Orthopedic Excellence: The Upper Quarter

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

Subscribe Now Already a subscriber? Sign in to start.
Orthopedic Excellence: The Upper Quarter

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.

Who Should Get Certified

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.
  • 1 Courses

    Section 1: Introduction

      1. Chapter 1 bullet Introduction

        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.

      2. Chapter 2 bullet Foundational Concepts of Diagnosis

        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.

      3. Chapter 3 bullet Overview of Patient Interview, Outcomes Measures, and Observation

        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.

      4. Chapter 4 bullet Triage/Screening/Sensitive Tests: Ruling Out and Making the First Order Decision

        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.

      5. Chapter 5 bullet The Rest of the Examination

        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.

      6. Chapter 6 bullet Orthopaedic Diagnosis, Treatment, and Treatment-Based Classification

        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.

      7. View full course details »
      Hide 6 Chapters
  • 2 Courses

    Section 2: Shoulder

      1. Chapter 1 bullet Epidemiology

        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.

      2. Chapter 2 bullet Patient History and Self-Report Outcomes Measures

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

      3. Chapter 3 bullet Observation

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

      4. Chapter 4 bullet Triage and Screening

        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

      5. Chapter 5 bullet Motion Testing

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

      6. Chapter 6 bullet Palpation and Manual Muscle Testing

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

      7. Chapter 7 bullet Special Tests

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

      8. Chapter 8 bullet Physical Performance Measures

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

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies

        Recognize the most common shoulder pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.

      2. Chapter 2 bullet Treatment Classification

        Recognize the proposed benefit to classifying shoulder disorders and treatments by similarity. Understand that classifications do not need to be mutually exclusive.

      3. Chapter 3 bullet Local Treatments of the Shoulder

        Describe evidence behind concordant based interventions targeted to the primary impairment. Demonstrate shoulder oriented movement based techniques. Demonstrate shoulder specific stretching and strengthening techniques.

      4. Chapter 4 bullet Regional Treatments of the Shoulder

        Review the adjunctive techniques used to target the secondary or regional contributors to the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Global Treatments of the Shoulder

        Review and apply techniques used to target global issues. Analyze the effectiveness of the kinetic chain in return to sport.

      6. View full course details »
      Hide 5 Chapters
  • 2 Courses

    Section 3: Elbow, Wrist, & Hand

      1. Chapter 1 bullet Prevalence and Economic Impact

        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.

      2. Chapter 2 bullet Patient History and Outcomes Measures

        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.

      3. Chapter 3 bullet Observation

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

      4. Chapter 4 bullet Triage and Screening

        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.

      5. Chapter 5 bullet Motion Testing

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

      6. Chapter 6 bullet Palpation and Muscle Testing

        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.

      7. Chapter 7 bullet Special Tests

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

      8. View full course details »
      Hide 7 Chapters
      1. Chapter 1 bullet Common Pathologies

        Recognize the more prevalent elbow, wrist and hand pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.

      2. Chapter 2 bullet Treatment Classification Systems

        Recognize the proposed benefit to classifying Elbow Wrist Hand conditions by similarity. Understand that classifications do not need to be mutually exclusive.

      3. Chapter 3 bullet Interventions to Relieve Concordant Sign or Priority Impairment

        Review the concordant techniques used to target the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions that Address Global Issues Pertinent to Conditions

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.

      6. View full course details »
      Hide 5 Chapters
  • 1 Courses

    Section 4: Upper Quarter

Instructors CEU Approved

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

Subscribe Now

Start the Orthopedic Excellence: The Upper Quarter

Get this Certificate Program and so much more! All included in the MedBridge subscription.


      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.
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.
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.
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.
*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.
Subscribe Now This Certificate Program and so much more are all included in the MedBridge subscription.