Clinical Psychology Training Programme

UNIVERSITY OF SHEFFIELD

CLINICAL PSYCHOLOGY TRAINING PROGRAMME

ASSESSMENT OF CLINICAL COMPETENCIES

TRAINEE:…………………………………………………………………………….………………………

PLACEMENT: Number:…………… Area of Work:…………………………………………………….

……….……………………………………………………………………………………………………….

SUPERVISOR:……………………………………………………………………………………………….

Supervisor HCPC Registration Number:………………………………………………………………

NHS TRUST / ORGANISATION:…………………………………………………………………………

Start Date:…………………………………………. End Date:…………………………………………..

Date of Initial Placement Meeting:

Attendees:

Location:

Date of Mid-Placement Meeting:

Attendees:

Location

Date of Internal Exam Board pertinent to this placement:

PLACEMENT INDUCTION AND CONTRACTING

Trainees have all undertaken some SHSC induction including conflict resolution/breakaway training. Please tick here to confirm attendance at these sessions this academic year and discuss content with supervisor. Please tick when the following induction procedures have been completed etc.

Familiarisation with:

Health and Safety procedures … … … … … … … … … … … … … … … … … … … … … …
Fire Regulations … … … … … … … … … … … … … … … … … … … … … … … … … … … … 
Service Induction Pack ... … … … … … … … … … … … … … … … … … … … … … … … … 
Note taking, electronic records and report writing conventions … … … … … … … … 
File management … … … … … … … … … … … … … … … … … ... … … … … … ...... … ... … 
Introduced to other staff … … … … … … … … … … … … … … … … … … … … … … … … 
Allocated space and secretarial support … … … … … … … … … … … … … … … … … 
Guidance on home visits … … … … … … … … … … … … … … … … … … … … … … … … 

SUPERVISION CONTRACT

Have the following been discussed? (Please detail agreed arrangements)

Time and frequency of supervision:

Formal and informal contact:

Protection of reflective space:

Range of focus of supervision (casework, emotions, team dynamics, transference, themes, theories):

Previous ACC form shared with supervisor (from 2nd placement onwards) and broad areas for development discussed:

Methods and degree of feedback:

Support for theory practice links:

Caseload size and range:

Facilities for organising observation of trainee and supervisor:

Issues of difference and diversity:

Practical issues, e.g. travel, personal needs;

You might also want to consider discussing the expectations of the supervisor, service and trainee regarding the work on placement. Are these expectations understood and shared between supervisor and trainee? How will mutual expectations be met? If differences in expectations or ruptures occur, how will they be addressed?

PLACEMENT AIMS AND OBJECTIVES

SECTION 1: PERSONAL AND PROFESSIONAL DEVELOPMENT

SPECIFIC LEARNING OBJECTIVES:

PLACEMENT PLAN:

MID-PLACEMENT MEETING, review of competency development:

END OF PLACEMENT REPORT BY SUPERVISOR (to include trainee’s strengths and needs for further development on this competency:

SECTION 2: THERAPEUTIC AND WORKING ALLIANCE

SPECIFIC LEARNING OBJECTIVES:

PLACEMENT PLAN: