Improving Student–Preceptor Experiences in Clinical Training: A Program Improvement Project for Doctor of Audiology Programs Informed by Stakeholder Feedback

Abstract

Purpose: Effective relationships between students and preceptors are essential for high-quality clinical education; however, challenges in communication, unclear roles, and mutual expectations often undermine this dynamic. Our institution identified a need to improve these relationships to foster a more supportive and effective learning environment. This program evaluation aimed to assess the perceptions of the student–preceptor relationship between both groups to inform targeted improvements in clinical education processes within a single Doctor of Audiology (Au.D.) program. Methods: We conducted a cross-sectional survey-based program evaluation of graduate students and current and past preceptors within an Au.D. program in southern Louisiana. Using ranking order, questions exploring the ideal qualities of students and preceptors were extended to both subgroups’ surveys. The remaining qualitative items were tailored for each stakeholder. Students responded to prompts regarding clinical expectations, and preceptors reflected on the challenges and benefits of being a preceptor. Quantitative data were summarized using descriptive statistics (e.g., frequencies and modes) and qualitative data were analyzed using thematic analysis. Results: Survey responses revealed discrepancies in expectations and communication styles. Key themes included mismatched expectations and a lack of shared understanding of roles. Based on these findings, we developed and implemented new protocols including expectation-setting guides and a faculty/preceptor advisory board. Conclusions: Engaging both students and preceptors in the assessment of their working relationships led to targeted and actionable improvements in the clinical education program. This project highlights the value of collaborative feedback in driving programmatic change and may offer a practical framework for similar programs seeking to evaluate and improve clinical training processes, though findings are intended to inform local program development. Clinical Relevance Statement: Differences in students’ and preceptors’ perspectives can affect the effectiveness of clinical education in audiology training programs. Identifying these discrepancies informed targeted programmatic changes aimed at improving communication, expectations, and supervision. These findings provide a framework for enhancing clinical training and supporting students’ readiness for independent practice.