Advanced Education for chiropractors and physiotherapists
Skills in Hand provides advanced, evidence-based education for manual medicine practitioners. Led by Dr. Michael Prebeg, NHLPA Consulting Chiropractor and lead chiropractor for the New York Yankees, our courses are designed to help clinicians develop sharper assessment skills, elevate treatment precision, and achieve measurable outcomes in real-world practice.
The Foundations in Neurofunctional Assessment (FIFA) course is a PACE-approved continuing education program for chiropractors and physiotherapists.
Developed by Dr. Michael Prebeg, this course introduces the Adaptive Potential Framework: a proven, step-by-step assessment model used by top clinicians working with elite athletes around the world.
12 Hours of PACE CME Credit
Lifetime Online Access
Step-by-Step Clinical Framework
Certificate of Completion




At Skills in Hand, our mission is to empower clinicians with the tools, frameworks, and critical thinking required to deliver exceptional patient care.
Rooted in the Adaptive Potential Model, our educational programs focus on functional assessment, clinical reasoning, and evidence-based treatment strategies. Every lesson is designed to help practitioners transition from academic theory to confident, effective application in daily practice.

With 17 years of clinical experience, Dr. Prebeg's proven assessment system will help you improve patient results and assessment skills.


Foundations in Neuro-Functional Assessment is
the only real-time functional change assessment course for pre + post treatment.


We hear constantly how our programs positively changed our alumni's clinical outcomes and helped them to grow their practices more easily.

The surest way to get to the top of your field is to learn from those who have successfully done it. Our 4 Day Elite Mentorship is your secret weapon.

Consulting Chiropractor | Sports Performance Specialist
Dr. Michael Prebeg is an experienced clinician with over 25 years working with high-performance and professional athletes across multiple sports. His career includes 15 years with the Toronto Blue Jays and five years with the New York Yankees as an official consulting chiropractor within Major League Baseball (MLB). He has also served with the Toronto Maple Leafs and currently works with the National Hockey League Players’ Association (NHLPA), continuing to treat NHL players privately.
In addition to his clinical work, Dr. Prebeg is a senior lecturer and instructor at McMaster University’s Contemporary Acupuncture Program, where he teaches advanced neurofunctional approaches to healthcare professionals. He has completed extensive international training in soft tissue and assessment techniques and developed the Neurofunctional Assessment Model—a consistent, evidence-informed framework for conservative care and performance therapy. As the founder of Skills in Hand, Dr. Prebeg is dedicated to advancing clinical skill development and precision in manual therapy.
Dr. Brendan Androsoff
Before taking this course [FIFA], I struggled to find a consistent method for auditing functional movements in patients and obtaining repeatable results when the patient wasn’t in pain or had a specific issue. This course has enabled me to adopt a systematic approach, affecting the neurology and neuromuscular system, and achieve the immediate, repeatable results I had been seeking when treating dysfunction. I highly recommend this course to gain the foundation to build your skills, confidence, and patient base to excel in your career.

Dr. Karri Eliasson
Working here in Finland I heard about Mike from a few professional hockey players. The encouraged me to go and learn from Mike. Through working with mike I learned a lot about how to assess and treat professional athletes and how to use neurofunctional acupuncture and soft tissue techniques to get amazing results. FIFA made a big difference in my business, better results makes for more patients.

Dr. Joelle Karam
Taking Mike's FIFA course has greatly contributed to my practice and I truly believe it has helped set me apart in my thinking and application of functional assessment and treatment strategies. I am able to get a more solid picture of what is going on with my patients, I am seeing results quicker and gaining so much more patient satisfaction, which has led to increased referrals and a busy schedule. I've been able to grow my practice and have been given the opportunity to work with professional and amateur athletes, which has always been a goal of mine as a physio. The positive changes extends beyond the courses Mike offers. He cares about the practitioners and encourages us to be our best inside and outside the clinic.

Dr. Taran Ohson
The beauty of the course is in the simplicity. The model helps clearly compartmentalize issues of Neuro - MSK complaints and helps piece the global dysfunction for treating.
Before this course, I was a clueless student going through the motions hoping school would answer my questions. Now that I have taken the FIFA course, I feel extremely confident to begin clinical practice because I have a systematic approach to assess dysfunction. Moreover, having access to the online portion to constantly review was extremely helpful in the learning process.
I highly recommend this course to any hands on practitioner who wants to truly elevate their game!

Join Foundations in Neurofunctional Assessment (FIFA) — a PACE-approved online course that teaches you the proven Adaptive Potential framework used by elite clinicians and professional sports organizations. Sharpen your assessments, refine your treatment planning, and gain measurable results in every case you treat.
