Once proficiency is achieved in conducting CS courses, the clinical trainer who wants to become an advanced trainer will focus on learning the skills necessary to effectively transfer training expertise to others by training them as clinical trainers. During the advanced training skills (ATS) course, the clinical trainer will learn group facilitation, problem-solving and clinical decision-making skills, how to teach them to others and how to effectively coach a new trainer. Upon completion of the ATS course, the clinical trainer is now a "candidate advanced trainer."

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