As clinicians continue to grow their knowledge base in clinical reasoning and patient management, it is important to spend time working to perfect the skills of Physical Therapy. One of the key areas to develop is confidence in providing manual therapy interventions. The focus of this course is to work in a structured environment for improving the quality of manual interventions provided, with guided feedback from experienced clinicians. Emphasis will be placed on common musculoskeletal encountered in the upper spine and upper extremity. Participants will be primarily participating in lab based interactions with case studies utilized to drive conversation. Current evidence related to manual interventions in relationship to patient presentation will also be discussed