Self-Paced Clinical Course
Clinical Reasoning Foundations
Build a more organized approach to clinical reasoning. Work through focused lessons, explain your decisions, and apply what you learn through guided case exercises.
With Dr. James R. Lewis, PT, ScD
Build a more organized approach to clinical reasoning. Work through focused lessons, explain your decisions, and apply what you learn through guided case exercises.
Audience
Students, new graduates, and early-career physical therapists.
This is a client demo. “Explore Course Demo” opens the learning experience without activating a purchase, account, or payment.

Dr. James R. Lewis, PT, ScD
Physical Therapist, Educator & Mentor
More than 25 years of clinical and teaching experience inform this course.
Planned Curriculum
A seven-module path through clinical reasoning
The course is organized to move from how clinicians think, through the subjective interview, toward tissue-specific impairment, intervention selection, and decision-making. Module 2 is complete and available to preview now.
How Clinicians Think
Content in development.
The Subjective Interview: SINSS
A complete sample module. Use SINSS to distinguish the effect on function, the response to stress, the nature of the presentation, the stage of the condition, and its direction over time.
Tissue-Specific Impairment
Content in development.
Choosing the Right Intervention
Content in development.
Do-Not-Miss Conditions
Content in development.
Test Your Hypothesis
Content in development.
You Make the Call
Content in development.
The Subjective Interview: SINSS
Explore six written lessons, linked video segments, guided practice, a worksheet, and a ten-question learning check. The complete Lesson 2.1 is available to read in full — no account required.
Six written lessons
Each with a focused objective, instruction, and practice question.
Linked source video segments
Timestamped links to the original recorded instruction.
Guided practice & worksheet
A printable learner worksheet with space for your responses.
Ten-question learning check
Scored against a supplied key with explanations after submission.
Lessons in this sample module
- 2.1Free preview
Start with the Activity: Understanding Severity
Explain SINSS and classify functional severity for a specific activity.
- 2.2
Distinguish Severity from Tissue Irritability
Keep the functional report separate from the tissue response to examination stress.
- 2.3
Nature: Organize What You May Be Dealing With
Identify the observations and unanswered questions that belong under nature.
- 2.4
Stage: The Timeline and the Presentation
Distinguish time since injury from how the condition currently presents.
- 2.5
Stability: Describe Change with Evidence
State the direction of change and identify the observations supporting it.
- 2.6
You Make the Call: Separate Knowns from Unknowns
Combine SINSS observations without inventing missing case facts.
Ready to explore the module?
Start with a complete lesson, then explore the full module.
Read Lesson 2.1 in full, or open the demo learning experience with all six SINSS lessons, the worksheet, and the quiz.