Medical Level 2 Certification

TPI’s Medical Level 2 online class is designed to give the healthcare provider all the information and tools needed to navigate the complex world of golf-specific injuries and golf-specific rehabilitation.

The class begins with a focus on improving the provider’s diagnostic skills by introducing the Selective Functional Movement Assessment (SFMA). The SFMA is intended to pinpoint the exact cause of a player’s musculoskeletal dysfunction and differentiate between mobility and stability problems. Once the diagnosis is made, the class shifts into injury rehabilitation and proper motor control restoration with the SFMA’s 4X4 Matrix.

Next, the course dives into the world of injury inducing golf swing mechanics. Dr. Greg Rose will cover the most common swing mechanics that lead to injury or inhibit injury recovery. Finally, students will learn TPI’s golf-specific visual assessment.



Special Note regarding TPI Medical 2 and SFMA Certification

TPI has partnered with SFMA to deliver SFMA’s online prerequisite course as part of TPI’s Medical 2 Certification class. Because of this unique arrangement, students receive the following benefits:

  • Current SFMA certified individuals receive a 50% discount to the TPI Medical 2 online course.
  • Individuals who are NOT currently SFMA certified but take and pass the TPI Medical 2 online course, will have successfully completed step one of SFMA certification (the online prerequisite class). To earn SFMA certification they can go directly to step two and take a 2-day hands on workshop from SFMA ( or take and pass TPI’s Medical Level 3 course.


The Selective Functional Movement Assessment (SFMA)

SFMA instructors Gray Cook, Greg Rose and Kyle Kiesel will teach you a detailed assessment protocol that accurately identifies any altered motor control in the body that is creating, or has the potential to, create pain. This system is called the SFMA and was designed for the healthcare practitioner to improve their diagnostic skills and find the cause of most musculoskeletal dysfunctions.

The Top Tier Screen

The starting point of the SFMA is a series of seven screens, called the Top Tier. These seven tests will quickly determine which patterns of movement are contributing to a player’s dysfunction.

The Breakouts – Logic and Language

Once a pattern is identified as a problem, practitioners must now breakdown that pattern to find the root cause of the dysfunction. These strategies are called the SFMA Breakouts. There is at least one breakout for each of the Top Tier tests. Breakout patterns include:

  • Cervical Breakouts
  • Upper Extremity Breakouts
  • Flexion Breakouts
  • Rotation Breakouts
  • Single Leg Stance Breakouts
  • Overhead Deep Squat Breakouts
  • Rolling

Building Motor Control

Dr. Rose discusses the science of motor learning and how proper motor learning techniques are incorporated into rehabilitation protocols.

The 4X4 Matrix

Learn the SFMA’s 4X4 matrix for properly sequencing rehabilitation exercises.

Common Golf Injuries

Dr. Rose discusses the most common injuries seen with avid golfers. Statistics regarding golf swing injuries and associated pain are discussed in detail. Learn the most common injuries observed and the mechanism of injury followed by swing modifications to prevent or minimize these problems. The specific injuries that are discussed include:

  • Inducing Mechanics – Lower Back
  • Inducing Mechanics – Hip
  • Injury Inducing Mechanics – Wrist & Hand
  • Injury Inducing Mechanics – Elbow
  • Injury Inducing Mechanics – Knee
  • Injury Inducing Mechanics – Neck
  • Injury Inducing Mechanics – Ribs

Visual System Evaluation

Based on a three-year pilot study done at TPI, the mystery of vision and its role in golf is discussed. Students will learn how to assess the visual system and how it relates to common golf swing characteristics.

Advanced Golf Terminology

Finally, PGA professional Dave Phillips will discuss the golf swing terminology that all medical professionals should be familiar with. This language is critical in building a two-way communication system with the golf professional.


  • Must be a Credentialed/Licensed healthcare practitioner engaged in the business of providing healthcare services to patients (eg. MD, DC, PT, ATC, DO, RN, Massage Therapist, CA PTA, PA, etc.)
  • Must be TPI Level 1 Certified
  • Must successfully pass the Medical 2 examination

Note: Individuals who do not meet the Medical 2 Certification requirements may still complete Medical 2 and will receive a Medical 2 "Minor" designation in their Expert Profile upon successfully passing the Medical 2 examination.



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