Doctorate in Clinical Psychology Exeter

Front Sheet for Electronic Submission of Clinical Assessment

Trainee Name:      

Assessment Date:      

Placement Period: Please delete as appropriate –

YEAR 1 PART 1 - 81 days (including theory/practice days and annual leave)

YEAR 1 PART 2 - 66 days (including theory/practice days and annual leave)

YEAR 2 PART 1 - 70 days (including theory/practice days and annual leave)

YEAR 2 PART 2 - 69 days (including theory/practice days and annual leave)

YEAR 3 – 40 days minimum on placement

Annual Leave:      

Sickness Leave:      

Study Leave Taken:      

Placement Provider:      (e.g Sompar/DHUFT)

Supervisor Overall EvaluationTo be completed at each of the assessment points

Portfolio of Clinical Experience

Pass Conditional Pass Referred Fail

Trainee’s Competence

Pass Conditional Pass Referred Fail

If conditional pass please specify which learning needs require particular attention in the next placement period and must be identified in the next stage of placement planning:

     

If referred please specify which significant concerns in one or more competence area(s) must be urgently addressed through an action plan for subsequent placement period(s):

     

Assessment: Clinical Goals, Portfolio and Observation; For work undertaken on placement:

“I certify that the work reported in this assessment took place as described and I have signed and contributed to the feedback within the document.”

A copy has been sent to the clinical tutor by the trainee.

Supervisor name:      

Supervisor Signature:

Trainee name:      

Trainee signature:

To be sent through to Programme Administrators by e-mail at DClinPsy@exeter.ac.uk having been signed and scanned (or signed electronically), with the paperwork

Paperwork Summary Checklist

You are advised to allow a month for filling in these documents, given that annual leave and sick leave can disrupt the process of signing and completion.

Procedures for a late submission are overtaken by University regulations and the Board of Examiners may need to be informed. If work is submitted late this will normally lead to a Conditional Pass as this is a professional issue.

If you have any queries, please contact your clinical tutor.

1 Electronic Front Page for Clinical Submission ( incorporating Placement Summary, providing basic information on placement including number of days and the Supervisor Overall Evaluation Form)

2 Portfolio of Clinical Experience

Log Book - a running record of clinical work, completed by trainees on a weekly basis throughout placement.Cumulative Record - a cumulative record completed prior to initial placement and then at each assessment period after that.

3 Clinical Competence Goals & Evaluation

General Placement Outline Competence Areas - based around core competences. Each section needs to be completed. Clearly, many goals will be ongoing or, indeed, maintained at this point, but this will need to be stated explicitlySupervisor Reflection

Trainee Reflection

Observation Tool