Making Conscious the Process of Mastery: Orofacial and Dental Considerations in Osteopathy (Online)


Part 1: Sunday April 21 2024 (7pm Eastern/ 6pm Central/ 5pm Mountain/ 4pm Pacific)

Part 2: Sunday May 19 2024 (7pm Eastern/ 6pm Central/ 5pm Mountain/ 4pm Pacific)

Each Zoom session will start at 7:00pm Eastern/4:00pm Pacific and last for 2 hours.  This is a mixed virtual class with attendance required for the livestream portion, additional lectures posted for asynchronous learning at your convenience, and homework “labs” to be conducted in your regular practice and written up.  Homework submission is required for CME.

Course Instructor:   Annette Hulse DO



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About the Course

  • This course focuses on diagnosis and assessment — the “finding” part of “treat what you find” including facial anatomy and perceptions of physiological changes, especially in the PRM.  We will be utilizing active learning techniques that you can use to expand your skills outside of formal coursework.
  • This online course is designed to help answer the question “What do I actually do with this patient?” when you are back in your office, as a complement to the OCA’s Orofacial and other facial/dental courses.  Using common findings in dental and orofacial patients, we will explore the subtleties of osteopathic findings in these patients, what those findings might mean, and how to communicate with a dentist regarding those findings.
  • Because subtle findings are the key to good diagnosis and assessment, there will be an emphasis on learning to perceive ever-more-subtle nuances in the PRM and movement of “the face and the base”.  While a previous orofacial class can be helpful, the emphasis on self-learning and extending perceptive skills can be useful to any osteopathic practitioner at any skill level.
  • Residents who do cranial treatment on an at-least-weekly basis will be challenged but may find this course valuable, and special pricing is available for residents.
  • This is an active learning course with required homework.  Homework will include assessing several different patients for the findings outlined in class, and write up those encounters comparing and contrasting your findings.  Homework submission will be required for granting of CME.

Registration Fee:
OCA Member  $295.00
OCA Non-member  $395.00
Resident Members  $195.00

Course Instructor: Annette Hulse DO

Location: Virtual

The Osteopathic Cranial Academy is requesting that the AOA Council on Continuing Medical Education approve this program for 7 hours of Category 1-A AOA CME (pending).

PLEASE NOTE: If you register for this course and do not meet the eligibility requirements for it, your tuition payment will be refunded, minus a $25 processing fee. If you have any questions about your eligibility, please contact the OCA office before registering.


Course Schedule

Week 1 (April 21 at 7pm Eastern/4pm Pacific)

Introduction – 15 minutes

Common Osteopathic Findings in ALF/Dental Patients – 75 minutes

Homework Assignment – 15 minutes

Q&A – 15 minutes


Asynchronous Learning

Video lectures to watch between April 21-May 19 at your convenience.   Topics include Overview of the Treatment Triad (Osteopathy, Dentist, Myofunctional Therapy), ALF & Other Dental Appliances, Sleep Apnea, TMJ Dysfunction, Myofunctional Therapy,  Adjunctive Treatments, Perception vs. Palpation, Exercises in Perception.



Homework must be submitted to instructor by Wednesday May 15.  Completion of homework is critical to optimizing learning, and is required for CME


Week 2 (May 19 at 7pm Eastern/4pm Pacific)

Review of Student Findings and Perceptions – 15 minutes

Common Osteopathic Findings in Complicated Orofacial Patients and Communicating with the Dentist– 30 minutes

Clinical Considerations – 60 minutes

Q&A – 15 minutes


Who Can Attend

Doctors of Osteopathy (DO), Doctors of Medicine (MD) and Doctors of Dentistry (DDS, DMD) who have completed at least one approved 40-hour Introduction to Osteopathy in the Cranial Field course.

Course Instructor

Annette Hulse, DO is an osteopath in private practice in Los Altos CA, where she treats patients with chronic pain, including TMJ dysfunction and many other symptoms of craniofacial dysfunction, including sleep apnea, migraines, chronic sinusitis and malocclusion.  For many years, Dr. Hulse worked directly with Dr. Darick Nordstrom DDS, who invented the ALF.  She also regularly co-treats with several ALF and other dentists around the Bay Area, and coordinates the Bay Area ALF Study Group.  She has treated hundreds of dental and orofacial patients, and has used that experience to create this high-yield course.

Dr. Hulse is a Past President of the Osteopathic Cranial Academy, chair on the OCA Online Education Task Force, and is on the teaching faculty for the OCA.  She has served as course director for the past 3 OCA Introduction to Osteopathy in the Cranial Field courses.  She is also on the clinical faculty at Touro (California) COM.

Dr. Hulse is a graduate of the Massachusetts Institute of Technology, Stanford University, and Touro University College of Osteopathic Medicine.  She completed an internal medicine internship at Alameda County Medical Center in Oakland CA.

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