2014-2015 Clinical Student Manual - Central Michigan University

Department of Psychology
Doctoral Program in
Clinical Psychology
Student Manual
Entering Class вЂ“ Fall 2014
Fall 2014/Spring 2015
Dear Incoming Student:
On behalf of the Clinical Psychology Program faculty and the Department of Psychology, I am
happy to welcome you to Central Michigan University. This student manual is a guide for working
your way through the Doctoral Program in Clinical Psychology. It is arranged in the approximate
order of your progress through the program.
The Clinical Psychology faculty welcomes any questions you have about the Clinical Program, as
well as suggestions you might have for improving this manual.
Best wishes,
Reid Skeel, Ph.D.
Professor
Director of Clinical Training
Department of Psychology
Central Michigan University
136 Sloan Hall
Mt. Pleasant, MI 48859
Phone: (989) 774 - 6485
Fax: (989) 774 - 2553
skeel1rl@cmich.edu
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TABLE OF CONTENTS
Introduction ................................................................................................................................................. 5
Philosophy of Training .............................................................................................................................. 6
The Training Model. ................................................................................................................................... 6
Curriculum ................................................................................................................................................... 7
Sequence of Courses................................................................................................................................... 9
Clinical Experiences.................................................................................................................................. 10
Practicum ................................................................................................................................................... 11
Research Experiences ............................................................................................................................... 13
Milestone Events....................................................................................................................................... 14
Sequence of Milestone Events ................................................................................................................ 16
Integration of Training Goals and Program Requirements ................................................................ 17
Student Contributions to Program Functioning .................................................................................. 18
Stress in the Program ............................................................................................................................... 19
Faculty Mentors......................................................................................................................................... 20
Ethical and Professional Behavior ......................................................................................................... 20
Academic Resources ................................................................................................................................. 20
Financial Support ...................................................................................................................................... 22
Policy on Outside Employment ............................................................................................................. 23
Part-Time Study ........................................................................................................................................ 24
Leave of Absence ...................................................................................................................................... 24
Student Messages, Mailroom, and Email............................................................................................... 24
Standard Meeting Time ............................................................................................................................ 24
Pre-registration for Courses .................................................................................................................... 24
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Transfer of Prior Coursework................................................................................................................. 25
Satisfactory Progress ................................................................................................................................. 25
Dismissal .................................................................................................................................................... 26
Student Review Policy .............................................................................................................................. 26
Student Grievances ................................................................................................................................... 28
Continuous Registration .......................................................................................................................... 28
Authorization of Doctoral Degree Program ........................................................................................ 28
Appendices........................................................................................................................................... 29-45
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INTRODUCTION
The earliest references to the Department of Psychology, documented through a search of the
archives in the Clarke Historical Library, dates to the 1899-1900 catalogue for Central State Normal
School. At that time, it was called the Department of Psychology and Pedagogy. The earliest recorded
psychology faculty members were Charles T. Grawn and George Loomis. During the 1920s, the
number of psychology and education faculty remained small, and the emphasis was on education.
In 1937, a major and a minor in psychology were offered. One of the most significant events in the
history of psychology at Central Michigan University was the establishment of an independent
Department of Psychology in 1964. Shortly thereafter masters and specialist programs were
approved. The first graduate degree in psychology was awarded to Jean Holland in 1967. A PsyD
program in applied psychology was developed in the 1970s, and the first doctoral students at CMU
were admitted to this program in the fall of 1977. In 1980, the first student graduated with a
doctoral degree in psychology, and this marked the first time a doctoral degree was awarded at
Central Michigan University. Roger Van Horn served as the first director of the doctoral program
until 1983 when the program changed into separate PsyD programs in Clinical Psychology,
Industrial/Organizational Psychology, and School Psychology. Except for a one-year hiatus, Ira
Rosenbaum served as the Director of Clinical Training from 1983 until 1993. Don Beere served as
the Director of Clinical Training from 1994 thru 1998. As the Department of Psychology matured,
the focus shifted toward a more integrated emphasis on teaching and research. The PsyD programs
in Clinical Psychology, Industrial/Organizational Psychology, and School Psychology changed to
PhD programs, and the PhD program in Applied Experimental Psychology was developed. George
Ronan served as Director of Clinical Training from 1999 until 2005 and oversaw the transition from
a PsyD to a PhD program. Reid Skeel, PhD, now serves as director. The current administrative
structure of the Psychology Department is presented below.
I. Administrative Structure of the Psychology Department
Executive Committee
(Department Chairperson & Directors from each program)
Clinical Program
Experimental Program
I/O Program
School Program
Undergraduate Program
Undergraduate and Graduate Program
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II. Clinical Psychology Program Faculty
I. David Acevedo-Polakovich Ph.D., Assistant Professor of Psychology, University of
Kentucky 2008. Cultural minority youth, LGBTQ youth, rural populations, undocumented
immigrants and positive youth development models.
Elizabeth Meadows, Ph.D., Professor of Psychology, State University of New York at
Albany, 1994. Anxiety Disorders, especially post-traumatic stress disorder and panic
disorder.
Larissa Niec, Ph.D., Professor of Psychology, Case Western Reserve University, 1998.
Clinical Child Psychology; Interpersonal Functioning in Childhood.
Stuart Quirk, Ph.D., Professor of Psychology, Case Western Reserve University, 1999.
Emotional Response in Psychopathology; Personality; Substance Abuse.
Donna W. Ronan, Ph.D., Director of Psychological Training and Consultation Center,
Associate Professor of Psychology, Fairleigh Dickinson University, 1992. Psychology of
Women; Health Psychology; Performance Enhancement.
George Ronan, Ph.D., ABPP, Professor of Psychology, Farleigh Dickinson University,
1985. Assessment of Social Problem-solving Skills; Effectiveness of Social Problem-solving
Treatments within a Forensic Context.
Reid Skeel, Ph.D., Professor of Psychology and Director of Clinical Psychology, University
of Florida, 1998. Neuropsychology; Rehabilitation.
Nathan Weed, Ph.D., Professor of Psychology and Clinical Admissions Coordinator,
University of Minnesota, 1992. Psychological Assessment; Validation of Clinical Inferences
from Psychological Tests; the MMPI-2 and MMPI-A.
PHILOSOPHY OF TRAINING
The philosophy of training that guides the Doctoral Program in Clinical Psychology has evolved
over the past 30 years. The program is different from traditional doctoral programs that solely
prepare students for research and academic positions. The academic, clinical, and research
experiences at CMU maintain a balance between training in science and practice. Throughout their
academic, clinical, and research experiences students are provided with feedback, modeling, and
mentoring that fosters the integration current theory, research, and practice. Upon graduation
students are prepared to pursue clinical or research careers.
THE TRAINING MODEL
The program endorses the criteria for training set forth by the Commission on Accreditation of the
American Psychological Association1 and is listed as an accredited program. The program follows a
scientist-practitioner training model. The Clinical Psychology Program faculty believes that clinical
training is a complex process that cannot be readily condensed or easily simplified. The optimal
practice of Clinical Psychology rests on the integration of theory, research, and practice. Clinical
1Commission
on Accreditation, American Psychological Association, 750 First St. NE, Washington, D.C. 20002-4242. Telephone: (202) 336-5979.
TDD: (202) 336-6123.
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learning involves instruction, feedback, self-monitoring, and modeling the behavior of experts. The
integration of theory, research, and practice is expected to evolve out of numerous exposures to this
process. This integration not only deepens scholarly learning, but also develops effective clinical
skills.
The Clinical Psychology Program faculty further believes that training should expose students to a
variety of testable formulations, as opposed to a single theoretical model. Integration of theory,
research, and practice is essential. The program seeks to attain this goal by modeling a scientific
approach in both didactic and experiential coursework.
The Clinical Psychology Program considers the following areas essential for Clinical Psychologists:
вЂў
вЂў
вЂў
вЂў
Breadth in the theoretical and empirical underpinnings of psychology
Breadth and depth in psychological research
Breadth and depth in assessment and intervention
Knowledge of the guidelines outlined in the APA Code of Ethics for Psychologists and the
standards for Providers
вЂў Knowledge that allows for practice in an increasingly diverse society in a socially responsible
manner
вЂў A commitment to lifelong learning
The Clinical Psychology Program has developed coursework and milestone events that ensure the
development of the above-mentioned goals. In addition, all students work closely with a Clinical
Psychology Program faculty mentor who monitors their progress and serves as a role model for
implementing these goals.
CURRICULUM
I. Foundation Courses
Basic coursework is completed in the areas listed below. These courses provide a broad-based
foundation for integrating psychology theory and research.
1.
Biological Bases
PSY 687 (3) Physiological Foundations
2.
Cognitive-Affective Bases of Behavior
PSY 589 (3) Cognitive Psychology OR PSY 680 (3) Learning
3.
Social Bases of Behavior
PSY 630 (3) Advanced Social Psychology
4.
Individual Differences
PSY 624 (3) Advanced Developmental Psychology
PSY 751 (3) Psychopathology
5.
History and Systems
PSY 609 (3) History and Systems of Psychology
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6.
7.
Research Design
PSY 642 Clinical Research Methods
PSY 612 (3) Applied Multiple Regression and Correlation
PSY 613 (3) Multivariate and Correlation Methods
Applied Components
PSY 798 (6) Thesis
PSY 898 (6) Doctoral Dissertation Design
PSY 899 (6) Doctoral Dissertation Implementation
II. Assessment & Intervention
Coursework in this area provides a foundation for integrating theory, research, and practice
related to the assessment and intervention.
1.
Measurement
PSY 510 (3) Principles of Psychological Measurement
2.
Assessment Methods
PSY 641 (3) Objective Personality Assessment
PSY 657 (3) Assessment I: Adult
PSY 658 (3) Assessment II: Child and Adolescent
PSY 661 (3) Neuropsychological Assessment
3.
Intervention
PSY 653 (3) Intervention I: Adult
PSY 660 (3) Intervention II: Child and Adolescent
PSY 785 (3) Seminar: Cognitive вЂ“ Behavior Theory
PSY 850 (3) Ethnic and Minority Issues in Therapy
4.
Applied Components
PSY 790 & 791 (6) Practicum IA and IB
PSY 890 & 891 (6) Practicum IIA and IIB
PSY 892 & 893 (6) Practicum IIIA and IIIB
PSY 990 (3) Internship A
PSY 991 (3) Internship B
III. Supervision & Consultation
Coursework in this area provides a foundation for integrating theory, research, and practice
related to supervision and consultation.
1.
Supervision
PTCC Clinic Meetings
PSY 790 & 791 (6) Practicum IA and IB
PSY 890 & 891 (6) Practicum IIA and IIB
PSY 892 & 893 (6) Practicum IIIA and IIIB
2.
Consultation
PSY 657 (3) Assessment I: Adult
PSY 658 (3) Assessment II: Child and Adolescent
PSY 661 (3) Neuropsychological Assessment
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IV. Professional Development
Behaviors relevant to the professional development of Clinical Psychologists are consistently
modeled by clinical faculty and discussed throughout the program. Formal training in ethical
and professional issues are also provided. For instance, second-year students are required to
attend a weekly clinical conference sponsored by the (PTCC) Psychological Training and
Consultation Center, which exposes students to a wide variety of issues relevant to the
professional and ethical practice of Clinical Psychology. Participation in monthly colloquia is
required of all students and the content typically addresses professional and ethical issues
confronting the science and practice of Clinical Psychology. Finally, all students are required to
complete a formal academic course in ethics and professional issues: PSY 765 (3) Seminar:
Ethics and Professional Issues.
V. Electives
Students are to complete at least nine elective credits. Students select elective courses in
consultation with their Clinical Psychology Program faculty mentor. Three credits of electives
can be based on non-specified course content (e.g., PSY 696 Directed Research, PSY 697
Independent Study and PSY 792 Supplemental Supervision).
Although a variety of electives is available throughout the university, popular electives are in the
areas of behavior therapy (PSY 780); consultation skills (PSY 766); behavioral medicine (PSY
579); clinical supervision (PSY 600); program evaluation (PSY 818); and 600 or 700 level
specialty courses offered by psychology department faculty.
SEQUENCE OF COURSES
The following is a guide for sequencing the required courses. Students are expected to complete
program requirements in the order indicated. Requests to deviate from this schedule must be
discussed with your mentor, submitted to the Director of Clinical Training, and approved by the
Clinical Program faculty.
Fall Semester Year 1
Spring Semester Year 1
PSY 609 History and Systems of Psychology
PSY 642 Clinical Research Methods
PSY 653 Intervention I: Adult
PSY 657 Assessment I: Adult
PSY 510 Principles of Psychological Measurement
PSY 660 Intervention II: Child and Adolescent
PSY 658 Assessment II: Child and Adolescent
PSY 751 Psychopathology
Fall Semester Year 2
Spring Semester Year 2
PSY 612 Applied Multiple Regression and
Correlation
PSY 850 Ethnic & Minority Issues in Therapy
PSY 785 Seminar: Cognitive-Behavior Theory
PSY 798 Thesis
PSY 790 Practicum IA
PSY 613 Multivariate and Correlation Methods
Fall Semester Year 3
Spring Semester Year 3
PSY 661 Neuropsychological Assessment
Elective 1
PSY 765 Seminar: Ethics and Professional Issues
PSY 641 Objective Personality Assessment
PSY 798 Thesis
PSY 791 Practicum IB
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PSY 687 Physiological Foundations
PSY 624 Advanced Developmental Psychology
PSY 890 Practicum IIA
PSY 589 Cognitive Psychology OR
PSY 680 Learning
PSY 630 Advanced Social Psychology
PSY 891 Practicum IIB
Fall Semester Year 4
Spring Semester Year 4
Elective 2
PSY 898 Dissertation Design
PSY 892 Practicum IIIA
Elective 3
PSY 899 Dissertation Implementation
PSY 893 Practicum IIIB
Fall Semester Year 5
Spring Semester Year 5
PSY 990 Internship A
PSY 991 Internship B
CLINICAL EXPERIENCES
I. Overview
One mission of the Clinical Psychology Program is to train clinical psychologists who can
function in applied settings. Thus, the Clinical Psychology Program faculty has clear expectations
regarding the development of clinical skills and we require students to graduate with a variety of
experiences in the assessment and treatment of clinical problems. Three years of practica are
required wherein students are expected to maintain a caseload of approximately five clients per
week.
National guidelines for developing clinical competence are currently being developed and the
Clinical Program is supportive of this undertaking. As examples of these recent developments,
the report from the 2001 APA Education Leadership Conference (ELC), with its Workgroup on
Practicum Competencies, can be found at http://www.apa.org/ed/governance/elc/index.aspx
and the report from the APPIC Competencies Conference: Future Directions in Education and
Credentialing in Professional Psychology, held in November 2002 in Scottsdale, Arizona, can be
found at http://www.appic.org/About-APPIC/News/APPIC-Archive/CompetenciesConference-2002
In general, the Clinical Program employs a Dreyfus model (Dreyfus & Dreyfus, 1984) which
suggests that skill development proceeds as a result of training and experience. The faculty
expects that research, theory, and practice can be integrated with increasing sophistication as
clinical skills evolve. Four of the proposed levels of skill development are detailed below (adapted
from Benner, 1984).
Novice
Novices have little experience with clinical tasks they are expected to perform. Therefore, tasks
are often decomposed into context-free rules that the novice can recognize and performance is
often evaluated by determining how well the rules were followed.
Advanced Beginner
Advanced beginners attend to situational aspects that are relevant for case conceptualization.
They formulate guidelines that dictate actions in terms of attributes and aspects, but these
guidelines tend to ignore the differential importance of attributes and aspects. Nuances are
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experienced as unintelligible aspects of the situation that haphazardly mean one thing at one time
and another thing at another time. Advanced beginners often need support in setting priorities
and perceiving meaningful patterns in their clinical contacts.
Competence
The development of competence requires considerable experience integrating theory, research,
and practice. Actions are determined by a conscious plan. The plan is based on considerable
contemplation of the problem. The plan dictates attributes and aspects of the current and future
situation that are most important, and determines the contextual interpretation of the clinical
situation. Because focusing on features and aspects of a case can become overwhelming,
instruction focuses on the development of clinical problem solving skills. Development of a
theoretically sound and empirically supported treatment plan helps to organize this complexity
and results in an improved therapeutic intervention. An increased level of proficiency is
demonstrated.
Proficiency
Considerable experience at the level of competency can lead to the development of proficiency.
Proficient clinicians understand the features and aspects of a given clinical situation and modify
their treatment plan based on this understanding. Proficient clinicians recognize which aspects of
the clinical situation are most salient; performance is guided by maxims. There is a notable,
qualitative improvement in how problems are approached. A more holistic understanding
improves decision-making, makes clinical work less laborious, and results in a sense of what is
needed in a clinical situation. Usually there is a focus on fewer options that are keyed to relevant
aspects of the problem situation. Because of an increased understanding of the relevant clinical
factors, the proficient clinician uses maxims to guide assessments and/or interventions. Contextfree principles or rules, comfortable to the advanced beginner, evoke contradictory evidence and
frustration for the proficient clinician. Teaching addresses the more complex aspects of clinical
situations.
PRACTICUM
II. Procedures
1. Practicum Instructor
During the first half of Spring Semester, the Clinic Director and Director of Clinical
Training provide students with a description faculty membersвЂ™ approach to treatment and
supervision for faculty who will be teaching practicum. Students meet with their program
mentor to discuss practicum instructor selection and subsequently complete a Practicum
Instructor Preference Sheet that is used to rank preferences. The Practicum Instructor Preference
Sheet must be turned in to the Director of Clinical Training within one week after the
presentation. A copy of the Practicum Instructor Preference Sheet is contained in (Appendix A)
and can be photocopied as needed. The Clinical Psychology Program faculty review these
rankings and is ultimately responsible for assigning students to instructors.
2. Practicum Site Selection
Practicum I students are placed in the psychology department affiliated training clinic, the
Psychological Training and Consultation Center (PTCC). They are generally expected to
see clients assigned to the general clinic. The Psychological Training and Consultation
Center is a controlled environment that is used to closely monitor student skill
development. Additional information about the Psychological Training and Consultation
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Center, including a Brochure and a Student Manual, can be obtained from the Psychological
Training and Consultation Center Director, Dr. Donna W. Ronan, Health Professions
Building 2105, (989) 774-2284, ronan1dm@cmich.edu .
Each March, the Clinical Psychology Program faculty either host a luncheon for
representatives from the various sites where Practicum II and Practicum III students are
placed, or offer the opportunity for students currently placed in those sites to present an
overview of their experiences there. After this meeting, students discuss their practicum
site preferences with their Clinical Psychology Program mentor and the following yearвЂ™s
practicum instructor. By March 15th, students rank their preferred practicum sites by using
the Practicum Site Preference Sheet and submit their ranking to the Director of Clinical
Training. (Appendix B) contains a copy of the Practicum Site Preference Sheet and additional
copies can be made as needed. The Clinical Psychology Program faculty then clears
students to apply for particular sites on or before March 15th. Students are not allowed to
apply to practicum sites prior to receiving formal approval from the Clinical Psychology
Program faculty.
3. Review of the Student Practicum Site Preferences
The Practicum Site Preference Sheets are reviewed to ensure that the requested placements
meet general Clinical Program training requirements. The clinical program requires that
students are exposed to training experiences that ensure both breadth and depth of
professional practice. For practicum training, this often translates into (a) familiarity with
at least two approaches toward treatment, (b) competence with a variety of assessment
techniques and formats, (c) experience with underserved and minority groups, (d)
exposure to a variety of diagnostic groups, and (e) experience in treatment settings that
ensure exposure to a variety of professions. In the event a student requests placement
within the same setting, the student will need to demonstrate how the 2nd yearвЂ™s training
experience will be substantively different from the prior year. Every semester student
performance in practicum is evaluated using the Practicum Student End of Year Evaluation
(Appendix C ) and students are required to complete their Clinical Training Record
(Appendix E ) yearly. The Clinical Training Record provides an ongoing record of each
studentвЂ™s training experience. Training goals unique to the student are based on input
from the studentвЂ™s faculty mentor, CMU Student Evaluation of Practicum Site and Supervisors
(Appendix D) provided by past and present supervisors, and information gleaned from
the Clinical Training Record. Also, it is very important for students to read Policy on Bloodborne Pathogens (Appendix G) .
4. General Practicum Site Requirements
All approved placements espouse a scientist-practitioner training philosophy that is
consistent with the program goals of integrating theory, research, and practice. Placement
sites must provide students with office space, support services, and doctoral level
supervisors that are licensed within their specialty areas (psychology or counseling).
Practicum students follow placement site policies and procedures. Students cannot
assume that the placement site follows the academic calendar and time off for vacations
or other personal needs must be negotiated with the placement site.
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Practicum sites must have procedures available for students to receive some on-campus
supervision. This often involves the practicum instructors reading intakes, progress notes,
treatment plans, test reports, and discharge summaries. In addition, review of audiotapes
and/or videotapes is required. All patients must be informed that the student is in
training and will be supervised, as part of that training, at Central Michigan University.
As students develop clinical skills and obtain a limited license, they can provide
reimbursable clinical services. The Clinical Psychology Program faculty typically encourage
Practicum III students to seek paid practicum placements, but not at the expense of training
requirements.
5. Summary
The following is an outline of the administrative components associated with practicum
coordination, assignment, and training.
в–єDirector of the PTCC (CMU/Department Liaison)
1. Coordinates formal agreement between CMU and the site
2. Develops new sites in consultation with Clinical Program faculty
3. Visits sites annually
4. Maintains supervisor-program faculty listserv
в–єDirector of Clinical Training
1. Organizes Clinical Program colloquia wherein practicum instructors describe the
format of their practica
2. Organizes requests for assignment to practicum instructors for the following year
3. Accompany Director of PTCC with annual site visits as appropriate
4. Coordinates and reviews student requests for specific practicum sites
в–єStudents
1. Update Clinical Training Record
2. Submit Practicum Instructor Preference Forms
3. Attend the annual meeting with supervisors to learn of possible placement sites
4. Meet with program mentors to discuss possible placement sites
5. Meet with next yearвЂ™s supervisors to discuss placement possibilities
6. Submit rankings of placement sites
7. Receive feedback on rankings of placement sites
8. Apply for practicum placement
9. Coordinate final placement with next yearвЂ™s practicum instructor
в–єPracticum Instructors
1. Lead clinical colloquia and provide students with information regarding the
format of practicum
2. Attend the annual meeting with supervisors to discuss training issues
3. Meet with next yearвЂ™s practicum students to discuss possible placement sites
4. Formalize individual arrangement with placement sites in conjunction with the
PTCC Director and Director of Clinical Training
5. Contact on-site supervisors at least once each semester and ensure that students
are evaluated each semester using the Practicum Student Evaluation Form
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RESEARCH EXPERIENCES
Students are admitted to the doctoral program under the tutelage of a Clinical Psychology Program
faculty member. All clinical faculty maintain vertical research teams that meet on a regular basis.
Throughout their clinical training, students are required to maintain active involvement on their
faculty mentorвЂ™s vertical research team. Active involvement on a research team usually entails a
combination of the following:
вЂў Bringing in references that may interest other members of the team.
вЂў Presenting and discussing important articles in the research literature, as in a journal club.
вЂў Acting as a research assistant in a project being carried out by the clinical faculty member or
another team member.
вЂў Receiving assistance from other team members in carrying out your own research (e.g., rating,
scoring, entering data, assistance with analysis).
вЂў Offering constructive criticism of documents written by other members of the team (e.g., articles
to be submitted to journals, thesis proposals, grant proposals, conference presentations, and
posters).
вЂў Rehearsing talks for conferences, dissertation defenses, etc., and obtaining feedback.
вЂў Carrying out a joint research project in which all team members contribute.
вЂў Discussing and demonstrating specific research techniques (e.g., statistical methods,
psychometric methods).
вЂў Providing and receiving social support to help get through the tribulations of completing
research.
Frequently, students participate in more than one research team. If a studentвЂ™s faculty memberвЂ™s
research team is inactive (faculty member is on leave, etc.), then the student should participate in a
different research team.
Active involvement on a research team also provides concrete benefits beyond socializing students
into the process of conducting clinically sensitive research. First, participation in a research team
helps students to develop their own research. Students are required to complete at least two
independent research projects (thesis and dissertation) and these projects typically grow out of work
conducted in their mentorвЂ™s lab. Second, active participation in a faculty memberвЂ™s lab frequently
coalesce into a specific clinical focus within the field of Clinical Psychology. As an example, students
involved in the Anxiety and Trauma Research Team,
https://www.cmich.edu/colleges/chsbs/Psychology/Centers/TADC/Pages/default.aspx , often go
on to develop clinical and research specializations in the area of anxiety disorders. Finally, there is a
clear expectation that students will demonstrate a commitment to the discipline by coauthoring
poster presentations, paper presentations, and publications during their course of study at CMU.
Participating on a research team often provides the basis for completing these tasks. Presenting and
publishing papers also provides students with work samples that can help them obtain high quality
postdoctoral positions.
MILESTONE EVENTS
I. Thesis
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Students should discuss the topic of this research project and other related requirements
with their clinical psychology program faculty mentor. Ideally, students should begin work
on their thesis proposal shortly after arriving on campus and defend the proposal during the
summer after the first year of study. In order to be considered as making timely progress
through the program, students must submit their thesis proposal to their thesis committee
members prior to 5:00 p.m. Thanksgiving recess of the second year in the program. The
complete project must be submitted to the thesis committee members prior to 5:00 p.m.
Thanksgiving recess of the third year and the project must be successfully defended before
the end of the fall semester of the third year of study. Students who fail to meet the defense
deadline are not allowed to sit for Clinical Qualifying Examination during the spring
semester of their third year.
Past theses are on file and available for review. Detailed information is available in the Thesis
and Dissertation Manual (PDF) . Students should work closely with their Clinical Program
faculty mentor when developing their thesis research and their mentor can provide
additional guidance. Students must complete at least six credit hours of thesis research (PSY
798): a minimum of three credit hours while developing the proposal and three credit hours
after the proposal defense. Students who have completed the first two years of coursework
are allowed to petition for a masterвЂ™s degree upon successful defense of their thesis.
Occasionally, students entering the program with a graduate degree have previously
completed a thesis. Students who have previously completed a graduate thesis can petition to
waive the Clinical Program thesis requirement if their thesis research has been published in a
peer-reviewed journal of good quality. Students must petition the Director of Clinical
Training who will present the petition to the clinical faculty. The clinical faculty will then
review the manuscript for quality. The final decision stems from a vote by the clinical
faculty.
II. Clinical Qualifying Examination
The Clinical Qualifying Examination requires the submission of a therapy and assessment
case for review by a committee of three Clinical Psychology Program faculty. The exam must
be submitted by 5:00 pm on the Friday before Spring Break of the spring semester of the
third year of study. The overall expectation is that students demonstrate an integration of
their didactic and applied training. The examination requires the written presentation and
oral defense of an assessment and a therapy case. Passing this exam admits students to
doctoral candidacy, allows student to sign up for the final required practicum sequence (PSY
892 & 893), and allows students to sign up for PSY 898 Doctoral Dissertation Design. Past
Clinical Qualifying Examinations are on file and available for review. Due to the Educational
Privacy Act, faculty comments and decisions are only available from individual students.
Detailed information is available in the Clinical Student Qualifying Examination Manual.
Students should seek additional clarification from their Clinical Psychology Program faculty
mentor. Students are required to turn in a copy of the entire case study in a 3-ring binder to
the Clinical Program secretary.
III. Doctoral Dissertation
Students must complete an empirical doctoral dissertation. As a general concept, the
dissertation is a scholarly work related to a student's interest area. The dissertation is formally
initiated after the student is admitted to doctoral candidacy. The goal of the dissertation is to
further integrate the candidateвЂ™s graduate education by investigating a professional problem
15
in a scholarly and scientific manner. A doctoral dissertation proposal must be defended
before the Director of Clinical Training can clear students to apply for their predoctoral
internship. Past dissertations are on file and available for review. Detailed information is
available in the Thesis and Dissertation Manual (PDF). Students must complete at least 12
credit hours of dissertation research: a minimum of six credit hours while developing the
proposal (PSY 898) and six credit hours after the proposal is defended (PSY 899). Students
should work closely with their clinical program faculty mentor when developing their
dissertation research and their mentor can provide additional guidance.
IV. Internship
The internship is a full-time position in which students function as clinical psychologists
while obtaining intensive professional training and clinical experience under the supervision
of senior clinical psychologists. This affords students a chance to expand their clinical skills
and/or begin to develop a specialization with a specific population or setting. It takes place
in the fifth year of the program and is required by the American Psychological Association.
The internship year is generally considered the culmination of graduate clinical training. The
Director of Clinical Training cannot clear students for internship training until they have
defended their dissertation proposal.
Students typically apply to internship sites throughout the country. Applying for internship
training requires a great deal of preparation and is comparable to applying to graduate
school. An orientation session is held in the spring semester of the third year of graduate
training. Supporting materials for internship should be prepared during the summer
preceding the fourth academic year. Students generally arrange for visits and interviews
between December and February of the fourth academic year.
The most current version of the APPIC directory is available on the APPIC website
www.appic.org in a PDF format.
The Clinical Psychology Program faculty mentor is responsible for monitoring studentsвЂ™
internship rankings that are ultimately submitted to the matching facility. All students must
review their preferred choices with their faculty mentor before the first of February. The
goal of this review is to determine (a) the adequacy of all ranked sites and (b) whether the
sites are APA1 accredited. The Director of Clinical Training must review all proposed sites
that are not APA1 accredited before rankings are submitted to the match facility. Students
must complete at least six credit hours of internship: a minimum of three credit hours during
the fall semester of their internship year (PSY 990) and three credit hours during the spring
semester of their internship year (PSY 991).
SEQUENCE OF MILESTONE EVENTS
Students are expected to graduate from the program in five years. The Clinical Program policy
requires that all students graduate within eight years. That is, before students can graduate they are
required to retake all coursework that was completed more than eight years prior to the date of
graduation. A written request for a one-year non-renewable extension may be submitted to the
Director of Clinical Training; the Clinical Psychology Program faculty must approve the request.
The following information is meant to serve as a guide for completing program requirements in a
timely manner, specific deadlines are provided later in the Manual under вЂњSatisfactory Progress.вЂќ.
16
First Year
Dec/May
Complete coursework, discuss thesis topic with mentor
Receive formal feedback on progress
Second Year
Thanksgiving Recess
Dec/May
Complete coursework
Final deadline for submitting complete thesis proposal to the
thesis committee
Receive formal feedback on progress
Third Year
Fall Semester
Thanksgiving Recess
Complete coursework
Attend clinical qualifying examination information meeting
Final deadline for submitting completed thesis to committee
17
January
March
April
Dec/May
Summer
Fourth Year
Fall Semester
October
Check on clinical qualifying examination committee assignments
Submit clinical qualifying examination
Schedule clinical qualifying examination oral defense
Discuss internship process with mentor
Receive formal feedback on progress
Obtain information on internship sites
Write dissertation proposal
Dec/May
Complete coursework
Implement dissertation
Must complete dissertation proposal before submitting
internship applications
Complete internship applications
Review internship site rankings with mentor
Submit internship site rankings
Inform mentor & DCT about internship placement
Receive formal feedback on progress
Fifth Year
Fall Semester
Dec/May
Summer
Complete internship
Defend dissertation
Receive formal feedback on progress
Petition for December graduation
February
1Commission
on Accreditation, American Psychological Association, 750 First St. NE, Washington, D.C. 20002-4242. Telephone: (202) 336-5979.
TDD: (202) 336-6123.
INTEGRATION OF TRAINING GOALS AND PROGRAM REQUIREMENTS
The goal of the Clinical Program is to train clinical psychologists who can effectively function in
applied clinical or research settings. This goal has been further developed into a list of competencies
and the training activities that meet the competencies.
Competency
Related Training Activities
Breadth in the theoretical and empirical underpinning of
psychology
в–ЄRequired foundation courses
в–ЄDepartment colloquia
Breadth and depth in psychological research
в–ЄRequired courses in research design and statistics
в–ЄResearch with faculty mentor
в–ЄDepartment colloquia
в–ЄThesis
в–ЄDissertation
в–ЄRequired courses in assessment & intervention
в–ЄSix semesters of practica
в–ЄWeekly PTCC meetings
в–ЄElective coursework
в–ЄCourse related term papers
в–ЄMonthly clinical program colloquia
в–ЄClinical qualifying examination
в–ЄPredoctoral internship
Breadth and depth in assessment and intervention
18
Knowledge of the guidelines outlined in the APA Code of в–ЄCourses in ethics and professional issues
Ethics for Psychologist and the Standards for Providers в–ЄSix semesters of practica
в–ЄWeekly PTCC meetings
в–ЄMonthly clinical program colloquia
в–ЄThesis (required IRB review, etc.)
в–ЄClinical qualifying examination
в–ЄStudent review
в–ЄDissertation (required IRB review, etc.)
в–ЄPredoctoral internship
Knowledge that allows for practice in an increasingly
в–ЄComplete coursework
diverse society in a socially responsible manner
в–ЄSpecific course in ethnic & minority issues
в–ЄElective coursework
в–ЄWeekly PTCC meetings
в–ЄMonthly clinical program colloquia
в–ЄDiversity is discussed in most clinical courses
в–ЄPractica experiences with minority clientele
в–ЄPractica experiences with disabled clientele
в–ЄAt least one practicum year at PTCC
в–ЄPracticum instructors discuss the social
implications of clinical work
в–ЄClinical qualifying examination
A commitment to life-long learning
в–ЄDepartment colloquia
в–ЄMonthly clinical program colloquia
в–ЄFaculty model national involvement in the
profession
в–ЄStudents maintain memberships in professional
organizations, attend professional meetings, and
presenting their work at professional meetings
STUDENT CONTRIBUTIONS TO PROGRAM FUNCTIONING
I. Overview
Student input is highly valued. Clinical Psychology Program faculty wants feedback from
students. This feedback can help to shape the policies and procedures established by the
Clinical Psychology Program faculty. Major program changes are always evaluated in light of
student feedback, and the following student organizations were designed to provide a vehicle
for obtaining student input.
II. Clinical Student Association (CSA)
All clinical students are members of the Clinical Student Association (CSA). Students
contribute to the program and can address their concern through active participation in the
Clinical Student Association. Suggestions for implementing change in the program, requests
for special colloquia and speakers, and concerns related to student morale are often
addressed by the Clinical Student Association. In addition, the Clinical Student Association
helps with the implementation of several specific program tasks. For instance, members of
the Clinical Student Association are actively involved in the admissions process and often
host social events that encourage the interaction among clinical students in different years of
training. Finally, the President of the Clinical Student Association serves as a member of the
Program Committee.
19
III. Program Committee
Current goals for the Program Committee are (1) provide a vehicle through which students
can voice their concerns, (2) give feedback regarding curricular/program issues, (3) work
with the Clinical Psychology Program faculty to develop and implement curricular and
program changes, and (4) maintain and monitor communication among faculty and students.
The Program Committee is composed of a representative from each of the four cohorts and
the President of the Clinical Student Association. The chairperson for the program
Committee is the 4th year representative. The Director of Clinical Training serves as the
faculty liaison to the program committee.
III. Administrative Structure of the Clinical Program
Clinical Program Faculty
Clinical Program Committee
Clinical Student Association
V. General Comments
To reiterate, students can influence the Clinical Program policies and procedures in the
following manner:
1. Talk with elected representatives of the Clinical Student Association
2. Talk with their Clinical Psychology Program faculty mentor
3. Talk with their elected Program Committee representative
4. Talk with the Director of Clinical Training
STRESS IN THE PROGRAM
Clinical training can be stressful. The desire for clear directions is consistent with prior educational
experiences, but clinical work is often ambiguous. Issues and problems can be defined slowly, and in
an unfolding fashion. Another contributor to stress is the perception that students are under
scrutiny. We want you to know we expect and want every student to graduate. We fully expect you
to complete the program. Feedback is provided throughout the year and is not sprung on a student
as a surprise. Sometimes it can be useful to get help dealing with stress. The Central Michigan
University Counseling Center, located in Foust Hall offers a limited number of free counseling
sessions to all CMU students.
20
FACULTY MENTORS
Students are admitted to the program with the intent that they work with a specific clinical
psychology program faculty mentor. Clinical Psychology Program faculty mentors (1) help with the
adjustment to CMUвЂ™s academic environment, (2) serve as the academic advisor, and (3) actively
function as research mentors. Students can change their faculty mentor by submitting a written
request to the Director of Clinical Training; however, every student must have a Clinical Psychology
Program faculty mentor and students are expected to schedule regular meetings with their faculty
mentor.
Clinical Psychology Program faculty are bound by statements of confidentiality contained in the
Graduate Bulletin. Every effort is made to relate to students in a respectful way, but neither the faculty
nor the program faculty mentor has a therapist/client relationship with students. It is essential that
program faculty exchange information about student functioning. The faculty use discretion in
sharing information, but student-faculty communication is not confidential in relation to other
members of the program faculty. A student can ask a faculty member whether specific information
will or will not be kept confidential and can expect an honest answer.
ETHICAL AND PROFESSIONAL BEHAVIOR
Graduate students follow the ethical standards published by the American Psychological
Association1 (American Psychologist, 47, 1597-1611). In addition, students should familiarize
themselves and comply with the Standards for Providers of Psychological Services published by the
American Psychological Association1 (American Psychologist, 42, 712-723). Students should also be
knowledgeable of two other sets of guidelines published by the American Psychological
Association:1 Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally
Diverse Populations (American Psychologist, 48, 45-48) and Record Keeping Guidelines (American
Psychologist, 48, 984-986). The Psychological Training and Consultation Center Student Manual also provides
information and resources relevant to professional conduct and ethical behavior. Beginning the
second year of the program all students must be familiar with the material presented in the PTCC
Student Manual.
All students will be involved in conducting research with human subjects. The Central Michigan
University Institutional Review Board reviews all such research. The most recent version of the
Policies and Procedures for Using Human Subjects in Research can be obtained by contacting the Office of
Research and Sponsored Programs, and/or College of Graduate Studies.
ACADEMIC RESOURCES
I. Mainframe Access
Central Michigan University provides support for student use of the mainframe for email
and general Internet accesses. Students must contact Office of Technology at Central
Michigan University to obtain an identification code and password. The Office of
Technology regularly provides training in the use of these services. Students with modems
can connect to the mainframe from home. Important program related information can be
conveyed electronically; therefore, students are required to routinely check their CMU
provided email accounts. Students will get their email address on their billing statements.
They may need to get their password from the Help Desk at (989)774-3662.
1Commission
on Accreditation, American Psychological Association, 750 First St. NE, Washington, D.C. 20002-4242. Telephone: (202) 336-5979.
TDD: (202) 336-6123.
21
II. Computer Access
Central Michigan University and the Department of Psychology have labs that can be used
for word processing, data analyses, email, and Internet access. These labs are located in the
basement of Sloan and in the Health Professions Building.
III. Library: CENTRA, Article Databases, and Interlibrary Loan
The Charles V. Park Library has over 300 public computers, wireless Internet access, 33
miles of compact shelving for print materials, and seating for 2600 patrons. Its online
catalog, CENTRA, provides access to thousands of e-books and e-journals, as well as
records for the LibrariesвЂ™ print and media collections. The Library subscribes to dozens of
article databases, including PsycINFO and other well-known online resources, all of which
can be searched from any computer on campus or off-campus (via the LibrariesвЂ™ proxy
server). In addition, CMU students, staff, and faculty can borrow for free items from other
libraries in Michigan via the Michigan e-Library Catalog (MeLCat) or obtain materials
(including articles) from libraries around the world via Interlibrary Loan.
IV. The Psychological Training and Consultation Center (PTCC)
Dr. Gerald B. Fuller founded the Psychological Training and Consultation Center in Sloan Hall in
1970. The mission was to train students enrolled in the applied graduate program within the
Department of Psychology at Central Michigan University. Over the years, the mission of the
Center has changed to: (1) training students in the application of psychological science for
resolving human problems, (2) providing вЂњcutting-edgeвЂќ psychological services to the residents of
Central and North-Central Michigan, (3) conducting research on both the problems experienced
by community residents and quality of services provided at the Center, and (4) disseminating
information about advances in psychologically based interventions.
The PTCC is part of an interdisciplinary training clinic (i.e., the Carls Center) and is located
in the Health Professions Building. The PTCC serves as the primary training site for
students enrolled in applied graduate programs in the Department of Psychology and offers
assessment and treatment services to infants, children, adolescents, adults, and the elderly.
Depending on the specific area of concern, services can often be provided in individual,
couple, family, or group formats. Various faculty members in the Department of Psychology
have applied research programs that are housed in the PTCC. Students should obtain a copy
of the Psychological Training and Consultation Center Brochure, as well as a copy of the Psychological
Training and Consultation Center Student Manual from PTCC Director, Dr. Donna W. Ronan,
Health Professions Building 2105, (989) 774-2284, ronan1dm@cmich.edu.
IV. Useful Websites
Central Michigan University (CMU), (989) 774-4000: www.cmich.edu.
This can give you email addresses of faculty and students, access to the library and various
other information about the University.
Department of Psychology:
https://www.cmich.edu/colleges/chsbs/Psychology/Pages/default.aspx
Clinical Psychology Program:
https://www.cmich.edu/colleges/chsbs/Psychology/Graduate/ClinicalPsychology/Pages/default.aspx
American Psychological Association (APA): www.apa.org.
This can provide you access to many services and resources offered by APA.
Association of Predoctoral and Postdoctoral and Internship Centers (APPIC):
www.appic.org. This is the organization that follows up internships and keeps data on the
22
applicants who secure internship placement the prior year and disseminates relevant
information.
Association of State and Provincial Psychology Boards (ASPPB): www.asppb.org.
This organization keeps data on the results of the National Licensing Exam, the phone
numbers of Psychology Boards of most states, and the requirements for licensure in each
state.
Career Services is located in Ronan 240, Telephone (989) 774-3068 or email at:
careers@cmich.edu. Or visit their website at:
http://www.cmich.edu/ess/academic_advising_assistance/career_services/Pages/default.a
spx
Multicultural Academic Student Services is located in Bovee University Center 108,
Telephone (989) 774-3945 or email at: insdiv@cmich.edu. Or visit their website at:
http://www.cmich.edu/office_provost/oid/ode/Pages/default.aspx
Student Disability Services is located in Park Library 120, Telephone (989) 774-3018 or
email at sds@cmich.edu. Or visit their website at:
https://www.cmich.edu/ess/studentaffairs/SDS/Pages/default.aspx
University Health Services is located in Foust Hall 200, Telephone (989) 774-6599 or
visit their website at https://www.cmich.edu/universityhealthservices/Pages/default.aspx
Counseling Center is located in Foust Hall 102 Telephone (989) 774-3381 or visit their
website at:
https://www.cmich.edu/ess/StudentAffairs/CounselingCenter/Pages/default.aspx
FINANCIAL SUPPORT
I. Overview
The Graduate Bulletin describes various forms of financial support available though the
University. The College of Graduate Studies,
https://www.cmich.edu/colleges/cgs/Pages/default.aspx has ranked increasing graduate
student financial support as a priority. Students frequently obtain grants from the College of
Graduate Studies for research support, presenting papers at conferences, and/or dissertation
expenses. The Department of Psychology also views increasing graduate student financial
support as a priority and each year supports as many graduate students as possible.
A. Type of Support
1. Doctoral Research Fellowships carry a cash stipend and a tuition waiver of 24 credits. The
Board of Trustees sets the stipend yearly.
2. Full-time Graduate Assistantships carry a cash stipend and a tuition waiver of 20 credits.
The Board of Trustees sets the stipend amount yearly.
3. Half-time Graduate Assistantships carry a cash stipend and a tuition waiver of 20 credits.
The Board of Trustees sets the stipend amount yearly.
23
4. Grant and/or Contract-related positions are also available. These positions result from
grants or contracts obtained by Clinical Psychology Program faculty. Individual faculty
members select students to work on these externally funded projects.
5. Additional Graduate Assistantships are often available through other departments on
campus (e.g., College of Graduate Studies, Office of Diversity, and Office of Student
Life).
6. Through support from the Michigan Department of Labor & Economic GrowthвЂ™s
King/Chavez/Parks Initiative, the College of Graduate Studies invites applications for the
KCP Future Faculty Program. Contact the MSS Office, Tara Novak (989) 774-3945.
II. Procedures
A. Research Fellowships and Graduate Assistantships
The psychology department is charged with determining the number of Doctoral Research
Fellowships and Graduate Assistantships awarded to programs. On a yearly basis, the
Psychology Department Executive Committee reviews the policies and procedures. Once
the number of funded positions has been identified, the Clinical Psychology Program
faculty select students for funding.
B. Other Funded Positions
The guidelines for the remaining types of funded positions vary according to the funding
source. Clinical Psychology Program faculty mentors can provide additional information.
C. General Comments
Because there are typically more students to support than available funding, the selection
process is competitive. Rejection of a position offered is considered rejection of financial
support. Financial support is not guaranteed for any student, and fourth-year students are
typically not considered eligible for Research Fellowship or Graduate Assistantship
positions. The expectation is that fourth-year students, having a limited license, will obtain
a paid practicum as part of Practicum III. Some advanced practicum placements may also
qualify for a tuition waiver of 20 credit hours of coursework.
POLICY ON OUTSIDE EMPLOYMENT
Because clinical training at CMU is full-time and program demands are extensive, the Clinical
Psychology Program faculty discourage outside employment. Outside employment for students
awarded a Research Fellowship, a Graduate Assistantship, or a Teaching Assistantship is contrary to
the intent of the funding. Funded students are not expected to seek or accept additional
employment during the academic year. Academic requirements each semester plus a 10 to 20 hour
per week assistantship/externship are a full life! It is wiser to acquire a loan, if necessary, than to
assume any additional burdens. Although the Clinical Psychology Program faculty cannot dictate to
students what they can do beyond the structure of the doctoral program, the Clinical Program does
require that students who choose professional employment outside the program inform the Director
of Clinical Training.
Students must adhere to all ethical and legal requirements regarding public representation of their
credentials. See the APA ethical standards on avoidance of false or deceptive statements, and the
Michigan Code regarding the legal use of the title вЂњpsychologistвЂќ. Generally, students in a supervised
setting that is a component of their program of study (e.g., the PTCC or contracted externships)
24
refer to themselves as вЂњPsychology TraineesвЂќ. In contrast, students engaged in professional activities
that are not a component of their program of study must use the job title designated by the
employer (e.g., вЂњMental Health CounselorвЂќ). Further, in professional activities not sanctioned by the
program students must be very careful not to represent themselves as CMU graduate students
engaged in activities related to their program of study. Students engaged in professional activities
that are not components of the doctoral training program are not insured against claims of
malpractice. Neither Central Michigan University nor the American Psychological Association1
student insurance plans cover a student for activities not sanctioned by the training program. The
clinical faculty assumes that students will use sound judgment in deciding to participate outside
employment and not misrepresent their credentials or the involvement of the program in any such
activities.
PART-TIME STUDY
Part-time study is ordinarily not permitted. An important part of the training involves being
physically present for interactions and feedback among students and faculty. Part-time study tends
to attenuate this interaction significantly, to the disadvantage of both the student and the program.
Requests for part-time study must be submitted in writing to the Director of Clinical Training. The
Clinical Psychology Program faculty must approve the request.
LEAVE OF ABSENCE
Requests for a leave of absence from the program must be submitted in writing to the Director of
Clinical Training. The rationale for the leave and the length of time being requested should be
specified. Permission for a leave of absence requires approval from the Clinical Psychology Program
faculty. Students should be aware that the eight-year limit for completing program requirements
typically remains in effect even when a leave of absence is approved.
STUDENT MESSAGES, MAILROOM, AND EMAIL
Doctoral students have mailboxes in the Psychology Department mailroom, Sloan 101C. Mail
addressed to students, department memos and announcements will be delivered to students at this
location. Clinical announcements such as job postings and upcoming meetings will be emailed to
you from the clinical program secretary.
STANDARD MEETING TIME
Courses are not scheduled between 11:00 a.m. and 12:30 p.m. on Mondays. Colloquia, case
presentation, program committee, and other required Clinical Program meetings are scheduled
during this time. Students are required to attend these meetings.
PRE-REGISTRATION FOR COURSES
Due to the small size of many graduate classes, decisions about whether a class is taught are based
on pre-registration enrollment. If students do not pre-register, classes they want or need to take
might not be offered.
25
TRANSFER OF PRIOR COURSEWORK
Students can transfer up to a maximum of 30 credits with equivalent courses. The following courses
cannot be transferred: PSY 765 Ethics and Professional Issues; PSY 790 & PSY 791 Practicum IA,
Practicum B; PSY 890 & 891 Practicum IIA, Practicum IIB; PSY 892-893 Practicum IIIA,
Practicum IIIB; PSY 898 & PSY 899 Doctoral Dissertation; and PSY 990 & PSY 991 Internship A
and B. The requirements for waiving or transferring a course follow. Students first discuss the
likelihood of waiving the required course with their Clinical Psychology Program faculty mentor.
1. A transfer request, available from the Clinical Program secretary, and supporting materials
(e.g., course outline, texts used, bulletin descriptions) are then submitted to the appropriate
instructor.
2. The instructor must approve the prior course as equivalent to the required course.
вЂњEquivalentвЂќ means that the student received a вЂњBвЂќ or better grade in a course or courses
whose content appears to cover at least 85% of the required course.
3. Students submit their course waiver or transfer requests to the Director of Clinical Training.
4. The Director of Clinical Training presents the request to the Clinical Psychology Program
faculty.
5. The Clinical Psychology Program faculty must vote to approve a course waiver or transfer.
6. Copies of transfer or waiver decisions are placed in the studentвЂ™s file. Transfers must be
approved by the Dean of the College of Graduate Studies.
SATISFACTORY PROGRESS
All students are required to show satisfactory progress through the program. Satisfactory progress is
defined as achieving all program requirements in a timely manner including:
в–є Achieving a grade of B- or better in all courses вЂ“ obtaining two or more grades below B- will
result in dismissal from the program
в–єSubmit proposal of a thesis to thesis committee members prior to 5:00 p.m. Thanksgiving
recess of the 2nd year in the program.
в–є Successful defense of a thesis by the end of Fall Semester 3rd year
в–є Failure to defend successfully a thesis by the end of Fall semester in the 4th year will result in
dismissal from the program
в–є Passing the Clinical Qualifying Exam by the end of Spring Semester of 3rd year
в–є Having an approved doctoral proposal prior to applying for internship
в–є Satisfactory completion of an internship
в–є Successful defense of a dissertation
Failure to meet the above requirements will affect studentsвЂ™ standing within the program as
described below in the Student Review Policy.
26
DISMISSAL
Failure to maintain satisfactory progress, ethical violations (e.g., mistreatment of patients,
mistreatment of research participants), and other inappropriate behaviors (e.g., plagiarism,
destructive interpersonal relationships) will lead to action by the Clinical Psychology Program
faculty. Depending on the nature of the offense, actions might range from letters of warning to
dismissal. Dismissing a student from the Clinical Program is an extraordinary action and only
happens after the student has been given clear feedback about the difficulties and an opportunity to
remedy the problem. Students always have the right to be heard and to appeal disciplinary actions.
STUDENT REVIEW POLICY
The Graduate Bulletin presents the UniversityвЂ™s Policies and Procedures relative to Academic Integrity
and the Academic and Retention Standards for graduate students. This policy authorizes specific
departmental requirements and recognizes the special responsibilities of Clinical Programs. Because
of the nature of clinical work, the evaluation process associated with clinical training relies not only
on academic proficiency as a gauge of competence, but ethical behavior, good judgment, and other
interpersonal factors associated with clinical work. The following provides information about the
expectations and review procedures for students in the Doctoral Program in Clinical Psychology.
I. Procedures
A. Scheduling
A formal review of students by the Clinical Psychology Program faculty is scheduled at
least once each year and involves the entire Clinical Psychology Program faculty. An
unscheduled review may occur whenever a faculty member has reason to be concerned
about a studentвЂ™s coursework, clinical skills, ethical behavior, or suitability (e.g., factors
interfering with clinical work). This formal student review results in written feedback.
B. Criteria
In each scheduled review, students are evaluated using the Student Review Form (see
Appendix F ). The general criteria are described below.
1. The review of research productivity is based on student performance within
oneвЂ™s assigned research team. Research presentations and publications are
considered relevant to performance within this domain.
2. The review of clinical work is based on the mastery of skills needed to function
adequately as an applied clinical psychologist. These include a demonstrated
ability to (a) act appropriately and maintain good judgment; (b) maintain nondestructive relations with research subjects, patients, and peers; (c) the
productive use of supervision, and behavior consistent with the guidelines
specified in the Graduate Bulletin and the American Psychological AssociationвЂ™s
Ethical Principles for Psychologists.
3. The review of academic work is based on performance in coursework and
progress in meeting milestone events. Students are expected to complete
program requirements in five years. Failure to complete the program in eight
years is grounds for dismissal. Students are evaluated at least annually until they
either complete all program requirements or are dismissed from the program.
27
4. The review of professionalism is based on student performance at meeting
professional expectations. This includes consistently attending required events
and appointments (e.g., colloquia, client appointments, classes, etc.), as well as
presenting oneself in a professional manner (e.g., dress, grooming, hygiene, etc.).
Management of scheduling conflicts is an inherent part of professionalism, and
students are expected to work with mentors, faculty, and supervisors to resolve
such situations. In addition, timely completion of relevant clinical paperwork is
also an important part of professionalism and is expected behavior within the
program.
C. Classifications of Student Standing
Based on the above information, students will be recognized as being in one of the
following categories:
1) Good Standing вЂ“ Student is currently meeting all deadlines and requirements; has
received passing grades in all clinical and practicum coursework over the past
year; has maintained an active role on a research team; has demonstrated
satisfactory performance in clinical activities, and has demonstrated appropriate
professional behavior over the course of the year. Students within this
category will be notified via letter and no further follow-up is necessary.
2) Failing to Make Satisfactory Progress вЂ“ Student is failing to fulfill expectations in one
or more areas. The clinical faculty may recommend limitations on funding or
practica opportunities. The student is considered вЂњon noticeвЂќ that failing to
remedy the situation may result in probationary status. The student will be
expected to work with a faculty member to outline a specific plan for
improvement that is reviewed by the clinical faculty and approved by the
studentвЂ™s mentor. Students in this category will receive written notification
of their standing following the first relevant review meeting. Students will
receive written approval when the proposed remediation plan has been
approved.
During semi-annual student review meetings, progress on the remediation
plan is reviewed by the faculty, and the student receives written feedback
concerning status on the remediation plan. If faculty concur that the
student has met guidelines outlined by the plan, the student receives
written feedback stating that they have successfully remediated the issue
at hand and are classified as being in Good Standing.
3) Clinical Program Probation вЂ“ Student has failed to make adequate improvements
and continues to fail to fulfill expectations in one or more areas outlined in the
initial remediation plan. The student must meet with the DCT to present a plan
for improvement, and the plan will be approved by the faculty. The student
will receive written notification when the plan is approved. The plan will
be reviewed during the mid-year evaluation period. The student will
receive written notification concerning progress on the remediation plan.
If the student has been meeting remediation guidelines, or has met all
remediation steps, the student will receive written notification reflecting
this. However, the student will be dismissed from the program if
28
adequate progress is not achieved by the next review, and will receive
written notification of this.
Please note that Clinical Program Probation is not the same as Academic
Probation, a term used by the Graduate College related to inadequate
performance in coursework. Academic Probation is described in the Graduate
Bulletin and may result in a studentвЂ™s dismissal from the University.
D. Clinical Program Faculty Action
The Clinical Psychology Program faculty recognizes that students in training often
experience situations that create problems in adjustment. Minor difficulties may not
require a formal notice; the Clinical Psychology Program faculty mentor may be asked to
discuss such concerns with the student. When a majority of the faculty agrees that serious
difficulties are present requiring classification as either Failing to Make Satisfactory
Progress or Clinical Program Probation, the Director of Clinical Training will contact the
student to discuss the intended action. This allows an opportunity for the student to
provide information to the Clinical Psychology Program faculty at the time of the decision.
The Director of Clinical Training might delay action pending a further meeting in which
this new information is shared. Should the Director of Clinical Training consider the new
information not pertinent to the decision or should the Clinical Psychology Program
faculty, upon hearing the new information, maintain its prior decision, then the student
will have the option to appeal the decision in person by presenting his or her position at a
faculty meeting. The student may present any relevant materials and may also be
accompanied by a student, a faculty member, or one other person who has information
directly relevant to the appeal.
At any appeal meeting, the student will be informed of the Clinical Psychology Program
facultyвЂ™s concerns. The student will then be provided an opportunity to respond to these
concerns. After hearing whatever relevant information is available, the Clinical Psychology
Program faculty will come to a decision based on the reasons and evidence presented at
the meeting. If there is a decision to dismiss or suspend the student, a letter will be
forwarded to the Chairperson of the Department of Psychology. Students are informed of
any faculty decision in a timely fashion.
E. Final Appeal Procedure
Students can appeal the final clinical program decision by asking the Chairperson of the
Department of Psychology to review the Clinical Psychology Program faculty decision. The
Department of Psychology Chairperson ensures that the student has correct information
regarding the Department of Psychology and the University complaint procedures.
F. General Comment
Letters of probation are inherently stressful. Students who receive such letters are urged to
discuss their situation with their Clinical Psychology Program faculty mentor and/or the
Director of Clinical Training. The essential operative mechanisms (additional requirements,
deadlines, and consequences) are indicated in each letter (if appropriate).
STUDENT GRIEVANCES
29
Complaints and grievances should first be directed to the appropriate faculty member. If a
satisfactory solution is not achieved, students should consult their Clinical Psychology Program
faculty mentor. If the concern remains unresolved, the student should meet with the Director of
Clinical Training. The Director of Clinical Training may decide to refer the matter to the
Chairperson of the Department of Psychology.
CONTINUOUS REGISTRATION
Any on-campus student who has completed all academic coursework except the final project (Plan B
project or internship, thesis, dissertation, doctoral project) must be enrolled in at least one CMU
graduate credit hour each fall and spring semester until graduation (summer sessions as well if
summer coursework is normally required in the program). The Continuing Registration for Final
Research Project within the student's home department can fulfill this one credit hour requirement.
If, after all academic coursework except the final project is completed, a student does not enroll each
semester (and summer, where appropriate) until graduation, the student must enroll retroactively for
each missed semester (and summer, where appropriate) once s/he returns to complete the project.
A student can request a leave of absence by submitting a Leave of Absence Request form to the
College of Graduate Studies; if approved; continuous registration will be waived during the
approved leave period. Regardless of whether the student has a leave of absence, the student must
still complete the degree within the time-to-degree limitations set forth under the degree
requirements presented under Duration of Admission Status in the Graduate Bulletin.
AUTHORIZATION OF DOCTORAL DEGREE PROGRAM
Prior to graduation students must complete an Authorization of Doctoral Degree Program form. This
form is used by the College of Graduate Studies to ensure that the students have met the degree
requirements. This form is also required for your MasterвЂ™s degree.
30
APPENDICES
Appendix A
Practicum Instructor Preference Sheet
Name _________________________________________
Date ______________________________
Prior to submitting this form, you should discuss your practicum instructor preferences with your Clinical Psychology
Program faculty mentor.
Practicum Instructor Preference
Rationale
31
Appendix B
Practicum Site Preference Sheet
Name _________________________________________
Date _______________________________
Prior to submitting this form you should discuss your practicum site preferences with your Clinical Psychology Program
faculty mentor.
Practicum Site and Ranking
Rationale
32
Appendix C
PRACTICUM STUDENT END OF YEAR EVALUATION
Central Michigan University
Department of Psychology
Practicum Student Evaluation
Thank you for taking the time to complete the Practicum Student Evaluation. Your feedback
helps us work most effectively with our students and maintain high quality clinical training.
StudentвЂ™s Name_________________________________________________________________
Name of Practicum Site__________________________________________________________
Placement Dates: ________________ to _________________
Current Evaluation:
__________End of Year Evaluation
SupervisorвЂ™s Name______________________________________________________________
What are the practicum student responsibilities at this site? ______________________________
______________________________________________________________________________
______________________________________________________________________________
Rating Scale
please note вЂњNAвЂќ for items that are not applicable
1-----------------------2-----------------------3------------------------4---------------------5
performance
needs
performance
above
performance
is unacceptable
improvement
is acceptable
average
is outstanding
Functioning in a clinical setting- how does the student rate on:
1
Meeting their practicum commitments
2
Adhering to procedures and etiquette observed at your facility
3
Handling routine problems or concerns that crop up
4
Managing their assigned caseload
5
Responsiveness to issues related to diversity in the work setting
6
Their professional demeanor
7
Their Adherence to standards of privacy and confidentiality
8
Checking in with the office for messages and responding to them
9
Checking charts in and out
10
Managing their scheduling and appointments
Other comments on studentвЂ™s functioning in the clinical setting:
33
1-----------------------2-----------------------3------------------------4---------------------5
performance
needs
performance
above
performance
is unacceptable
improvement
is acceptable
average
is outstanding
Providing psychotherapy- how does the student rate on:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Knowledge about psychotherapy and psychological interventions
Knowledge about psychological disorders
Their ability to engage the client in the therapeutic process
Their awareness of issues of diversity in psychotherapy
Their ability to diagnose the presenting problem (s)
Their ability to identify problems that are targets for treatment
Their ability to set treatment goals
Their ability to carry out a treatment plan in therapy
Their ability to synthesize and integrate information in forming clinical
impressions
10. Keeping their charts up to date and in order
11. The quality of their intake reports, progress, notes, treatment plans, etc.
12. Completing documentation in a timely fashion
Other comments on students performance in providing psychotherapy:
Doing psychological assessment- how does the student rate on:
1.
Knowledge about psychological tests and testing
2.
Their awareness of issues of diversity in psychological assessment
3.
Their ability to conduct an assessment interview
4.
Their ability to administer assessments
5.
Their ability to score the tests which were administered
6.
Their ability to interpret test scores
6.
Their ability to form clinical impressions based on assessment findings
7.
The quality of assessment reports they produce
8.
Completing test reports in a timely fashion
Other comments on studentвЂ™s performance in psychological assessment:
34
1-----------------------2-----------------------3------------------------4---------------------5
performance
needs
performance
above
performance
is unacceptable
improvement
is acceptable
average
is outstanding
In supervision- how does the student rate on:
1.
2.
3.
4.
5.
Participating in supervision
Being prepared for supervision sessions
Being open to feedback from the supervisor
Following through with the supervisorвЂ™s recommendations
Seeking additional supervision when needed
Other comments on studentвЂ™s response to supervision:
Overall, what do you consider this studentвЂ™s strengths to be?____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Overall, what do you consider this studentвЂ™s weaknesses to be?__________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Thank you again for completing the Practicum Student Evaluation. If you have any questions or
comments please feel free to contact the CMU Practicum Coordinator:
Donna Wollerman-Ronan, PhD
Department of Psychology
Central Michigan University
Mt. Pleasant, MI 48859
Telephone: (989) 774-2284
e-mail: ronan1dm@cmich.edu
35
Appendix D
CMU Student Evaluation of Practicum Site and Supervisors
Site__________________________________ Supervisor______________________________
Year practicum completed ____________
Please respond to each question below.
Strongly
Disagree
I. Regarding the Supervisor
Effectively manages time in meetings, meets promptly, when
scheduled.
Provides adequate amounts of constructive feedback.
Facilitates and fosters a safe environment for exchange of ideas in
supervision and other meetings.
Assists in expanding skills in assessment and case conceptualization
or diagnosis.
Assists in expanding skills in developing intervention goals and
strategies.
Assists in expanding skills in report writing and documentation.
Assists in expanding skills in assessment of client outcomes.
Assists in expanding skills in other special areas (such as
termination, referrals, or consultations with other providers).
Stimulates consideration of alternative clinical perspectives.
Recommends appropriate readings or other resources.
Is accessible and responds in a timely and interested manner to
requests for his/her time, reviews, revisions, signatures, and input.
II. Regarding the Site (Complete only for Site SupervisorвЂ™s Evaluation)
There is adequate formal and informal guidance and information as
needed regarding site-related issues, including the siteвЂ™s procedures
and policies.
The site provides exposure to culturally or ethnically diverse clients.
The site provides a good variety of other client demographics,
diagnoses, and problem severity.
Caseload is reasonable with appropriate consideration of number of
cases, case intensity, and capabilities of the student.
The work conditions (e.g., office space, equipment) are good.
The financial compensation is adequate.
The site provides exposure to working with non-psychologist
providers.
The site poses no added concerns about my personal safety.
III. Other Comments
Disagree
Agree
Strongly DoesnвЂ™t
Agree
Apply
*Note that anonymity may be difficult to guarantee вЂ“ e.g., in small sites with few students.
*Return to the Director, Psychological Training and Consultation Center, CMU
36
Appendix E
Clinical Training Record 2014
SECTION 1. BACKGROUND AND EDUCATIONAL INFORMATION
First Name: ______________________________________ Last Name: _______________________
Other Names Used (Transcript):_______________________________________________________
Home Address: ___________________________________________________________________
Work Address: ____________________________________________________________________
Phone: ____________________ Cell: ____________________ Email: _______________________
On APPIC Match Day, most Internship Training Directors will call the applicant with whom they have been matched.
Please specify the phone number where you may be reached between 11:00 am and 1:00 pm EST on that day.
Phone_________________________________ or Cell ___________________________________
What is your country of citizenship? в–Ў U.S.
в–Ў Canada в–Ў Other (Specify:
)
Non-citizen visa status: ______________________________________
Is this visa current and valid? в–Ў Yes
в–Ў No
Does this visa permit you to work? в–Ў Yes
в–Ў No
(If you are applying to a country other than one for which you hold citizenship, you may need to begin the process of researching
these issues now.)
Are you a veteran? в–Ў Yes
в–Ў No
Undergraduate Institution: _________________________________________________________
Major/Minor: ___________________________________________________________________
Degree Earned: __________________________________________________________________
Dates of Attendance: __________________________________________ GPA: ______________
If you attended more than one Undergraduate Institution, please attach on a separate piece of paper.
Program Start Date:_______________ Expected/Completed Program Date: ____________________
Thesis title or topic _________________________________________________________________
Status of thesis
Proposal approved
__________________
Data collected
__________________
Data analyzed
__________________
Defended
__________________
Name of thesis advisor ______________________________________________________________
Status of clinical qualifying examination в–Ў Yes
в–Ў No
If yes, date of completion _______________
Dissertation title or topic ____________________________________________________________
37
What type of dissertation/research is involved in?
в–Ў Critical literature review/theoretical
в–Ў Original data collection
в–Ў Use of existing database
в–Ў Other (Specify:
Status of dissertation
Proposal approved
)
(mm/year)
_____________________
Data collected
_____________________
Data analyzed
_____________________
Defended
___________________
Name of dissertation advisor ____________________________________________________
Professional Organization Memberships ___________________________________________
Applicant Code Number (APPIC Match):
Please note: If you do not have your applicant code number at this time, you may provide it to internship sites at a later
date, once you receive it from National Matching Services.)
Presentations at Professional Conferences
Date
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Publications
Date
________________________________________________________________________________________
________________________________________________________________________________________
_________________________________________________________________________________________
Licensure/Certification
Jurisdiction
State/Province
_________________________________________________________________________________________
_________________________________________________________________________________________
Please list names, addresses, phone numbers, and email addresses of individuals who will be forwarding
letters of recommendation:
#1 _____________________________________________________________________________________
_____________________________________________________________________________________
#2 _____________________________________________________________________________________
_____________________________________________________________________________________
#3 _____________________________________________________________________________________
_____________________________________________________________________________________
38
III. DOCTORAL PRACTICUM DOCUMENTATION
1. INTERVENTION AND ASSESSMENT EXPERIENCE вЂ“ How much experience do you have with
different types of Psychological interventions and assessment?
* Remember that hours accrued while earning a masterвЂ™s degree as part of a doctoral program should be counted as
doctoral practicum hours.
a.
b.
c.
d.
Individual Therapy:
1) Older Adults (65+)
2) Adults (18-64)
3) Adolescents (13-17)
4) School-Age (6-12)
5) Pre-School Age (3-5)
6) Infants/Toddlers (0-2)
Career Counseling:
1) Adults
2) Adolescents
Group Counseling:
1) Adults
2) Adolescents (13-17)
3) Children (12 and under)
Family Therapy:
Total hours
face-to-face
____
____
____
____
____
____
____
____
Couples Therapy:
# of different
GROUPS
____
____
____
Total hours
face-to-face
# of different
FAMILIES
____
____
Total hours
face-to-face
f.
School Counseling Interventions:
1) Consultation
2) Direct Intervention
3) Other:
g.
Other Psychological Interventions:
1) Sport Psychology/Performance Enhancement
2) Medical / Health - Related
Interventions
3) Intake Interview/
Structured Interview
4) Substance Abuse
Interventions
5) Consultation
6) Other interventions
(e.g., milieu therapy, treatment
planning with the patient present).
____
____
Total hours
face-to-face
____
____
____
Total hours
face-to-face
e.
# of different
INDIVIDUALS
____
____
____
____
____
____
____
# of different
COUPLES
____
# of different
INDIVIDUALS
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
____
39
Please describe the nature of the experience in g-6:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
h.
i.
Psychological Assessment Experience:
1)
Psychodiagnostic test administration (include
symptom assessment, projectives, personality,
objective measures, achievement, intelligence,
and career assessment), and providing feedback
to clients/patients.
____
2)
Neuropsychological Assessment (include
intellectual assessment in this category only
when it was administered in the context of
neuropsychological assessment involving evaluation
of multiple cognitive, sensory and motor functions).
____
3)
Other (Specify:
____
)
Other Psychological Experience with Students
and/or Organizations:
Total hours
face-to-face
1)
____
2)
3)
4)
5)
Supervision of other studentвЂ™s performing intervention
and assessment activities
Program Development/Outreach Programming
Outcome Assessment of programs or projects
Systems Intervention/Organizational
Consultation/Performance Improvement
Other (Specify:
)
Add the number of hours included
in 1a through 1i above
Total Intervention & Assessment Hours:
2.
SUPERVISION RECEIVED вЂ“
a.
b.
Total hours
face-to-face
Individual Supervision Received
Group Supervision Received
____
____
____
____
Total hours
face-to-face
____
Supervision Provided
by Licensed
Psychologists/
Allied Mental Health
Professionals
Supervision Provided
by Advanced Grad
Students Supervised
by Licensed
Psychologists
____
____
40
3.
SUMMARY OF PRACTICUM HOURS вЂ“
a.
b.
Total Intervention and Assessment
Hours (item 1)
Total Supervision Hours (item 2)
_____
_____
*Hours accrued while earning a masterвЂ™s degree as part of a doctoral program should be counted as doctoral
practicum hours.
4.
INFORMATION ABOUT YOUR PRACTICUM EXPERIENCES
a. TREATMENT SETTINGS - How many practicum hours have you spent in each of the following
treatment settings?
Child Guidance Clinic
Community Mental Health Center
Department Clinic (psychology clinic run by a department or school)
Forensic/Justice setting (e.g., jail, prison)
Medical Clinic/Hospital
Inpatient Psychiatric Hospital
Outpatient Psychiatric Clinic/Hospital
University Counseling Center/Student Mental Health Center
Schools
Other (Specify:
)
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
b. What types of groups have you led or co-led? Please describe, include the type of group, approximate
duration and average number of clients at each group session.
c. Do you have experience with Managed Care Systems in a professional therapy/counseling/assessment capacity?
в–Ў Yes в–Ў No
d. Have you audio taped, videotaped or made digital recordings of clients/patients and reviewed these in your
clinical supervisor?
Audio tape review: в–Ў Yes в–Ў No
Videotape/digital recording review: в–Ў Yes
в–Ў No
Live/direct observation by supervisor: в–Ў Yes в–Ў No
e. In which languages other than English (including American Sign Language) are you FLUENT enough to conduct
therapy?
_______________________________________________________________________________________
_______________________________________________________________________________________
f. What is your practicum or program sanctioned work experience with diverse populations in a professional
therapy/counseling or an assessment capacity? Please indicate the number of clients/patients seen for each of the
following diverse populations. You may provide additional information or comments in the space provided.
Include under the assessment column clients/patients for whom you performed assessments and/or intake
interviews. For this section, you may include a single client/patient in more than one category and/or than one
column, as appropriate. For families, couples and/or groups please count each individual as a separate client
patient.
41
Race/Ethnicity
# of Different
Clients/Patients Seen
African-American/Black/African Origin
Asian-American/Asian Origin/Pacific Islander
Latino/Hispanic
American Indian/Alaska Native/Aboriginal Canadian
European Origin/White
Bi-racial/Multi-racial
Other (Specify:
)
Sexual Orientation
Heterosexual
Gay
Lesbian
Bisexual
Other (Specify:
)
Disabilities
Physical/Orthopedic Disability
Blind/Visually Impaired
Deaf/Hard of Hearing
Learning/Cognitive Disability
Developmental Disability (Including Mental Retardation and Autism)
Serious Mental Illness (e.g., primary psychotic disorders, major mood
disorders that significantly interfere with adaptive functioning)
Other (specify:
)
Intervention
_____
_____
_____
_____
_____
_____
_____
Assessment
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
_____
# of Different
Clients/Patients Seen
Gender
Male
Female
Transgendered
Intervention Assessment
_____
_____
_____
_____
_____
_____
Comments:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5.
SUPPORT ACTIVITIES вЂ“ This item involves describing the activities in which you engaged that
supported your intervention and assessment experience.
You can indicate the primary activities in which you participated that comprise your support hour activities
here:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
42
If you feel that your support hours include any activities that are unusual or unique to your program that you
would like to highlight, please describe those activities here (200 words or less).
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
6.
PRACTICUM EXPERIENCE ANTICIPATED (NOV 1ST TO START OF INTERNSHIP) вЂ“
This section summarizes and describes anticipated practicum experience. Please include type of experience
anticipated, approximate hours per week, supervision hours anticipated on a weekly basis, duration of the
training, as well as a description of the duties.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7.
CLINICAL WORK EXPERIENCES вЂ“ What other clinical experiences have you had?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
8.
TEACHING EXPERIENCES- What is your teaching experience? Please summarize any teaching
experience that you have. Include both undergraduate and graduate courses taught.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
43
SECTION 4: PROFESSIONAL CONDUCT
Please answer ALL of the following questions with вЂњYESвЂќ or вЂњNOвЂќ: (If you answer yes to any questions,
please elaborate in the space provided.)
1.
Has disciplinary action, in writing, of any sort ever been taken against you by a supervisor, educational or training
institution, health care institution, professional association, or licensing/certification board?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
2.
Are there any complaints currently pending against you before any of the above bodies?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
3.
Has there ever been a decision in a civil suit rendered against you relative to your professional work, or is any such
action pending?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
4.
Have you ever been put on probation, suspended, terminated, or asked to resign by a graduate or internship training
program, practicum site, or employer?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
5.
Have you ever reneged on an APPIC internship match agreement (i.e., refused to attend or left an internship
program that you obtained through the APPIC Match or Clearinghouse) without prior approval from APPIC and
the internship site?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
6.
Have you ever been convicted of an offense against the law other than a minor traffic violation?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
44
7.
Have you ever been convicted of a felony?
в–Ў Yes в–Ў No
________________________________________________________________________
________________________________________________________________________
If you answered вЂњYesвЂќ to any of the above questions, please attach an explanation on a separate sheet of
paper.
45
Appendix F
Student Review Form
Name __________________________
1
Not Acceptable
2
Below Average
1.
Research productivity
________
2.
Clinical work
________
3.
Academics
________
4.
Progress with milestone events
________
5.
Professionalism
________
Date ____________
3
Average
4
Above Average
5
Outstanding
46
Appendix G
Policy on Blood-borne Pathogens
The University takes potential contact with blood-borne pathogens very seriously. The following is taken
from a letter about this issue from the President of Central Michigan University. The concerns expressed
apply to all students in training.
Blood-borne pathogens are disease-causing microorganisms that may be present in human blood. They
may be transmitted with any exposure to blood or other potentially infectious material. Central Michigan
University makes every effort to assure that all employees have a safe work environment. The risk of
exposure to blood-borne pathogens in the workplace is a current concern for the University faculty, staff,
student employees and student interns who have reasonably anticipated contact with blood or other
potentially infected material as a result of performing their job duties.
Two significant blood-borne pathogens are Hepatitis B Virus and Human Immunodeficiency Virus. One
in twenty Americans has the Hepatitis B Virus. Fourteen people die each day from Hepatitis B related
illnesses, including cirrhosis and cancer of the liver. It is estimated that one in every two hundred and
fifty persons in the United States is infected with Human Immunodeficiency Virus. The epidemic is
spreading most rapidly among heterosexuals. The risk of exposure to blood-borne pathogens in the
workplace should not be underestimated.
Central Michigan University is committed to the implementation of a campus-wide Exposure Control
Plan and full compliance with the Federal Occupational Safety and Health Administration Blood-borne
Pathogens Standard. The Exposure Control Plan is designed to protect employees from the health
hazards associated with exposure to blood-borne pathogens. It also provides for appropriate treatment
and counseling should an exposure to blood-borne pathogens occur in the workplace.
Because you will be having contact with the public either as a practicum student providing clinical services, as
a human subject researcher, or as an instructor in a course, the University requires that you be aware of the
risks of blood-borne pathogens. If someone is bleeding, do not make contact with the blood and call
appropriate backup such as public safety on Campus or supervisory personnel off campus.
A medical emergency no longer means just providing medical assistance to the ill or injured. The providers
must have received and developed the skills and knowledge to prevent the scion of blood-borne diseases such
as Hepatitis B Virus, Hepatitis C Virus, and Human Immunodeficiency Virus. The Hepatitis B Virus causes
hepatitis, a potentially fatal liver disease and Human Immunodeficiency Virus causes Acquired
Immunodeficiency Syndrome. Both of these diseases can enter the body through the mucous membranes or
through large or small breaks in the skin, such as a hangnail.
At the University, the most common exposure to blood-borne pathogens will be when a person with an open
sore or injury comes into contact with infectious material or fails to wear the proper personal protective
equipment. If in the course of your job you have or suspect you have had an exposure incident CONTACT
YOUR SUPERVISOR AND THE UNIVERSITY HEALTH SERVICES (after hours contact
McLaren Hospital, (989)772-6700) IMMEDIATELY, so treatment may begin at once. Remember it takes
only one exposure to contact a blood-borne pathogen; however, it is possible to protect yourself by knowing
the facts and taking proper precautions.
For All Medical Emergencies:
- Call 911
- The Central Michigan University Police number is (989)774-3081.
47

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