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Overview of Assessment of Clinical Practice

Clinical Portfolio

At the end of the course each programme member is required to submit a clinical portfolio which will include:

  1. Front sheet
  2. Overall Summary of supervision hours, supervised practice and 8 completed cases (a minimum of 3 different presenting problems, of which 1 should be PTSD)
  3. Supervision contracts from each term  
  4. Evidence of your BABCP membership
  5. Formative supervisors’ reports (Workplace & University)
  6. Summative supervisors' reports (Workplace & University)
  7. BABCP supervision logs (Workplace & University) evidencing a minimum of 70 hours of supervision (see calculation below)*
  8. Clinical log of at least 200 hours supervised CBT practice
  9. Client summary sheets for all 8 supervised clients (3 x closely supervised and 5 x non-closely supervised) which will include all Summative assessment feedback (case presentation and case reports), including CBT competency assessment (CTS-R & Reflection) marks for the supervised cases, a written or diagrammatic formulation, a sample of supervision preparation forms, a patient evaluation questionnaire and copies of letters/reports relating to the 8 cases.

In the clinical portfolio, the trainee and the service can be identified but no identifiable information on clients should be included. Please ensure that all identifiable information has been concealed - use of marker pens and Correction Fluid are not recommended as the client detail can often be viewed through the ink or through the reverse. It is preferable to use black ball point pen in a circular motion so that information is unreadable or to photocopy a document that has had the client identifiable information covered or removed.

  1. CTS-R Self-rating and Reflection for 6 sessions (attach these to the client summary sheets along with the letters/reports/PEQ and supervision preparation forms) along with the markers' feedback on the 6 CTS-Rs and reflections (these should all have reached a pass/satisfactory mark)
  2. Teaching hours log (plus 200-500 word reflections on learning points for each taught session missed)
  3. For trainees taking the KSA route, please submit a copy of your KSA assessment feedback.

 

This clinical portfolio forms one of the required assessments for module PYCM40. It also meets the IAPT curriculum and BABCP requirements for a level 2 accredited course and will be marked as Satisfactory/Unsatisfactory. The submission date for the Clinical Portfolio is 14th January 2020 and marking feedback will be returned by 11th February 2020.

 

Confidentiality Breaches in Clinical Portfolios:

  1. In the Clinical Portfolio, the Trainee and the Service can be identified but no identifiable information on Clients should be included.
  2. In Clinical Portfolios, if confidentiality breaches occur in relation to Clients, this will be marked as an automatic fail and the Trainee will be asked to address the area of concern (and any other changes) for resubmission.

 

Supervision

As part of the programme you will receive two hours of university-based group supervision a week.  This will amount to approx 48 actual hours of group supervision over the course year (or approx. 32hrs using the group formula below).  You will also receive regular supervision from your workplace supervisor over the year. Combined, this will provide you with a variety of group and individual supervision, totalling a minimum of 70 hours of supervision. Over the course of the year you need to have received a minimum of 70 hours of supervision and 200 hours of supervised CBT practice.

 

You need to have seen at least 8 completed cases (seen for an absolute minimum of 5 sessions but usually more, from start to completion/termination) and have received 5 hours minimum of supervision, from a supervisor who is a BABCP accredited therapist, on each of these cases.  The University will provide the supervision for up to 3 of these cases.

 

You need to have worked with a minimum of 3 different problem presentations and one of these should be Post traumatic stress disorder (PTSD).

 

Please note that when calculating your supervision hours for the 8 cases, it is recognised that time spent in group supervision offers greater value than simply calculating the time spent on an individual’s case, and dividing the overall time spent in the group by the number of participants.

 

The BABCP recommends using the following two calculations:

 

1: Time spent discussing a particular case in group supervision is multiplied by two.

For example, if there are three participants in a two-hour group, 30 minutes might be spent discussing each case.

30 minutes x 2 = 60 minutes’ equivalent case supervision time.

This calculation should be used for the ‘Client Summary Sheet’ and also on the ‘Overall Summary Sheet’.


2: Overall group clinical supervision equivalent time is calculated in the following way:

The time spent in the group is divided by the number of participants in the group, and this time is then doubled.
For example, if there are 3 participants in the group, and the group meets for two hours; the formula would be

2 hours divided by 3 people = 40 minutes x 2 = 1 hour 20mins equivalent group supervision time.

*This calculation should be used for the ‘Supervision Log’.

 

3 of these 8 cases you bring to University supervision must be closely supervised.  This means they will also have to be formally assessed using video or live practice and assessed to be to a reasonable standard as judged by the CTS-R. The recordings you submit at the end of term 2 and in term 3 will meet the ‘closely supervised’ requirement.

 

Supervision Reports - At the end of terms 1 and 2, both University and Workplace supervisors will complete formative supervisor’s reports.  You will need to submit these at the end of terms 1 and 2 and keep a copy for your records. You must submit your supervisor reports via PDF document via Turnitin and keep a copy for your Clinical Portfolio. At the end of term 3, both University and Workplace supervisors will complete Summative supervisor’s reports.  You will need to submit your Summative supervisor reports at the end of term 3 via PDF document via Turnitin and keep a copy for your records. You must also submit your Summative supervisor reports in your Clinical Portfolio. Please note that all supervisor’s reports must be hand-signed and you should keep the original copies of your reports. 

 

Please ensure that you directly observe your CBT supervisor (or another accredited therapist) by sitting in on a live session at least once over the year.

 

 

Clinical hours

In order to achieve at least 200 hours of supervised CBT practice by the end of the course, it is recommended that trainees aim to have completed 40 clinical hours by the end of term 1 and 90 clinical hours by the end of term 2.  Clinical hours will be discussed as part of 1:1 tutorials each term.  

 

 

1:1 Tutorials

Each term, you will have a 1:1 tutorial. It is a requirement that you bring your developing clinical portfolio which should include:

1. Overall summary sheet

2. Clinical Log

3. Supervision Log

4. Teaching Log

5. Supervisors' Reports (University and Workplace)

6. Update on KSA progress (where applicable)

Your tutor will review these with you in your 1:1 tutorials.

 

Please allow some time to prepare for your tutorial using the tutorial preparation form, these documents and your tutorial questions/issues in advance of meeting with your tutor (also see HI Course Handbook).

 

KSA Trainees

For those trainees who do not have a core profession, they will need to include their Assessment Feedback from their completed KSA portfolio. You will have submitted your completed KSA portfolio at the beginning of Term 1 and will receive feedback on this along with a KSA tutorial with the KSA tutor to assist you in completing your KSA portfolio.

 

Successful completion of the course contributes to the following KSA criteria:
3.  Psychopathology/diagnostic skills - teaching
4.  Models of therapy - behaviour therapy and cognitive therapy 
5.  Competency in key relationship skills - assessed by supervisors' reports and successful completion of CTS-R 
8.  Awareness of risk - taught lecture and assessed within marking criteria of case reports
9. Comprehension of research - assessed by successful completion of the academic essays.
10. Commitment to ethical practice - lecture and assessed by successful completion of case reports.
14. Receptive to scientist practitioner approach -assessed by successful completion of case reports where trainees are required to "relate the clinical work carried out to relevant cognitive theory and relevant models. You should use theory to guide your assessment, formulation and intervention plan and guide your thinking about this case. You should refer to and make use of the relevant literature pertaining to this case"

For forms to be included in your clinical portfolio, please see the download forms page.