Clinical Vestibular Competency Course

The Johns Hopkins University Clinical Vestibular Competency Course is designed for rehabilitation specialists (physical and occupational therapists) and clinicians who have a strong interest in vestibular pathology and rehabilitation. This intensive course includes a robust online curriculum with an option to attend additional three-day in-person training that offers an opportunity to practice your skills and get certified.

On this page:
Course Overview | Faculty | Core Curriculum | Elective Curriculum | In-person Curriculum | FAQs

Course Options

Hybrid Course – Online Core, Elective and In-person Curriculum

Virtual content: available until November 30, 2024
In-person event dates: September 13 – 15, 2024
Cost: $2,800

Participants get access to our core and elective virtual lectures as well as a three-day in-person event that includes an option to earn a certificate of competency through knowledge and skill examination.

Register for this course.

Virtual Course - Online Core and Elective Curriculum

Virtual content: available until November 30, 2024
Cost: $2,500

Participants get access to our core and elective virtual lectures with no in-person attendance and no testing or certification. Participants receive a certificate of attendance.

Register for this course.

Course Overview

Course Faculty

  • Michael Schubert, P.T., Ph.D., F.A.P.T.A. | Course Director
  • Daniel Ludwig, P.T., D.P.T., N.C.S. | Assistant Course Director
  • Allison Nogi, P.T., D.P.T., N.C.S. | Founding Course Director
  • Yuri Agrawal, M.D. M.P.H.
  • Kathleen Bechtold, Ph.D.
  • John Carey, M.D.
  • Brittaney Colebank M.O.T., O.T.R./L., B.C.P.R., C.B.I.S.T.
  • Hayley Cook, P.T., D.P.T., N.C.S.
  • Allison Dale, P.T.
  • Monique DeLuca, P.T., D.P.T., O.C.S.
  • Megan Drews, P.T., D.P.T., P.C.S.
  • Elizabeth Fracica, M.D., M.P.H.
  • Daniel Gold, D.O.

  • Colin Grove, P.T., Ph.D.
  • Carolyn Jenks, M.D.
  • Amir Kheradmand, M.D.
  • Gina Kim, M.O.T., O.T.R./L., C.B.I.S., C.S.R.S.
  • Andrea Lasner, P.T., D.P.T.
  • Jennifer Millar, P.T., M.S.
  • David Mueller, P.T., D.P.T., O.C.S.
  • Aleesha Shaik, M.D., M.P.H.
  • Mark Shelhamer, Sc.D.
  • Anne Spar, P.T., N.C.S.
  • Nana Tevzadze, M.D., Ph.D.
  • David Zee, M.D.

Frequently Asked Questions

Core Curriculum

Lecture Length Faculty Description of lecture
Introduction to Vestibular Course, Anatomy and Physiology 1 hour, 14 minutes Michael Schubert Overview of the anatomy and physiology of a healthy vestibular system. Students are expected to use this as a foundation to understand vestibular pathology and symptom presentation in a dysfunctional inner ear.
Pathophysiology of the End Organ (etiology and signs/symptoms)—Otolaryngology 42 minutes John Carey  Symptoms and disease processes of the inner ear that result in dizziness and imbalance.
History and Clinical Exam for Dizziness 1 hour, 20 minutes David Zee  Using the clinical exam and subjective history to distinguish pathology.
Understanding Vestibular Function Tests 1 hour, 21 minutes Michael Schubert
Overview of vestibular testing and how to interpret tests and apply them to treatment.
HINTS+/Triage in the ED 32 minutes Daniel Gold  Overview of the oculomotor exam and HINTS+ exam with link to pathophysiology when aberrations are observed. Discussion on the importance of ED triage program for dizziness.
Understanding Eye Movements and Nystagmus 52 minutes Daniel Gold  Identifying nystagmus patterns and abnormal eye movements and linking observed eye movements to disease process.
BPPV 1 hour, 49 minutes Allison Nogi  Define what BPPV is and why BPPV occurs. Review of the anatomy of the inner ear, types of BPPV and basic treatment. This lecture will focus on canal jam, light cupula and apogeotropic variants.
Central Disorders based on Neuroanatomy 58 minutes Amir Kheradmand  In-depth lecture on pathology based on the anatomy of the brain and resulting vestibular symptoms.
Vascular causes for dizziness (Stroke) 58 minutes Elizabeth Fracica  Stroke and vasculature impairments result in dizziness and imbalance.
Concussion 58 minutes Allison Nogi  Overview of the pathology of concussion and its influence on the vestibular system.
Gait Dysfunction in Dizzy Patients 1 hour, 24 minutes Colin Grove  Discussion on common gait impairments observed.
Physical therapy management for unilateral and bilateral hypofunction 41 minutes Hayley Cook  Discussion on best evidence-based practice for individuals with UVH or BVH. Case-based approach.
Physical therapy management for motion sensitivity 45 minutes Daniel Ludwig  Discussion on best evidence-based practice for individuals with PPPD/motion sensitivity. Case-based approach.
Physical therapy management to the dizzy patient—Central Dysfunction 51 minutes Jennifer Millar  Discussion on best evidence-based approach and practice for individuals with Ataxia and individuals with dizziness related to central dysfunction.
Neuropsychology Approach to the Dizzy Patient 52 minutes Kathleen Bechtold  Discussion on the influence of Neuropsychology on the perception of dizziness.
Facilitating improvement in complex vestibular patients 1 hour, 21 minutes Michael Schubert, Allison Nogi, Colin Grove, Jennifer Millar,  Hayley Cook, Daniel Ludwig  Case-based approach to complex patients with a history of dizziness. Using multi-faceted approaches to facilitate patient success. (PPPD, Migraine, Post-Concussion Syndrome, Central Dysfunction).
3PD and Migraine 1 hour, 41 minutes Colin Grove, Nana Tevzadze  Discussion on the treatment and diagnosis of Persistent Postural Perceptual Dizziness and Vestibular Migraine—how these diagnoses can overlap and the differences between these conditions.

Elective Curriculum

Lecture Time Lecturer Description
Cervicogenic Dizziness—Influence and management 53 minutes Allison Dale  In-depth discussion on the cervical spine and appropriate treatment using various techniques.
Pediatric Dizziness 45 minutes Carolyn Jenks  Overview of pediatric dizziness.
Introduction to Pediatric Vestibular Rehabilitation 58 minutes
Megan Drews  Overview of pediatric dizziness, role of vestibular therapy in the pediatric population and description of evidence-based treatment strategies for this population.
Pharmacology and dizziness 49 minutes Aleesha Shaik  Overview of common medications to treat dizziness and the influence of polypharmacy.
Building a vestibular clinic—introduction to the VeRT Model 38 minutes Allison Nogi  Description of how vestibular PTs can assist with triage and promote efficient medical utilization.
Applied Vestibular Physiology with Reference to the Common Vestibular Diagnoses 47 minutes John Carey  Discussion on SCDS—In-depth view on surgery procedures and what the consequences of surgery are for the patient and the rehabilitation specialist.
Vestibular influence on Space Flight—areas of growth into commercial space flight 36 minutes Mark Shelhamer  Discussion on how vestibular rehabilitation will play a role in understanding how anti-gravity environments change the vestibular system.
Virtual Reality with Vestibular Rehabilitation 28 minutes Hayley Cook  Discussion on how to incorporate virtual reality to promote normalized vestibular function and the evidence behind VR.
Update the literature—what is on the horizon in vestibular rehabilitation 66 minutes Anne Spar  Discussion on where the future of vestibular rehabilitation lies.
Dizziness in the Acute Care setting 44 minutes Daniel Ludwig  Discussion on how to incorporate vestibular rehabilitation and triage individuals with dizziness within the acute care setting and ICU.
Dizziness in Performing Arts 62 minutes Andrea Lasner, Monique DeLuca, David Mueller  Implications of vestibular rehabilitation in performers—twisties to disuse disequilibrium after injury.
Telehealth Vestibular Rehabilitation—Optimizing assessment 52 minutes Yuri Agrawal  The evidence behind telemedicine in vestibular rehabilitation and vestibular evaluation.
Telehealth vestibular rehabilitation—multi case series on best practice and lessons learned 38 minutes Michael Schubert, Jennifer Millar, Allison Nogi  Case-based examples on how to effectively use telehealth platforms for individuals with vestibular dysfunction.
Facilitating mentorship with novice vestibular clinicians 39 minutes Allison Nogi, Hayley Cook, Colin Grove, Daniel Ludwig  Discussion on how to integrate vestibular mentorship into clinical settings to strengthen the team and clinic.
Influence of vision therapy on the “Dizzy Patient” 55 minutes Gina Kim, Brittaney Colebank   Discussion on therapy approaches to address patients with vestibular dysfunction and visual perception deficits.

3 Day In-Person Curriculum — September 13 - 15, 2024

September 13

Time Lecture/Lab Instructor
1:00 - 1:30 p.m. Registration All faculty
1:30 - 1:45 p.m. Welcome and housekeeping Michael Schubert
1:45 - 3:00 p.m. Oculomotor testing lecture David Zee
3:00 - 3:15 p.m. BREAK
3:15 - 4:15 p.m. Oculomotor testing lab All faculty
4:15 - 5:00 p.m. Eye movement video lab All faculty
5:00 – 7:00 p.m. Social Event

September 14

Time Lecture/Lab Instructor
8:00 – 8:15 a.m. Welcome and housekeeping Michael Schubert 
8:15 – 9:00 a.m. Posterior BPPV lecture Michael Schubert 
9:00 – 9:45 a.m. Posterior BPPV lab (testing and maneuvers) Michael Schubert, all lab teaching assistants
10:00 – 10:15 a.m. BREAK
10:15 – 11:00 a.m. Anterior/Horizontal canal lecture Daniel Ludwig 
11:00 a.m. – 12:00 p.m. Anterior/Horizontal canal lab (testing and maneuvers) Daniel Ludwig, lab teaching assistant
12:00 – 1:00 p.m. Lunch
1:00 – 1:45 p.m. Gait and balance assessment lecture Jennifer Millar 
1:45 – 2:30 p.m. Gait and balance assessment lab Jennifer Millar, lab teaching assistants
2:30 – 2:45 p.m. BREAK
2:45 – 3:15 p.m. Treatment rationale lecture: UVH/BVH/3PD (gaze, gait, cognitive behavioral) Hayley Cook 
3:15 – 4:15 p.m. Treatment rationale lab: UVH/BVH/3PD (gaze, gait, cognitive behavioral) Hayley Cook, lab teaching assistants
4:15 – 5:00 p.m. Case studies and the decision-making process  All faculty

September 15

Time Lecture/Lab
8:00 – 11:00 a.m.  Competency skills testing: oculomotor exam, balance and gait assessment, posterior canal BPPV, horizontal canal BPPV, anterior canal BPPV, UVL/BVL treatments
11:00 a.m. – 12:00 p.m. Review, question and answer
12:00 – 1:00 p.m. Lunch
1:00 – 2:00 p.m. Online video test
2:00 – 3:30 p.m. Online written test
3:45 p.m. Adjourn