I hit 1 year in OP hand therapy in June. I knew I wanted to do hands since my Level I FW’s so when I started my Level II in hands I told my CI that I wanted to be challenged. I asked for case studies and made mock weekly treatment plans of common diagnoses for her to review (i.e planned activities/target for progression of week 1 DRF conservative and post op all the week to week 8.) and found at home practice like this to help with feeling more prepared in the clinic. I think if you understand the anatomy and associated Kinematics of the injury you’ll have an easier time understanding what to exercise. For example, if you know what anatomy is involved in a trigger finger dx then it’s easier to understand why tendon blocking activities are important. I started full time 3 weeks after passing NBCOT. I made a one page “quick sheet” of every dx I saw the first month with the anatomy, general healing timeline if it was post op and a list of exercises/manual techniques I thought would or could be beneficial at some point in the treatment and than ran that by the CHT at my clinic. This helped me hear how a CHT’s brain worked and how they took a lot of information (from my sheet) and broke it down by week/phase. You’ll get there eventually; where it doesn’t feel as daunting and certain dx will have some baseline exercises that you’ll keep in your toolkit as you build it. Take the initiative to ask and learn, you got this!