You don't get that if you only work with patients with hand or knee problems. That's not to say that the occasional new grads can't start out their career in a specialized, independent practice and be successful. Take Jessica Vargas, PT, for example. She started her career working in a school setting, which requires the therapist to practice autonomously and to use innovation in regard to treatment plans and equipment. Some of the equipment used in a hospital-based setting is not always going to be in the school.
Patient goals are different in a school setting, as well.
It's not like in the hospital where a child's goal is to achieve improved range of motion and will get 45 to 50 degrees in five months. In school, the goals are functional to the school setting. For example, the child will be able to walk to the cafeteria. You will definitely adjust to it. Limited job opportunities are making the first job selection process more challenging for today's graduates.