Purpose/Hypothesis : Given that self-efficacy is thought to be a critical predictor of clinical performance, the purpose of this study is to evaluate clinical self-efficacy among first year DPT students in a program that uses integrated clinical education (ICE) and simulated learning with high fidelity mannequins. We hypothesized that ICE students would report significantly higher clinical self-efficacy compared to students enrolled in a traditional PT curriculum.Number of Subjects : 42Materials/Methods : A total of 20 ICE students and 22 controls were recruited and enrolled at the end of the first year of an entry-level DPT program. Students completed a 19-item questionnaire that assessed clinical confidence (0-100%) in relation to various PT-related settings (e.g. pediatrics, orthopedics), skills (e.g. taking vital signs, transfers), and professional communication and interaction (e.g. documentation, inter-professional education).Results : Compared to traditional students, ICE students reported significantly greater self-efficacy for assessing vital signs (70.9 ± 26.2 vs. 91.5 ± 10.9, p=0.002), professional behavior (94.0 ± 11.9 vs. 99.5 ± 2.2, p=0.04), and understanding the education of the healthcare team (61.0 ± 18.3 vs. 85.5 ± 13.9, p<0.001). In addition, statistical trends were observed between traditional and ICE students for appropriate treatment interventions (60.5 ± 22.6 vs. 72.0 ± 14.7, p=0.06), clinical preparedness (64.1 ± 23.0 vs. 77.5 ± 22.2, p=0.06), and PT discharge planning (59.5 ± 25.0 vs. 72.0 ± 21.7, p=0.07).Conclusions : This study suggests that first-year DPT students enrolled in an integrated clinical education program report higher self-efficacy for several PT-related skills and behaviors compared to students enrolled in a tradition PT curriculum.Clinical Relevance : Incorporating integrated clinical education and simulated patient scenarios with high fidelity mannequins may facilitate increased clinical confidence among entry-level PT students. Whether this translates to improved clinical performance warrants further evaluation.