URI Fellowship in Orthopaedic Manual Physical Therapy

The Mission of the URI Fellowship in Orthopaedic Manual Physical Therapy is

To inspire and empower physical therapists to reach their full potential as advanced practitioners in the sub-specialty field of orthopaedic manual physical therapy


The URI Fellowship in Orthopaedic Manual Physical Therapy (OMPT) is an 18-month program which provides a combination of advanced didactic educationand intensive clinical mentorship to guide experienced, board-certified, and/or residency-trained clinicians toward advanced practice in the sub-specialty field of OMPT. Graduates of the program are eligible to apply to become a Fellow of the American Academy of Orthopaedic Manual Physical Therapists, (FAAOMPT).


Program Directors and Links to Bio

Daniel Maddox, PT, DPT


The URI Fellowship in OMPT is a blended format program – optimizing use of technology to deliver portions of the program in an online environment, while integrating these portions with live didactic lab sessions and 1:1 mentoring. This model allows the learner to participate in the program from anywhere in the continental United States. Weekend labs are typically held in Atlanta, GA.


Program Outline/ Plan of Study:

The curriculum includes four primary components:
Mentorship and Clinical Practice
Didactic Coursework via Online, Blended, and On-Site Components, as follows:

  • Evidence-Informed Practice
  • Research and Scholarship
  • Cervicothoracic OMPT Management
  • Upper Quarter OMPT Management
  • Lumbopelvic OMPT Management
  • Lower Quarter OMPT Management
  • Manual Therapy I: Past, Present and Future of OMPT
  • Manual Therapy II: OMPT Advanced Clinical Reasoning and Patient Management
  • Manual Therapy III: Application of Advanced OMPT Practice
  • Pain Science in OMPT Practice

Teaching and leadership experience via TA roles and prepared presentations for orthopaedic residents and other learners

  • Online class facilitation
  • Live lab instruction
  • Lecturing and presentation skills
  • Live case discussion facilitation
  • Capstone Projects to include a comprehensive written exam, live patient examinations, live technique examinations, and a scholarly project

Mentoring Model
All fellows-in-training (FITs) will complete 150 hours of 1:1 clinical mentoring.

  • Mentoring provided in the FIT’s home clinic – with an approved FAAOMPT mentor traveling to the FIT.
  • Mentoring provided in a FAAOMPT mentor’s home clinic – with the FIT traveling to the mentor.


To achieve and maintain American Board of Physical Therapy Residency and Fellowship Education
To provide a fellowship program that is consistent with the OMPT Description of Fellowship Practice
To deliver high quality, evidence-informed orthopaedic physical therapist education in a blended environment
To provide consistent program delivery to a small cohort of fellows in training
To provide a superior mentoring component
To develop outstanding clinicians in the field of orthopaedic manual physical therapy

Program Outcomes

One of the ultimate goals of the program is to produce graduates that exhibit excellence in clinical care, education, and leadership. Below are the outcomes for our graduates to date:

  • Clinical Outcomes:
  • Compared with national averages using the WebOutcomes database, OMPT Fellowship graduates to date demonstrate 21% better clinical outcome scores across the board. When broken down by bodily region, our graduates’ outcome scores are:
    36% better for patients with primarily cervicothoracic conditions
    15% better for patients with primarily upper extremity conditions
    23% better for patients with primarily lumbopelvic conditions
    9% better for patients with primarily lower extremity conditions

  • Education, Scholarship, and Leadership:
  • Of all of our graduates to date,
    100% have gone on to regularly engage in PT-related educational roles at the entry-level and/or post-professional level
    78% have gone on to participate in scholarly activity – such as conference presentation, participation in research projects, etc.
    56% have gone on to hold leadership roles within the APTA, AAOMPT, or their respective companies.

  • Career Orientation:
  • Program graduates pursue various roles and career opportunities upon program completion. Many are still engaged as full-time clinicians, some have taken formal roles in post-professional educational leadership, some have taken on roles in operational/administrative leadership, and some have gone on to accept university faculty appointments. Most all remain engaged in a healthy mix of clinical practice, scholarship, teaching/mentoring, and/or leadership in various capacities. All URI OMPT Fellowship graduates to date have responded to post-graduate surveys, which indicate that the average workload for a given week for a program graduate is spent as follows:
    55% clinical practice
    14% clinical mentoring
    14% post-professional PT education
    8% entry-level PT education
    6% practice administration
    3% community, university, or professional service


    For more information and questions about our OMPT Fellowship, please contact us at OMPTfellowship@upstreamrehabinstitute.com