Foundational Concepts in Clinical Reasoning
AN 8-WEEK MENTORSHIP PROGRAM FOR PHYSIOTHERAPISTS
SPRING 2026 | Starts March 27 | Registration Closes Feb 20
"Before working with Meghan, my mind felt scattered. I would do multiple courses at once, watch physio videos, and listen to podcasts, hoping something would 'click.' But I kept running into the same problems: struggling with clinical reasoning, not knowing how to build effective treatment plans for complex cases.
Learning a structured clinical reasoning process with Meghan changed everything. I don't panic when a case is complex anymore. My focus changed from 'what can I do for this client?' to 'what does this client need to reach their goals?' I'm more confident, more engaged, and I'm seeing better outcomes."
— Taha B, Physiotherapist
Many physiotherapists feel that building their practice means accumulating techniques and tools, yet are rarely taught how to organize decisions in complex, real-world cases.
Over time, the challenge becomes less about learning what to do and more about deciding when, why, and how to apply what is already known. Without an organized approach to clinical reasoning, decision-making can feel effortful, uncertain, and mentally fatiguing, even for capable and motivated clinicians.
This program exists to support clinicians in developing structure around how they think through cases, bringing clarity and direction to everyday clinical decisions and supporting professional growth over time.
Over the course of eight weeks, participants often notice a shift in how they approach clinical thinking and decision-making more than merely what they do. Decision-making becomes more intentional and less reactive, with greater clarity about why certain paths are chosen and when to adjust or pause. As clinical thinking becomes more organized, uncertainty becomes easier to navigate, mental load is reduced, and clinicians often experience greater confidence—not because they have more answers, but because they trust the process they use to arrive at them.
0.1 Welcome to the Program
0.2 Navigating the course player
0.3 Course outline & deliverables
Course Outline
0.4 Live Event Schedule
0.5 Maximizing the experience
0.6 Expectations & Goal setting
0.7 Final instructions
TASK | Schedule your 1:1 Intake Interview
ACTIVITY | "What is your learning style?"
SHARE | Your Learning Style
ACTIVITY | Warm-Up Case
COMMUNITY | Tell us a bit about you
FEEDBACK | Live Session Summary + Take-aways
RECORDING | Live Session - 30 Sep 2022
POST-MODULE | Survey
TASK | Schedule your 1:1 Mentorship session
1.1 Introduction
1.2 Clinical Reasoning: Models, frameworks and concepts
1.2 - Part 1 | What is Clinical Reasoning?
1.2 - Part 2 | Models + Frameworks
1.2 - Part 3 | Sources of Error
1.2 - Part 4 | Supporting your development
1.3 Exploring the elements of clinical decision making
1.3 - Part 1 | Knowledge + Skills
1.3 - Part 2 | Clinician Experience
1.3 - Part 3 | The Patient Narrative
1.4 Understanding the evidence for clinical application
1.4 - Part 1 | Evidence-Informed Practice
1.4 - Part 2 | Reliability, Validity and Detecting Change
1.4 - Part 3 | Levels of Evidence + Study Design
QUIZ | Applying the evidence to clinical practice
1.5 Advancing our clinical reasoning | The role for deliberate practice in expertise
1.5 - Part 1 | Deliberate Practice
1.5 - Part 2 | Critical Thinking
1.5 - Part 3 | Reflective Practice
1.5 - Part 4 | Mentorship
1.5 - Part 5 | Expertise
ACTIVITY | Components of Clinical Reasoning
JOURNAL CLUB | What makes an expert?
JOURNAL CLUB | Hip MWM and Hip OA - Let's appraise the evidence
RECORDING | Live Q+A - Week 1 (07 Oct 2022)
OPTIONAL | EBP debate at Physiotherapy UK 2015
POST-MODULE 1 | Survey
TASK | Schedule Group Mentorship session
2.1 Introduction
2.2 The Patient Interview
2.2 - Part 1 | Subjective History
2.3 Understanding the patient narrative
2.3 - Part 1 | Communication
2.3 - Part 2 | Patient Autonomy
2.3 - Part 3 | Motivational Interviewing
Optional activity: 'A lesson in empathy'
2.4 Goal Setting + Participation
2.4 - Part 1 | ICF Model
2.4 - Part 2 | Rehabilitation Problem Solving Form (RPS-Form)
2.4 - Part 3 | Goal Setting
2.5 Mapping the pain experience
2.5 - Part 1 | Types of pain
2.5 - Part 2 | The radar plot
2.5 - Part 3 | Domains + Pain drivers
2.6 Screening: Flags, contraindications and risk factors - Intro
2.6 - Part 1 | Red Flags
2.6 - Part 2 | Yellow Flags
2.6 - Part 3 | Work considerations
2.6 - Part 4 | Contraindications + Risk factors
CASE | Primary Case Introduction
ACTIVITY | Radar Plot
ACTIVITY | Goal setting
ACTIVITY | Quick Reflection
RECORDING | Group Session - Week 2 (10 Oct 2022)
JOURNAL CLUB | A new clinical model for pain assessment
POST-MODULE 2 | Survey
TASK | Schedule Group Mentorship session
3.1 Introduction
3.2 Developing a clinical hypothesis
3.2 - Part 1 | Biases + Assumptions
3.2 - Part 2 | Generating from the problem list
3.3 Hypothesis categories
3.3 - Part 1 | The person
3.3 - Part 2 | The pathology
3.3 - Part 3 | The plan + prognosis
3.4 Interpreting the information: The role of prediction rules
3.4 - Part 1 | What are Clinical Prediction Rules?
3.4 - Part 2 | Applying CPRs
3.5 When to refer: Identifying flags and utilizing a team-based approach
CASE | Primary Case + Outcome Measures
ACTIVITY | Complete the Anatomy Star
ACTIVITY | Generate a problem list + your hypotheses
JOURNAL CLUB | Evaluating diagnositc accuracy of "red flag" screening questions to inform a diagnostic rule.
JOURNAL CLUB | International Framework for Red Flags for Potential Serious Spinal Pathologies
POST-MODULE 3 | Survey
RECORDING | Live Q+A Session - 21 Oct 2022
TASK | Schedule Group Mentorship session
4.1 Introduction
4.2 Organizing the clinical exam + creating the exam strategy
ACTIVITY | RPS Form
ARTICLE | Applying ICF + RPS Form
4.3 Applying the evidence: Clusters and diagnostic validity
4.3 - Part 1 | Review of key concepts
4.3 - Part 2 | Applying clinical tests
4.3 - Part 3 | Clinical clusters
ACTIVITY | Apply a Cluster to a Clinical Scenario
4.4 Considering the patient: Exam tolerance and adapting strategies
ACTIVITY | Quick reflection
JOURNAL CLUB | Clinical classification in low back pain: best evidence diagnostic rules
RECORDING | Group Session - Week 4 (24 Oct 2022)
POST-MODULE 4 | Survey
RECORDING | Live Q+A Session - 28 Oct 2022
TASK | Schedule your 1:1 Mentorship session
5.1 Introduction
CASE | Primary Case Objective Findings
5.2 Refining the hypothesis
ACTIVITY | Primary hypothesis
5.3 Establish a management plan
5.3 - Part 1 | Using the problem list
5.3 - Part 2 | Plan strategy
ACTIVITY | Choosing outcome measures
JOURNAL CLUB | Best evidence rehabilitation for chronic pain | Part 3: Low Back Pain
5.4 Patient education: Communication + Language
5.4 - Part 1 | Clinician language
5.4 - Part 2 | Communication strategies
5.4 - Part 3 | Communicating Risk
5.5 Patient education: Knowledge Translation
5.5 - Part 1 | Creating a resource
PROJECT | Knowledge Translation + Resource Creation
5.6 Patient education: Patient expectations and satisfaction
JOURNAL CLUB | Patient expectations of benefit from interventions for neck pain
5.7 Patient education: Informed Consent
5.8 Patient education: Mechanisms of manual therapy
5.8 - Part 1 | Mechanisms explained
5.8 - Part 2 | Applying the theory to practice
POST-MODULE 5 | Survey
RECORDING | Live Q+A Session - 04 Nov 2022
Registration closes February 20 at 6pm (PST)
Enrollment is limited to 20 participants to support meaningful mentorship.
Self-paced Learning + Reflection:
Weekly modules introduce foundational concepts related to clinical reasoning development, evidence use, and bias in practice. Participants have access to full-text literature and a curated resource library to support reflection and application in their own clinical contexts.
Live Discussion + Case-based Mentorship:
Weekly live Q&A sessions and group mentorship discussions create space to explore questions, examine clinical reasoning, and apply course concepts to real-world cases in a collaborative and supportive environment.
Individualized Mentorship + Ongoing Support:
Built-in 1:1 mentorship sessions provide tailored support for integrating learning into practice, including discussion of complex cases and individual clinical challenges. Participants have ongoing access to mentors through scheduled office hours, email, and discussion forums throughout the program.
Professional Mentorship Recognition:
Mentorship is provided by FCAMPT physiotherapists registered with the Orthopaedic Division of the Canadian Physiotherapy Association. Mentorship sessions may count toward direct mentorship hours required for Advanced Manual Therapy programs.
Continued Access + Community:
Participants retain access to course content, discussion forums, and member-only learning opportunities beyond the formal program to support ongoing professional development.
Clinical reasoning develops most effectively through experience combined with reflection and guidance. Mentorship provides a supportive environment to slow down thinking, examine decisions, and organize complex information. Through structured discussion and collaborative learning, clinicians are supported in refining decision-making processes over time.
"My biggest challenge was wanting to diagnose the injury and panicking if I had multiple hypotheses. I would get caught up on smaller details or over-test in my objective assessments.
Working with Meghan allowed me to think outside the box and determine 2-3 hypotheses for a case. It gave me confidence that with complex cases, I didn't have to solve and diagnose immediately. I learned to not chase perfection in every assessment. I used to be very worried about getting it 'wrong'!"
— Steph J, Physiotherapist
Feel confident in their skills but uncertain in complex cases
Want decisions to feel clearer and less mentally demanding
Are early-career clinicians building foundations
Are mid-career clinicians refining their approach
Value mentorship, reflection, and thoughtful professional development
Duration: 8 weeks
Investment: $1495 + Tax
Location: Online