This advanced level course, formerly known as Clinical Skills Update (CSU), focuses heavily on intensive clinical reasoning and problem solving through a high volume of patient demonstrations and case study analysis involving all regions of the spine as well as the extremities. Each major subdivision of the course has very specific educational objectives that will refine your own abilities in applying the principles and application of the MDT classification and treatment system to continuously improve patient management and outcomes. With two instructors, the opportunity for one-on-one tutelage is significantly greater. Following attentive participation and completion, this course will provide participants with advanced knowledge and skills to: Through discussion and quiz responses, demonstrate expanded knowledge base of MDT principles, evaluation, and clinical reasoning and treatment interventions. Through live patient presentation and lab activities, demonstrate accuracy in eliciting, recording and analyzing the history of patients presenting with spinal or extremity musculoskeletal problems and use this information to determine relevant and pertinent information to rule out serious pathology and guide the examination process. Demonstrate the ability to competently perform relevant tests and measures identifying and using the most applicable symptomatic, mechanical and functional baselines to guide clinical reasoning. Use clinical reasoning to synthesize history and examination findings to classify patients' conditions using proper MDT terminology. Based on an expanded knowledge base of MDT and patient classification, develop a plan of care with appropriate loading strategies, education and self-management strategies. Enhance patient education strategies related to pain and MDT by encompassing biopsycho-social factors and patient empowering strategies. Competently perform four common clinician generated procedures.