Practitioner Development Educational Program

Structured Education.
Continuing Advancement.
Active Standing.

For approved practitioners participating in structured education, continuing education, protocol updates, exams, case studies, active standing, and advancement through the Shoemaker University™ practitioner pathway.

$99
/month membership

Access to all practitioner courses, case studies, protocol updates, research reviews, advancement exams, and directory eligibility.

200
CSE Credits / 2 years

Continuing Shoemaker Education™ Credits — approximately 2 hours per week of structured education to maintain active standing.

6
Advancement Levels

Student → Intern → Resident → Practitioner → Fellow → Master Practitioner. Time creates eligibility; education and examination determine advancement.

PRACTITIONER PATHWAY

Advancement Levels

Time alone does not guarantee advancement. Advancement requires education, examination, active standing, and compliance with Shoemaker University standards.

1

Student

Foundation Emblem0–1 years

A foundational learner beginning structured education in CIRS, the Shoemaker Protocol, terminology, environmental contributors, and the clinical framework.

2

Intern

Bronze Emblem1–2 years

A practitioner-in-training who has completed early foundational coursework and is developing structured understanding through guided education, case studies, and competency checks.

3

Resident

Silver Emblem2–4 years

A developing practitioner building deeper protocol fluency through continuing education, current research updates, case-based learning, and examination.

4

Practitioner

Gold Emblem4–6 years

A recognized Shoemaker University practitioner who has demonstrated sustained education, protocol competency, active standing, and compliance with professional standards.

5

Fellow

Platinum Emblem6–8 years

An advanced practitioner recognized for sustained commitment to CIRS education, protocol updates, case-based reasoning, and professional development.

6

Master Practitioner

Black Emblem8+ years

The highest Shoemaker University practitioner distinction. Master Practitioner status recognizes achievement, but continued badge use requires ongoing active standing.

ACTIVE STANDING SYSTEM

Maintaining Active Standing

A practitioner remains in active standing by meeting all of the following requirements continuously.

Active Standing Requirements

Active monthly membership ($99/month)
200 CSE Credits every two years
Required protocol update modules
Research update modules
Case-study learning requirements
Ethics and scope training
Maintenance or advancement examinations
Code of Ethics compliance
No unresolved disciplinary status

Standing Statuses

ActiveCurrent on membership, education, exams, and ethics requirements.
Pending ReviewAn issue requiring administrative review.
InactiveFailed to maintain membership or education requirements.
SuspendedMay not use badge or directory listing due to disciplinary action.
RevokedCredential and badge privileges have been removed.
RetiredHistorical recognition only; not active for badge or directory use.

PRACTITIONER CURRICULUM

Course Library Overview

CIRS Core Foundations

CIRS 101
History and Development of the Shoemaker Protocol
Biotoxin Illness Framework
Inflammatory Response Basics
Symptom Clusters and Multi-System Presentation
The Logic of Sequential Treatment
Patient Communication and Documentation

Shoemaker Protocol Core Curriculum

Stepwise Protocol Overview
Exposure Removal and Environmental Context
Binders and Early Treatment Concepts
VCS and Clinical Tracking
Biomarkers and Clinical Reasoning
VIP and Advanced Treatment Concepts
Relapse, Retesting, and Long-Term Management

Environmental Factors

Water-Damaged Buildings
Mold and Fungal Fragments
Endotoxins
Actinomycetes
Small Particle Exposure
Dust Reservoirs
Remediation Interface
Working With Environmental Professionals
Medically Sensitive Buildings

GENIE Education

GENIE Overview
Transcriptomics for Practitioners
Understanding Gene Expression Patterns
Inflammatory Pathways
Hypometabolism
Immune Activation
GENIE in Case Context
Communicating GENIE Concepts to Patients

T3+ Education

T3+ Overview
Why T3+ Matters in the Shoemaker System
Understanding Triple Positive Patterns
Clinical Significance
Case-Based Application
Common Misunderstandings
Patient-Friendly Explanation Methods

SAIIE Education

SAIIE Overview
Immune and Inflammatory Context
Case-Based Learning
Integration With Other Findings
Current Updates
Practitioner Discussion Modules

Ethics, Scope & Professional Standards

MANDATORY
Code of Ethics
Scope of Practice
Badge Use Rules
Advertising and Public Claims
Patient Communication
Documentation Standards
Interdisciplinary Collaboration
Disciplinary Process
Maintaining Active Standing

MEMBER DASHBOARD

Your Advancement at a Glance

Current title and emblem status
Active standing status
CSE credits earned and remaining
Current two-year cycle dates
Protocol and research updates completed
Advancement eligibility checklist
Badge download (active standing only)
Public directory listing status
Code of Ethics acknowledgment
Example Dashboard
Current StatusResident — Silver Emblem
StandingActive
Current Cycle2026–2028
CSE Credits142 / 200 completed
Protocol Updates3 / 4 completed
Ethics RequirementCompleted
Advancement ExamNot yet eligible
Next Eligible AdvancementJune 2028

Begin Your Practitioner Pathway

Apply for the Practitioner Development Program or log in to your member dashboard.

Notice: Shoemaker University™ Practitioner Development Educational Program provides structured continuing education for practitioners. Advancement is not automatic and requires completion of education, examination, active standing, and compliance with all standards. Badge use is reserved exclusively for practitioners in active standing.