CHT Prep Program

Become a Certified Hand Therapist and gain the clinical expertise needed to return your patients to function and meaningful occupation. Our self-guided CHT prep program will equip you with everything you need to pass the Hand Therapy Certification exam—all while earning CEUs.

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of subscribers that studied with the MedBridge Certification Prep Programs successfully passed their board specialization test!

Prepare to take the next step in your career.

Set yourself apart as a distinguished professional equipped to provide an advanced level of care as a Certified Hand Therapist with our CHT Prep Program.

In this self-guided program, you’ll study advanced topics taught by the best instructors in hand therapy. With 60+ curated courses, 200+ practice questions, 3 practice exams, a dedicated moderated Facebook group, and more, this 24-week program will have you prepared for success on the day of your exam.

Learn From the Best at MedBridge

Learn from the Best

Study advanced topics taught by the top instructors in hand therapy.

Identify Your Strengths at MedBridge

Identify Your Strengths

Analyze your strengths & weaknesses with scores for practice areas.

Personalize Your Plan at MedBridge

Personalize Your Plan

Customize the program to meet your needs. Study in groups or on your own.

Advance Your Career at MedBridge

Advance Your Career

Prepare for the test and earn CEUs—all included in your annual subscription.

Explore CHT Prep Courses

Flexor Tendon Rehabilitation of the Hand and Wrist

Presented by Kristin Valdes, OTD, OT, CHT

Flexor Tendon Rehabilitation of the Hand and Wrist

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Do you need an update on the flexor tendon? New research has made significant changes to the flexor tendon rehabilitation program for the hand and wrist. There are many protocols in place that differ in regard to design of the orthotic device and the time frame when active motion starts. Join Dr. Kristin Valdes as she covers the current evidence regarding tendon rehabilitation and improves the understanding of differing protocols. Detailed motion graphics, illustrative and informative handouts, and demonstrations focused on application provide the participant with a new perspective on flexor tendon rehabilitation of the hand and wrist.

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Management of Fingertip Injuries

Presented by Gary Solomon, MBA, MS, OTR/L, CHT

Management of Fingertip Injuries

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Video Runtime: 50 Minutes, Learning Assessments: 32 Minutes

Fingertip injuries are the most common type of hand injury and are responsible for 20% of all ER visits. Proper management of these injuries is critical to restore functional hand use and return patients to unrestricted activity performance.

This course will help viewers develop a greater understanding of types of fingertip injuries and anatomical structures involved as well as teach viewers how to distinguish between various treatment options based on injury variants. Wound healing strategies based upon specific patient presentation are explored and options to integrate appropriate therapeutic management throughout the course of treatment are presented. In this course, strategies to prioritize protective options, wound care, and desensitization techniques to maximize patient outcomes are emphasized.

This course will help occupational and physical therapists working with patients with fingertip injuries in the outpatient or inpatient setting develop strategies to facilitate successful patient outcomes.

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Evaluation of the Thumb

Presented by Virginia O'Brien, OTD, OTR/L, CHT

Evaluation of the Thumb

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Why is it so important to evaluate all aspects of the thumb? The thumb is the most articulate member of the hand, and the majority of fine motor activity requires the use of the thumb. It is the only member of the hand that has a "universal joint" in its column. This course will walk you through the essential portions of an evaluation of the thumb and its full movement and use potential, to uncover the puzzle of thumb pain, which creates functional deficit. This course will also cover the differential diagnoses and provocative tests; examination and assessment are important to understand within the large category of "thumb pain." The unique thumb deserves significant attention to assess possible reasons for its pain.

CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses 3 hours in length).

  • Evaluation of the Thumb (1 hour)
  • Why is Thumb Pain Such a Pain? An Introduction to Dynamic Stability of the Thumb (2 hours)
  • Saving Your Thumbs: Elastic Taping, Customizing Orthosis, Joint Protection Techniques, and Adaptive Equipment (1 hour)
  • o What About a Thumb Orthosis? (2 hours)
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    Extensor Tendon Rehabilitation Update: Zones I–II

    Presented by Jeanine Beasley, EdD, OTR, CHT, FAOTA

    Extensor Tendon Rehabilitation Update: Zones I–II

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    Video Runtime: 35 Minutes; Learning Assessment Time: 26 Minutes

    This course provides an update on the current evidence for therapeutic management of extensor tendon injuries and conditions in zones I and II. It includes a review of the anatomy, as well as conservative and postoperative treatment interventions. Demonstrations of specific orthoses will be included. This course is designed for the intermediate occupational therapist, physical therapist, physical therapy assistant, and certified occupational therapy assistant with experience in hand conditions.

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    Introduction to Orthoses

    Presented by Deborah A. Schwartz, OTD, OTR/L, CHT

    Introduction to Orthoses

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    Using orthoses for immobilization is an important therapeutic intervention to help support and protect the injured upper extremity after surgery or trauma, and also to offer balance and help position the hand and wrist for enhanced function due to injury or pain. Therapists require core knowledge in upper extremity anatomy, biomechanical principles of orthotic fabrication and hands on practice to be able to fabricate well-fitting and appropriate orthoses for clients requiring immobilization of joints of the upper extremity.

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    Evaluation of Shoulder Impingement

    Presented by Jennifer T. Dodson, OTR/L, CHT

    Evaluation of Shoulder Impingement

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    Do you get referrals for patients with the diagnosis of shoulder pain/impingement? Do you notice in your practice treating the UE that after prolonged nonuse of the upper extremity due to an elbow/wrist/hand injury, shoulder pain starts when your patient starts using the UE again? Do you wonder what is the current evidence available for evaluating these patients? Recent biomechanical considerations will be discussed when rehabilitating patients with impingement. Evaluation techniques will be reviewed and demonstrated to allow you to effectively gather the information needed to create an effective treatment plan to return your patient to their ADLs.

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    Identification and Evaluation of Thoracic Outlet Syndrome

    Presented by Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT

    Identification and Evaluation of Thoracic Outlet Syndrome

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    What do I do with patients that hurt all over? Why do carpal tunnel symptoms seem to keep coming back? This course is designed to assist practicing therapists in identifying key features of thoracic outlet syndrome and provide guidance for evaluating these patients using a manual therapy approach. Obtaining a pertinent history and performing a thorough physical examination will give therapists the tools to identify disputed neurogenic TOS and prioritize the patient's impairments.

    CHTs, when submitting this for recertification through HTCC, this course can be used for CAT B (hand therapy courses 3 hours in length).

  • Identification & Evaluation of Thoracic Outlet Syndrome (2 hours)
  • Thoracic Outlet Syndrome: Assessing the Elevation Chain (1.25 hours)
  • Treatment of Thoracic Outlet Syndrome: Where to Begin (1.75 hours)
  • Treatment of Thoracic Outlet Syndrome: Addressing Shoulder and Upper Thoracic Limitations (1.5 hours)

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    Introduction to Pediatric Hand Therapy Part 1

    Presented by Mary "Peggy" Faussett, MOTR/L, CHT and Jill Peck-Murray, MOTR/L, CHT

    Introduction to Pediatric Hand Therapy Part 1

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    A therapist who treats pediatric patients may not be aware of the orthopedic aspects of care for a pediatric patient with hand or upper extremity injuries or conditions. An adult hand therapist may be aware of the pediatric conditions and developmental issues that can affect care of the pediatric hand patient. This course will introduce the things that are unique about the pediatric hand patient, the role of the pediatric hand therapist, and the common pediatric conditions seen by a pediatric hand therapist. Part 1 will also offer some strategies for successful evaluation and goal setting with pediatric hand patients.

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    Track Your Strength

    The CHT Prep Program is based on both practice domains and body regions in alignment with the Hand Therapy Certification Commission (HTCC) CHT Test Blueprint. Over 200 test questions are mapped to these two matrices so participants can track their own strengths and weaknesses to prepare for the exam.

    See your strength in over 20 categories! Begin the CHT program today.

    Practice Exam

    Test your grasp on hand therapy—try our practice question below!

    Case Excerpt:

    Mr. Tom was referred to your clinic one week status post right long finger extensor digitorum communis (EDC) repair in zone V. The referral states the surgeon wants the patient to be treated by immobilization with close supervision from the therapist. The repair site is distal to the juncturae tendinum interconnection. What is the best option for orthosis management?


    What is the best option for orthosis management?
    Correct! Incorrect! Subscribe to access over 300 more questions like this one.

    The correct answer is "WHFO: wrist in 35°–40° of extension, adjacent MCPs at 30° of flexion, long finger MCP at 0°, and IPs free"

    Fabricating an orthosis with proper positioning is crucial to success when following immobilization guidelines. In this case, the repair is distal to the juncturae tendinum interconnection. The juncturae tendinum are broad intertendinous connections diverging from the EDC, functioning dynamically to stabilize the MCP joints while also limiting independent tendon function. Placing the wrist in 35°–40° of extension helps reduce tension on the EDC. Placing the MCPs of the uninvolved fingers at 30° of flexion relative to the long finger MCP in neutral provides advancement of the proximal end of the severed tendon. This is due to the forces provided by the intertendinous connection’s further reducing tension on the repair.

    Reference: Evans, R. B. (2021). Rehabilitation following extensor tendon injury and repair. In T. M. Skirven, A. L. Osterman, J. Fedorczyk, P. C. Amadio, S. Felder, & E. K. Shin (Eds.). Rehabilitation of the hand and upper extremity (7th ed., pp. 464–477). Elsevier.

    Meet Our Instructors

    Scott N. LaRaus, PT, DPT, CWS

    Dr. LaRaus is a 1992 graduate of Hunter College's Physical Therapy Program in New York. He obtained his postprofessional Doctorate of Physical Therapy at the University of Medicine and Dentistry of New Jersey in May 2008. He started out his career developing and implementing the University of Medicine and Dentistry's inpatient and outpatient wound care center and services. He has worked in a variety of settings, such as the University Medical Center at Princeton, where he is the senior physical therapist and where he co-organized the facility's original SWAT (Skin Wound Action Team) program, which develops and implements hospital-wide wound care protocol. He was the first physical therapist to be a program director for the Center for Wound Healing, where he developed and ran a successful outpatient wound management program. Currently, he is the director of inpatient rehabilitation services at the Memorial Hospital of Salem County for FOX Rehabilitation. Dr. LaRaus is a member of the American Physical Therapy Association's Acute Care section, where he served on the editorial advisory board of Acute Care Perspectives from 1997 to 2017. Dr. LaRaus also served on the peer-review panel for Advances in Skin & Wound Care, and he has written and produced with Slack Incorporated an interactive wound care CD-ROM for health professionals (June 2003). Dr. LaRaus has been a certified wound specialist with the American Board of Wound Management since June 1998. He has been an active member of the Association for the Advancement of Wound Care since 2000, where he has served on the Government and Regulatory Affairs Task Force, worked on the award-winning venous ulcer algorithm, and is the current cochair for the regulatory group. He serves as a member of the nominating committee and was the physical therapy board member from 2014 to 2017 for the Association for the Advancement of Wound Care. Dr. LaRaus is an active lecturer in the field and has presented at various universities as well as nationally to healthcare professionals and allied healthcare professionals in the field of wound care management.

    Jennifer T. Dodson, OTR/L, CHT

    Jennifer graduated from the Florida International University occupational therapy program in 1998. She has been practicing outpatient rehabilitation in Jacksonville, Florida, ever since. In 2002, she was honored to be chosen as a fellow for the Evelyn Mackin Hand Therapy Fellowship at the Philadelphia Hand Center. She became a certified hand therapist in 2004. Part of the mission of the fellowship was to have the fellow bring the knowledge learned to an underserved area. To help fulfill this mission, she created her own continuing education company, 3Kings Upper Extremity Specialists, specializing in upper extremity rehabilitation. 3Kings Upper Extremity Specialists brings quality continuing education courses to Jacksonville with the support of local hand/plastic surgeons and CHTs from around the country. Addional goals of starting her own company were to unite the CHTs and MDs in the Jacksonville area, to promote evidenced-based practice through holding journal clubs, and to mentor area therapists. Jennifer is an active member of the American Society of Hand Therapy and has served on the Education Council. She has been invited to lecture at local and national conferences around the US and Canada on various upper extremity topics. She currently works at UF Health Jacksonville, a Level I academic trauma hospital. This allows her to practice in the two areas she is passionate about: trauma and sports medicine. She previously served as a clinical hand specialist, where she developed the hand therapy program at the hospital. Through her years of practice, she has had the ability to start up hand therapy programs in various settings. Jennifer is currently enrolled in the Jefferson post-professional occupational therapy doctorate program, with anticipated graduation in 2021. Her doctoral work focuses on traumatic complex injuries to the upper extremity.

    Jamie L. Bergner, OTD, OTR/L, CHT, COMT

    Jamie L. Bergner has more than 20 years of clinical expertise as an experienced occupational therapist specializing in the care of clients after hand and upper extremity trauma, injury, and surgery. She is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) working at a level 1 trauma center for Vanderbilt University Medical Center in Nashville, Tennessee. Jamie is passionate about mentoring and teaching, and teaches online graduate courses as an adjunct faculty member for the MSOT program at Cox College in Springfield, Missouri. Continuing her own professional development, she obtained her postprofessional doctorate in occupational therapy with an elective track in academic education from Rocky Mountain University of Health Professions in 2016. Jamie teaches live continuing education courses nationally with the International Academy of Orthopedic Medicine - US, Hand and Upper Extremity Track. Invested in clinician-led research, Jamie has published in multiple peer-reviewed journals, including the Journal of Hand Therapy, the Journal of Shoulder and Elbow Surgery, the American Journal of Occupational Therapy, and OT Practice magazine. Jamie has presented at a local, state, and national level, including at the Tennessee Occupational Therapy Association, the Vanderbilt Hand & Upper Extremity Conference, the Wisconsin Hand Experience, the American Society of Hand Therapists Annual Meeting, and the American Occupational Therapy Association Annual Conference.

    Eric Hegedus, PT, DPT, PhD, MHSc, OCS

    Dr. Eric J. Hegedus has had a notable 21-year career as a leader and innovator in physical therapist education, research, and clinical practice and is founding chair of the Doctor of Physical Therapy Department at High Point University. Dr. Hegedus also is founder and director of Targeted Enhanced Athletic Movement (TEAM), a community-based health and wellness program designed to improve athletic performance and prevent injury. In addition to his administrative duties, Professor Hegedus has directed and taught musculoskeletal practice management courses and has won the American Physical Therapy Association Orthopedic Section's James A. Gould teaching award. He is also a four-time winner of the Duke DPT Excellence in Teaching award and a three-time nominee for Duke Medical Center's prestigious Master Clinician Educator Award. In addition to his love for teaching, Dr. Hegedus is a lifelong student with a Doctor of Physical Therapy degree from Slippery Rock University, a Master of Health Science degree from Duke University, a Bachelor of Science degree in Business Administration from Bucknell University, a board specialty in orthopedic physical therapy, and a specialty certification in strength and conditioning. Finally, Dr. Hegedus is a productive scholar with more than 40 peer-reviewed PubMed articles, three book chapters, and a textbook entitled Orthopedic Physical Examination Tests: An Evidence-Based Approach, now in its second edition and translated into five languages.

    What's Included in the Program

    Advanced Courses

    Choose from over 60 online, video-based courses taught by the experts

    Practice Questions

    Study with over 300 practice questions and other supplemental materials

    Group Study

    Prepare on your own or with others sitting for the exam

    Structured Program

    Boost your expertise with this 24-week program designed specifically for the CHT exam

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