www.abrp.org In addition to these slides candidates are strongly encouraged to visit the ABRP website and review American Board of Professional Psychology, American Board of Rehabilitation Psychology Certification Guidelines and Procedures: Candidate’s Manual (2012) And “Examples of Successful Practice Samples” To access them go to: http://www.abpp.org/i4a/pages/index.cfm?pageid=3361 Under RELATED DOCUMENTS (right side of the page) click on: ABRP Candidates Manual Under REHABILITATION PSYCHOLOGY (bottom left side of the page) click on: Examples of Successful Practice Samples ABRP Introductory Track Part I: The Advantages of ABPP Board Certification Application and Credential Review Using ABRP Mentoring Effectively Understanding and Identifying ABRP Competencies Lester Butt, Ph.D., ABPP (RP) Craig Hospital Denver, Colorado Stephen Wegener, Ph.D., ABPP (RP) Johns Hopkins University Baltimore, Maryland Michele Rusin, Ph.D., ABPP (RP) Private Practice Atlanta, Georgia Bruce Caplan, Ph.D., ABPP (RP) Private Practice Wynnewood, Pennsylvania Disclaimers This workshop is for informational purposes Requirements can change over time Written policies, procedures, and bylaws of ABPP and ABRP provide the foundation and parameters for our Board Certification process Introductory Fact ABPP established in 1947 with initial financial support from APA in the form of a loan Overview of ABPP Board Certification: Whereas the EPPP, required for state licensure, is generic assessment of psychological knowledge, it does not identify a specialty area nor competency within a specific practice domain Therefore, APA Division membership is solely an expression of interest within a subject area Board Certification, on the other hand, reflects consolidation of skills earned throughout one’s career, evidences a natural extension of professional development and demonstrates competence within one’s chosen specialty Benefits of ABPP: Credibility Nationally recognized credentialing body (vs. vanity boards) Council of Specialties in Professional Psychology (CoS): given potential public confusion surrounding the variety of labels utilized for ‘Board Certification’ and activities of nonpsychologists, CoS has addressed this issue; CoS recognizes the American Board of Professional Psychology (ABPP) as the only national organization of specialty boards to certify specialists in professional psychology and urges psychologist who wish to pursue Board Certification to choose the ABPP pathway Streamlining Licensure: approximately forty states have some degree of reciprocity Benefits of ABPP: Credibility Florida Legislation and Board of Psychology rules/regulations: ABPP recognized in its entirety, i.e. all specialties, as evidence of valid Board Certification The Association of Psychology Postdoctoral and Internship Centers (APPIC) indicates that one necessary criterion for member programs is that the program director “…..has expertise in an area of postdoctoral training offered and has credentials of excellence such as the American Board of Professional Psychology diploma…” (2006) Hospital Bylaws: Board Certification is increasingly an expectation for staff privileges analogous to physician guidelines Benefits of ABPP: Credibility Association of State and Provincial Psychology Boards (ASPPB): accepts ABPP as evidence that the essential criteria for education, training, and experience have been met IME and forensic considerations CARF-accredited programs are aware of ABRP Third party payers are aware of ABPP Board Certification Most Health Care Providers consider board certification a minimum standard (2011- 85% of physicians were Board Certified in one or more specialties; versus 2007only 5% of psychologists) Benefits of ABPP: Credibility Training Programs: Encourage ABPP Board Certification Board Certification is one of the goals of professional training with incorporation of specific areas of competency Assists the field of Rehabilitation Psychology with recognition of a specialty within health care Raises the bar for heightened consumer protection Benefits of ABPP: Practitioner Financial: • Department of Veterans Affairs: allows for a one step increase • • • • within a GS level with attainment of ABPP Board Certification U.S. Department of Defense: ‘Duncan Hunter National Defense Authorization Act for Fiscal Year 2009’ Given the need for competent and qualified psychologists with the U.S. Armed Forces, there is an accession bonus for ABPP Board Certification Higher income potential (DVA, DoD, PHS, select academic settings) Professional liability insurance 20% discount offered by some plans Benefits of ABPP: Practitioner General: Heightened credibility with colleagues and referral sources Distinguishing oneself from other psychologists within the job market Improve employment possibilities and job security Renew emphasis upon life-long learning and professional development Affirmation of one’s professional identity Benefits of ABPP: Practitioner General: ABPP Board Certification streamlines credentialing process within state licensing boards, insurance companies, professional practice networks and medical staff As previously stated, Board Certification facilitates interjurisdictional licensure and practice mobility Confirmation by respected colleagues/peers Sense of personal achievement and satisfaction Benefits of ABPP: Profession Establishes standards for competence Helps guide training models for mandated areas of competence Increases breadth and depth of knowledge base, skills and attitudes of practitioners Ensures intra-professional regulation Allows for public recognition of Rehabilitation Psychology Benefits of ABPP: Public Reduces consumer confusion among practitioners Protects consumers Assures quality The Expected…..not the Exceptional “It is not the exceptional specialist who should be board certified but the specialist who is not board certified who should be the exception.” Russ Bent, Ph.D., ABPP The ABRP Board of Directors thank you for your interest in Board Certification and wish you the very best of success Overview of the Process Stephen Wegener, Ph.D., ABPP Application ABPP Review ABRP Review Practice Sample Submission & Review Oral Exam Application Process: Part 1 Initial application is to ABPP Central Office Applications are available online at www.abpp.org Communicating with ABRP Ellen Snoxell, Ph.D., ABPP (RP) Secretary, American Board of Rehabilitation Psychology EllenBSnoxell@gillettechildrens.com Application Process: Part 1 • Initial application is to ABPP Central Office • ABPP Central Office verifies information • ABPP verifies licensure • ABPP Central Office may request additional information Application Process: Part 2 • Specialty credentials review • Specialty = Rehabilitation Psychology • Specialty office may also request additional information Basic Requirements: ABPP A doctoral degree from a recognized program in psychology Appropriate supervised experience and internship Licensure or certification at the independent practice level as a doctoral-level psychologist in the state in which the applicant currently practices (note Federal exceptions) Post-doctoral training which requires at least two years of supervised practice in the specialty, or one year of predoctoral and one year of post-doctoral supervision, or the successful completion of a recognized post-doctoral program in the applicant’s specialty Basic Requirements: ABRP After general credentials are approved by ABPP Central Office, the ABRP Credentials Committee establishes the following specialty qualifications: Two years of supervised practice in Rehabilitation Psychology which can be satisfied by: • Two years of post-doctoral supervision, or • One year of pre-doctoral and one year of post-doctoral supervision, or • Completion of a recognized post-doctoral program in Rehabilitation Psychology Basic Requirements: ABRP • Three years of experience in Rehabilitation Psychology, two of which must be supervised, which can be satisfied by: • Three years of clinical experience, one of which may be pre-doctoral internship with an emphasis in Rehabilitation Psychology, or • One or two years of pre- and/or post-doctoral experience and successful completion of a recognized post-doctoral program in Rehabilitation Psychology • Unique aspects of training/experience are always considered Basic Requirements: ABRP • Two supervisor endorsements, at least one of which must attest to the candidate’s abilities as a Rehabilitation Psychologist • Two other professional endorsements, which must attest to the candidate’s abilities as a Rehabilitation Psychologist • Total of 4 endorsement forms (2 supervisor, 2 other) Basic Requirements: ABRP Membership in professional organizations which have identifiable purposes and policies that are congruent with those of ABRP is desirable, but not required Senior Application Process Requirements: • Applicant must first meet the ABPP general requirements (e.g., doctoral degree in psychology; license to practice psychology in one’s state independently) • Doctoral degree must have been received at least 15 years prior to application Senior Application Process • The applicant must have had a recognized, distinguished career in the field of Rehabilitation Psychology. • Supervisor verification of training may be waived due to length of time since training and increased likelihood that supervisors may not be available. Senior Application Process • Because senior candidates may have difficulty obtaining clinical practice cases, other evidence of competency in the specialty may be used (e.g., documentation of program development, articles, chapters, books, syllabi, supervising or consulting). Senior Application Process Please note that the full oral examination (i.e., all 4 parts) is required in the ABRP senior process, and is identical to the oral examination for any candidate. Outcome of Credentials Review Specialty office will request additional information if needed. Once credentials review is complete, the specialty office notifies ABPP Central Office of the outcome. ABPP Central notifies candidate. Communicating with the Specialty Office Initial contact with specialty office is typically after ABPP credentials review Ongoing contact is mostly with specialty office until after the oral exam Practice sample process Scheduling and notification of oral examination Assignment / Selection of Mentor Michele Rusin, Ph.D., ABPP • Candidate may choose a mentor (in collaboration with the ABRP Mentor Chair), or a mentor can be assigned • Mentorship is voluntary, but is highly advisable ABPP and ABRP Competencies 2 Competency Types Bruce Caplan, Ph.D., ABPP Foundational Competencies Required for all ABPP Board Certifications Reflect skills in establishing and maintaining professional relationships Functional Competencies Reflect skills that meet the specific needs of persons with disabilities and their families ABPP Foundational Competencies Interpersonal Interactions Individual and Cultural Diversity Ethical and Legal Foundations Professional Identification ABPP Foundational Competencies Interpersonal Interactions Sensitivity to welfare, rights and dignity of others Capacity to empathically relate to clients and team members to enhance effectiveness of service delivery Awareness of effect of personal interactions on others Maintaining appropriate boundaries ABPP Foundational Competencies Individual and Cultural Diversity Awareness of diversity and multicultural factors as relates to disability Awareness of interaction between one’s own diversity characteristics and functioning as a Rehabilitation Psychologist ABPP Foundational Competencies Ethical and Legal Foundations APA Ethical Principles and Practice Current statutory and state laws applicable to practice of Rehabilitation Psychology Issues related to patient confidentiality (e.g., HIPPA) ABPP Foundational Competencies Professional Development Participation in professional activities relevant to Rehabilitation Psychology Awareness of current issues facing the profession Seeks and utilizes consultation/supervision Pursues continuing professional education for licensing and professional development in the field of Rehabilitation Psychology in last 2 years. ABRP Functional Competencies •These competencies define Rehabilitation Psychology •These must be kept in mind when applying, when selecting case material for the practice sample, when writing up the practice sample, and when preparing and taking the oral exam. •Required competencies are exactly that - required. There are multiple ways, however, to demonstrate competencies. •The competencies discussed today apply to applicants effective January 1, 2011 ABRP Functional Competencies Scientific Base and Application Assessment Intervention Consultation Consumer Protection ABRP Competencies Scientific Base and Application Knowledge of theory and research (T&R) that informs practice Ability to critically evaluate T&R in Rehabilitation Psychology Coherent explanation of candidate’s approach to their practice based on T&R Awareness of T&R on interpersonal interactions, diversity (esp. disability status), professional identification and ethics. ABRP Competencies Assessment Adjustment to Disability: Patient Adjustment to Disability: Family Extent and nature of disability and preserved abilities Educational and vocational capacities Personality and emotional functioning Cognitive abilities Decision making capacity Sexual functioning Pain Substance use/abuse identification Social and behavioral functioning ABRP Competencies INTERVENTION Individual therapeutic interventions as related to adjustment to disability Family/couples therapeutic interventions as related to adjustment to disability Behavioral management Sexual counseling with individuals and partners who have disabilities ABRP Competencies Consultation Behavioral functioning improvement Cognitive functioning Vocational and/or educational considerations Personality / emotional factors Substance abuse identification and management Sexual functioning and disability ABRP Competencies Consumer Protection Laws related to and including ADA Awareness and sensitivity to multicultural and diversity factors ABRP Introductory Track Part II: Selection of Practice Samples Writing Practice Samples Oral Examination Dan Rohe, Ph.D., ABPP (RP) Mayo Clinic Rochester, Minnesota Terrie Price, Ph.D., ABPP (RP) The Rehabilitation Institute of Kansas City Kansas City, Missouri Aida Saldivar, Ph.D., ABPP (RP) Rancho Los Amigos National Rehabilitation Center Downey, CA Selection of Practice Sample Dan Rohe, Ph.D., ABPP Applicant has one year from time of credentials approval to submit the practice sample Both portions of the sample must demonstrate breadth and competence in the specialty of Rehabilitation Psychology Selection of Practice Sample At least one portion of sample must be clinically focused The sample should reflect one’s usual practice of Rehabilitation Psychology (meaning: try not to select anything too esoteric, unusual, or obviously controversial) Encourage selecting an area in which the candidate is very comfortable and knowledgable Selection of Practice Sample Select complementary cases Both cases can demonstrate competencies in assessment and treatment competencies/consultation, or One case may emphasize assessment, while the other emphasizes intervention and consultation When combined, the practice sample demonstrates advanced knowledge and practice in Rehabilitation Psychology Selection of Practice Sample Please utilize your mentor when (before) selecting and preparing your practice sample! Overview Research and teaching examples address mostly non-required competencies and should only be utilized in conjunction with a well-rounded and comprehensive clinical case All candidates must submit at least one clinical write-up that covers many competencies in assessment, intervention and consultation Practice Sample: General Goals Reveal candidate’s conceptualization Demonstrate application of Rehabilitation Psychology principles to the questions and decisions involved in the case Citation of contemporary research For clinical case: integrate medical, psychosocial, theoretical, and research information into candidate’s conceptualization and actions Show consultation with involved professionals (e.g., physician, physical/occupational therapist, etc.) Practice Sample: Logistics Be clear about what you did vs. what another professional did Use active voice (e.g. “I conducted…” vs. “an assessment was conducted”) Clearly written; spelling and grammar accurate APA style Clinical material de-identified Conforms with APA ethical standards, state laws of practice, and other regulations (ADA, HIPAA) Writing the Practice Sample Terrie Price, Ph.D., ABPP Description of Candidate’s work setting Introduction Narrative Supporting materials Overview Practice Sample consists of two parts One part MUST be a clinical case The 2 portions, including supporting materials, must not exceed 50 double-spaced typewritten pages. Writing the Practice Sample Introductory Statement The first practice sample portion is recommended to include a brief description of the candidate’s work setting. Writing the Practice Sample Introduction (1-2 pages) The context, purpose, and rationale for the case Case abstract Competencies that the Candidate believes are addressed. Writing the Practice Sample Narrative Regardless of the work type (clinical, research, etc.), the narrative should describe your work and communicate how your work embodies the principles of Rehabilitation Psychology Much more about the narrative portion to come… Writing the Practice Sample Supporting Materials Shows your work is “real” – do not alter the document beyond removing identifying information. Gives concrete example of what you are describing in the narrative More information about supporting materials to come… Supporting Materials Additional supporting documentation or other materials may be requested Supplementary materials must not increase the length of the sample beyond the page limits. Practice Sample Narrative Section Clinical cases Consultation reports Teaching / training curricula Research-based samples Instrument development Program development Helpful Hint Examples of acceptable Practice Samples are posted on the ABRP Website Clinical Case: Suggested Format Narrative: Patient characteristics Assessment Strategies Diagnostic Impressions Treatment recommendations Clinical interventions Recommended consultation Outcome Follow-up care Consumer protection issues Justification for limitations in the case Clinical Case: Suggested Format “Who, What, When, Where, Why, and How?” Outcome of case, emphasizing how candidate impacted the outcome Clinical Case: Supplementary Materials Provides examples of the work described in the narrative Provide information to allow examiners to determine how clinical data is being interpreted and used Clinical Case: Supporting Materials An evaluation report or compilation of treatment notes alone does not constitute a clinical practice sample. Clinical Case: Supporting Materials Supporting materials may include (but are not limited to): Sections of test reports Test score summary sheets Chart, office, or progress notes Team conference summaries, or portions thereof Medical documentation Correspondence Consultation Case: General Guidelines Demonstrate the Rehabilitation Psychology principles and practices underlying the consultation Describe the Candidate’s activities and rationale. Consultation Case: Suggested Format Narrative Setting and reason for the consultation Patient characteristics Assessment strategies Diagnostic impressions Treatment recommendations Consultation Case: Suggested Format Rationale for the assessments and interventions should be clear and supported by scientific literature. Consultation Case: Supporting Materials Materials may include, but are not limited to Materials recommended for clinical case Letter from consumer describing consultant’s role and results achieved Teaching/Training Case Course or program outlines alone do not constitute an acceptable Practice Sample portion Teaching/Training Case: Suggested Format Narrative Describe the rationale for the curriculum Indicate how the curriculum relates to and includes the principles and practices of Rehabilitation Psychology Specify the Candidate’s role in designing and implementing the curriculum Teaching/Training Case: Supporting Materials Materials may include, but are not limited to Course outline Recommended readings Annotated bibliography Letters from students or colleagues emphasizing how the course impacted their work in Rehabilitation Psychology Research Based Sample: Suggested Format Narrative Description of research program Detail how research program relates to the principles and practices of Rehabilitation Psychology Outcomes and implications of research Future directions Research Case: Supporting Materials • • • • • • Initial page from key publications related to research Abstracts Selected portions of articles Selected portions of grant proposals Selected portions of program development documentation Letters from collaborators describing candidate’s role in project Instrument Development: Suggested Format Narrative Discuss the rationale for developing the instrument Describe the Candidate’s role in the conceptualization, development, and validation phases Indicate how this instrument relates to the principles and practices of Rehabilitation Psychology. Instrument Development: Supporting Materials Submission of the instrument alone or articles about the instrument alone does not constitute an acceptable Practice Sample However, the instrument and portions of articles describing the instrument would likely be included in the supporting materials Program Development: Suggested Format Narrative Describe the rationale for the program Indicate how the program relates to and includes the principles and practices of Rehabilitation Psychology Describe clearly and in detail the Candidate’s role in designing and implementing the program Program Development: Supporting Materials Promotional materials, advertisements, or testimonials should ordinarily not be submitted as supporting material After the Writing is Done Submit practice sample to ABRP Secretary Pay fee to ABPP Secretary distributes practice sample to 3 reviewers The Practice Sample Review Reviewed by 3 examiners. Two out of three “pass” votes are required Practice sample is reviewed as a whole. A “pass” or “not pass” decision is made about the practice sample viewed in totality The Practice Sample Review Three member committee Practice samples reviewed independently Each reviewer designates competencies evident in the practice sample Practice sample is reviewed as a whole. A “pass” or “not pass” decision is made about the practice sample viewed in totality The Practice Sample Review Each reviewer writes Q’s for oral exam Q’s are designed to pinpoint areas of practice sample weakness or need for further inquiry 2 out of 3 votes advances the candidate to the oral exam The Practice Sample Review Criteria Breadth and depth of practice must be demonstrated Must show clear rationale for what was done Basis for assessment & intervention must be well founded. The Practice Sample Review Criteria Conclusions / recommendations must be supported by data and literature Medical and other historical information must be reported and integrated Emotional / psychopathologic factors must be evaluated and integrated into the case conceptualization The Practice Sample Review The supporting materials are appropriate in the context of the practice sample Practice sample must conform to APA ethical standards (and other relevant standards, e.g., ADA) Specialty level of practice as a Rehabilitation Psychologist is demonstrated The Practice Sample Review A “pass” decision allows the candidate to be admitted to the oral exam. This is not a final “pass” rating for the practice sample portion of the oral exam The Practice Sample Review If the Candidate does not pass (i.e. two examiners do not pass the practice samples}, the Candidate receives a letter containing verbatim comments from the three reviewers regarding strengths/weaknesses in addition to suggestions for improvement Writing the Practice Sample Situations That Necessitate Revision and Resubmission of a Practice Sample Situations That Necessitate Revision and Resubmission of a Practice Sample Not addressing key competencies Case not adequately de-identified Insufficient number of competencies demonstrated Missing or inadequate/insufficient supporting materials Misinterpretation of data Situations That Necessitate Revision and Resubmission of a Practice Sample Inadequate description or chronology of candidate’s role in case. Inadequate description or consideration of patient’s emotional/personality functioning Absence of internal integration of case Case does not follow a rehabilitation model: e.g., the candidate’s involvement is not in collaboration or consultation with other rehabilitation professionals Options to “ No Pass” Revise. Candidates are given one opportunity to revise practice sample material that does not meet the defined criteria. No additional charges apply. If the decision is “not pass,” the candidate receives a letter from the ABRP Secretary detailing the Review Committee’s feedback regarding the Practice Samples’ strengths/weaknesses as well as suggestions for improvement Resubmit. After one re-submission, if further review is needed, candidate must pay additional fee. Final Practice Sample Comment Examples of successful Practice Samples are located on our ABRP link accessed via ABPP website Overview of the Oral Exam Aida Saldivar, Ph.D., ABPP 4 total hours, 3 individual examiners Orientation (15 minutes) Review of Clinical Vignettes (60 minutes) Clinical Vignette # 1 (40 minutes) Clinical Vignette # 2 (40 minutes) Ethics Vignettes (30 minutes) Practice Sample Exam(40 minutes) Debriefing (10 minutes) The Oral Examination Committee Three member committee Screening for conflicts of interest Whenever possible, oral exam Chair is also the Chair of the practice sample committee Committee reviews the comments from the practice sample review committee Committee members discuss those competencies that still need demonstration Oral Examination Observers An observer may be present in one of two possible scenarios: Examiner-in-training Quality assurance and monitoring In neither situation will the observer have any vote or input about the candidate’s performance Oral Examination: Clinical Vignettes Candidates have up to 30 minutes to examine vignettes and select two for examination May not select two vignettes from same diagnostic group (e.g., cannot select two adult TBI cases) Candidate has 60 total minutes to study and take notes on vignettes (incl 30 min above) Each vignette is discussed with one examiner for 40 minutes (per vignette) Oral Examination: Clinical Vignettes Candidate presents summary of case and assessment/treatment plan Examiner poses questions on what was presented, omitted or hypothetical questions which might alter some of case material to demonstrate selected competency areas Oral Examination: Ethics Examiner selects 2 or 3 one-paragraph vignettes Candidate takes a few minutes to read each vignette Candidate is asked to describe key ethical issues and relevant sections of ethics code or state laws of practice which are related and potential ways to resolve conflicts Each vignette is presented one at a time. Not necessary to resolve clinical issues Oral Examination: Practice Sample Questions are derived from those proposed by the reviewers Additional questions will also arise during the oral exam Practice sample content may serve as a springboard (e.g., “Let’s suppose instead…”) Oral Examination: Practice Sample Need to reveal the chain of logic involved in the practice sample • Need to demonstrate knowledge of relevant literature • Candidate must clearly demonstrate depth and breadth in the required competencies in the field of Rehabilitation Psychology • After the oral exam Oral Exam committee members meet as a group and determine whether the candidate was able to demonstrate presence of the required competencies over the course of the examination (not just during the practice sample exam) Each member votes to “pass” or “not pass” the entire exam If the candidate is passed by two of the three examiners, the candidate has passed the oral exam. One does not “fail” any one part of the exam If the candidate does not pass (i.e., 2 examiners do not pass the examinee), on the first vote, a discussion is required. A second vote is taken after the committee is certain that a fair discussion of the candidate's entire performance has been presented. Notification Process Official reporting form is completed and returned to ABPP Central Office ABPP Central Office informs the candidate of the outcome Appeals Process 60 days to file an appeal with ABRP ABRP appeals committee is appointed Candidate may then appeal to ABPP ABPP Policy: an exam result cannot be overturned, but candidate may be reexamined without charge if appeal is upheld QUESTIONS? www.ABPP.org Sign Up for Mentoring