New prosthetic hands with advanced technology making it possible to perform many different grasps and positions are now available on the market. This new advanced technology is also difficult for users to control, and studies have shown that the new hand functions are not used to the extent expected. Most training programs have their main focus on control training. The activity performance and regular occupational therapy training is less described. In this instructional course we will present a new structured method for training adult patients with prosthetic hands of any type – from passive hands to new multifunctional hands. The method originates from the Skills Index Ranking Scale (SIRS), a method that was developed for children and has been in use for more than 30 years. Besides basic training the new version, SIRS-Adult, covers the new skills that patients need to master in order to use multifunctional hands to their full potential. The SIRS-Adult comprises integration of the artificial limb, structured control training, and activity performance in self chosen activities. By practicing use of the hand through performance of everyday activities, the patient achieves a natural use of the hand. The method can be applied upon prescription of any multifunctional prosthetic hand, and also for standard hands, body powered and passive prosthesis. The instructional course will use practical demonstrations through videos and case examples. Active discussions will support the learning process. The attendees will have electronic access to written documentation that describes the SIRS-Adult in more detail. Learning objectives: After completing this course the attendees should have learned hands on skills to perform SIRS–Adult to patients with any kind of hand prosthesis and gained deepened knowledge in how to learn patients use prosthesis.