{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T15:52:28Z","timestamp":1776268348932,"version":"3.50.1"},"reference-count":28,"publisher":"Journal of Orthopaedic & Sports Physical Therapy (JOSPT)","issue":"2","content-domain":{"domain":["www.jospt.org"],"crossmark-restriction":true},"short-container-title":["JOSPT Open"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>OBJECTIVE: To examine the differences in diagnostic clinical reasoning among physical therapists with varying levels of post-professional training using the Script Concordance Test (SCT), while investigating associations between participant demographics and the most recent American Physical Therapy Association cervical spine clinical practice guideline use.<\/jats:p>\n                  <jats:p>DESIGN: Cross-sectional survey.<\/jats:p>\n                  <jats:p>METHODS: A 1-way analysis of variance (ANOVA) with post hoc Bonferroni analysis compared SCT mean scores across 3 cervical spine cases, and binary logistic regression identified associations between demographic variables.<\/jats:p>\n                  <jats:p>RESULTS: One hundred thirty-one participants completed the survey. A 1-way ANOVA revealed a small-to-moderate effect, with fellowship-trained clinicians scoring higher than those without advanced training ( P = .01; 95% confidence interval [CI]: \u22122.04, \u22120.27). Board-certified Orthopedic Clinical Specialists did not differ significantly from either the fellowship-trained group ( P = .40; 95% CI: \u22121.89, 0.44) or those without advanced training ( P = .89; 95% CI: \u22121.37, 0.54).<\/jats:p>\n                  <jats:p>CONCLUSION: Fellowship-trained clinicians demonstrated superior diagnostic reasoning regarding the cervical spine case vignettes compared to clinicians with no post-professional training. JOSPT Open 2026;4(2):239-246. 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