Certification Programs

IAOM-US
Certifications.

Certification in Orthopaedic Manual Therapy (COMT) for clinicians who want to advance their manual therapy skills — Spine, Lower Extremity, Upper Quarter, and Hand & Upper Extremity.

How to Register

To register for a COMT exam, email info@iaom-us.com. We will verify your coursework and send you the next steps, including payment and scheduling. Questions about registration or scheduling? Use the same address.

Program Overview

COMT – Certification in Orthopaedic Manual Therapy

COMT is a post-graduate specialty program for physical and occupational therapists who want to advance their manual therapy skills, with an emphasis on clinical reasoning and evidence-supported, patient-centered care.

IAOM-based manual therapy combines precise surface anatomy, accurate examination leading to a working clinical diagnosis, and matched management with soft tissue and joint-specific mobilization and targeted exercise.

Coursework and certifications can be applied toward the IAOM-US Residency and Fellowship programs.

Requirements

  • A current license as a physical therapist or occupational therapist
  • Completion of the required courses for your pathway

Choose Your Track

COMT Pathways

COMT Spine

Cervical, Thoracic and Lumbar

COMT Lower Extremity

Hip, Knee, and Foot & Ankle

COMT Upper Quarter

Cervical, Shoulder and Distal Upper Extremity

COMT Hand & Upper Extremity

Module 1: Hand, Wrist Level I (or Wrist & Thumb), and Wrist Level II. Wrist Level I must be completed before Wrist Level II.

Module 2: Elbow, Shoulder, and Thoracic Outlet/Cervicothoracic Junction.

The modules may be completed in any order. You must pass both modules to earn the COMT in Hand & Upper Extremity.

Each course must include its live hands-on component.

Fees

COMT exam (written + practical)

$450

COMT Hand & Upper Extremity

$450 per module

Exam retake

$150 written · $150 practical

Rescheduling a confirmed exam date

May incur a $50 fee

When You Can Test

Scheduling

  • Exams can be taken any time of the year.
  • The written exam is scheduled based on proctor availability, and all exam times are given in Central Time.
  • The practical exam can be taken in person at an IAOM-US course location (usually the day before a course begins, by arrangement with the instructor) or remotely via Zoom with an IAOM-US faculty member.

Exam Format

Written & Practical Examinations

Written Examination

  • Completed remotely on Exam.net. You will receive your Exam.net key by email.
  • Proctored live over Zoom on your smartphone, which must be fully charged with the Zoom app installed.
  • Use a laptop or desktop computer with an up-to-date Chrome or Edge browser.
  • Closed book, multiple choice, one correct answer per question.
  • You will see your written exam result as soon as you finish.

Practical Examination

  • You perform a Basic Clinical Exam, surface anatomy, mobilization techniques and a high-velocity manipulation technique on a subject.
  • You receive your score and feedback from the evaluator at the end of the exam.
  • If you take the practical exam remotely, you will receive the setup and equipment requirements by email.

Grading

  • You must score at least 70% on the written exam, the practical exam and the overall score.
  • The practical exam counts double: Overall = (Written + Practical × 2) ÷ 3.
  • Example: 75% written and 80% practical gives (75 + 160) ÷ 3 = 78.3%.
  • If you fail one part but your overall score is 70% or higher, you only retake the part you failed. If your overall score is below 70%, you retake both parts.

After the Exam

Certificate & Study Guides

Certificate

  • Signed ethics and waiver forms are required before your certificate and score letter can be issued.
  • For Hand & Upper Extremity, you will receive your results by email after each module.
  • The certificate and score letter are issued once you pass both modules.

Study Guides

  • Once you register, you will receive access to the IAOM-US study guides and clinical examination forms.
  • Hand & Upper Extremity candidates receive the study guide for their module.
  • We also recommend studying your course manuals and the IAOM-US textbooks.
IAOM-US

International Academy of Orthopedic Medicine – US

Elevating orthopedic manual therapy standards through world-class education, clinical residency, and organizational training.

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