/incidence of elbow, wrist and hand dysfunction and how this influences clinical practice.

  • Patient History and Outcomes MeasuresChapter 2

    Discuss the imperative patient history elements of a elbow, wrist, and hand examination. Define which patient history components are affiliated with elbow, wrist, and hand pathology. Discuss the most common forms of self-report patient outcomes measures.

  • ObservationChapter 3

    Identify the link between observation of the elbow, wrist, and hand and dysfunction. Identify the key observational characteristics in a physical examination.

  • Triage and ScreeningChapter 4

    Identify the most prevalent red flags, germane during the elbow, wrist, and hand examination. Compare and contrast the purposes of each diagnostic test for sinister problems. Analyze the “triggers” that would prompt the use of a test for ruling out a condition. Evaluate the benefit of performing these “ruling out” actions first within the examination. Understand structural differentiation.

  • Motion TestingChapter 5

    Synthesize the importance of the concordant/comparable sign, during examination. Compare and contrast the goals of the three primary phases of the initial examination.

  • Palpation and Muscle TestingChapter 6

    Evaluate the benefit of palpation as part of a dedicated clinical examination. Evaluate the benefit and types of manual muscle testing for the elbow, wrist and hand.

  • Special TestsChapter 7

    Understand the language of diagnostic accuracy. Identify the most diagnostic elbow, wrist, and hand oriented special tests. Apply the tests to the appropriate diagnoses.

  • View full course details »

Evidence-Based Treatment of the Elbow, Wrist and Handkeyboard_arrow_down


Section 4: Upper Quarter

1 Chapters

Evidence-Based Examination and Treatment of the Upper Quarterkeyboard_arrow_down

Chad Cook


Eric Hegedus


CEU Approved

25 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

Sample Certificate

Sample Certificate

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