I've hunted fall turkeys in N.E. Pa. for many, many years. Usually it's with several other hunters and we use the "bust up the flock and call them back" strategy with great success. I've found that fall hunting is a good way to introduce someone to turkey hunting or give a new turkey hunter an opportunity to practice and build confidence in their calling. Also fall hunting sometimes gives a hunter a chance to hear a much wider range of turkey vocabulary than spring hunting.
If I'm hunting alone I usually hunt gobblers only, which of course are more difficult to find/call. In Pa. we can hunt fall turkeys with a rifle, but I don't. I won't shoot a turkey that isn't called to the gun...just me.