Residency Course

Manual Therapy and Orthopedic Rehabilitation: Advanced Physical Therapy Practice

Clinical Orthopedic Residency Education Series



In cooperation with the Physical Therapy Department at UT Southwestern’s School of Health Professions, this series of residency-based continuing education programs was developed on a clinical reasoning model and emphasizes evidence-based examination and treatment. The programs provides the clinician with the opportunity to develop the tools to learn from every patient they encounter. This framework enables the participant to practice in a more efficient and focused manner through the development of clinical skills and a clinical decision-making process. The pace of the program accommodates all participants. The student to instructor (10:1 max), repetition of examination and treatment techniques, and the opportunity to practice clinical reasoning skills will enhance comprehension and retention. Case studies will assist with clinical pattern formation along with the integration of different manual therapy approaches. The use of continuous open discussion will facilitate student/ instructor feedback. The goal of the series is to provide physical therapists with a comprehensive continuing professional education course and fully prepare them for the ABPTS Orthopedic Specialty Exam. This is an advanced level course with approximately 128 contact hours including all independent learning modules.

2016 Dates

  • Management of the Cervicothoracic Spine –  April 9-10, 2016
  • Management of the Shoulder, Elbow, Wrist, & Hand  – June 4-5, 2016
  • Management of the Lumbopelvic Complex – July 9-10, 2016
  • Management of the Hip/Knee – August 20-21, 2016
  • Management of the Foot/Ankle and Functional Evaluation and Outcomes – October 8-9, 2016


  • Differential Diagnosis
  • Medical Screening
  • Clinical Reasoning
  • Pharmacology/Radiology
  • Neural Dynamics
  • Anatomy, Biomechanics, Pathomechanics, Examination, Intervention, and Post-Op Management of the
    • Temporomandibular Joint
    • Cervical Spine
    • Thoracic Spine
    • Shoulder
    • Elbow
    • Wrist/hand
    • Lumbopelvic Spine
    • Hip
    • Knee
    • Foot/Ankle
  • Bracing/Taping/Orthotics
  • Critical Analysis – Research Design
  • Evidence-Based Practice
  • Outcome Measurement Tools


Following the completion of the series the participants will be able to:

  • Integrate clinical reasoning skills into their practice management
  • Conduct an effective and efficient subjective interview and comprehensive objective examination
  • Implement evidence-based interventions based on their evaluation
  • Differentiate pathological conditions of the upper and lower quadrant
  • Perform effective manual therapy techniques
  • Prescribe appropriate therapeutic exercise programs
  • Critically analyze current scientific literature


The courses are designed to be taken as a series in which each weekend’s content builds on previous coursework. Registration for individual courses will only be allowed on a space available basis


Saturday 8:00 am – 5:00 pm
Sunday 7:30 am – 4:00 pm

15-16 contact hours for each weekend with an additional 50 hours of independent study totaling approximately 128 hours


Ed Mulligan, PT, DPT, OCS, SCS, ATC – Residency Program Director
Dr. Mulligan has been involved in orthopedic-sports physical therapy, athletic training, and clinical education for the past 34 years. His undergraduate degree is from the University of Nebraska and he received his physical therapy training at UTMB – Galveston. He completed the post-professional master’s degree program at TWU-Dallas in 1995 and his transitional DPT at Regis University in 2008. He was recognized as a clinical specialist in sports physical therapy by the APTA in 1988, served as the Chair for the Sports Physical Therapy Council of the American Board of Physical Therapy Specialists from 2010-11, and is the lead author of the current description of specialty practice for sports physical therapy. He was certified as a clinical specialist in orthopedic physical therapy in 2009 and is the Director of both the Sports and Orthopedic Physical Therapy Residency Programs at UT Southwestern Medical Center in Dallas. He currently serves on the board of the APTA’s Residency and Fellowship Education. He is an Associate Professor with joint appointments in the Physical Therapy and Orthopedic Surgery Departments. He has authored numerous textbook chapters and had research published in multiple physical therapy and orthopedic surgery journals

Jason Zafereo, PT, PhD, OCS, FAAOMPT
Dr. Zafereo is an Assistant Professor at UT Southwestern’s School of Health Professions in the Department of Physical Therapy. Dr. Zafereo received his BA in Biology from Baylor University, Master of Physical Therapy from UT Southwestern Medical Center in Dallas, and his PhD from Texas Women’s University. He received his fellowship training in orthopedic manual physical therapy from The Manual Therapy Institute. A board certified specialist in orthopedics, Mr. Zafereo’s clinical interests include orthopedic manual therapy with an emphasis in treatment of the neck and low back. He is an expert in chronic pain and had his research published in peer-reviewed journals.

Emily Middleton, PT, DPT, OCS, SCS, CSCS
Dr. Middleton is the sports medicine satellite site coordinator for the UT Southwestern faculty practice in Richardson, TX. Her undergraduate degree is in Community Health Promotion from Northern Arizona University where she also was a Division I Women’s Volleyball athlete. She completed the DPT program at UT Southwestern Medical Center in 2011 and subsequently completed a one year residency in orthopedics. She is a Certified Strength and Conditioning Specialist as well as an APTA orthopedic and sports certified specialist. Emily’s clinical focus in on the treatment of the hip and return to sport based programing . She is a published author and regular speaker at the TPTA and Combined Section conferences.

Julie DeVahl, PT, DPT, OCS
Dr. DeVahl is an Assistant Professor and the Director of Clinical Education at UT Southwestern. She received her B.S. in PT for the University of North Dakota in 1978, a M.S. from the University of Minnesota in 1984, and her DPT last year from Texas Tech. She joined the faculty of UT Southwestern as the Director of Clinical Education in 2002 and has been teaching continuing education courses on electrotherapy topics and temporomandibular dysfunction throughout her career. She recently was awarded a grant to study the impact of lifelong learning in physical therapy.