The Athletic Training Milestones were developed to be a comprehensive framework to assess athletic trainers' knowledge, skill, and behavior acquisition across the continuum of athletic training practice. However, without established content validity, it is unclear whether the Athletic Training Milestones can be used effectively as a clinical evaluation and research tool to evaluate competence and performance across multiple users and sites. We conducted a highly conservative content validity index (CVI) with data from 12 content experts. Our findings revealed an extremely high overall scale CVI of 0.99, and CVI scores of the 28 individual sub-competency items assessed ranged from 0.83–1.00. In order to truly embrace competency-based evaluation and performance assessments, a highly valid and comprehensive instrument, such as the Athletic Training Milestones, is imperative to the athletic training profession.

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