Marcella A Raney, Colette F Hendry, Samantha A Yee
Physical Activity and Social Behaviors of Urban Children in Green Playgrounds
American journal of preventive medicine
vascular pathologies head neck rare present musculoskeletal problems international federation orthopedic manipulative physical therapists ifompt cervical framework framework aims assist evidencebased clinical reasoning safe assessment management cervical spine considering potential vascular pathology clinical reasoning critical physiotherapy developing highlevel clinical reasoning priority postgraduate postlicensure educational programs explore influence framework clinical reasoning processes postgraduate physiotherapy students qualitative case study design using think aloud methodology interpretive description informed consolidated criteria reporting qualitative research participants postgraduate musculoskeletal physiotherapy students learned framework standardized delivery two cervical spine cases explored clinical reasoning processes coding analysis transcripts guided elsteins diagnostic reasoning components postgraduate musculoskeletal physiotherapy practice model data analyzed using thematic analysis inductive deductive individuals across participants enabling analysis key steps clinical reasoning processes use framework trustworthiness enhanced multiple strategies eg second researcher challenged codes participants n 8 framework supported clinical reasoning using primarily hypotheticodeductive processes informed vascular hypothesis generation patient history testing vascular hypothesis patient history questions selection physical examination tests inform clarity support diagnosis management participants clinical reasoning processes characterized highlevel features eg prioritization however continuum proficiency clinical reasoning processes informed deep knowledge framework integrated breadth wider knowledge supported range personal characteristics eg reflection findings support use framework educational resource postgraduate physiotherapy programs inform clinical reasoning processes safe effective assessment management cervical spine presentations considering potential vascular pathology individualized approaches may required support students owing continuum clinical reasoning proficiency future research required explore use framework inform clinical reasoning processes learners different levels