Hand Therapy Fellowship

Apply Now FAQs

The mission of the URI Hand Therapy Fellowship Program is to inspire and empower the Occupational or Physical Therapist with advanced knowledge, clinical reasoning and practice skills necessary to develop and implement a plan of care as a passionate, evidence-based clinical specialist in the field of Hand and Upper Extremity Rehabilitation. Ultimately, this clinician would earn the designation of Certified Hand Therapist (CHT).


The URI Hand Therapy Fellowship is a 12-month structured didactic and clinical mentoring program designed to empower the Occupational or Physical Therapist with the advanced knowledge, clinical reasoning and practice skills necessary for successful practice in the hand and upper limb rehabilitation specialty.  The program provides both a strong foundation and ultimately aims to prepare a clinician to earn the designation of a Certified Hand Therapist (CHT). 

Program Goals

  • Provide a Fellowship program with a faculty-led curriculum that establishes advanced competencies consistent with the description of Hand and Upper Limb rehabilitation specialty practice.
  • Deliver high quality evidence-based Hand Therapy specialty education in a blended environment that prepares the clinician to become a Hand and Upper Extremity specialist and ultimately become a Certified Hand Therapist.
  • Provide consistent program delivery to Fellows across all clinical sites.
  • Provide a superior mentorship component that promotes clinical and professional development.
  • Provide opportunities for fellows to be active consumers and potentially contributors of scientific literature. 
  • Growth of clinicians that exhibit the highest standards of professionalism.

Program Director

Jennifer DeYoung, MOT, OTR/L, CHT



Locations are available around the country pending mentor availability with four required live two-day weekend labs based in Atlanta, GA. 

Program Structure & Plan of Study

Each fellow provides patient care at one of URI partners’ leading outpatient facilities.  

The program consists of: 

Five Online/Blended Courses

These are sequential in nature:

  1. Program Orientation Course and Resources
  2. Foundational Hand Therapy Concepts and Treatment Techniques
  3. Upper Extremity Common Conditions I: Soft Tissue, Tendon and Nerve Conditions
  4. Upper Extremity Common Conditions II: Fractures, Instabilities, Arthropathies and Pain
  5. Upper Extremity Complex Trauma and Special Populations


Four live, two-day Weekend Labs

  1. Orthosis Fabrication and Management Labs (2)
  2. Upper Extremity Manual Therapy Certification Lab (2)


Capstone Projects

  • Case Study: Fellow will write and present a PowerPoint presentation case study via web presentation or live as determined by the Program Director per cohort.
  • Scholarly Project: Development and presentation of a web-based wrist and hand series continuing education topic, other instructional module, or research project promoting the practice of hand therapy as approved by the Program Director. This will be presented via webinar or live as determined by the Program Director per cohort.
  • Mock CHT Exam: Fellow will take a series of practice hand therapy examinations online and results will be reviewed with the Program Director.
  • ***Certified Hand Therapist (CHT) Examination: when eligible (three years of licensed OT/PT practice and 4,000 practice hours in a hand therapy caseload).


Course Descriptions

Mentoring Model

One-hundred fifty (150) hours of 1:1 mentoring by a Certified Hand Therapist.


URI is proud that 90% of our qualified Hand Therapy Fellowship graduates sitting for the Certified Hand Therapy Exam have passed the exam on their first attempt compared to the national pass rate of 59%.

Apply Now

For years I had wanted to specialize in hand therapy, but I just couldn’t bridge the gap as a general orthopedic physical therapist. The URI Hand Fellowship equipped me with quality mentorship, learning tracks, and valuable orthotic workshops. Becoming a Certified Hand Therapist has enhanced my career in so many ways, and I couldn’t have done it without this program. Thank you URI Hand Fellowship!

– James L


For more information, please contact us at HandFellowship@upstreamrehabinstitute.com