Profession-Wide Competency #1:
Research
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Training Objective: Produce new professionals who can independently access
research and apply scientific methods to practice.
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Competencies Expected:
- Independently accesses and applies scientific knowledge & skills appropriately
and habitually to the solution of problems,
- Readily presents own work for the scrutiny of others,
- Demonstrates advanced level of knowledge of and respect for scientific
knowledge of the basis for behaviors,
- Reviews scholarly literature related to clinical work and applies knowledge
to case conceptualization,
- Effectively Applies EBP concepts in practice,
- Critically Compares and contrasts EBP approaches with other theories and
interventions in the context of case conceptualization and treatment planning.
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PWC #2:
Ethical and Legal Standards
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Training Objective: Produce new professionals who can independently identify
ethical and legal concerns and effectively respond to them.
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Competencies Expected:
- Independently recognizes and manages special circumstances and potential
ethical issues,
- Uses good judgment about unexpected issues, such as crises, confrontation, etc.,
- Demonstrates awareness of potential conflicts in complex ethical and legal
issues when conducting supervision,
- Spontaneously and reliably identifies complex ethical and legal issues
when conducting supervision and analyzes and proactively addresses them,
- When unsure of how to proceed when confronted with an ethical dilemma,
will reliably seek consultation with supervisor or other appropriate expert,
- The intern is familiar with the relevant laws and statutes pertaining to
the practice of psychology in the setting and region they are working in.
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PWC #3:
Individual and Cultural Diversity (ICD)
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Training Objective: Produce new professionals who can independently monitor
and apply knowledge of self and others as an ICD-being and consider the
intersecting and complex dimensions of diversity.
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Competencies Expected:
- Independently articulates, understands, and monitors own cultural identity
in relation to work with others,
- Regularly uses knowledge of self to monitor and improve effectiveness as
a professional,
- Critically evaluates feedback and initiates consultation or supervision
when uncertain about diversity issues content,
- Regularly uses knowledge of the role of culture in interactions to monitor
and improve effectiveness as a professional,
- Critically evaluates feedback and initiates consultation or supervision
when uncertain about diversity issues with others,
- Articulates an integrative conceptualization of diversity as it impacts
clients, self, and others (e.g., organizations, colleagues, systems of care),
- Uses culturally relevant best practices.
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PWC #4:
Professional Values, Attitudes, and Behaviors
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Training Objective: Produce new professionals who behave in responsible
and professionally effective ways that represent the field of psychology
with honor.
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Competencies Expected:
- The Intern follows the policies of their clinic/agency,
- The Intern is consistently on time to appointments and meetings and communicates
well about absences and time-off,
- The Intern finishes their paperwork in a timely fashion,
- The Intern's written work is at a professional-level of quality,
- The Intern is prepared for all meetings and appointments,
- The Intern demonstrates the appropriate professional presentation (clothing,
posture, language, hygiene, politeness) for the setting in which they
are working,
- Habitually adapts one’s professional behavior in a culturally sensitive
manner, as appropriate to the needs of the client, that improves client
outcomes and avoids harm,
- Regularly uses knowledge of others to monitor and improve effectiveness
as a professional.
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PWC #5:
Communication and Interpersonal Skills
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Training Objective: Produce new professionals who can effectively function
within a clinical setting.
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Competencies Expected:
- Communicates effectively with individuals from other professions,
- Independently articulates, understands, and monitors multiple cultural
identities in interactions with others,
- Seeks consultation with regard to addressing individual and cultural diversity
as needed,
- Writes a high-quality case summary incorporating elements of evidence-based
practice and presents it for peer review and discussion,
- Seeks consultation when necessary,
- The intern can create effective working relationship with all the staff
at their site(s).
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PWC #6:
Assessment
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Training Objective: Produce new professionals who can effectively perform
comprehensive assessments and screenings and clearly report the results.
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Competencies Expected:
- Accurately assesses presenting issues taking in to account the larger life
context, including diversity issues,
- Effectively selects appropriate assessment/screening tools that fit the
presenting issue,
- Effectively and accurately performs various screening and assessment procedures,
- Uses assessment data to conceptualize cases independently and accurately,
- Writes a professional-caliber report that correctly and clearly integrates
the assessment data into a diagnosis with patient-specific recommendations.
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PWC #7:
Intervention
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Training Objective: Produce new professionals who can independently plan
and provide effective interventions.
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Competencies Expected:
- Presents rationale for intervention strategy that includes empirical support
and can defend their reasoning well,
- Independently selects an intervention or range of interventions appropriate
for the presenting issue(s),
- Develops rapport and relationships with wide variety of clients,
- Effectively delivers interventions,
- Independently and effectively implements a typical range of intervention
strategies appropriate to practice setting,
- Terminates treatment successfully,
- Independently assesses treatment effectiveness & efficiency,
- Critically evaluates own performance in the treatment role.
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PWC #8:
Supervision
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Training Objective: Produce new professionals who can independently provide
supervision to others.
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Competencies Expected:
- Articulates a philosophy or model of supervision and critically reflects
on how this model is applied in practice, including integrated contextual,
legal, and ethical perspectives,
- Creates an effective supervision contract,
- Demonstrates knowledge of limits of competency to supervise (assesses meta-competency),
- Constructs plans to deal with areas of limited competency,
- Clearly articulates how to use supervisory relationships to leverage development
of supervisees and their clients,
- Demonstrates integration of diversity and multiple identity aspects in
conceptualization of supervision process with all participants (client(s),
supervisee, supervisor)
- Demonstrates adaptation of own professional behavior in a culturally sensitive
manner as appropriate to the needs of the supervision context and all
parties in it,
- Articulates and uses diversity appropriate repertoire of skills and techniques
in supervisory process
- Identifies impact of aspects of self in therapy and supervision
- Provides competent supervision to less advanced trainees, peers or other
service providers in typical cases appropriate to the service setting
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PWC #9:
Consultation and Interprofessional/Interdisciplinary Skills
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Training Objective: Produce new professionals who have knowledge of interdisciplinary
teams and can collaborate with other professionals and who can critically
evaluate a program's functioning.
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Competencies Expected:
- Demonstrates ability to articulate the role that others provide in service
to clients,
- Appreciates and integrates perspectives from multiple professions,
- Displays ability to work successfully on an interdisciplinary team,
- Systematically collaborates successfully with other relevant partners,
- Demonstrates skill in interdisciplinary clinical settings, working with
other professionals to incorporate psychological information into overall
team planning and implementation,
- Provides supervisors with insightful and useful reflections on what is
working well and what can be improved at their different consortium sites
at the mid-year evaluation. In the second half of the year, these reflections
are presented via the program evaluation project (see handbook),
- Collaborates effectively with other providers, or systems of care, to coordinate
continuity of care for the patients.
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How Outcomes are Measured: All competencies are rated using supervisor ratings on a 5-point Likert
scale 1= Cannot Demonstrate, 2= Needs extensive supervision to demonstrate,
3= Can demonstrate in most situations, requires some supervision in more
complex situations, 4= Can demonstrate, even in complex situations, without
supervision, 5 = Can demonstrate with advanced skill (similar to licensed
clinician). Self-reports by interns will be collected at the beginning
and end of training as a discussion tool for supervision purposes. Supervisor
ratings will be collected at the middle (February/March) and end (July/August)
of the internship training.
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Minimum Thresholds for Achievement for Expected Competencies: Within each objective, the intern is expected to achieve mastery of all
competencies and must achieve a score of at least 3 by the end of the
year. If any competencies are at a 2 or less at the mid-year evaluation,
the intern, their onsite supervisor and the Training Director will create
a remediation plan to improve these skills. If any competencies are below
3 at the end of the year then the intern will be unable to pass the internship.
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Professional Areas of Focus
In addition to our nine areas of competency (which are the major focus
of the internship) interns will also engage in the additional training
opportunities:
- Completion of one comprehensive assessment. The intern will administer,
interpret and write a written report, including but not limited to IQ
testing, ADHD assessment, dementia screening, academic/learning disability
assessments and neuropsychological testing.
- Completion of a formal program evaluation collaboratively selected by the
intern and respective supervisor. The interns will develop clinical materials
and/or will serve as consultants for program development/quality improvement
purposes. Specific activities will be based on program and clinic needs
and interns’ areas of interest and expertise. Interns are encouraged
to discuss specific opportunities that may arise at their clinical placements.
Estimated Weekly Schedule
Estimated Weekly Schedule In a typical week, interns spend 8 hours at a
Providence Medical Group facility in Portland, OR for a training day focused
on didactics and supervision activities. Interns will then work 32 hours
at their assigned PMG primary care clinics. An approximation of an intern's
weekly training activities is shown below. Three hours total of Didactic
Training. Two hours are dedicated to topics relevant to service delivery
as a BHP and one hour is dedicated to program development, quality improvement
and professional career development. The internship year begins with a
24-hour (three day) intensive training in primary care psychology. One
hour of group supervision with PMG practicum students. One hour of supervision
that the intern will provide to the PMG practicum student. One hour of
supervision of supervision. Two hours of individual supervision provided
by onsite Providence supervisor. Service delivery as a Behavioral Health Provider.
Internship Handbook download
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