Doctorate in Clinical Psychology Training Programme
Department of Psychology, NUI, Galway
TRAINEE’S EVALUATION OF PLACEMENT FORM (EPF)
Trainee’s Name: ___________________________________________
Supervisor’s Name: __________________________________
Placement Type: ___________________________________________
Dates of Placement: _________________________________________
Number of Days:____________________________________________
(Use the initial placement contract/placement goals and logbook as the basis for this evaluation).
1. Please indicate any special circumstances that prevailed (e.g. illness, split placement)
2. FULFILMENT OF THE GOALS
Bearing in mind the length of the placement, did you have sufficient opportunity to do the
following? Please mention any specific bonuses or problems.
a. To work in the range of settings that commonly occur in this type of placement and to
understand how the service operates.
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b. To see the range of clients and problems that commonly occur in this type of service.
c. To practice the assessment and intervention procedures that were included in the initial
placement agreement
d. To work or communicate with staff in other disciplines
e. To attend meetings and staff team activities included in the initial agreement
f. To carry out the educational activities included in the initial agreement
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3. LEARNING AND SUPERVISION
a. How was supervision organised?
(Availability, regularity, informal, on time, disruptions, cover arrangements, structured
vs. unstructured, (in) direct observation of/ by supervisor)
b. How useful was the supervision you received at this point in your training?
(Observations of and by supervisor, help with clinical work, emphasis on scientist
practitioner model, giving and receiving feedback, help with professional issues and
opportunity for reflection on self development)
c. Identify any areas of your work practice that you consider will need particular attention
from future supervisors?
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d. What were the physical conditions of placement?
(Accommodation, secretarial support, travelling)
e. The strengths of placement for me have been:
1.
2.
3.
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f. The main limitations of the placement have been:
1.
2.
3.
I have discussed the contents of this evaluation with the supervisor(s)
Signed: __________________________________(Trainee)
I have discussed the contents of this evaluation with the trainee
Signed: __________________________________(Supervisor)
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