Ortho/Residency 
OMPT Fellowship 
Hand Fellowship Certifications
We offer a variety of certification tracks to help you achieve excellence in patient care
At Upstream Rehab Institute, we recognize the difference between average and exceptional care, and exceptional care requires the highest levels of clinical education and training. We offer not only post-professional residency and fellowship education , but are also proud to partner with IAMT– the Institute of Advanced Musculoskeletal Treatments- to bring you a robust learning curriculum and meet your continuing education needs.
Why pursue certification?
Certifications are post-graduate specialization tracks designed to improve your manual skills, emphasize advanced clinical reasoning, and evidence-informed approaches to care. By achieving certification, you will be recognized as a highly skilled clinician promoting the best in patient-centered care.
Are you ready to bring your post-professional learning to the next level? We are proud to offer the following Certifications:
Certification Tracks
Dry Needling
The IAMT dry needling certification is an evidence-informed, safety first course series. IAMT offers several dry needling courses and programs.
Comprehensive Manual Therapist
The Comprehensive Manual Therapist (CMT) is a certification earned by physical therapists who demonstrate the highest level of evidence-informed orthopaedic manual physical therapy (OMPT) skills. A clinician with the CMT designation represents someone who is an expert general orthopaedic physical therapist who combines advanced clinical reasoning with OMPT technical skills to skilfully screen, manage, and treat their patients.
Advanced Comprehensive Manual Therapist
The Advanced Comprehensive Manual Therapist (ACMT) is a tier 1 certification earned by physical therapists who demonstrate the highest level of advanced and evidence-informed orthopaedic manual physical therapy (OMPT) skills. A clinician with the ACMT designation represents someone who is an expert orthopaedic physical therapist with advanced training in a wide range of OMPT skills. The clinician with the ACMT designation integrates advanced clinical reasoning, pain neuroscience, and OMPT technical skills combined with comprehensive exercise prescription to skillfully screen, manage, and treat their patients. The ACMT is differentiated from the CMT by the advanced technical skills required across an eclectic spectrum of OMPT practice as well as the comprehensiveness of the examination process.
Orthopaedic Proficiency
The Orthopaedic Proficiency Certification (OPC) is a certification earned by clinicians who demonstrate the highest level of evidence-informed orthopaedic rehabilitation skills. A clinician with the OPC designation represents someone who is a movement expert, integrating advanced technical skills and pain neuroscience with comprehensive exercise prescription to skillfully manage patients along with the entire healthcare team.
Vestibular Certification
The Vestibular Certification is earned by clinicians who demonstrate the highest level of evidence-informed outpatient vestibular rehab skills. A clinician with this designation represents someone who is an expert general orthopaedic clinician who combines advanced clinical reasoning with vestibular technical skills to skilfully screen, manage, and treat their patients.
Looking for even more advanced training?
URI also offers post-professional Orthopaedic and Sports residencies as well as OMPT and Hand Fellowship programming.