this post was submitted on 26 Dec 2024
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My understanding is that Bill Lawrence, the creator of the show, planned it as a spin-off, but ABC didn't want that. It's why it was also called "Scrubs: Med School" in some places.
The wiki goes into it a bit, but definitely a separate thing in my opinion - https://en.wikipedia.org/wiki/Scrubs_season_9
Scrubs: Med School is an okay name for a spinoff. It's in the same continuity and the same characters exist.