Background and Purpose. The purpose of this study was to evaluate clinical
instructors' (CIs') acceptance of and self-reported adherence to instructio
ns for use of The Blue MACS (5th edition) for evaluating the clinical perfo
rmance of physical therapist students. Subjects and Methods. One hundred tw
enty-four usable survey instruments were returned by CIs. Results. Twenty-t
wo items from The Blue MACS were collapsed into a score representing accept
ance, and 10 items were collapsed into a score representing reported adhere
nce to instructions. Ninety-six percent of the CIs surveyed expressed a pos
itive opinion of the instrument. Ninety-eight percent of the CIs reported a
t least moderately consistent adherence to instructions. Conclusion and Dis
cussion. The instrument was regarded as a useful tool, and most CIs reporte
d using the instrument according to the instructions. A positive opinion of
the clinical performance assessment instrument is desirable to facilitate
its use by CIs. Consistent use by different CIs is desirable to promote acc
urate communication among students, CIs, and the educational institution.