This course helps to develop a clinical reasoning process in orthopedic manual therapy concurrent with enhancing technique selection and delivery, with a focus on the cervical-thoracic regions. This format encompasses the Australian dynamic thinking model from assessment, treatment selection decisions for soft tissues and joints, reassessment, treatment progression, therapeutic exercises, long term management and self care to discharge of the episode. Integration of existing and emerging evidence in manual therapy is an essential component of the class. Class runs for 2 separate weekends with the "therapeutic exercise in the upper quarter "an optional third class that is also a stand alone course.