title: Importance and applicability of approved clinical instructor standards and criteria to certified athletic trainers in different clinical education settings.
abstract: BACKGROUND
  For optimal clinical education of athletic training students, Clinical Instructor Educators and program directors need to proactively select, train, and evaluate their Approved Clinical Instructors (ACIs).
  
  
  OBJECTIVE
  To assess the relative importance and applicability of ACI standards to certified athletic trainers employed in different athletic training clinical education settings.
  
  
  METHODS
  Respondents rated and ranked the importance and applicability of the 7 standards presented by Weidner and Henning. Crucial standards to warrant dropping an ACI from the clinical education program were also listed.
  
  
  METHODS
  Mailed questionnaire.
  
  
  METHODS
  A total of 55 program directors invited their ACIs, representing different types of clinical settings, to complete the questionnaire. Of the 399 ACIs who responded, 30 (8%) worked in clinics, 50 (13%) in high schools, and 319 (79%) in colleges or universities.
  
  
  METHODS
  We compared the mean scores of the importance and applicability ratings and rankings by employment setting. Chi-square analyses were calculated to measure associations between employment settings and whether a standard was crucial. Respondents' comments were also assessed.
  
  
  RESULTS
  No significant differences were noted among employment settings for overall importance and applicability ratings. A difference was seen for only interpersonal relationships, with clinic and high school respondents giving this standard higher importance and applicability ratings than college/university respondents. No associations were shown between the settings and whether a standard was marked as crucial. The importance of a standard and barriers to implementing a standard (particularly ACI role strain) were the most common themes.
  
  
  CONCLUSIONS
  The Weidner and Henning standards are considered to be important and applicable across a variety of athletic training clinical education settings. Legal and ethical behavior was considered the most crucial standard. The ACIs seemed to be encountering role strain in their dual roles as clinicians and clinical instructors, a problem warranting further investigation.
authors.affiliation: School of Physical Education, Sport and Exercise Science, Ball State University, Muncie, IN 47306, USA. tweidner@bsu.edu
authors.forename: Thomas G
authors.initials: TG
authors.lastname: Weidner
authors.forename: Jolene M
authors.initials: JM
authors.lastname: Henning