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Clinical Mentorship in the Integrated Systems Model

Course description

For many years Diane has been asked by course participants to provide clinical mentorship. In the past, her courses have been theoretical, practical and often of short duration (2-4 days). While these do provide an understanding of her clinical approach as well as some introductory skills; Diane’s experience with mentoring her associates is that clinical consultation over an extended period of time is required to consolidate learning, enhance palpation skills, and accelerate the integration of newly learned theoretical and practical material into clinical practice.

In 2007, a ‘series’ of three 5-day courses was introduced and while this series improved clinicians’ understanding of the the material taught, many still lacked confidence in their palpation and clinical reasoning skills.

The “ISM Series – Clinical Mentorship in the Integrated Systems Model” is a new course that evolved from the Discover Physio Series that Diane co-developed.  Completion of the ISM Series is part 1 of the certification process whereby Diane will use her extensive past experience as Chief Examiner for the Orthopaedic Division of CPA to evaluate and enhance the practitioner’s knowledge and skills.


Join Diane, and her team of highly skilled assistants, on this 8-month journey and immerse yourself in a series of education opportunities that will improve your clinical efficacy for treating the whole person using the updated Integrated Systems Model.

This is an extensive online and in-class course over a period of 6-8 months during which we will come together for 3 sessions of 5 days that will include a review of your online lecture learning provided prior to the course start and lots of practical/clinical time to focus on acquiring the skills and clinical reasoning to put this model into practice. You will be expected to learn the theoretical concepts of the ISM online by being given complimentary access to many hours of brand new online lectures, short practical video clips, and complete case reports. This online feature has received rave reviews from course participants!

Your clinical reasoning skills will be honed not only through the in-class practical sessions but also through on-going daily support provided through a special group and forum on this website that is directed by both Diane and the teaching team.

  • Part 1 introduces the basic principles of ISM and applies it to the functional trunk (3rd thoracic ring to the hips).
  • Part 2 layers on the neck and shoulder girdle and loops back to integrate this material with Part 1.
  • Part 3 integrates the cranium, lower extremity and elbow/wrist to the trunk with a whole-body focus for both musculoskeletal and neurodural impairments.

The Integrated Systems Model

The Integrated Systems Model is a framework to help clinicians organize knowledge (evidence and experientially based) and develop clinical reasoning skills that subsequently facilitate best decisions for treatment. A key feature of this approach is Meaningful Task Analysis and Finding the Primary Driver. Briefly, this involves choosing tasks to assess that are relevant to the patient’s story (meaningful to the patient’s complaints and functional difficulties), assessing the whole body (strategy analysis of the task) to find the criminal (the driver), and then developing sound hypotheses as to how the criminal relates to its multiple victims.

By the end of this series you will have ISM skills to quickly determine, for example:

  1. if a poorly controlled ankle is contributing to your patient’s pelvic girdle pain,
  2. if you should treat the thorax before, or after, or with, the pelvis,
  3. if you should release and align the cranium before addressing the neurodynamics of the spinal dura and its peripheral nerves,
  4. if you should address the clavicle, scapula or upper thoracic rings for shoulder elevation,
  5. how to wake up transversus abdominis and the pelvic floor more quickly than ‘finding the best cue’,
  6. how and when to train the pelvic floor – external palpation of the pelvic floor for assessment and training
  7. when to dry needle a muscle, when to stretch, when to strengthen,
  8. when a diastasis rectus abdominis should be referred for surgery and much more and how to use Diane’s new Baby Belly Belt.

We will provide you with extensive training in the key components of treatment in the ISM approach namely RACM – release, align, connect and move! We will teach you when and how to use release with awareness neuromuscular techniques and how to integrated them with myofascial and articular releases. For those of you with extensive manual therapy training, you will learn a new way of interpreting your arthrokinematic mobility tests – restricted joint glides DO NOT mean the joint is always stiff. Regional experts who work with the ISM approach will also be invited to offer the latest information on their field of expertise. This is a ‘practice-changing’ course that will organize YOUR current closet of knowledge and facilitate best decisions for treatment of a whole person using an integrated whole body/person approach, the Integrated Systems Model.

Simon Sinek suggests that for all we do, we consider WHY, HOW and WHAT to explain ourselves.

Why do we offer this course?  We love helping clinicians be better at what THEY do so they can provide more effective therapy sessions for their patients. We love seeing clinicians become passionate and excited about their profession once again.

How do we do it? By providing a safe, creative learning space and relationships that foster peer and mentor learning. In other words, we learn together both in-class and online.

What are we: A dedicated group of physiotherapists who play at work and work at play – there is no difference. Come play and learn with us!

ISM Series Grads

The 2016 ISM Series Akasha group bought Diane ISM t-shirts and made a video!


Part 1: January 19-23, 2018

Part 2: March 9-13, 2018

Part 3: June 15-19, 2018


Part 1: March 22-25, 2018
Part 2: June 7-10, 2018
Part 3: September 6-9, 2018


All registration and pricing for this course is managed by Wetzler Physical Therapy.  Please email Lindsay using the link below.  Please note that this ISM Series is comprised of online learning and 3 sessions of 4 days in-class in Denver, Colorado.

Supporting Materials

Course Reviews

  1. Profile photo of Krystie Cheong

    Really enjoyed this course!


    This series definitely challenged my thinking and my way of practice. There is a lot of information (that still needs to be consolidated in my mind!), so the review videos are helpful. I really enjoyed the learning experience in the classroom with physiotherapists and osteopaths from around the world – pretty cool group to learn from. A big thank you to Diane, Cathy, and all associates who shared their knowledge and expertise with us!

  2. Profile photo of Katarzyna Niebrzydowska


    Amazing series. I would recommend it to any therapist who is is interested in treating whole patient effectively. All information can be immediately used in a clinic to treat even the most complicated cases. I am honored to be the part of ISM family.

  3. Profile photo of Kathleen

    quite a journey!


    The ISM is an amazing way of thinking to facilitate precision and economy in our practice. I have learned a ton and have been able to make progress with clients I had had limited or temporary results with previously. I am so thankful for the excellent instruction and support over the past half year that we have all been learning together, and know that the learning will continue with the help of the extensive materials online and in Diane’s books.

  4. Profile photo of Daniel Baines



    Gutted the 15 days are over already – can’t wait to fly 10 hours back to the UK so I can get started implementing all this awesome material. Thanks Diane, Cathy and team ISM 🙂

  5. Profile photo of Justin Lin

    Great review of arthrokinematics


    Enjoyed Lynn’s CP it was very thorough!

  6. Profile photo of Debora Chassé

    A precise review of arthrokinematics in foot during pronation and supination.


    I’ve been releasing dura (including obturator foramen), sphenoid and cranial bones for years. Reviewing the venous drainage was very helpful in understanding more clearly restrictions leading to dysfunction. I’m looking forward to meaningful tasks and corrections for both the cranium and feet in part 3.

  7. Profile photo of Kjersti Malinsky

    Ready for part three!


    Loved the foot videos, what a great analysis of the foot and it’s biomechanics, fun!

  8. Profile photo of JoAbbott

    For the love of feet!


    This is a really informative and inspirational phase in Learning with Diane Lee. As a Biomechanist this really brought whole body mechanics together on the injury prevention/management platform – a trick not to missed next time I’m in the Lab! Dr. Ed Glaser’s MASS Posture Theory is a sensational listen with all the reasons ‘why’ i love geeking out on feet! Thank you for sharing 🙂

  9. Profile photo of Mari Camut


    Excellent videos!

  10. Profile photo of LisaI


    Great review. I would of liked some voice over on anatomy of abdominal wall and diaphragm anatomy of clinical points of reference and importance. Slower more detailed review of the painful learning curve for thoracic mobilization techniques…multiplanar movements etc….

  11. Profile photo of LoriWaterman


    I really love the video learning, especially when there’s audio narration. It is especially helpful with the clinical reasoning components. For the skill acquisition, especially the didactic arthrokinematics, it was very helpful to be tested on the quiz, so I had to really get it down, and not skim over it. The clinical puzzle and ISM letter are also very helpful in terms of grounding the information, and forcing me to wrestle with it. This is a great format for my learning style: mostly joyful soaking up of information and being inspired, and just enough accountability focus to make it real. Thank you.

  12. Profile photo of DianaO



    Wishing I had access to this during my pelvic floor training, very thorough.

  13. Profile photo of JoAbbott

    What a fantastic journey!


    The Online Training, at this point, saw Guest Speakers joining the team of experts embracing you in to their professional field of PT; exploding content, fully investigating the components, and then building the topic back up again whilst leaving you feel like you had just achieved the impossible! Thank you to all contributors 🙂

  14. Profile photo of Kjersti Malinsky

    Great Videos!


    What a great way to integrate practical knowledge, so easy to listen to and directly applicable to patients.

  15. Profile photo of KathyDrysdale

    Great format for learning


    Diane and her team have put together a fantastic collection of videos to review concepts introduced in part 1 and layer on new information without being overwhelming.

  16. Profile photo of Justin Lin

    Love the ample videos

    Here is a quick suggestion, I liked part 2 with Tiana’s videos. Maybe a short written summary of findings underneath the videos would, I think, go a long way. That way it would help me focus and allow me a chance to reflect.

  17. Profile photo of Melissa Baptiste

    Part I Support Review


    This was absolutely helpful. The videos and the instruction helped me tie in all of the materials from class. It also made it more practical for me. I believe a couple of the videos did not have audio. Still good to see but prefer audio to be included to have a full grasp.

  18. Profile photo of Suzanne Reid

    Part 1 Support


    Excellent review of key concepts in Part 1. The videos were short and succinct and key assessment and treatment principles were covered. The support material really helped to solidify the material covered in part 1. They will continue to be an excellent resource in the future!

  19. Profile photo of JoAbbott

    Part 1 Support


    The video support in this section enables each attendee on the course to build a foundation of the key principles of ISM, use the Pelvic Girdle Book as a further reference tool to the concepts, and each visual representation applying the skills allows each practitioner to hone their skills.

  20. Profile photo of Daniel Baines

    Part 1


    Wow!-awesome course, incredible support 11 out of 10 stars 🙂

  21. Profile photo of Justin Lin

    Very Nice Diane


    I am really digging this online learning module and the questions. I wish wew had this sooner but I know the future classes will benefit. Thank you for reinvesting your time and energy and of course $$$ for a better product for the future.

  22. Profile photo of Susannah Steers

    Thank you!


    So much great information to learn and absorb in the online modules. I look forward to exploring it all further and deepening my understanding in the live course together. Thank you so much.

  23. Profile photo of Kjersti Malinsky

    Love the videos


    I found the case studies and analysis of different vectors most helpful. Nice to be able to go back and watch again for future reference.

  24. Profile photo of KathyDrysdale

    Great Introduction


    I really enjoyed this format, you can see the changes that are created using this model – which is exciting and inspiring!

  25. Profile photo of JeanieCrawford



    Love the endless little videos.

  26. Profile photo of Debora Chassé

    Improving quality care with efficiency


    My purpose for taking the ISM course was to improve my orthopedic testing skills and decrease the number of patient visits by improving efficiency and efficacy. I’m getting 50-80% improvements in my woman’s health patients in 2-4 visits. That’s phenomenal.

  27. Profile photo of EdBelding

    Great Review


    I keep getting more and more out of the series as I review the materials. Thanks for putting it together in such a useful format.

  28. Profile photo of Mari Camut

    THIS is physical therapy


    I absolutely loved this course. I work a lot with pelvic floor issues, and this approach is what I have been missing. Can’t wait for more!

  29. Profile photo of Krystie Cheong

    Good prep work


    The prep work was manageable. It is a lot, compared to other courses I have taken, but it’s very do-able. I enjoyed watching the videos and seeing Diane in her element. It definitely got me excited about the upcoming course! For the case histories, I learn best by seeing a completed worksheet, before trying to fill one out myself. And one suggestion re the quizzes – upon successful completion of a quiz (> 70%), it would be nice to see the correct answers for the questions I got wrong. Definitely helps me learn better, without going back through the textbook and all video segments to try and locate the right answers.

  30. Profile photo of Kathleen

    thorough review!


    this course is a good walk through things we as PTs know, things we may have forgotten, things we might need to forget and things to consider and learn anew.
    I vacillated between feeling like my typical treatment was incredibly imprecise, to realizing that my instincts were spot on.
    I so look forward to the next 6 months of learning together!

  31. Profile photo of Nao Saruta



    It was amazing that I can learn a lot from this part 1 prep course before the in-class course starts!

  32. Profile photo of Wakana Shirouchi

    Thank you


    I could learn a lot thing because there are a lot of evidence and clinical experience in this course!! Specially, case study is very helpful for me to understand it. Thank you.

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