<< Objectives >>Clinical reasoning is a cornerstone in physiotherapy. SCALENEo (Smart ClinicAL rEasoning iN physiothErapy) aims at disseminating a serious game – a card game - in which groups of students and teachers in physiotherapy learn and practise clinical reasoning in the musculo-skeletal field. The game exists in paper form and will be implemented online. It is an innovative pedagogical approach in physiotherapy and favors the transition of students and therapists towards digital education techniques.<< Implementation >>A digital education ecosystem (website) containing the serious game and a database of clinical cases will be developed. The serious game will be played by students and teachers in either paper or online form. Events will be organized to reach the target audience and promote the serious game. The 4 participants has complementary skills to reach this goal: Serious game creation (Henallux), database and project management (CeREF), clinical cases analysis (Rehazenter), motion analysis (UPHF).<< Results >>SCALENEo aims to promote excellence in teaching and practise of physiotherapy through the practice of clinical reasoning. The developed digital education ecosystem is expected to become a new pedagogical tool actually used in the countries of the consortium members. At short-term SCALENEo aims at becoming a reference tool for clinical reasoning teaching in the musculo-skeletal field. Then its extension to other fields and other countries will be considered.