The Institute for Clinical Excellence at Precision ABA

The first cohort is open.

The Institute for Clinical Excellence at Precision ABA trains clinicians inside real clinical work — not through lectures, not through recorded modules, but inside an active clinic with guidance in the moment.

The Foundations of Clinical Judgment cohort runs June through July. Three live virtual workshops. Two days in Naperville, IL.

Six spots. Introductory tuition for the first cohort.

If you've been looking for training that actually changes how you think in a session, the link is in the comments.

At some point, every clinician hits the same moment.

You're in a session. Something isn't working. There's no protocol that tells you what to do next.

Just you, the learner, and the decision you have to make right now.

That's where clinical judgment lives. It's also the part of this work that most training never touches.

The Institute for Clinical Excellence was built for exactly that space.

Today we're opening the first cohort.

The Foundations of Clinical Judgment cohort takes place across three live virtual workshops and a two-day in-person intensive inside the Precision ABA learning center in Naperville — where clinicians observe real instruction, analyze behavior as it unfolds, and make decisions with guidance in the moment.

Six spots. Introductory tuition. First cohort opens today.

If this is the training you've been looking for, the link is in the comments.

I've been thinking about this model for a long time.

And watching it come together into something real has been one of the most meaningful things I've done professionally.

Here's what makes The Institute different from most professional development:

The learning happens inside the work.

Not before it. Not in a recap afterward. Inside it.

Clinicians observe real instruction. They analyze learner behavior as it unfolds. They make decisions and get feedback in the moment, not after the fact, not in a follow-up email two weeks later.

The questions aren't just "what would you do?"

They're "why would you do it?" and "what would tell you that you're wrong?"

That kind of thinking doesn't develop through lectures. It develops through practice, analysis, and someone paying close attention to how you're reasoning while you're doing it.

Over time something shifts.

You stop just implementing programs. You start seeing patterns. You predict behavior. You adjust instruction with intention.

That's the difference between a clinician who knows the science and a clinician who can use it.

I built The Institute because I wanted that to exist for more clinicians in this field.

And now it does.

http://go.precisionaba.com/precision-in-practice?series=theinstituteforclinicalexcellence

Nobody tells you about the drive home.

The session is over. The data is collected. Everyone else has moved on.

And you're in your car replaying something that happened.

A learner who didn't respond the way you expected. A decision you made quickly that you're not sure about. A moment where you knew something was off but couldn't quite name it yet.

No one is asking you to think about it that hard.

But you do. Because you care about getting it right.

That part of the work is invisible to most people. But it's where a lot of clinicians actually live.

And if you stay there long enough without support, one of two things tends to happen.

You start doubting yourself. Or you stop thinking that deeply altogether.

Neither of those is the outcome the field needs from clinicians like you.

That space, when it's supported, is where clinical judgment actually develops. Not through perfection. Through reflection. Through having somewhere to bring those moments and think through them with people who understand what they're looking at.

Caring this much about the work should not feel like something you carry alone.

The Institute exists for clinicians who don't want it to.

http://go.precisionaba.com/precision-in-practice

Last week I had the incredible privilege to join Amber Furby and her team at Aurora Behavior Services, accomplishing something I've been building toward for a long time.

I spent 3 days in Savannah, Georgia with the FIRST organizational cohort of The Institute for Clinical Excellence at Precision ABA.

For two months leading up to that, these incredible women (and several more not pictured) met for virtual workshops digging into: teaching concepts, creating instructional materials that promote generalization, instructional design, error correction, component/composite relations, error analysis

Then we stepped into the real work. We spent three full days inside their clinic.

Watching sessions.
Analyzing patterns across staff and learners.
Talking through decisions in real time.
Adjusting instruction on the spot.

Not just learning about the work.
Actually doing it.

And you could feel the shift: In how people were watching. In the questions they were asking. In how they were responding in the moment.

They were coachable. They were curious. They pushed back when something didn't sit right with them. They WORKED.

And watching it land in real time: in their own clinic, with their own clients-- I kept thinking: this is exactly what I built The Institute for.

This is what it's supposed to feel like.

They were the perfect team to kick this off.

I’m really proud of the work they did and how seriously they showed up to it.
-Brigid
Founder of The Institute of Clinical Excellence at Precision ABA.

There's a moment in clinical work that doesn't get talked about enough.

You run a program the way it was designed. You follow the procedure. You implement with fidelity.

And the learner doesn't progress.

Not dramatically. Just enough that something feels off.

So you check implementation. You tighten reinforcement. You look at prompting.

And still. Not quite right.

That's usually the moment where clinical work actually begins.

Because it's no longer about whether you're doing the procedure correctly.

It becomes: is this the right procedure for this learner?

That shift is everything.

Strong clinicians don't just run programs. They watch how the learner responds. They notice patterns. They adjust instruction based on what the behavior is telling them.

That's not always a skill people are explicitly taught.

Because it requires stepping outside of following the plan and into evaluating what's happening and deciding what to do next.

Clinical judgment doesn't live in getting it right the first time.

It lives in knowing how to respond when you don't.

If this resonates with how you think about the work, you can learn more about The Institute here: https://www.theinstituteforclinicalexcellence.com/

There's a difference between learning something interesting and being able to see, predict, and change what's happening in front of you.

Most training in our field produces the first thing.

Clinical judgment is the second.

It doesn't develop through information alone. It develops through practice, analysis, and making real decisions while someone experienced is paying attention to your thinking.

That's the distance most CE never closes.

It's the distance The Institute is built to close.

If this resonates with your experience in training, join our mailing list here: http://go.precisionaba.com/precision-in-practice

Many clinicians become certified and very quickly find themselves responsible for designing programs, supervising staff, and making decisions that affect real learners and families.

They care deeply about doing it well.

But the fluency that comes from observation, mentorship, and working through real clinical situations takes time to develop. And the systems that are supposed to build that fluency often aren't structured to do it.

So clinicians figure it out as they go. While also being responsible for training others.

That gap has been sitting in our field for a long time.

So I built something to address it.

The Institute for Clinical Excellence at Precision ABA.

Learning doesn't happen best before the work. It happens inside it.

Some clinicians will train within their own organizations. Others will join us inside the Precision ABA learning center in Naperville, observing and analyzing instruction with real learners while receiving real-time coaching and feedback.

Not passive learning. Practice. Observation. Real clinical situations with guidance in the moment.

Our field has the science. Now clinicians deserve the development infrastructure to match it.

If this resonates, learn more here:
https://www.theinstituteforclinicalexcellence.com/