UBC Faculty of Medicine CPD Certification Course for Medical Doctors and Physiotherapists
This is an intramuscular dry needling course that goes beyond trigger point dry needling. Gunn IMS is a total whole body system for the diagnosis and treatment of persistent myofascial pain syndromes, including muscle, joint, tendon, bursal, fascial, neural and biomechanical problems. The approach is based on a neuropathic dysfunction model of musculoskeletal dysfunction developed by Dr C. Chan Gunn and described in his book “The Gunn Approach to the Treatment of Chronic Pain”. His conceptual framework explains patterns of physical findings commonly seen in persistent myofascial pain syndromes and has been commended by many physicians practising in the field of chronic pain including John D. Loeser, Stephen Butler and Anders E. Sola. Patrick D. Wall describes Dr Gunn’s approach as being, “in the best of the traditions of classical medicine”.
Dr Gunn has endowed UBC with the responsibility for the ongoing teaching of the Gunn IMS model of treatment – a teaching program that has run continuously since 1994. Since 2011, the Gunn IMS Program has been part of the UBC Faculty of Medicine and is now located in the Chan Gunn Pavilion on the UBC Vancouver campus. The course is coordinated by UBC Faculty of Medicine ‘s Continuing Professional Development Division, which has certified and granted the course 38 Mainpro+® credits for physicians. All course proceeds are used to support program development and research in Gunn IMS.
The program’s focus is on the safe, effective management of neuropathic musculoskeletal problems, using intramuscular dry needling and related postural and rehabilitative concepts. The application of the model requires an advanced level of clinical reasoning and pattern recognition, mature clinical judgement, extensive anatomical knowledge and precise palpation skills. For this reason, the prerequisites for attending this course include a minimum of four years experience treating musculoskeletal conditions.
Dr Gunn has endowed UBC with the responsibility for the ongoing teaching of the Gunn IMS model of treatment – a teaching program that has run continuously since 1994. Since 2011, the Gunn IMS Program has been part of the UBC Faculty of Medicine and is now located in the Chan Gunn Pavilion on the UBC Vancouver campus. The course is coordinated by UBC Faculty of Medicine ‘s Continuing Professional Development Division, which has certified and granted the course 38 Mainpro+® credits for physicians. All course proceeds are used to support program development and research in Gunn IMS.
The program’s focus is on the safe, effective management of neuropathic musculoskeletal problems, using intramuscular dry needling and related postural and rehabilitative concepts. The application of the model requires an advanced level of clinical reasoning and pattern recognition, mature clinical judgement, extensive anatomical knowledge and precise palpation skills. For this reason, the prerequisites for attending this course include a minimum of four years experience treating musculoskeletal conditions.
Format
Gunn IMS training consists of three parts:
On successful completion of all parts of the program, participants will be awarded certification in UBC Gunn IMS by the UBC Faculty of Medicine. The course will cover education regarding Dr Gunn’s neuropathic model of myofascial pain syndromes, the effects of dry needling, and contraindications and safety considerations for dry needling (including avoiding serious complications). You will learn how to conduct and interpret an assessment based on the neuropathic model to determine the cause of myofascial pain syndromes, which can then be used to devise a treatment plan using the Gunn IMS model. You will also learn to safely and effectively dry needle muscles of the cervical, thoracic and lumbar spine; shoulder and pelvic girdles; upper and lower limbs as well as muscles surrounding the TMJ. As the course progresses you will improve your clinical reasoning related to the application of the neuropathic model of treatment.
- Part 1A - self-paced and completed online - includes lecture material, demonstration of assessment techniques, and assessment components (anatomy exam, theory exam and case presentation).
- Part 1B - two in-person practical training days.
- Part 2 - two further in-person practical training days (held approximately six weeks after Part 1).
On successful completion of all parts of the program, participants will be awarded certification in UBC Gunn IMS by the UBC Faculty of Medicine. The course will cover education regarding Dr Gunn’s neuropathic model of myofascial pain syndromes, the effects of dry needling, and contraindications and safety considerations for dry needling (including avoiding serious complications). You will learn how to conduct and interpret an assessment based on the neuropathic model to determine the cause of myofascial pain syndromes, which can then be used to devise a treatment plan using the Gunn IMS model. You will also learn to safely and effectively dry needle muscles of the cervical, thoracic and lumbar spine; shoulder and pelvic girdles; upper and lower limbs as well as muscles surrounding the TMJ. As the course progresses you will improve your clinical reasoning related to the application of the neuropathic model of treatment.
Prerequisites and Requirements
Physicians and physiotherapists wishing to register for the UBC Gunn IMS course must provide the following in advance of course attendance and practicum:
1. Copy of your degree
2. Proof of registration with your local licensing body (physiotherapy or medicine)
3. Proof of malpractice insurance up to $3 million per occurrence, EFFECTIVE IN CANADA
PHYSIOTHERAPISTS MUST ALSO PROVIDE #4 AND #5 (not required from physicians):
4. Professional experience: Proof of 4 years musculoskeletal and/or neuromuscular physiotherapy clinical experience treating patients post-licensure ( i.e. not including student placements).
Please provide a letter from your employer(s) confirming this clinical experience. Letters must come directly from the employer with whom you gained this clinical experience. References need to be on the workplace letterhead, signed by the workplace owner/director/supervisor; must state that the caseload was musculoskeletal or neurological, and must contain the typical number of weekly hours worked and employment start and end dates (if applicable).
Note: the 4 year period must be 4 years full time clinical experience. For example, 4 years part time will not meet the prerequisite 4 years clinical experience.
5. ONE of the following (a. or b.):
a. Eligible dry needling training:
i) Acupuncture Canada CAFCI designation (completion of the Level 1 courses Parts 1, 2A & 3A /A1, A2, A3 program and examinations)
ii) Acupuncture Canada ACC designation - Level 1 ( i.e. completion of both the AA1 and AA2 courses and the associated Level 1 examination)
iii) Puncture physiothérapique avec aiguilles sèches: cours de base
iv) Certificate of Medical Acupuncture, Medical Acupuncture Program (MAP) under the Division of Continuous Professional Learning, Faculty of Medicine and Dentistry (University of Alberta)
v) McMaster University Contemporary Acupuncture Program
vi) Acupuncture Canada Dry Needling Program - successful completion of Level 1 and Level 2
vii) Other dry needling training - may be accepted as meeting the prerequisite standard. Please submit evidence of your training for consideration. Your training will be assessed in comparison with our standardised prerequisites considering hours of training, examination procedures (theory and/or practical exams, case study submissions etc) and the calibre of the teaching organisation
b. Eligible post-graduate musculoskeletal training:
i) Level 3 (upper and lower) of the Intermediate Diploma of Manual Therapy certified by the Orthopaedic Division of the Canadian Physiotherapy Association (CPA)
ii) UBC Graduate Certificate in Orthopaedic Manipulative Physical Therapy (GCOMPT), or
iii) Other musculoskeletal post-graduate training - may be accepted as meeting the prerequisite standard. Please submit evidence of your training for consideration. Your training will be assessed in comparison with our standardised prerequisites considering hours of training, examination procedures (theory and/or practical exams, case study submissions etc) and the calibre of the teaching organisation.
Please note: if you submit alternative prerequisites for consideration, i.e.:
a. Eligible dry needling training, vi) Other dry needling training, or
b. Eligible post-graduate musculoskeletal training, iii) Other musculoskeletal post-graduate training,
you must provide:
i. A summary of the related hours of training
ii. Details regarding any assessment procedures
iii. A website link for the program/course, and
iv. Proof of attendance, e.g. certificate
1. Copy of your degree
2. Proof of registration with your local licensing body (physiotherapy or medicine)
3. Proof of malpractice insurance up to $3 million per occurrence, EFFECTIVE IN CANADA
PHYSIOTHERAPISTS MUST ALSO PROVIDE #4 AND #5 (not required from physicians):
4. Professional experience: Proof of 4 years musculoskeletal and/or neuromuscular physiotherapy clinical experience treating patients post-licensure ( i.e. not including student placements).
Please provide a letter from your employer(s) confirming this clinical experience. Letters must come directly from the employer with whom you gained this clinical experience. References need to be on the workplace letterhead, signed by the workplace owner/director/supervisor; must state that the caseload was musculoskeletal or neurological, and must contain the typical number of weekly hours worked and employment start and end dates (if applicable).
Note: the 4 year period must be 4 years full time clinical experience. For example, 4 years part time will not meet the prerequisite 4 years clinical experience.
5. ONE of the following (a. or b.):
a. Eligible dry needling training:
i) Acupuncture Canada CAFCI designation (completion of the Level 1 courses Parts 1, 2A & 3A /A1, A2, A3 program and examinations)
ii) Acupuncture Canada ACC designation - Level 1 ( i.e. completion of both the AA1 and AA2 courses and the associated Level 1 examination)
iii) Puncture physiothérapique avec aiguilles sèches: cours de base
iv) Certificate of Medical Acupuncture, Medical Acupuncture Program (MAP) under the Division of Continuous Professional Learning, Faculty of Medicine and Dentistry (University of Alberta)
v) McMaster University Contemporary Acupuncture Program
vi) Acupuncture Canada Dry Needling Program - successful completion of Level 1 and Level 2
vii) Other dry needling training - may be accepted as meeting the prerequisite standard. Please submit evidence of your training for consideration. Your training will be assessed in comparison with our standardised prerequisites considering hours of training, examination procedures (theory and/or practical exams, case study submissions etc) and the calibre of the teaching organisation
b. Eligible post-graduate musculoskeletal training:
i) Level 3 (upper and lower) of the Intermediate Diploma of Manual Therapy certified by the Orthopaedic Division of the Canadian Physiotherapy Association (CPA)
ii) UBC Graduate Certificate in Orthopaedic Manipulative Physical Therapy (GCOMPT), or
iii) Other musculoskeletal post-graduate training - may be accepted as meeting the prerequisite standard. Please submit evidence of your training for consideration. Your training will be assessed in comparison with our standardised prerequisites considering hours of training, examination procedures (theory and/or practical exams, case study submissions etc) and the calibre of the teaching organisation.
Please note: if you submit alternative prerequisites for consideration, i.e.:
a. Eligible dry needling training, vi) Other dry needling training, or
b. Eligible post-graduate musculoskeletal training, iii) Other musculoskeletal post-graduate training,
you must provide:
i. A summary of the related hours of training
ii. Details regarding any assessment procedures
iii. A website link for the program/course, and
iv. Proof of attendance, e.g. certificate
Note to Female Participants
Pregnancy is a contraindication for IMS. If you are pregnant, you may not attend the in-person training components of the certification course (Parts 1B and 2). This is because you will be needled by other course participants during this part of your training.
Registration Procedure
1. Please use the online application form to send us all of your required documentation.
2. Please prepare your documents well in advance of the course date to ensure your participation and facilitate a smooth registration process.
3. Please note that the cut-off date for registration is usually one (1) month before the start of a course. If you are within this time period please email cpd.info@ubc.ca to find out if applications are still being accepted.
4. The course components consist of theory, physical examination and needle practice labs in which you will be a needle subject; the latter facilitates experiential learning of the physical and autonomic effects of needling. All participants will be expected to be needled and to be subjected to detailed neuro- and musculoskeletal examination. Should you be recovering from surgery, physical trauma, or be engaged in litigation following trauma of any kind you must delay participation on this course until all issues have been resolved. Needling is contraindicated in the presence of acute trauma or within 3 to 6 months following major surgery.
5. All course participants must ensure that their inoculations for Hepatitis B and A are current and you will be required to sign a course waiver. The waiver will be sent to you along with your reminder to pay the balance of your fees approximately one month before the course start date. Your signed waiver MUST be received before the start of the course.
2. Please prepare your documents well in advance of the course date to ensure your participation and facilitate a smooth registration process.
3. Please note that the cut-off date for registration is usually one (1) month before the start of a course. If you are within this time period please email cpd.info@ubc.ca to find out if applications are still being accepted.
4. The course components consist of theory, physical examination and needle practice labs in which you will be a needle subject; the latter facilitates experiential learning of the physical and autonomic effects of needling. All participants will be expected to be needled and to be subjected to detailed neuro- and musculoskeletal examination. Should you be recovering from surgery, physical trauma, or be engaged in litigation following trauma of any kind you must delay participation on this course until all issues have been resolved. Needling is contraindicated in the presence of acute trauma or within 3 to 6 months following major surgery.
5. All course participants must ensure that their inoculations for Hepatitis B and A are current and you will be required to sign a course waiver. The waiver will be sent to you along with your reminder to pay the balance of your fees approximately one month before the course start date. Your signed waiver MUST be received before the start of the course.
Fees and Registration
Student fees are CAD$1125 for Part 1A (Online), CAD$1250 for Part 1B (2-day in-person course), and CAD$1250 for Part 2 (2-day in-person course).
There is no GST/HST charged for Gunn IMS courses. Completion of all parts is required before certification is provided. All training is usually scheduled over a 4-6 months time period.
Once your application is accepted, full payment for your first course is due to hold your place on the course.
Cancellation Policy:
There is no GST/HST charged for Gunn IMS courses. Completion of all parts is required before certification is provided. All training is usually scheduled over a 4-6 months time period.
Once your application is accepted, full payment for your first course is due to hold your place on the course.
Cancellation Policy:
- No refunds or transfers, unless cancellation is received in writing to cpd.info@ubc.ca by 4 weeks prior to course date. A $50 cancellation fee will apply if cancellations are made within 6 weeks prior to the course date. No cancellation fee will apply if cancellations are made more than 6 weeks prior to the course date.
- UBC/CPD will not be responsible for any damages, including costs incurred for scheduled travel or accommodation, or denial of refund, related to cancellation of attendance at any scheduled CPD event/conference that arise because the registrant is unable to travel to the event/conference due to a travel ban or the registrant chooses not to attend due to potential health concerns related to COVID-19. Registrants are encouraged to obtain comprehensive travel insurance to provide protection in these circumstances. Registrants who cancel in accordance with the terms of their event/conference registration will receive a refund as set out in the registration contract.
- Cancellations by the organizers: the Division of Continuing Professional Development reserves the right to cancel an educational program fourteen (14) calendar days prior to the course date. Each registrant will be notified by email, followed by a full refund. The University of British Columbia is not responsible for any costs, including, but not limited to, airline or hotel penalties.
- Should more stringent COVID-19 restrictions be announced by the provincial government, UBC Gunn IMS/UBC CPD reserves the right to cancel an educational program up to the day of the course. If participants have any COVID-19 related symptoms at any point after the 4-week cut-off for Parts 1B and 2, participants will be allowed to transfer to the next available course without penalty.
- No transfers to another course site, unless you request in writing to cpd.info@ubc.ca 30 days before the course date. If request is done after 30 days before the start date of your course, you will be required to re-register to the equivalent course. Once payment for the new site has been received, your initial registration will be cancelled and payment will be refunded, less a $50 handling charge.
Certification
To receive certification, students must:
- pass both anatomy and theory written exams and a case study submission/presentation
- be deemed by course instructors to have safe and accurate needling technique
Additional details regarding the Part 1A online component of select courses:
- pass both anatomy and theory written exams and a case study submission/presentation
- be deemed by course instructors to have safe and accurate needling technique
Additional details regarding the Part 1A online component of select courses:
- Students must have viewed all available teaching sections of Part 1A before attending Part 1B and 2, i.e. viewed the lectures etc. There is no assessment component to this and so it is in the students’ best interests to review all the material. We will be able to track if they have done this through the Canvas learning platform.
- Part 1A also includes three assessment components: the anatomy exam, the theory exam and a case study submission/presentation. All students need to have attempted both exams before attending Part 1B and must have submitted and presented their case study. If they fail any of these assessment components, they will have a second chance to complete them successfully. They will not receive certification until they have successfully completed these assessment components, but they may attend Part 1B (and Part 2).
- Accepted applicants will have one year to complete the program once they have completed Part 1A.
