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How Residents are evaluated
at CMHC, Inc.
Introduction: Residents are considered high level
students who have mastered fundamental course work, basic diagnostic and
treatment planning skills, and basic psychotherapy skills (individual, group,
family, crisis intervention). In the
internship psychologists learn how to practice in a healthcare job
setting. Therefore, residents are
expected to have the skills to integrate themselves into a treatment delivery
system, understand and perform a role within that system, to assimilate a
facility treatment and organizational philosophy, and to maintain a high
level of accountability within the system.
Good training foundations, good intern experience, and good job skills
honed in the internship ready the resident for study of clinical leadership
skills at an advanced level.
 The
CMHC, Inc. resident is expected to become a clinical leader. They are placed in leadership roles as
team leader, advanced diagnostician and diagnostic supervisor, psychotherapy
supervisor, and program manager early in the residency. The advanced psychologist must be able to
order diagnostic studies to facilitate a differential diagnosis or correct
misdiagnosis, to lead multidisciplinary teams to assure that patients and
their families are getting appropriate treatment for their diagnosis, to
formulate advanced treatment plans, to guide crisis interventions and break
down resistance to psychotherapy and systems interventions, and to fit in
with programmatic, organizational, and administrative philosophies and
guidelines. The goal is to become a
psychology leader capable of acting as a quality assurance force within a
healthcare structure using psychological principles. These skills are superimposed upon
learning to address the unique clinical and cultural needs of a rural
population across outpatient, day treatment, and inpatient and patient
population targeted programs.
Evaluation Instruments:
- The
clinical notebook is a vehicle which chronicles the residents
assimilation of state laws related to practice, ethical studies, topical
presentation performed by the resident, supervisor’s assignments,
supervision and supervision of supervision, and didactic training while
at CMHC, Inc. The clinical
notebook will be reviewed quarterly by the primary supervisor and at the
end of the training by the Training Director. The notebook is graded on a Pass/Fail bases. A failure grade results in remedial
work on the topic and the documentation in question in the notebook.
- Supervisor
Rating Forms are used at CMHC, Inc.
On a quarterly basis, each resident will get a copy of a rating
form that evaluates the resident on a Likert Scale that is converted to
a point system. All supervisors
and the Training Director rate students. The scale covers ratings of basic diagnostic, clinical,
leadership, and organizational skills.
Supervisor ratings are supplied to the student and to faculty and
are used to develop a supervision approach for the next quarter.
- Individual
Supervision Forms. Each week the
resident will have two individual hours of supervision with a primary
and secondary supervisor. At
each supervision session, a Supervision Form is completed which
annotates the demographic data and includes a short evaluation of the
student’s progress.
- Didactic
participation is evaluated with a posttest and presenters rating at the
end of each didactic.
- Didactic
presentations are a leadership required of each resident. One or more presentations may be
required to evaluate a residents abilities, performance, and growth as a
teaching leader in a health facility.
- Performance
in each rotation is evaluated on the Rotation Form and is rated as
“Inadequate, Adequate, Superior, or Excellent”.
- The
Training Director and Primary Supervisor evaluate the graduate
project. A student’s work on
this project is rated as “Inadequate, Adequate, Superior, or
Excellent”. Students with
Inadequate Ratings must address deficiencies in their project before
they may graduate with a certificate of completion. Students with an adequate rating may
graduate or upgrade the quality of their effort in order to positively
affect later recommendations.
- Final
Faculty Evaluation: At the end
of the residency, the Training Director and Primary Supervisor will file
a written summary and rating of the resident with the faculty. Any faculty member may file an
addendum or independent evaluation of the student’s performance during
the residency. These evaluations
will be shown to the student and the evaluations and any student
comments submitted will be maintained in the student’s permanent record
and are used to respond to references.
Graduation Requirements: To graduate with a certificate of
completion from the CMHC, Inc. post doctoral residency in rural clinical
psychology the resident must achieve a rating of at least adequate in all
rotations, assignments, and functions.
Certain deficiencies may be
cleared up by repeating a rotation or assignment.
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