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Description: Abstract Background: Clinical micro-skills are associated with therapy outcome and can be trained with Deliberate Practice (DP). Nevertheless, research on DP is currently still in its infancy since DP requires the assessment of deficits and monitoring of improvements to be effective for which valid instruments are currently lacking. Objective: To develop and validate a rating instrument that is capable of assessing transtheoretical clinical microskills in the context of DP exercises. Methods: The Clinical Micro-Skill Training Scale (CMST) was developed based on three existing competence scales with the inclusion of expert feedback from researchers and clinicians. The instrument will be applied by graduate students and post-graduate clinicians to rate N=260 videos from N=37 participants. Descriptive results, inter-rater reliability, item interrelations, factor structure, convergent and discriminant validity will be examined. Conclusions: Implications of these results for future research, clinical training and clinical practice will be discussed.