SCHOOL OF PSYCHOLOGY NATIONAL UNIVERSITY OF IRELAND, GALWAY DOCTOR OF PSYCHOLOGICAL SCIENCE (D.PSYCH.SC.) IN CLINICAL PSYCHOLOGY FOR QUALIFIED CLINICIANS (“TOP-UP” DOCTORATE). COURSE OUTLINE AND INFORMATION FOR PROSPECTIVE APPLICANTS. 2 Introduction The School of Psychology established a postgraduate professional training programme in clinical psychology in 2003. Accredited by the Psychological Society of Ireland, the Doctor of Psychological Science in Clinical Psychology is a full-time programme spanning three years which provides comprehensive training in clinical psychology, qualifying graduates from the programme to work as a Staff Grade Clinical Psychologist in the Irish health service, in learning disability services and in correctional services. Based on a “reflective scientist-practitioner” training model, the programme has three main components (a) an academic programme focused on the theory and evidence base of clinical psychology and classroom-based skills practice (b) supervised clinical practice in a range of health settings (c) a research skills programme which covers both quantitative and qualitative research methods leading to the production of a doctoral thesis. Many qualified clinical psychologists (“qualified” is defined as eligible for full membership of the Psychological Society of Ireland Division of Clinical Psychology) completed their training in clinical psychology before it was a 3 year professional doctorate degree. The current Doctoral level training offered by the four training programmes in Ireland became the gold standard in the early 2000’s. Prior to that, qualified clinical psychologists had a Masters level training (usually M.Psych.Sc. or M.A.) in clinical psychology, and in the 70’s a B.A. or a H.Dip.Psych. The PSI also operated a professional training programme until 2004, which conferred the qualification of PSI Diploma in Clinical Psychology. This cohort of qualified clinical psychologists, who completed degrees at a level lower than doctoral level, is the intended audience for this programme. Duration The programme will consist of three years of part-time study. The time commitment for class attendance will be a half day per week of lectures on research methods for 12 weeks per year plus orientation activities (library skills etc). Students will also be expected to dedicate a half to one day per week throughout the year in order to complete the work requirements of the course. In addition, students will attend occasional specialist workshops in research skills and statistics and will also need to commit time for meetings with their thesis supervisor and consultation with 3 programme staff. The total ongoing time commitment over the three years of the programme is a minimum of one day per week. Learning Outcomes The top-up programme will focus entirely on the development and assessment of research skills and the completion of applied projects and a major research thesis. Learning research skills will be achieved in several different ways: • In lectures, students will learn to design studies using a range of different approaches and to critically evaluate these in group discussion. • In designing service-based research projects, the student learns the practicalities of conducting research in a setting relevant to the professional practice of clinical psychology. In this context, the student is expected to progress their research project in collaboration with a service-based manager or mentor and the Programme Research Coordinator. • Students will also learn to carry out a systematic review or meta-analysis of an area relevant to clinical psychology practice, in order to enhance their work as an evidence-based practitioner. • The major research thesis facilitates the student's progression through all stages of the process of independent research, from an original idea through to final submission. Students select feasible ideas and submit a formal proposal on their planned study. The Programme Team and the Programme Research Coordinator will guide the student in further developing and refining their ideas. All stages of the research proposal enhance the skills of the independent researcher. Statistical analysis consolidates the formal teaching, and students may learn new statistical approaches at this stage. Formal academic writing skills are developed through discussion of drafts of the thesis. All research work involves a consideration of ethical issues. Submitting an Ethics Approval application provides further practical learning. Students will be required to receive ethical approval for their studies from the NUI Galway REC and any local Research Ethics Committees (RECs) involved in the sample generation. Guidance on the REC submission process is provided by the research coordinator and experienced staff within the School of Psychology. 4 Programme Structure The programme will consist of three years of part-time study and will include a comprehensive programme in research design, quantitative and qualitative data analysis, and scientific writing. An overview of the programme is set out below. Table 1. Programme Overview. Year Overview of Programme Content Year I Clinical Research Methods 1 and Applied Project (30 ECTS) Academic Block 1: Core Issues in Psychological Research Academic Block 2: Intermediate Statistics Assessment: Quantitative or Qualitative Service-Based Research Project or Systematic Review/Meta-analysis Year 2 Clinical Research Methods 2 and Evidence-Based Research Project (30 ECTS) Academic Block 1: Introduction to Qualitative Research Academic Block 2: Qualitative Research Continued. Assessment: Quantitative or Qualitative Service-Based Research Project or Systematic Review/Meta-analysis Year 3 Clinical Research Methods 3 and Dissertation (30 ECTS) Academic Block 1: Advanced issues and Thesis Preparation Academic Block 2: Advanced issues and Thesis Preparation continued. Assessment: Thesis and Journal article. 5 Intake and Selection The new programme will have a limited intake of students each year. Applicants for the programme must be qualified clinical psychologists who are eligible for full membership of the Psychological Society of Ireland Division of Clinical Psychology. It will be the responsibility of applicants to demonstrate their membership, or eligibility for membership, of the Division of Clinical Psychology. Applicants will ordinarily be expected to have completed training to Masters level or to have other evidence of sufficient research knowledge to enable them to manage the demands of a doctoral research programme. Selection to the doctoral programme will be made on the basis of a written application and an interview may also form part of the selection process. Fees €4350 per annum. Programme Director: The programme is directed jointly by Dr. Brian McGuire (Director of the full-time Doctor of Psychological Science in Clinical Psychology) and Dr. Kiran Sarma, Lecturer in Clinical Research Methods and Research Coordinator on the full-time Doctor of Psychological Science in Clinical Psychology. How to apply for the course: Go to the Postgraduate Application Centre at www.nuigalway.ie/pac to complete the PAC on-line application system. The course code is GYB29. Applicants should upload the following (1) The PAC Application Form (2) A cover letter with the following elements a. A statement outlining your reasons for wanting to complete this course 6 b. A statement confirming that you are either a Full Member, or eligible to be a Full Member, of the Division of Clinical Psychology of Psychological Society of Ireland c. A summary of your research training and experience. (3) An outline proposed major research project (1000 words max). This outline proposal should briefly and clearly state a. Tentative title of the project b. The research question(s) or purpose of the research (e.g. To evaluate the factors predicting adherence to a sex offender treatment programme, An evaluation of the effectiveness of Mindfulness-based CBT for workplace trauma amongst psychiatric nurses, An IPA study of the experience of losing a close family member in violent circumstances). c. Brief scientific background to the study (350 words max) – what has already been done and what is already known? How does the proposed research advance knowledge in the area? d. Proposed methodology including proposed study population and access to the population. Brief description of any experimental procedures. e. Identification of any important factors that may influence the likelihood (either positively or negatively) of completing the proposed project. (4) Summary CV (5 pages max). 7 DETAILS OF ACADEMIC TRAINING PROGRAMME YEAR 1 Year 1 - Block 1: Core issues in Psychological Research. Duration: One 3 hour session each week for 5 weeks in Block 1. Overview: In this block students are introduced to the Scientist Practitioner Model and Evidence Based Practice. We review basic concepts in psychological research, descriptive statistics, graphical representations of data, Ethics in Research and engage in some preliminary thesis forward-planning. Aims: • To introduce trainees to the scientist-practitioner model. • To re-familiarise trainees with ‘psychological research’. • To prepare trainees for the quantitative SSRP. Learning Objectives: By the end of the Block students will: • Understand the importance of evidence based practice. • Have an understanding of the core methods used in service-based research. • Be familiar with the types of data that can be used in clinical research and service evaluations and audits. • Understand the importance of designing and engaging in ‘ethical research’. • Have begun thinking about potentially fruitful topics for their major theses. Sessions: The Scientist Practitioner Model What is the importance of the Scientist Practitioner Model and Evidence Based Practice? Clinicians as service-based researchers, evaluations and audits. Theory-based research. Research Design Exploratory research, evaluations and audits. Developmental designs, impact designs, RCTs etc. Quasi-experimental designs. Descriptive Statistics Mean, mode, median, Range, IQR, Variance, Standard Deviation, Correlations Graphical representations – Box plots, scatter plots, histograms etc. Psychometrics/Survey Design Designing psychological measures (analytic and empirical approaches) Bandwidth fidelity, Standarisation/Objectivity, Normalisation Reliability/Validity Ethics in Research The history of psychology PSI code of ethics: Principles applied to research Informed consent 8 Deception Research Ethics Committee application procedures and examples APA Style Referencing styles Report writing Thesis forward planning Year 1 - Block 2: Intermediate Statistics. Duration: One 3 hour session each week for 6 weeks in Block 2. Overview: In this block students are introduced to the most commonly used parametric and non-parametric statistics. They acquire an understanding of the computational basis to each test, and when and how to use each test. By the end of the block students are competent in the use of SPSS and can interpret and report inferential statistics in APA format. The practice exercises that accompany the course material include clinical RCTs and service-based evaluations. Aims: • To re-familiarise students with the parametric and non-parametric inferential statistics. • To ensure students are proficient users of SPSS. • To ensure students can interpret and report inferential findings. Learning Objectives: By the end of the Block students will be able to: • Select the most appropriate statistic for their data. • Run the required statistic(s) using SPSS. • Interpret SPSS output. • Calculate effect sizes. • Report findings in APA format, suitable for publication in a peer-reviewed journal. Sessions: Introduction to Inferential Statistics SPSS overview. Creating variables and inputting data. Correlations Background to the T-tests, running t-tests on SPSS. Interpretation of output, calculating effect size, and reporting. Non-parametric alternatives to the T-test. Background to the tests. Running Mann Whitney and Wilcoxon tests, interpreting output, effect sizes and reporting. ANOVA Backgound to ANOVA. Running ANOVAs, interpreting output, post-hoc tests, and reporting. 9 Non-parametric alternatives to the ANOVAs. Background to the Kruskal Wallis and Friedman Tests. Running tests, interpreting output, post-hocs and reporting. Chi-Square Working with count data. OR/RORs in Clinical and Epidemiological Research (link to Log Regression) Chi Square via SPSS, interpreting and reporting. Survey-design & Thesis forward planning Measures of internal consistency. Power Thesis preparation. YEAR 2 Year 2 - Block 1: Introduction to Qualitative Research Duration: One 3 hour session each week for 5 weeks in Block 3. Overview: In this block, the focus turns to qualitative methodologies and methods. Students examine the various epistemological positions underpinning the different approaches to ‘doing’ qualitative research. Subsequently they receive input on Grounded Theory, Interpretative Phenomenological Analysis and Focus Grouping. The Block also includes a session on applying for Research Ethics approval through the University REC as a thesis preparation session. A session on service evaluations is also included. Aims: • To develop an appreciation for usefulness of appropriate qualitative research solutions. • To prepare for the qualitative SSRP. • To prepare for the major thesis. Learning Objectives: By the end of the Block students will be able to: • Understand the importance of epistemological position in qualitative research. • Differentiate between the main qualitative approaches used in clinical research. • Select the most appropriate qualitative approach to address any specific research question. • Appreciate the usefulness of qualitative research solutions in informing decision making and clinical services in general. Sessions: Introduction to Qualitative Research The re-evolution of qualitative research. Epistemology. The appropriate use of qualitative research solutions. Qualitative research informing services. Qualitative SSRP. IPA 10 IPA in Clinical and Health Research. The history of IPA. Suitable research questions. Method and Coding exercise. Grounded Theory Suitable research questions. ‘Pure GT’ and ‘Abbreviated GT’. Coding exercise. Focus Groups The pros and cons of Focus Grouping. Facilitation skills. Scenarios and Writing up Focus Group findings. Applying for Research Ethics. The composition and function of the REC. REC guidelines and evaluation criteria. Examples of REC applications and Pitfalls. Service Evaluation and Audit. The importance of service evaluations and audits in guiding decision making. Profiling clients Investigating referral pathways Conducting research with service providers. Year 2 – Block 2: Qualitative Research Continued. Duration: One 3 hour session each week for 5 weeks in Block 4. Overview: In this block we complete the training on qualitative research. Having looked at the main approaches to doing qualitative research in Block 3, students consider how best to analyse transcripts and report findings using Grounded Theory and Thematic Analysis. There is also a session on data from an IPA perspective and writing up IPA studies. The remaining sessions on this Block deal with Regression designs and Factor Analytic techniques. Aims: • To develop an appreciation for usefulness of appropriate qualitative research solutions. • To prepare for the qualitative SSRP. • To prepare for the major thesis. Learning Objectives: By the end of the Block trainees will be able to: • Analyse and write up a qualitative report. • Understand regression designs and be proficient in using SPSS to run regression analyses. • Understand Factor Analytic techniques for data and variable reduction. Sessions: 11 Grounded Theory and Thematic Analysis Practical session on grounded theory analysis. Practical session on thematic analysis. Writing up a Grounded Theory study. IPA Analysis using IPA. How to write up an IPA report. The IPA thesis Reporting Qualitative Research Critiquing and reporting qualitative studies. Publishing your qualitative SSRP. Regression designs Background to the regression equation. Approaches to regression. Running regressions through SPSS. Interpreting output and writing up your results. Factor analysis Background to Factor analytic techniques. Use of Factor analysis as data reduction and variable reduction. Rotation. Exploratory Factor Analysis and Confirmatory Factor Analysis. Reporting findings. YEAR 3 Year 3 - Block 1: Advanced issues and Thesis Preparation. Duration: One 3 hour session each week for 5 weeks in Block 5. Overview: This block is primarily concerned with research training essential to the successful completion of the D. Psych. Sc thesis, as well as covering multivariate statistics. The block commences with a review of the structure of doctoral thesis and the importance of a thesis having a cohesive ‘identity’. We then deal with the process of putting together a literature review. Endnote will be revised. Students are also expected to submit a draft of their Method chapter by the end of this Block, and training to support this is provided. We return to SPSS and practice running multivariate statistics and advanced statistics (Receiver Operating Characteristics & Structural Equation Modelling). Aims: • To ensure students understand the identity and structure of their theses. • To cover advanced statistical techniques. Learning Objectives: By the end of the Block students will be able to: • Describe their theses and provide an overview of the structure and content of the document. 12 • • • • Know what they can most probably exclude from the literature review. Run MANOVA and MANCOVA and interpret output and write-up a results section. Be familiar with advanced statistical techniques such as ROC and SEM. Be familiar with advanced clinical trial designs and research methodologies. Sessions: Identity in research Writing a ‘statement of identity’. The research questions, hypotheses, literature review, statistic axis as ‘identity’. Thesis structure and assessment. Literature reviewing Structure of the literature review. Ensure cohesion across the literature review. Recapping on on-line library resources. Revision exercise: endnote. Method Chapter The content of the method chapter for different research designs. Sample representativeness and recapping on Power. Reporting ethics Reporting on psychometric properties of measures. SPSS re-familiarisation. Working with SPSS. Revision exercises. MANOVA and MANCOVA. Background to MANOVA and MANCOVA. Running statistics using SPSS. Interpreting output and reporting results. Advanced statistics. Receiver Operating Characteristics (background) Sensitivity and specificity. Using Gold Standard to ascertain cut-offs. SEM. Year 3 Block 2: Advanced issues and Thesis Preparation continued. Duration: One 1.5-3 hour session each week for 5 weeks in Block 6. Overview: This Block takes place in the weeks leading up to submission of the thesis. The Block has minimal scheduled tuition, with time given over to thesis drafting. In terms of tuition, we meet once each week for approximately three hours to cover advanced research skills. The remaining time is devoted to one-on-one research meetings with the Research Coordinator and/or supervisors and thesis drafting. Aims: 13 • To cover advanced statistical techniques. • To support students in presenting the final thesis document to the Clinical Programme. • To prepare the students for submission of a summarised paper to a peer-reviewed international journal. Sessions: Results Chapter Auditing the Results Chapter. Auditing your analysis. Effective presentation of findings. Discussion Chapter Structure and content of the Discussion Chapter. Advanced report writing skills. Writing (thesis) for publication. Selecting the journal. Guidelines for authors. Summarising the thesis. Submission & Revision. Viva Preparation. Tinkler and Jackson’s (2002) research on VIVA experiences. Overview of the viva voce. Grading of the viva voce.