Course curriculum

  • 1

    Orientation

    • Weekly Opportunities

    • Mobile App

    • Orientation

    • Live Closed Captions
  • 2

    Sunday Sessions: Foundational Knowledge & Guided Application

    • September 2026 Registration | Sundays 2-3 pm ET

    • Trimester 1- Foundations Guided Case Discussion

    • Handouts & Lecture Synthesis Table

    • Extended Enrollment & Synchronous Sessions
  • 3

    Baseline Exam

    • Baseline Exam Link
  • 4

    Office Hours & Mentorship

    • Mentorship Sessions

    • Office Hours

    • Self Assessment: Critical Thinking in Hand Therapy

    • Mentorship Needs Assessment
  • 5

    Syllabus

    • 2026 Updated Syllabus

  • 6

    1.1 Wrist & Hand Anatomy (part 1)

    • 1.1 Basic Anatomy of Wrist and Hand (part 1)

    • 1.1 Handout

    • 1.1 Lecture Synthesis Table

    • 1.1 audio

    • Case Study: Malunion Distal Radius Fracture

    • Quiz 1.1

    • Paired Expert Guest Presentation: 3D Printing in Hand Therapy
  • 7

    1.2 Wrist & Hand Anatomy (part 2)

    • 1.2 Basic Anatomy of Wrist and Hand part 2

    • 1.2 Handout

    • 1.2 Lecture Synthesis Table

    • 1.2 audio

    • Case Study: Stiff Hand

    • 1.2 Quiz

    • Paired Expert Guest Presentation: Hand Surgeon David Miller, MD
  • 8

    1.3 Clinical Exam of the Wrist & Hand

    • 1.3 Clinical Assessment of the Wrist & Hand

    • 1.3 Handout

    • 1.3 Lecture Synthesis Table

    • 1.3 audio

    • Case Study: Wrist Pain/Work Injury

    • 1.3 quiz
  • 9

    Week 3 Lab: Provocative Tests by Wrist Zone

    • Carpal Palpation

    • Dorsoradial Zone

    • Central Dorsal Zone

    • Ulnodorsal Zone

    • Radial & Ulnar Volar Zones

    • Ortho Hand Surgeon's Exam

  • 10

    1.4 Elbow Anatomy & Biomechanics

    • 1.4 Anatomy & Biomechanics of the Elbow

    • 1.4 Handout

    • 1.4 Lecture Synthesis Table

    • 1.4 audio

    • 1.4 Case Study Olecranon Fracture

    • 1.4 Quiz
  • 11

    1.5 Clinical Exam of the Elbow

    • Clinical Exam of the Elbow

    • Handout/Outline

    • 1.5 Lecture Synthesis Table

    • 1.5 audio

    • 1.5 Case Study: Lateral Tendinopathy

    • 1.5 Quiz

    • Paired Expert Guest Presentation: Clinical Research
  • 12

    Week 5 Lab: Elbow Exam

    • Differential Tissue assessment

    • Varus & Valgus Stress Tests

    • Scratch Collapse

    • Elbow Exam

    • Joint Play: RH Anterior Glide

    • Joint Play: RH Posterior Glide

    • Joint Play: RH Inferior Glide

    • Joint Play: RH Superior Glide

    • Median Nerve Trajectory

    • Ulnar Nerve Trajectory

    • Radial Nerve Trajectory
  • 13

    1.6 Shoulder Anatomy & Biomechanics

    • 1.6 Anatomy & Biomechanics of the Shoulder

    • 1.6 Handout

    • 1.6 Lecture Synthesis Table

    • 1.6 audio

    • 1.6 Case Study: Shoulder Dislocation

    • 1.6 Quiz
  • 14

    1.7 Shoulder Clinical Exam

    • 1.7 Shoulder Clinical Exam

    • 1.7 Handout

    • 1.7 Lecture Synthesis Table

    • 1.7 audio

    • Case Study: Shoulder Exam

    • 1.7 Quiz

    • Paired Expert Guest Presentation: Developmental Milestones of Upper Limb Function
  • 15

    Week 7 Lab: Shoulder Exam

    • Cervical Distraction/Compression

    • Spurlings

    • Myotomes

    • Shoulder RROM

    • Drop Arm

    • Empty Can

    • Lift Off

    • Belly Press

    • Lower Trap MMT

    • Middle Trap

    • Serratus Test- Plus Sign

    • Serratus: Resisted Functional Flexion

    • Neer Impingement Test

    • Hawkins Kennedy: Impingement

    • Sulcus Test

    • A/P Laxity

    • Clunk Test: Labrum

    • Crank: Labrum

    • Jerk Sign: Labrum
  • 16

    1.8 Soft Tissue Healing & Wound Care

    • 1.8 Soft Tissue Healing

    • 1.8 Handout

    • 1.8 Lecture Synthesis Table

    • 1.8 audio

    • Case Study: Thumb CMC Arthroplasty

    • 1.8 Quiz
  • 17

    1.9 Bone Healing

    • 1.9 Bone Healing

    • 1.9 Handout/Outline

    • 1.9 Lecture Synthesis Table

    • 1.9 Audio

    • Case Study: Fracture

    • Quiz 1.9
  • 18

    1.10 Biopsychosocial Model in Hand Therapy

    • 1.10 Biopsychosocial Model in Hand Therapy

    • 1.10 Handout

    • 1.10 Lecture Synthesis Table

    • 1.10 audio

    • 1.10 Case Study: CRPS

    • Quiz 1.10

    • Expert Guest Presentation: Rethinking Common Elbow & Shoulder Conditions
  • 19

    1.11 Peripheral Nerve Compression

    • 1.11 Peripheral Nerve Compression

    • 1.11 Handout

    • 1.11 Lecture Synthesis Table

    • 1.11 audio

    • Case Study: Neuropathy s/p Trauma

    • 1.11 Quiz

    • Paired Expert Guest Presentation: Peripheral Nerve Compression
  • 20

    1.12 Compression Neuropathies of the Wrist

    • Compression Neuropathies of the Wrist

    • 1.12 Handout

    • 1.12 Lecture Synthesis Table

    • 1.12 audio

    • Case Study: Wrist-Level Neuropathy

    • Quiz 1.12
  • 21

    1.13 Compression Neuropathies of the Elbow

    • Compression Neuropathies of the Elbow

    • 1.13 Handout

    • 1.13 Lecture Synthesis Table

    • 1.13 audio

    • Case Study: Elbow-Level Neuropathy

    • 1.13 Quiz

    • Paired Expert Guest Presentation: Pain and the 4 S’s
  • 22

    Office Hours & Mentorship

    • Mentorship Sessions

    • Office Hours
  • 23

    1.14 Brachial Plexus

    • Brachial Plexus Anatomy & Pathology

    • Handout

    • 1.14 Lecture Synthesis Table

    • 1.14 audio

    • Case Study: Brachial Plexus Contusion

    • 1.14 Quiz
  • 24

    1.15 Treatment Techniques

    • Treatment Techniques

    • Handout

    • 1.15 Lecture Synthesis Table

    • 1.15 Audio

    • Case Study: Amputation

    • 1.15 Quiz

    • Paired Expert Guest Presentations: Soft Tissue Mobilization & Exercise

  • 25

    Trimester 1 Workbook: Foundations

    • Trimester 1 Workbook: Foundations
  • 26

    1.16 CHT Practice Exam

    • Trimester 1 Exam
  • 27

    Trimester 2 — Sunday Clinical Rounds

    • About Sunday Live Sessions: Critical Thinking & Application to Practice

    • April Cohort-Trimester 2 Registration

    • January Cohort Trimester 2 Registration Link
  • 28

    2.1 Advanced Anatomy & Kinesiology of the Wrist & Hand

    • 2.1 Advanced Anatomy Wrist & Hand

    • 2.1 Handout/Outline

    • 2.1 Lecture Synthesis Table

    • 2.1 Audio

    • Case Study: Distal Radius Malunion

    • Quiz 2.1
  • 29

    2.2 Thumb CMC OA

    • Thumb CMC OA

    • 2.2 Handout/Outline

    • 2.2 Lecture Synthesis Table

    • Thumb CMC OA

    • Case Study: Thumb CMC OA

    • 2.2 Quiz

    • Paired Expert Guest Presentations: Thumb CMC Osteoarthritis
  • 30

    2.3 Lateral Tendinopathy

    • 2.3 Elbow Tendinopathy

    • 2.3 Handout/Outline

    • 2.3 Lecture Synthesis Table

    • 2.3 Elbow Tendinopathy

    • 2.3 Case Study: Lateral Tendinopathy

    • 2.3 Quiz

    • Paired Expert Guest Presentation: Elbow Tendinopathies
  • 31

    2.4 Wrist & Hand Tendinopathies

    • Wrist & Hand Tendinopathies

    • 2.4 Handout/Outline

    • 2.4 Lecture Synthesis Table

    • 2.4 audio

    • Case Discussion: Trigger Finger Conservative & Post-op

    • 2.4 Quiz

    • Paired Expert Guest Presentation: The Injured Musician
  • 32

    2.5 Flexor Tendon Injuries: Surgery

    • Flexor Tendon Injuries: Surgery

    • 2.5 Handout/Outline

    • 2.5 Lecture Synthesis Table

    • 2.5 audio

    • Case Study: FPL Repair

    • 2.5 Quiz
  • 33

    2.6 Therapy Management of Flexor Tendon Injuries

    • 2.6 Therapy Management for Flexor Tendon Injuries

    • 2.6 Handout/Outline

    • 2.6 Lecture Synthesis Table

    • 2.6 Audio

    • Case Study: Flexor Tendon Repair

    • 2.6 Quiz

    • Paired Expert Guest Presentation: What’s New in Therapy Because of WALANT
  • 34

    2.7 Extensor Tendon Injuries: Surgical

    • 2.7 Extensor Tendon Injury: Surgical Management

    • 2.7 Handout/Outline

    • 2.7 Lecture Synthesis Table

    • 2.7 Audio

    • 2.7 Case Study: Sagittal Band Injury

    • 2.7 Quiz
  • 35

    2.8 Extensor Tendon Injuries: Therapy Management

    • 2.8 Therapy Management for Extensor Tendon Injuries

    • 2.8 Handouts/Outline

    • 2.8 Lecture Synthesis Table

    • 2.8 Audio

    • 2.8 Case Study: Zone III Repair

    • 2.8 Quiz
  • 36

    Office Hours & Mentorship

    • \Mentorship Sessions

    • Office Hours
  • 37

    2.9 Therapy Management of Peripheral Nerve Injuries and Repairs

    • Lecture: Peripheral Nerve Injuries and Repairs

    • 2.9 Handout/Outline

    • 2.9 Lecture Synthesis Table

    • 2.9 audio

    • 2.9 Case Study: Radial Nerve Palsy

    • 2.9 Quiz
  • 38

    2.10 Distal Radius Fractures

    • 2.10 Distal Radius Fractures

    • 2.10 Handout/Outline

    • 2.10 Lecture Synthesis Table

    • 2.10 audio

    • 2.10 Case Study: DR Fracture

    • 2.10 Quiz

    • Paired Expert Guest Presentations: Distal Radius Fracture Complications & Wrist Sensorimotor Control
  • 39

    2.11 Complex Regional Pain Syndrome & Management of the Stiff Hand

    • 2.11 CRPS & Managing the Stiff Hand

    • 2.11 Handout/Outline

    • 2.11 Lecture Synthesis Table

    • 2.11 audio

    • 2.11 Case Study: CRPS

    • Quiz 2.11

    • Paired Expert Guest Presentations: Pain & Management of Stiffness
  • 40

    2.12 Extraarticular Hand Fractures

    • 2.12 Extraarticular Hand Fractures

    • 2.12Handout/Outline

    • 2.12 Lecture Synthesis Table

    • 2.12 audio

    • Case Study: Extraarticular Fractures

    • 2.12 Quiz

    • Paired Expert Guest Presentation: Wrist & Hand Fractures
  • 41

    2.13 Intraarticular Hand Fractures

    • 2.13 Intraarticular Hand Fractures & Joint Injuries

    • 2.13 Handout/Outline

    • 2.13 Lecture Synthesis Table

    • 2.13 Audio

    • Case Study: Intraarticular Fracture

    • 2.13 Quiz
  • 42

    2.14 Neuro Upper Limb

    • 2.14 Neuro Upper Limb

    • 2.14 Handout

    • 2.14 Lecture Synthesis Table

    • 2.14 Audio

    • Case Study: CVA

    • 2.14 Quiz

    • Paired Expert Guest Presentation: Surgical Management of Spasticity
  • 43

    2.15 Rotator Cuff tendinopathy

    • 2.15 Rotator Cuff Tendinopathy

    • 2.15 Handout/Outline

    • 2.15 Lecture Synthesis Table

    • 2.15 audio

    • Case Study: RTC Repair

    • 2.15 Quiz

    • Paired Expert Guest Presentation: Manual Lymphatic Therapy for Orthopedic Edema
  • 44

    Trimester 2 Workbook: Pathology

    • Trimester 2 Workbook: Pathology
  • 45

    2.16 CHT Practice Exam Trimester 2

    • Trimester Exam 2
  • 46

    Trimester 3 — Clinical Rounds | Advanced Collaborative Reasoning

    • Trimester 3 — Clinical Rounds

    • Trimester 3 | Registration |January Cohort | 5:00 pm ET

  • 47

    3.1 Upper Quarter Exam & Thoracic Outlet Syndrome

    • Upper Quarter Screen & Thoracic Outlet Syndrome

    • Handouts/Outline

    • 3.1 Lecture Synthesis Table

    • Audio

    • Case Study TOS

    • 3.1 Quiz
  • 48

    3.2 Scapular Dysfunction & Shoulder Pathology

    • 3.2 Shoulder Conditions

    • 3.2 Handouts

    • 3.2 Lecture Synthesis Table

    • 3.2 audio

    • 3.2 Case Study: Adhesive Capsulitis

    • 3.2 Quiz

    • Paired Expert Guest Presentation: Common Shoulder Pathologies — Conservative & Surgical Management
  • 49

    3.3 Brachial Plexopathy

    • 3.3 Brachial Plexopathy

    • Handouts/Outline

    • 3.3 Lecture Synthesis Table

    • 3.3 audio

    • 3.3 Case Study: Brachial Plexus Injury

    • 3.3 Quiz
  • 50

    3.4 Tendon Transfer

    • 3.4 Tendon Transfers

    • 3.4 Handouts/Outline

    • 3.4 Lecture Synthesis Table

    • 3.4 Tendon Transfers

    • 3.4 Case Study: Radial Nerve Palsy

    • 3.4 Quiz
  • 51

    3.5 Elbow Fractures & Dislocations

    • 3.5 Elbow Fractures & Dislocations

    • 3.5 Handouts/Outline

    • 3.5 Lecture Synthesis Table

    • 3.5 audio

    • 3.5 Case Study: Terrible Triad

    • 3.5 Quiz

    • Paired Expert Guest Presentations: Elbow Instability & Stiffness
  • 52

    3.6 Biceps & Triceps Injuries

    • 3.6 Biceps & Triceps Injuries

    • 3.6 Handouts/Outline

    • 3.6 Lecture Synthesis Table

    • 3.6 audio

    • Case Study: Biceps Repair

    • 3.6 Quiz
  • 53

    3.7 Carpal Fractures, Dislocations, & Instabilities

    • 3.7 Carpal Fractures, Dislocations, & Instabilities

    • 3.7 Handouts/Outline

    • 3.7 Lecture Synthesis Table

    • 3.7 Carpal Fractures, Dislocations, & Instabilities

    • Case Study: Wrist PRC, Wrist Fusion

    • 3.7 Quiz

    • Paired Expert Guest Presentations: Wrist Arthritis & Manual Therapy
  • 54

    3.8 DRUJ: Surgical Management

    • 3.8 DRUJ: Surgical Management

    • 3.8 Handouts/Outline

    • 3.8 Lecture Synthesis Table

    • 3.8 audio

    • Case Study: Ulnar Shortening Osteotomy

    • 3.8 Quiz
  • 55

    Office Hours & Mentorship

    • Mentorship Sessions

    • Office Hours
  • 56

    3.9 TFCC

    • 3.9 TFCC

    • 3.9 Handouts/Outline

    • 3.9 Lecture Synthesis Table

    • 3.9 audio

    • Case Study: TFCC Peripheral Repair

    • 3.9 Quiz

    • Paired Expert Guest Presentation: Ulnar-Sided Wrist Pain
  • 57

    3.10 Dupuytren's Contracture

    • 3.10 Dupuytren's Contracture

    • 3.10 Handouts/Outline

    • 3.10 Lecture Synthesis Table

    • 3.10 audio

    • Case Study: Dupuytren's Contracture

    • 3.10 Quiz

    • Paired Expert Guest Presentations: Dupuytren’s Contracture
  • 58

    3.11: Rhuematoid Arthritis of the Hand & Wrist

    • 3.11 RA of the Hand & Wrist

    • 3.11 Handouts/Outline

    • 3.11 Lecture Synthesis Table

    • Audio 3.11

    • Case Study: MCP joint arthroplasty

    • Quiz 3.11
  • 59

    3.12 Amputations

    • 3.12 Amputation

    • 3.12 Handouts/Outline

    • 3.12 Lecture Synthesis Table

    • 3.12 audio

    • Case Study: Amputation

    • 3.12 Quiz

    • Paired Expert Guest Presentation: Rehabilitation Management of Upper Limb Amputation
  • 60

    3.13 Complex Hand Injuries

    • 3.13 Complex Hand Injuries

    • 3.13 Handout/Outline

    • 3.13 Lecture Synthesis Table

    • 3.13 Audio

    • 3.13 Case Study: Complex Hand Injury

    • 3.13 Quiz

    • Paired Expert Guest Presentations: Complex Upper Extremity Reconstruction
  • 61

    3.14 Pediatric Hand Differences & Brachial Plexus Injuries

    • 3.14 Pediatric Hand Differences & Brachial Plexus Injuries

    • 3.14 Handout/Outline

    • 3.14 Lecture Synthesis Table

    • 3.14 audio

    • 3.14 Case Study:Pollicization

    • 3.14 Quiz

    • Paired Expert Guest Presentations: Pediatric Upper Extremity Conditions
  • 62

    3.15 Wound Care and Burn Management

    • 3.15 Wound Care and Burn Management

    • 3.15 Lecture Outline

    • 3.15 Lecture Synthesis Table

    • 3.15 Lecture audio

    • 3.15 Case Study: Burn

    • **CHT Exam Prep Complex Concepts Quiz **

    • Paired Expert Guest Presentation: Wound Care in Hand Therapy
  • 63

    Advanced Rehabilitation & Sports Performance

    • Advanced Rehabilitation & Sports Performance
  • 64

    3.16 CHT Practice Exam

    • Trimester 3 Exam

    • VHSF Program Completion Survey
  • 65

    Fellowship Completion

    • Fellowship Completion Session

    • Journal Article Review Guidelines

    • Case Study Guidelines

    • Blog Guidelines

    • Post Fellowship Outcomes Exam Link
  • 66

    Trimester 3 Workbook: Complex Pathology

    • Trimester 3 Workbook: Complex Pathology