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Abstract Flame


Virtual Hand to Shoulder Fellowship, LLC, was established to address an educational gap in the specialty of upper limb and hand therapy. We uniquely offer a curriculum-based approach to continuing education coupled with mentorship that is designed to cultivate effective critical thinking skills. We are committed to maintaining content that is evidence-based and utilizing online instructional strategies that are also grounded in evidence. 

Our ultimate goal is to make the attainment of clinical excellence accessible to clinicians committed to providing optimal patient care in the specialty of hand therapy. 


Program Overview

  • 48-week curriculum 

  • Encompasses HTCC CHT exam blueprint

  • 18-month access

  • AOTA Approved Provider

  • Awards 14.4 CEUs

  • Comprehensive & evidence-based

  • Delivered synchronously or asynchronously.

  • Personalized mentorship

  • Mentorship resources

  • Audio recordings

  • Lecture outlines

  • Private event guest speakers

  • Mobile app

  • VHSF Membership

  • Live Skills Assessment Lab (optional)​

  • Live Weekend Labs*

    • See the Live Labs page for details​

  • Virtual Labs​*

    • See the Virtual Labs page for details​​​

​ * Additional fees  (optional)

Program Features

  • Designed to fill a knowledge gap.

  • Designed to enable critical thinking.

  • Designed to enable clinical excellence.

  • Designed to enable future leaders.

  • Designed to accommodate all levels of learners.

Curriculum Design

Trimester I: Foundations

  • Shoulder Anatomy & Biomechanics

  • Elbow Anatomy & Biomechanics

  • Wrist & Hand Anatomy & Biomechanics

  • Neuroanatomy & Physiology


Trimester II: Pathology 101 

  • Pathology & Pathomechanics

  • Clinical Exam

  • Interventions, Procedures, & Rehab 


Trimester III: Complex Pathologies

  • Pathology & Pathomechanics

  • Clinical Exam

  • Interventions, Procedures, & Rehab 

 Each trimester is a prerequisite for the next. 

This scaffolded approach allows for the development of  critical thinking skills

*Application Required

We are trained as generalists, but through mentorship, professional development activities, and, most importantly, an evidence-based, comprehensive curriculum, clinicians demonstrate credibility and commitment to providing the highest level of evidence-based patient care in upper limb and hand therapy. This enables clinicians, whether new grads or experienced clinicians without direct hand therapy experience, to be more competitive for positions in hand therapy. 

Required Text:

Skirvin, Osterman, Fedorczyk, Amadio, Feldscher, and Shin (eds). Rehabilitation of the Hand and Upper Extremity. 7th ed. Philadelphia: Elsevier, 2021. Proof of purchase will be required upon enrollment.



"We've been educated as generalists.
Our mission is to educate you as specialists." 

Certified Hand Therapists
CHT Training
CHT Course

Next Synchronous Cohort begins in April 2024

Need flexibility and self-pacing?

Complete asynchronously
Begin anytime!
Our asynchronous cohort completes the curriculum on demand and attends any of our 3 weekly mentorship sessions. 



To advance expertise in examination, evaluation, diagnosis, prognosis, intervention, and management of patients with upper extremity and hand impairment and disability.​


To develop leaders in the field who help bridge the gaps between practice patterns utilizing evidence-based practice and enhance interdisciplinary collaboration.


To prepare physical and occupational therapists to sit for the Certified Hand Therapist (CHT) examination.​

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