New ways of viewing clinical assessment
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Audio/video in use in a number of Clin Psych
training programmes in UK and abroad. Standard
practice in IAPT services.
Significant numbers of trainees already making
recordings for supervision purposes – gaining
momentum as technology improves. More in line
with everyday practice.
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Allows for more direct observation
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PPR’s a good academic exercise, but lack an invivo focus on therapeutic skill
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Clinical Portfolio will have two parts:
Part 1: Formulation and Evidence for
Intervention Review (3000 words)- submitted
in March/April of Year 1
Part 2: Clinical and Professional Skills
Assessment: Digital recording (30 mins)
showing five generic and three model specific
competencies, Annotated transcript and a
Viva (submitted in June)
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Similar to first part of a PPR:
Addresses the competencies needed to
develop a clinical formulation and make an
appropriate clinical judgement about the
most appropriate intervention.
Will test trainees’ ability to link intervention
to available evidence and describe support in
literature for chosen intervention
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Trainee should be able to reference national
guidance in relation to general presenting issues
Should describe and provide a rationale for any
adaptations being made to ensure best fit for
client within this service context
It should be appropriately critical of the existing
limitations of the evidence base
A brief action plan resulting from the chosen
intervention should be described
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Candidate will have sought the consent of the
client: guidance will be sought from Trust or
organisation where work was carried out.
Trusts have own guidance regarding use of
clinical material for educational purposes. We are
working towards service level agreements.
It is hoped that TTC’s will play a key role in the
gaining of service level agreements with Trusts.
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Oxleas the first Trust in the region to define a
protocol specifically for the Visual and Audio
Recording of Patient’s/Families. (Others, eg
Surrey and Borders have policies pertaining to
the use of clinical material for educational
purposes). Sussex to follow in October, 2011.
Oxleas follows general principles laid down by
the British Medical Association.
States that clients’ permission should be sought
to make the recording and written consent
obtained for any use or disclosure
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Clients should be under no pressure to give their
permission
The recording should be stopped if the client asks
you or if it is having an adverse effect on the
consultation or treatment
Ensure that the recording does not compromise
the client’s privacy and dignity
Do not use recordings for purposes outside the
scope of the original consent for use, without
obtaining further consent
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Avoid sending or recording identifiable images in
ways that allow the recipient to forward it to
others or use it for purposes beyond the original
content
Make appropriate secure arrangements for the
secure storage, retention, disposal and
destruction of recordings.
The client may request a copy of the recording in
the same way as they have a right to request a
copy of their written clinical record (in line with
NICE guidelines)
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Written evidence of consent to be kept in the
clinical records of the client and not
submitted with the portfolio
Presented material to be fully anonymised
Recordings should be submitted to the
University on encrypted memory stick.
Recordings should not be saved to computers
and never transmitted electronically.
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Department has limited number of
video/audio recorders. Will be a requirement
of course that trainee will provide his/her
own digital recorder
Needs to be MP3 compatible as well as
compatible with Windows Media Player.
Recorder should be kept exclusively for
purpose of producing recordings for the
course. No mobile phones!!
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Supervisors to play an active role in selection
of client material
Supervisors and trainee to work with the
material in supervision
Essential to read assessment guidelines in the
Assessment Handbook
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Can be an audio-recording or video recording
with soundtrack just showing trainee, or video
and soundtrack showing client and trainee
Must be of 30 minutes’ duration and a
continuous section of one therapeutic session
The selection of therapeutic work should
demonstrate five basic core competencies (active
listening, empathy, accurate reflections, ability to
be responsive to the client and exploration of
client concerns) as well as three ‘model specific’
competencies
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Should be a transcript of the whole of the
session that has been recorded, for sake of
context
The annotation should only be of the selected
30 mins presented
Annotation should identify each of the five
core clinical competencies and three model
specific interventions
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If three model specific interventions cannot
be identified, opportunities should be
identified where they could have occurred
Transcript should make one reflective
comment about the individual life
circumstances of the person
It should make a critique of the therapeutic
work pointing where improvements could
have been made
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Viva should explore areas of competence that
may not have been demonstrated
Explore with the trainee their depth of
understanding of clinical competencies and
therapeutic alliance
Explore their understanding of the model in
which they were working
Will last 30 -45 mins and be carried out by two
examiners who marked part 1 of the portfolio
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Assessment has been validated and is
currently being piloted to iron out snags
Trust Training Co-ordinators to work on
helping to secure Trust policies as well as to
‘prime’ first year supervisors