Appendix 7
Placement Review Checklist
Trainee:
Clinical Tutor:
Lead Supervisor:
Link Supervisor:
Placement: Year 1 (part 1) (part 2); Yr 2 (part 1) (part 2); Yr 3
Date of Visit:
/ /
Location:
Ask: is the trainee on track to pass/conditionally pass on Clinical Competence
Goals and Evaluation Form?
Yes/No
(If ‘no’ following discussion and clarification, set up Action Plan)
Review supervision agreement:
Are good supervisory relationships are developing?
Appropriate liaison across supervisors?
Sufficient liaison with Programme and clarity re expectations?
Check quality, frequency and dependability of supervision
Were there opportunities for trainee to both observe …..
and be observed by the supervisor(s)?........
Are any difficult issues being appropriately addressed?
Comments
Review Clinical Competence Goals and Evaluation Form
Changes/ modifications in goals?
Check that outstanding goals can be achieved by end of placement
period
Comments
Review portfolio of clinical experience
Is there an appropriate range and amount of work?
Check that expected levels will be reached on Cumulative Record
Comments
Placement resources
Discuss placement resource issues and refer to placement audit
form
Comments:
Academic/research requirements:
Discuss progress of:

Case reports (2 in year 1; 1 in year 2)

Small scale service evaluation (year 1)

Psychotherapy process project (year1/2)

Major research project
Comments
Support for trainee

In separate time with trainee, check whether support is in place (incl
mentor); are any issues significantly affecting trainee's ability to get on
with work, e.g. supervision relationships; transport; IT facilities; home;
health /well-being; finances; workload; socio-cultural factors
Comments
Support for supervisors

In separate time with supervisor(s) check what, if any, further support/
information needed from programme; any other issues/ concerns? Any
resource issues to take forward to service managers/ University?
Comments
Note the following for attention at next review (if relevant):



Action plan (only if needed)
Specify requirements, support to meet requirements, and dates for
review
Arrangements for review (if appropriate):
Date: __ / __ / __
Time: ________
Venue: _________________