Supervisor Handbook
Appendix 9
Doctorate in Clinical Psychology
Summary Log of Clinical Experience
Please complete this summary form at the end of each placement. The same form should be
used for the duration of the three years thereby demonstrating accumulating experience. You
should keep the original yourself. A copy should be taken to every clinical tutorial and
placement review meeting for monitoring purposes. It is preferable for you to use an
electronic version of this form so that entries may be typed and updated. The completed
Summary Log is submitted with the placement documents at the end of Placement 6.
Please note that you are not expected to gain experience in every area on each placement,
but that experience in every area is required by the end of the programme of training.
For each category of experience, please indicate whether the experience reflects direct
independent work (I), joint work (with your supervisor or another colleague) (J), or observed
work (e.g. observing your supervisor) (O). Please record an ‘I’, ‘J’, or an ‘O’ for each piece of
work as this provides a broad indication of the amount of work you have undertaken in each
area. For the section on Modes and Type of Work, you should also indicate the number of
session undertaken for each case, thus a case where you worked independently and did 12
sessions would be recorded as I(12), and a joint case involving 2 sessions would be recorded
as J(2).
Placement
1
Clients:
Example
Placement
2
OOJII
Placement
3
OJII
Children
Adolescents
Working age adults
Older adults
Carers and families
Diversity / clients
with different
culture/class/ethnicity
to trainee
Range of intellectual
functioning:
Average range & above
Range of intellectual
functioning:
Borderline to mild
learning disability
and/or acquired
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Placement
4
Placement
5
Placement
6
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Supervisor Handbook
Appendix 9
cognitive impairment
Range of intellectual
functioning:
Moderate to severe
learning disability
and/or acquired
cognitive impairment
Clients with
significant levels of
challenging
behaviour
Clients whose
disability makes it
difficult for them to
communicate
Problem Range:
Acute problems
Enduring problems
Mild presentation
Severe presentation
Problems of mainly
biological and/or
neuropsychological
causation.
Problems of mainly
psychosocial
causation
Problems of
adjustment/coping
with adverse
circumstances (e.g.
physical disability,
illness, bereavement)
Service Delivery Systems:
In-patient and/or
residential facilities
for patients with high
dependency needs acute
In-patient and/or
residential facilities
for patients with high
dependency needs –
long term
Secondary health
care
Community and
primary care
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Appendix 9
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Supervisor Handbook
Appendix 9
Modes and type of work
Example
O(1), J(1),
(indicating number of I(6), I(8),
sessions per case)
I(12), I(1)
Direct work –
individual
J(2), O(1),
J(1), I(6)
J(1), J(1),
I(12)
I(2), I(3),
I(1), I(4),
I(2), I(3)
J(4), J(8),
J(4), I(10)
I(16), I(12),
I(16), I(16)
Direct work – couple/
family
Direct work – group
Indirect work through
staff and carers
Work within multidisciplinary teams
Experience and/or
observation of
change within
services and/or
service planning
Work within more
than one evidencebased model of
psychological
therapy: 1
Model 1: CBT
Work within more
than one evidencebased model of
psychological
therapy:
Model 2: …………
Work within more
than one recognised
model of
psychological
therapy:
Model : …………
Work within more
than one recognised
model of
psychological
therapy:
Model : …………
1
Direct experience of (and competence in) working within at least two evidence-based models of
therapy is essential. Additional spaces are provided as frequently trainees have additional experience of
more than two models of working, although some of these may be at a lower level eg. Observed or joint
work.
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Supervisor Handbook
Appendix 9
Summary of Placements
YEAR 1
Placement period 1
Placement period 2
YEAR 2
Placement period 3
Placement period 4
YEAR 3
Placement period 5
Placement period 6
Placement
Location
Supervisor(s)
Clinical Tutor
MPR date
EPR date
Number of days
(excluding study time and
leave)
Annual Leave2
(no. of days AL taken
from placement time)
Sick/special leave
(no. of days sick leave
taken from placement
time)
Example of
Clinical Work3
Clinical Case
Report4
2
A maximum of 12.5 days of annual leave may be taken from placement (P) time per annum, with a maximum of 7.5 days of the 12.5 total taken during any single placement
period. This excludes annual leave taken from placement study (PS) time.
3
Specify type of example submitted for each placement period. Note that one example per year must be of a type that includes a recording of clinical work. Refer to
guidelines for details.
4
Specify type of case report. Refer to guidelines on case reports for the four types of case report required over the 3-year period.
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Supervisor Handbook
Appendix 9
Doctorate in Clinical Psychology
Summary Log of Clinical Experience:
Supervisor Confirmation
I confirm that I have reviewed the Trainee’s Summary Log of Clinical Experience, and that the
entries made for the time on my placement are correct.
Placement
Supervisor
Signature
1
2
3
4
5
6
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Date