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Integration of Theory into Practice

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Clinical Psychology

Doctoral Degree

Course -

University of Hull





BPS Accreditation document –

(28/10/2005)

CONTENTS









1 Background and Programme Specification ............................................................. 2

2 Origins and review process for Course Orientation and Values…………………6

3. A statement of the Course's strengths and limitations…………………………….7

4. Staffing Resources ...................................................................................................... 8

5. Physical Resources ................................................................................................... 12

6 Organisation ............................................................................................................. 14

7 The mechanism the Course has for reviewing itself………………...………….. 15

8. Selection.................................................................................................................... 17

9 Time Allocation……………………………………………………………...……. 20

10. Clinical Experience ................................................................................................. 21

11 Clinical Supervision………………………………………………………………..29

12 Formal Teaching………………………………………………………………….. 30

13 Research………...………………………………………………………………… 36

14 Integration of Theory and Practice ....................................................................... 43

15 Personal and Professional Development (PPD)………………………………… 44

16 Evaluation of Trainees ............................................................................................ 44

17 Collaborative provision……………………………………………………………49

18 APPENDICES…...……………………………………………………………..… 50









1

1 Background and Programme Specification



1.1 Brief introduction to the Course



The Course was originally developed as a collaborative venture between the four former

District Health Authorities of Humberside (East Yorkshire, Grimsby, Hull, and

Scunthorpe) and the University to provide clinical psychologists qualified and competent

to be recruited to the local NHS. Planning and negotiations began in the early 1980s.

Unlike existing courses, the Hull Course was conceived from the outset as an integrated

undergraduate/postgraduate programme, with candidates selected for clinical training

following A levels, potentially at the early age of 17 to 18 (the average age of postgraduate

admission to other clinical courses was around 28 at the time). Although the average age of

trainees on the Course continues to be amongst the youngest in the UK, the selection

procedure was modified in 1994 when a second, rigorous selection point was introduced at

the end of the second undergraduate year. The Course received initial accreditation from

the British Psychological Society in 1986, and the first cohort (5) successfully completed

the six-year programme in 1989. At that time, the standard professional university

qualification for clinical psychology courses was the MSc, and the Hull Course was no

different from this. However, in 1995 the Hull Course became one of the first courses in

the UK to award a Doctorate in Clinical Psychology (Clin.Psy.D). In 2003, a link was

created with the University of York (see below) and simultaneously the Course team

initiated a major revision of the programme to incorporate an emphasis on competency-

based training. This was in accordance with the new Committee of Training in Clinical

Psychology (CTCP) accreditation criteria and learning outcomes specification. Course

intakes have grown steadily since 1986 and at the time of writing (2005) the annual intake

is 14.



The Course is a unique integrated BSc/Doctorate programme. Students undertaking the

three-year undergraduate BSc (in the Department of Psychology, Faculty of Applied

Science and Technology, University of Hull, and now also at the University of York,

School of Psychology – see below) are selected at the end of their second undergraduate

year. Candidates are required to obtain a 2:1 or First Class result in their Part I

examinations to be considered eligible for entry. The third year of the undergraduate

programme comprises clinical modules that selected students undertake to fulfil the

requirements of the integrated Course.



The postgraduate doctorate programme is of three year‟s duration and trainees are financed

by the North and East Yorkshire and North Lincolnshire Workforce Development

Directorates based in York (10 per year cohort) and also by the Trent NHS Workforce

Development Confederation based in Mansfield (4 per year cohort). All trainees are

employees of the Humber Mental Health NHS Teaching Trust that is based in Hull and

East Yorkshire and from 2006 all 14 will be funded by NE Yorks & N Lincs Workforce

Development Confederation. At the present time, there are 42 doctoral postgraduates with

an annual intake of 14.



In preparing this document, we have adopted a collaborative strategy. The first draft was

written by the senior members of the Course Team. It was then circulated to the NHS



2

stakeholders, members of the Management Board and other Course Team members for

comments to encourage wider ownership of the document. A final version of this

document was also posted on the departmental website and students and interested parties

were informed of the document.



1.2 Course Structure



The following diagram illustrates the basic course structure:

Year N Comment

200 (Hull) UCAS entry

1

120 (York)

Undergraduate

2 320

BSc Psychology Selection (2:1 minimum + interviews)

Clinical teaching begins

3 14 (York graduates will work one-year internship

in the NHS before joining the course)

4 14 NHS employment/salaries begin

Postgraduate 3 days placement (NHS supervisor)

5 14

Clin.Psy.D 2 days teaching/research + blocks

6 14

Qualification:

Doctor of Clinical Psychology

Chartered Clinical Psychologist (BPS)



The academic content of the clinical psychology teaching begins with courses in the final

year of the BSc degree. These include four specialised modules:



1. Neuropsychology;

2. Introduction to Assessment in Clinical Psychology;

3. Professional, ethical and personal issues in Clinical Psychology;

4. Clinical and therapeutic issues in Clinical Psychology.



These four modules are designed to give the student a thorough grounding in the biological

background to psychological and behavioural problems; a detailed awareness of the Code

of Conduct, Professional Practice Guidelines and the role of the clinical psychologist;

fundamental strategies, techniques and skills in the measurement of psychological and

behavioural attributes; and, to familiarise the student with some of the theories that

professional clinical psychologists use in their work.



The above model, which concerned exclusively Hull psychology undergraduates, was

elaborated in 2003 by the introduction of a parallel selection intake from the University of

York. In the spring of 2001 the Government announced its commitment to support and

fund an undergraduate medical school on the basis of collaborative proposals between the

Universities of Hull and York, to begin in 2003 (the Hull-York Medical School - HYMS).

The Department of Clinical Psychology played a significant role in this development,

particularly in relation to curriculum design, implementation and selection. A formal link

between the Course and the University of York Psychology Department under the HYMS



3

umbrella was then created. In June 2003 a new admission route from the York Department

was established. This has the approval of CTCP and the support of the North East

Yorkshire and North Lincolnshire Confederation. The new route also includes a one-year

internship in primary care in York prior to the commencement of the postgraduate phase at

Hull, making use of the Graduate Primary Care Mental Health Worker scheme funding.

The model is attracting national interest as a major innovation in clinical psychology

training. For the first time, in June 2003, a selection process took place of four (plus two

reserves) at the York site for appointment to York PCT-funded internships in 2004 and

subsequent entry into postgraduate clinical training at Hull in 2005.





1.3 Learning Outcomes



The Course‟s principal objective is to produce Clinical Psychologists who are reflective

scientist-practitioners who are fit for purpose in today‟s NHS. Therefore, psychological

interventions are informed by the evidence-base and systematically evaluated during the

course of therapy in order that the best outcome for the client can be obtained. Such

competence is developed partly as a result of an extensive training in applied clinical

research intrinsic to pre-registration training in clinical psychology. Assessment,

formulation, intervention and evaluation are conducted in collaboration with the client, and

the client's perspective is seen as a central component in all of these processes. The course

seeks to produce clinical psychologists who are capable of flexibility of thought and

approach, such that skills and knowledge can be applied in novel clinical situations. Such

characteristics are a direct function of reflective practice, which is integral to all activities

of clinical psychologists. This involves personal, critical self-awareness and the ability to

consider the psychological, emotional and behavioural impact on the self of clinical and

personal experiences, both during and following clinical encounters and how that impact in

turn affects the intervention by the psychologists.



The Course Team has embraced and elaborated the learning outcomes delineated in section

B of the CTCP Criteria, and there is a clear and shared recognition that these learning

outcomes are appropriate and practicable. They are being implemented in collaboration

with supervisors, NHS clinical lecturers and the trainees, and the process has involved

numerous joint workshops and consultation exercises. Details of these learning outcomes

are spelled out in Sections 10-13. In addition, during their learning process, trainees are

also expected to gain transferable academic and research skills such as being “curious”

practitioners who are able to respond to the demands of the NHS.





1.4 Statement of the Course's Core Purpose and Core Philosophy



The purpose of the Course is to produce competent clinical psychologists who are qualified

for employment in the NHS. Their professional practice should conform to the high ethical

and professional practice standards specified in the Division of Clinical Psychology

Guidelines for the Professional Practice of Clinical Psychology (British Psychological

Society, 1995) and BPS Code of Conduct/ethics.





4

The Course's unifying philosophy is the application of scientific knowledge to the

understanding and treatment of psychological problems and disabilities. This implies

familiarity with a range of psychological models, the ability to apply these to the clinical

problem, to develop effective interventions and to evaluate these within an appropriate

methodological framework. It also implies knowledge and critical evaluation of the current

literature relating to a particular type of problem, including the empirical and experimental

evidence for and against the use of a given intervention. Personal reflectivity is also seen as

intrinsic to both training and practice, in which the individual is able to consider and learn

from the impact of clinical experience on her or his behaviour and self-concept. The

intention is for trainees to develop life-long learning skills for the continuing acquisition of

clinical knowledge, the maintenance of awareness of the ever-evolving knowledge base of

the profession and an ability to implement evidence-based practice.





1.5 The NHS context



From its inception in the mid-1980s, the Hull Course has had at its centre a philosophical,

strategic and operational partnership between the NHS and the University. The Course is

funded by NHS purchasers; strategic and operational decisions are made by boards and

committees comprising substantially local NHS managers and clinicians; more than 50 per

cent of course teaching is delivered by practising NHS clinicians; all trainees are full-time

NHS employees; and the majority of university academic staff hold honorary or

substantive NHS clinical contracts. Consequently the Course seeks to produce clinical

psychologists who are fit for purpose: that is, individuals who are equipped with the

appropriate competences and capability to meet the needs of the local and national health

service; who are steeped in its culture and values; who are aware of its policies, the

processes by which these are implemented; who are able to contribute to the formulation of

NHS policies and who are motivated to remain up-to-date with NHS policy development.



1.6 Competence underpinned by values

The BPS Committee on Training in Clinical Psychology has summarised the ultimate

objective of training in the following statement: "Newly qualified clinical

psychologists...should be committed to reducing psychological distress and enhancing and

promoting psychological well-being through the systematic application of knowledge

derived from theory and evidence. Their work will be based on the fundamental

acknowledgement that all people have the same human value and the right to be treated as

unique individuals" (CTCP, 2002) The Course endorses this objective, and is committed to

developing an explicit understanding in trainees of the key values that underpin clinical

practice. Such values are evident in the person-centred aspirations of both the NHS and the

clinical psychology profession.





1.7 Formulation and the Hull integrated course

Multi-theoretical formulation skills which draw from a broad range of theoretical models,

and which subsequently drive treatment intervention are seen as a defining feature of the

clinical psychologist. This particular philosophical and conceptual stance is closely allied

with the integrated nature of the Course in which continuity with the undergraduate



5

curriculum is emphasised. The Hull Course is distinctive in its integration with the

undergraduate programme. We remain the only course in the country which selects directly

from the undergraduate phase (of now both Hull and York Psychology departments) and

which includes a substantial amount of professional clinical psychology teaching in the

undergraduate curriculum. Thus, unlike many other courses, trainees are encouraged to

draw upon their undergraduate learning in social psychology, information processing,

developmental psychology, etc. in addition to traditional therapeutic models when

formulating clients‟ problems.





2 Origins and review process for Course Orientation and Values



The Course‟s orientation and values have evolved over the years since its inception by way

of an interactive and iterative process with all stakeholders including local NHS clinicians,

supervisors and trainees. Over these years, there have been annual course review meetings

and consultation exercises, which have reviewed many aspects of the Course including its

orientation and values. More recently, the CTCP revision of the accreditation criteria and

statement of competencies has prompted a major review and redesign of the Course,

including significant modification of the Course‟s previous philosophy statement. The

Course team has collectively wished to place increasing emphasis on reflective skills

whilst retaining the scientist-practitioner orientation, which we believe is indicated in the

above orientation and values statement. This modified statement has been widely

circulated amongst stakeholders including trainees and supervisors during the last 6

months, and feedback has been positive. Currently, the course is undergoing a transition to

a competency-based programme, which is being phased in with the 2005 intake. The

details of years 5 and 6 are being planned within the parameters of the BPS guidelines.



The Course‟s criteria for judging success include:

 standards of clinical competence demonstrated by trainees on end-of-placement

assessments, case presentations and case studies;

 the feedback and views of stakeholders (particularly those from the NHS) who

have some involvement in the operation of the Course;

 the employability of trainees following Course completion;

 the rate of trainee research dissemination in practitioner and peer review journals;

and

 employers‟ views of new recruits from the Course, canvassed annually.









6

3. A statement of the Course's strengths and limitations





Strengths:

1. The Course's integrated structure allows for four years of clinical teaching

(beginning in the final undergraduate year) which builds on an undergraduate core

curriculum, which is common to the whole Course intake. Uniquely, the Hull

Course provides an uninterrupted period of professional training during an early

stage of adulthood that, we believe, inculcates a strong sense of professional

identity. The Course has also been able to develop a broad-based selection system

that takes advantage of detailed knowledge of candidates‟ academic and

interpersonal profiles on the undergraduate psychology courses.





2. The Course Team is committed to clinical psychology training. Despite the recent

change of personnel and existing vacancies, the Team is enthusiastic about

competence-based training and has been able to plan and implement the new

curriculum to embrace competency-based training.





3. The placement assessment system is multi-faceted and incorporates supervisors‟

assessment and direct observation of clinical skills in the final placement reviews.





4. The Course has recently moved into well-appointed, self-contained

accommodation, which includes dedicated teaching rooms and good audiovisual

facilities at the heart of the Postgraduate Medical Institute and the Hull-York

Medical School.



5. The Course enjoys a close, supportive, and influential relationship with the

Postgraduate Medical Institute and the Hull-York Medical School. Consequently,

there are many examples of collaborative trainee research projects with medical

and surgical departments.



6. The Course enjoys excellent relationships with local Trusts, and much appreciated

commitment from local clinicians and heads of service.







Limitations:

1. Historically, only a small number of trainee research projects have tackled topics

within the traditional area of psychopathology and mental health. Although

relationships with psychiatry and the local mental health services are generally

good, research collaboration has not hitherto been as extensive as we would have

liked. However, with the new Course Director‟s research interest in Adult Mental

Health, we anticipate the situation will improve.



7

2. In recent months there has a been a major change in Course Team leadership with

the departure of both the previous Course Director and the Deputy

Director/Academic Programme Co-ordinator. A new Course Director and

Academic Co-ordinator are now in post. There needs to be a period of

consolidation and a review of roles and strategic direction. This represents a

potential challenge for the Course Team.



3. We welcome the national shifting of responsibility of providing placements and

placement resources to the Local Services. However, local NHS Managers of

Clinical Psychology Departments continue to encounter difficulties in identifying

resources so that placement pathways can be used optimally. Specifically, trainees‟

placement accommodation has limited the full use of supervisory capacities in the

Trusts. However, the Course is to employ a research assistant to help to investigate

the better organisation of academic and placement days to alleviate this problem.





3.2. A statement of what the Course wishes to gain from the visit - how might it be

helpful?





1. The Course values this visit as an opportunity for review and obtaining external

feedback on the Course Team‟s efforts to develop and implement competence-

based training in clinical psychology.



2. Advice on maximising research and clinical supervisory resources.



3. Observation on students‟ allocated research time.



4. Observation on the Course‟s approach to expansion and how Hull and York

recruitment may be further developed.



5. Comments on the implications on training resulting from trainees‟ rights to

extended maternity leave.









4. Staffing Resources





4.1 Staff



The Course is a partnership between the University and clinical psychologists working in

North and East Yorkshire, Hull, North and North East Lincolnshire. NHS colleagues who

make a regular contribution to planning, teaching, mentoring or clinical supervision are

recognised, at the University‟s discretion, with appropriate honorary contracts.



8

The University also has an Equal Opportunities Policy to which the Course adheres. Staff

development and promotion is governed by the University Academic and Academic-

Related Staff Development and Appraisal System. See Appendix 2 for Academic and

Academic-related Staff Development and Appraisal Policy and Appendix 3 for Equal

Opportunity Policy. Orientation programmes are organised for newly appointed member

of staff centrally by the University.

All staff are subject to either University or NHS appraisal schemes. They also meet once a

year with the Course Director to identify staff development and training. All staff

members have access to funding to support conference attendance and for CPD. Staff

members also had “away day” and special theme meetings to discuss future development

of the Course.

At the time this document goes to the BPS, the Course has one W.T.E. vacancy, which will

be advertised. Mr Rod Webster is employed for four sessions until March 2006 to assist

with academic and clinical practice issues. It is the Course policy that external assessors

are always used for appointment of any senior posts. The existing Course Members and

honorary members are listed in tables 1 and 2. Please refer to appendix 4 for detailed CVs

of staff. Appendix 5 summarises the main duties of staff members. Five course team

members are “RAE returnable”: Professor Lam, Professor Moniz-Cook, Dr Glover, Dr

Frizelle and Dr E Gardiner.









9

____________________________________________________________________

Title and Role w.t.e. NHS link Clinical

On Programme Duties



D. Lam Professor of Clinical 0.8 Humber Mental 0.2 w.t.e.

BSc MPhil PhD Psychology Health Teaching Hon. Consultant

C.Psychol. Programme Director Trust Clin. Psychologist

FBPsS Mood Disorders



E. Moniz-Cook Hon. Professor of Clinical 0.5 Humber Mental 0.5 w.t.e.

BSc Dip.Clin.Psy. Psychology and Ageing Health Teaching Consultant

PhD, C. Psychol., Research Co-ordinator Trust Clin. Psychologist

AFBPsS Memory Disorders



S Clement Senior Clinical Lecturer 0.8 Humber Mental 0.2 w.t.e. Hon. Con.

BSocSc MSc, Clinical Practice Health Teaching Psychologist

Dip.Clin.Psy. Co-ordinator Trust Enduring Mental Health

C.Psychol. Difficulties



L Glover, Senior Clinical Lecturer 0.7 Humber Mental 0.1 w.t.e. Hon. Con.

BSc, Dip. Psych. Academic Co-ordinator Health Teaching Psychologist

MSc PhD, C. Psychol Trust Primary Care



D Frizelle Clinical Lecturer 0.6 Hull & East York- 0.4 wt.e.

BSc shire NHS Trust Chronic illness

ClinPsyD management in

oncology



C Clarke Clinical Lecturer 0.4 Humber Mental 0.6 w.t.e.

BSc Health Teaching Older Adult

ClinPsyD Trust



C. Clark Hon. Clinical Lecturer 0.2 Selby and York 0.8 w.t.e.

BSc PCT Adult Psychol.

ClinPsyD Therapies Dept.



N Bedenko Clinical Lecturer 0.2 Humber Mental 0.8 w.t.e.

BSc ClinPsyD Health Teaching Trauma, Gynaecology

Trust Primary Care



Kerry Smith Clinical tutor 0.4 Selby and York 0.6 w.t.e

BSc, MSc Hon. Clinical Lecturer PCT Adult and CBT

supervision



Rod Webster Locum till March 0.4 Humber Mental 0.4 w.t.e. (Locum)

BSc., MSc 2006 Health Teaching Learning Disabilities



Vacancy Clinical Lecturer 0.6



Vacancy Clinical Lecturer 0.4



E Gardiner Statistician 0.3 N/A N/A

BSc PhD



B. Leak Course Administrator 1.0 N/A N/A



C. Gateley Course Secretary 1.0 N/A N/A

_______________________________________________________________________



Table 1: Staff Resources



10

Table 2 below summarises the honorary members of the Course Team







Title and Role NHS link Speciality

On Programme



M Hoghughi Hon. Clin Professor Children

BA PhD

C. Psychol

MSFUD FHCUD

FBPsS



P Oakes, Hon Clinical Lecturer Casltebeck Learning Disabilities

BA Dip Psych, Psy.D. in Learning Disabilities Care

C.Psychol



G Lowe Honorary Senior Fellow N.A. N.A.

BA PhD

CPsychol



JAC Empson Honorary Senior Fellow N.A. N.A.

BA PhD,

CPsychol



DC Kendrick Emeritus Reader in N.A. Older Adult

BA Dip. Psychol. Clinical Psychology

PhD, C.Psychol.,

FBPsS



_______________________________________________________________________________________

Table 2: List of honorary members of Course Staff







Dr Kendrick, Prof Hoghughi, Dr Lowe and Dr Empson are available to act as supervisors

and internal examiners for trainee research projects.









11

4.2 Details of administrative and secretarial support



The Course highly values the important contributions of the full-time Course

Administrator and Course Secretary. The Course Administrator (Ms Leak) is responsible

for the day-to-day running of the integrated training programme. In consultation with the

Director and the three co-ordinators, the Administrator co-ordinates the syllabus, the

production of examination papers and maintains relevant databases. She is available during

office hours for consultation in relation to any enquiries concerning the operation of the

Course. She co-ordinates the confidential Mentor support system for trainees, and is the

Departmental Equal Opportunities Representative, the Health and Safety Representative

and the Safety Officer. The Course Secretary (Ms Gateley) assists the Course

Administrator with all tasks as designated by the Administrator and the Course Director.





5. Physical Resources



5.1 Details of facilities available for teaching and private study including space for large

and small group teaching, audiovisual equipment, libraries



The Department of Clinical Psychology is located at the west side of the main University

site on Cottingham Road, on the ground and first floors of the Hertford Building, which is

part of the Hull-York Medical School. The self-contained suite includes 3 well-appointed,

dedicated clinical teaching laboratories, 2 additional seminar rooms, 19 offices, 3 kitchens

(one dedicated for trainee use), 4 toilets and several storerooms for equipment and

stationery. Two of the teaching labs are each capable of accommodating up to 50 people

and the third, up to 20. The Department has exclusive use of four LCD projectors with four

laptop computers for PowerPoint presentations, four overhead projectors, two large

integrated video playback televisions, two audiocassette recorders and a 35mm slide

projector. The Department possesses an extensive clinical test library and a small

collection of clinical psychology texts and journals, all for short-term loan to

postgraduates. There is easy access to the main University library, the Graduate Research

Institute (GRI), the Department of Psychology (Fenner Building and Applied Science 3),

the University bookshop and the Students Union.



In addition to study space made available in the Department, trainees have right of access

to the Graduate Research Institute which includes an extensive range of networked

workstations reserved exclusively for research postgraduates, study spaces and seminar

rooms. The GRI is accessible 24 hours a day, 365 days a year. University PCs and

workstations all have standard MS Office software and there are site licenses for SPSS and

other statistical software packages, which the Department makes available to trainees. The

Computer Centre provides a range of introductory computer software courses available

free of charge to all postgraduates. The Department has its own audio-visual equipment, as

described above. In addition, the Course has a number of laptop computers and remote

microphones (to assist with the recording of clinical interviews on placement) and these

are all available for medium-term loan by trainees. Data protection legislation and





12

requirements are discussed as part of professional issues and research ethics course

teaching.



Trainees have right of access to two local libraries (in addition to the main university

Brynor Jones Library): The Postgraduate Medical Library at Hull Royal Infirmary, three

miles from the main campus; and The Postgraduate Medical Library at Castle Hill

Hospital, five miles from the main campus. Trainees also have access to the NHS

sponsored online National Library for Health.



The University libraries have over 1,800 study spaces and some small group study rooms.

The libraries hold more than 900,000 items including books, periodicals, multimedia and

maps. All of this material is listed on a sophisticated computerised catalogue that is

available in two interfaces, Web and text. Trainees download searches from the catalogue,

check which items are on loan to them and renew and reserve items. It is also possible to

renew items once by telephone provided that they are not reserved by another reader. The

Brynmor Jones Library has a self-issue system so that books can be borrowed even when

the staffed Issue desk is closed.



The library is also a gateway to a global information network that includes many electronic

bibliographical databases covering all subject areas, a growing number of electronic

journals and newspapers, other library catalogues and the huge amount of information now

available on the university library website. The majority of these electronic resources are

accessible over the campus network via the Library Web pages or the Library Information

Network, and are accessible from off-campus networks.



To help obtain copies of material not held in the library there is a Document Supply

Service. There is also a free minibus service to the Reading Room of the British Library

Document Supply Centre (an invaluable additional resource some 50 miles from campus at

Boston Spa), where researchers can consult extensive holdings of monographs and

periodicals.



Library help sheets, fact sheets and guides to essential sources in all subject areas are

available on the Library Web pages. An extensive training programme aimed at helping to

maximise the use of information resources is available free of charge.



Trainees have access to electronic resources from within the university campus, from NHS

sites and from their own homes if they have internet access. The university provides access

to databases such as Psych Info and Medline as well as to electronic journals. As NHS

employees, trainees can also access similar NHS resources.





5.2 Facilities available to trainees when they are on clinical placements.



The placements meet the minimum standards that each trainee has access to a desk and a

telephone. Laptop computers are available from the university if no computer is available







13

on placement. Ejournals are accessible whilst on placement through the University or

NHS libraries – Please refer to the Course Handbook (P.105-106) for more details.





6. Organisation



6.1 Details of accountability of Course Director



The Course Director is accountable, in the first instance, to the Vice-Chancellor of the

University of Hull, via the Head of the Postgraduate Medical Institute. In practice, the

Director‟s line manager is the Head of the Postgraduate Medical Institute.

The Course Director is also accountable for the delivery of clinical psychology training to

the Clinical Board of Management of the Course, which includes representatives from the

Workforce Development Confederation (WDC), the local Trusts, the profession and the

University (see the next page for the constitution of the Board). As Consultant Clinical

Psychologist, the Director is accountable to the clinical services manager of the Trust in

which clinical sessions take place.





6.2 Constitution, Membership and terms of Reference of the Training Committee.



The Committees of the Course



Board of Heads BOARD OF MANAGEMENT Department

of Departments Staff

Committee







Board of Academic Clinical Doctoral Selection

Supervisors Syllabus Placements Research Committee

Committee Committee Committee









There are a number of boards and committees associated with the Course. The executive

body to which the Director and the Course staff are accountable is known as the Board of

Management. It includes NHS, University and trainee representatives and is chaired by an

NHS Psychologist. It meets four times per year. (See Appendix 6 for the Constitution of

Board of Management.) The Board of Supervisors includes all clinical placement

supervisors and normally meets once a year. There are three Committees that review and

monitor the core activity areas of the Course: the Academic Syllabus Committee, the

Clinical Placements Committee and the Doctoral Research Committee. Membership of

these committees includes the Course staff and trainee representatives. These three

committees normally meet once per semester. There is also a Selection Committee, which

reviews and monitors the selection process. (See Course Handbook PP259-261 for details

of Boards and Committee of the Course).





14

In addition to these Course committees, the Departmental Staff Committee generally meets

once a month and includes all staff of the Department of Clinical Psychology. Inevitably, some

discussion of Course matters also takes place at these meetings, although the remit of the Staff

Committee is broader than just the Course, and includes the role and activities of the

Department within the context of PGMI, HYMS and the University. A small core group

consisting of the Course Director, the three Course Co-ordinators and Course Administrator

meet weekly to discuss the day-to-day business of running the Course.



For minutes of previous meetings of Course Training Committee and key sub-committees,

please see appendices 13 to 18.





6.3 Funding of the Course and how the budget is managed



The Course is funded by the North & East Yorkshire & North Lincolnshire Workforce

Development Directorate using funds accumulating from the NMET levy. The Directorate

represents a group of five NHS Trusts (Harrogate PCT; Humber Mental Health NHS

Teaching Trust; Scarborough Whitby and Ryedale CT; Selby & York PCT) on whose

behalf it commissions the range of non-medical professional training from a number of

providers in the Yorkshire area. Currently the Trent WDC also purchases four places of the

2005 intake but these four places will be purchased by the North & East Yorkshire &

North Lincolnshire WDC from 2006.



There are two major funding stream contracts financing the Hull Course: one contract with

the University, which is calculated on a fee-per-student-per-year basis, and which covers

staff salaries, external teacher expenses, office and teaching space, learning support

facilities, equipment and stationery; and a second contract with the local Trust (Humber

Mental Health NHS Teaching Trust) which funds the trainees‟ salaries, travel expenses and

conference attendance expenses.



The Course Director controls both the University and NHS budgets associated with the

Course, the latter by virtue of an honorary contract with the Trust employing the trainees.

Thus, the Course Director is an authorised signatory for both NHS and University

expenditure associated with the Course. The Course Director negotiates University budgets

for equipment, office costs, external lecture fees, staff training, etc. with the PGMI Finance

Officer for each financial year. The degree of transparency and devolution of budgets has

been improving over recent years and in general the Course has been adequately resourced.

Budgetary control and influence has improved as a direct result of the move of the Course

into the PGMI and the creation of the Department in 1997.





7. The mechanism the Course has for reviewing itself



Most of the Course Committee, such as the Academic Syllabus Committee, Clinical

Placements Committee, Doctoral Research Committee, have a role in the monitoring and

improvement of the quality and content of the Course. Most of the Committees include

significant trainee and NHS representation. In particular, the Academic Syllabus



15

Committee, the Clinical Placements Committee and the Trainee Research Committee

review routinely all aspects of each of the three component strands of the Course, and the

trainee contribution to each of these committees is greatly valued.





Teaching Quality Assurance (TQA)

It is University policy that all courses should be subject to TQA procedures. Such

procedures are an integral part of the doctorate programme. The TQA mechanisms and

practices in all universities in the UK are audited and assessed by Government agencies.

This University has set up its own „Code of Practice,‟ which ensures that all course

teaching is reviewed regularly. Each year, the Post-graduate Medical Institute submits a

Quality Enhancement Report, which included the Clinical Psychology Course, to the

Quality Standard Committee. In addition, the Course is subject to a 5-year cycle Periodic

Review. All academic aspects of the 6-year course are reviewed (where feasible)

immediately on completion. The Academic Syllabus Co-ordinator has responsibility for

the design of TQA feedback questionnaires which trainees are asked to complete (see

appendix 7 for TQA. New TQA forms are being developed for the current 3rd & 4th year

teaching. Responses remain anonymous: completed forms are received in confidence by

the Course Administrator who collates numerical ratings and written comments in typed

form so that the origin of the feedback cannot be identified from handwriting style. The

Course staff hopes that these mechanisms will allow trainees to be candid in their

responses. All feedback is processed by the Academic Syllabus Co-ordinator and reported

to individual staff and external lecturers to whom the comment and ratings apply. The

course is modified where appropriate in the light of feedback.



The External Examiner's Report

At the end of each academic year, a Board of Examiners‟ meeting takes place at which

assessed work from all three postgraduate years of the Course is reviewed by the External

Examiners and the Course staff. Subsequently the Senior External Examiner will provide a

written report on the quality of work submitted and general standards of the Course. This

report is forwarded to the Vice-Chancellor of the University and is also included in reports

to the WDCs and the BPS (see below).



Course Annual Review

Once a year (generally around May), all major stakeholders (trainees, staff, honorary

lecturers, supervisors, purchasers, employers) are asked to comment on the strengths and

weaknesses of the Course, its performance over the previous year, and any proposals for

modification. In the past, this was done by means of an annual review meeting to which all

stakeholders were invited. This process was reviewed because of falling attendance at

meetings, and stakeholders were surveyed concerning their preferences for the format of

future annual reviews. As a result, annual reviews have taken the form of a written annual

report which is circulated amongst stakeholders, and which is then modified in the light of

comments received.









16

Annual Report to the WDC

The WDCs requires a written annual report on the activities of the Course, its output and

any changes that may have occurred. This report is produced in the autumn of each year

and sent to the WDCs in November.



Review by the Quality Assurance Agency (QAA)

All university departments in the UK are subject to 5-yearly review by the QAA to

evaluate and monitor the quality of teaching received by students. The QAA is an

independent national organisation, which is commissioned by the Higher Education

Funding Council and the Department of Health to monitor teaching quality. QAA last

assessed the Clinical Psychology Department alongside the Psychology Department in

March 1999. The Department was rated "excellent", scoring 23 out of a possible 24

points. The next review will be in Spring 2006 and will be conducted using the new QAA

review procedures for HEI courses for training NHS staff.



British Psychological Society (BPS) Accreditation

The Course is also subjected to the BPS Accreditation Process every five years.





8. Selection



8.1 Selection procedures

Unlike other Courses, admission to the postgraduate phase of the integrated Course is

restricted to graduates of the Psychology Departments of the Universities of Hull and

York.



Recruitment and selection policy is determined by the Selection Committee of the Course,

and subsequently ratified by the Board of Management. Both of these bodies include

substantial NHS service manager representation. The Selection Committee includes five

Trust representatives out of a total constitution of eight members. Selection criteria for

admission to the postgraduate phase of the Course are reviewed annually by the Selection

Committee and the Selection Panel members taking part. In 1995, an independent

occupational psychology consultancy was asked to evaluate the Course‟s selection

procedures and make appropriate recommendations, and these, along with BPS

recommendations for change, have been implemented over recent years.





The Course is publicised in four ways:



1. Through a brief description of the Course and admission procedures included in the

UCAS Handbook and associated information pack sent to all schools with sixth-form

colleges and continuing education colleges in the UK.



2. Through annual presentations given by clinical psychology staff to first and second

year undergraduates in the Departments of Psychology at the Universities of Hull and



17

York. These presentations are designed to inform students about the nature of clinical

psychology, the Course and process of admission, and to encourage students to apply.



3. Through a publicity pamphlet (see appendix 8 for Trainee Recruitment Publicity

Pamphlet) which describes the Course, entry requirements and application and

selection processes. Copies of this pamphlet are available for undergraduates from the

Psychology Department General Office and from the Clinical Psychology Department

Administrator. It is also posted on the Department Website for easy accessibility.



4. There is an entry and brief description of the Course in the Clearing House for Clinical

Psychology Courses Handbook. The entry makes it clear, however, that there is no

external, non-Hull/York graduate admission to the Course.



Potential applicants have access to trainees on the Course throughout their undergraduate

years. Undergraduates from the Psychology Department with an interest in clinical

psychology are encouraged to visit the Clinical Psychology Department and meet staff and

trainees. Postgraduate trainees are available for discussion with candidates during the

period of the interviews for the Course.

Candidates from Hull University wishing to be considered for the postgraduate training

course in Clinical Psychology are entered for selection after Part I Finals results have been

published (June of the Second Year). Candidates from York University are entered for

selection in June of the Third Year. Application forms are made available from the

Administrator in April. The precise date is posted on the relevant notice boards in both the

Departments of Psychology and Clinical Psychology, along with the final date for

application submission. (See Appendix 9 for Selection Committee Minutes).



Appendix 10 provides details for Trainee Selection Procedures and Person Specification,

which is used to guide panel members when rating candidates during their presentations

and interviews, and during the final decision-making process. All information from the

application forms, the candidates' referees' ratings, along with the panel ratings of

candidates' performance at interview and their presentations, are entered into a database

that computes subtotals, weighted totals and overall rankings. These numerical data are

used to guide (but not determine) the deliberations and final decisions of the selection

panel. Fourteen offers (conditional on the obtaining of a 2:1 degree at the point of

graduation) are then made. In the York selection, the first nine candidates will be offered

internships. However, only the first four are offered a place on the Hull Doctorate Course.

The rest form the reserve list and are informed that should there be unexpected attritions in

the selected York candidates, there will be backfilling in rank order from the reserve list. In

the Hull selection, ten candidates will be offered places on the Hull Doctorate Course and

at least two reserves candidates are selected. Reserve candidates are offered the clinical

modules only. It is made clear to them that they will only join the course if someone does

not make the grade or withdraws before the postgraduate phase.

Police record vetting and medical screening are carried out by the employing Trust.

As a result of discussions with the Occupational Health Department of the Trust, which

employs Hull Course trainees, we have jointly devised a system in which issues are

efficiently and thoroughly addressed whilst maintaining confidentiality through



18

occupational health screening and a carefully designed questionnaire, which is sent to

candidates‟ GPs. All these screening processes are completed for successful candidates

during the summer immediately prior to starting the postgraduate (and NHS employed)

phase of the Course in the following year.



Self-funded candidates are not accepted. Ten places are funded by the North & East

Yorkshire & North Lincolnshire Workforce Development Directorate four places are

funded by Trent region. With the exception in the timing of selection between Hull and

York candidates, all applicants are subject to the same selection process.



Debriefing, feedback and support are offered to successful and unsuccessful candidates on

a one-to-one basis. Unsuccessful candidates are given advice on how to improve their

performance on the various selection procedures and what subsequent steps to take to

make further application to other courses in the UK.





8.2. Pay and Specimens of Contracts and Honorary Contracts

The Humber Mental Health Teaching NHS Trust issues an employment contract for each

trainee. From September 2005, all trainees are placed on Band 6 as a result of the Agenda

for Change Exercise. Please see Appendix 11 for specimens of contracts and honorary

contracts for trainees.









19

9. Time allocation





The current structure consists of day-release teaching, teaching blocks and placements.

During the fourth year, trainees participate in an eight-week introduction block. This is

followed by academic teaching and teaching of clinical skills two days a week until the

summer. In subsequent years, trainees attend the University for block teaching (4 weeks in

the 5th year and two weeks in the 6th year) followed by two days a week until the summer.

The academic programme is arranged so as to allow for one session per week for private

study. This is generally Thursday afternoon. In addition, supervisors are encouraged to

provide trainees with regular time on placement to read round and prepare for clinical

casework and their Small Scale Research (Placement Based) Project. Most trainee research

activity occurs in the 2 days during outside semesters i.e., Christmas, Easter and the

summer after year-end exams in years 4 and 5, with some additional timetabled space from

January - June in year 6. The overall structure is shown in Table 3:









Fourth year Fifth year Sixth year TOTAL

Academic 67.5 57.5 31.5 156.5

days





Clinical 111 123 144 378

placement

days





Private study 28 28 23 79

days







Research days 24 24 34.5 82.5









Total 230.5 232.5 233









Table 3: Time Allocation throughout the three years of clinical training





20

10. Clinical Experience



10.1 Plan of clinical placements for trainees including the total amount of time spent in

placements and how this is divided among the specialities.



All trainees gain experience of work with clients across the age and ability range. A new

system of placement planning and allocation has been introduced this year (2005) but

trainees who are currently in year 5 and 6 are continuing to gain experience as previously.

The teaching block at the beginning of the fifth year (for the 2004 cohort) concentrates on

work with children and people with learning difficulties, and the subsequent 5th year

placements (2x5½ months) involve work with these client-groups. The current 6th year

(which will also apply to the current 5th year in 2006-2007), opt for specialised placements

which run from September-end March and from April-September or consist of a two

day/one day split over the course of the year. Trainees may be supervised by the same

person twice providing that the placement is different in content and goals.



The current 4th year‟s clinical experience is organised around individual training pathways,

which are fixed for the first two years of training. Fourth year placements are structured to

facilitate the development of competencies in 1:1 working and fifth year placements

provide the opportunity to experience multi-disciplinary and indirect methods of working.

Agreements have been reached with clinical psychology departments from different

geographical areas that relate to the Course to offer a specific number of two-year training

pathways, designed to cover the age and ability range. The number of pathways that can be

offered will be reviewed annually in April. In this manner, it is hoped to ensure that

Departments have a clear idea of the how many trainees they will be taking each year and

on which placements. The Course will have a clearer view of whether overall supervisory

capacity is changing to assist in discussions with the WDC about future training numbers.

The training pathways currently agreed with Departments are outlined below. Where

possible Trust providers have been encouraged to identify one „spare‟ pathway to allow for

flexibility in the event of staff turnover/sickness, but this has only been achieved in Hull to

date. Table 4 describes the training pathways.



All trainees are on placement Mondays, Tuesdays and Wednesdays throughout. During

University semesters, Thursdays and Fridays are reserved for clinical teaching, research

and personal study. During University vacations, Thursdays and Fridays are reserved for

personal study and research. Sixth year trainees are required to be on placement for five

days a week after they have handed in their thesis in mid July of Year 6, but may request

research time to be specifically allocated from these additional days to write papers

relating to their research.









21

Grimsby/Scunthorpe/Doncaster



Trainee A Trainee B

Year 4 Nov-March Adult -2days Older Adult-2 days

(Grimsby) OlderAdults -I day Adult -1 day



Year 4 April-September Older Adults-2 days Adult-2days

(Grimsby) Adult-1 day Older Adults-I day

Year 5 Oct-March Child (Scunthorpe) LD (Hesley Hall, nr Doncaster)



Year 5 April-September LD (Heslay Hall, nr Doncaster) Child (Scunthorpe)









Doncaster/Grimsby (for 2005 cohort only)



Year 4 Nov-March Adult-Grimsby

Year 4 April-September Child-Doncaster

Year 5 Oct-March Older Adult-Doncaster

Year 5 April-September LD-Grimsby or Doncaster







Scarborough



Year 4 Nov-March Child

Year 4 April-September Adult

Year 5 Oct-March Older Adult

Year 5 April-September LD









Table 4: Training Pathways Agreed from 2005









22

York/Harrogate

(placements marked H are in Harrogate, all others are in York. Adult placements focus predominantly on primary care referrals, with

some AMH work.)





Trainee A Trainee B Trainee C Trainee D

Year 4 Nov- Adult Older Adult Adult Child

March

Year 4 April- Child (H) Adult (H) Older Adult Adult

September

Year 5 Oct- Neuro- Child LD AMH

March psychology

Year 5 April- LD AMH AMH Older

September Adult (H)







Training Pathways available within Hull-Humber Mental Health Teaching NHS Trust.





TRAINEE2 TRAINEE3 TRAINEE4 TRAINEE5 TRAINEE6 TRAIN



YEAR 4 Two days Child (CWil) Child (NG) OA (CH) Primary Care Primary Care Prima

(NBe) (LC) (VR)

One day AMH (DH/DB) Primary Care Primary Care AMH Child Child

(DH/KA)



YEAR 5 Three days OA (CC) /Rehab Child (PR)/ Child (CWe)/ Rehab

(KG) Rehab (KG) PSYPHER LD (C

(PB)



Two days AMH (DP) AMH (DP)



One day LD (AH) LD (AH))









Table 4 (Cont’d): Training Pathways Agreed from 2005









23

10.2 Details of the way clinical experience of individual trainees is planned and

monitored.



Individual Placement Planning

A member of the University staff team (usually a member of the clinical tutor team) is

assigned to the trainee and their placement. If the placement involves a fourth year trainee,

or the placement has not been used regularly by the Course hitherto, or the trainee has

special needs an Initial Placement Review Meeting is arranged at a time mutually

convenient for the supervisor, trainee and the clinical tutor, generally in the first two weeks

of the placement. This meeting takes place at the placement base.



The purposes of this meeting include:



a) review of the trainee's previous clinical placements and experience (for all trainees),

based on previous ratings of progress towards achieving specific learning outcomes, if it is

a second or subsequent placement (for 2005 cohort onwards).

b) review of the learning outcomes, which the trainee is expected to be working towards

achieving on placement and recording of the experiences that will be available on

placement to help them achieve these goals.

c) setting of individualised placement goals with specific reference to the trainee's needs

and interests and the Logbook, which records their experiences to date.

d) checking on fundamental aspects of the placement such as office accommodation,

secretarial support etc.

e) setting the dates of the Mid-Placement Review and Final Placement Review

f) completion of the relevant sections of the Placement Planning and Assessment Pack –

PPAP, a copy of which is kept in the trainees file, and which is used in considering a)-d)

above. (Please see Appendix 12 for Placement Planning and Assessment Pack.) For current

5th and 6th years the Placement Agreement is the documentation used.



Trainees with special needs will have met with the Clinical Practice Co-ordinator at the

beginning of the Course (or as soon as the needs are identified) in order to draw up a list of

reasonable adjustments that require to be implemented on placement. These trainees,

together with the Clinical Practice Coordinator, will be encouraged to visit placements well

in advance of starting to work there to ensure that the placement can accommodate their

requirements. The statement of reasonable adjustments required will be attached to their

PPAP to ensure that supervisors have a written statement of need that can be referred to.



In those cases where a formal initial placement meeting involving the clinical tutor does

not take place (because the placement has been used habitually by the Course and concerns

a 5th or 6th year trainee), the trainee and supervisor are required to complete the PPAP. This

includes careful consideration of the trainee's previous placement experiences, the level of

competencies acquired under specific learning outcome headings and gaps in the logbook,

culminating in the specification of individual goals and particular experiences and skills

acquisition associated with the placement. The trainee is required to send a completed copy

of the relevant sections of this form to their Clinical Tutor within two weeks of placement

commencement. (The Placement Agreement is completed for current 5th and 6th years)



24

Placement Monitoring



Mid-Placement Review (MPR) meetings are arranged at a mutually convenient time for

all parties (the trainee, the supervisor/s and clinical tutor) half-way through five and a half

or six month placements, and after 4 and 8 months into year long placements. Primary

supervisors must be present at these meetings, but it is anticipated that secondary

supervisors will report through the primary supervisor. In general, the following agenda is

followed:



a) The clinical tutor meets with the trainee on their own to discuss the progress made and

any concerns about the placement and supervision received.

b) The clinical tutor meets with the supervisor/s on their own to discuss any concerns

about the trainee's performance and progress.



All parties then meet together in order to:



c) review the progress towards the goals set at the Initial Placement Review (documented

in the Placement Planning and Assessment Pack). The ratings of progress towards

specific learning outcomes and other goals is done in supervision meeting/s prior to the

review, with the ratings reflecting the consensus view of supervisors involved in the

placement and the trainee. Ratings are given as part of the formative feedback received

by the trainee at the MPR and used to indicate areas where additional focussed work is

required by the trainee over the remainder of the placement. (This is done for all

trainees, but less formally than as described below for current 5th and 6th years)

d) discuss any placement process or practical issues the trainee has requested are raised.

(For all trainees)

e) clarify whether specific goals need to be met by the trainee over the remainder of the

placement in order to ensure that the placement passed. If such goals require to be met

these will subsequently be confirmed in writing to the trainee and supervisor/s by the

clinical tutor. (For all trainees)

f) confirm the date of the Final Placement Review. (For all trainees)





Final Placement Review Procedures differ radically between the 2005 cohort, who are

being assessed under the new evaluation procedures, and the current 5th and 6th years who

are being assessed under the previous evaluation scheme. Both sets of procedures are given

below.



Current 5th and 6th years. The Final Placement Review meeting should take place at

some point during the last two weeks of the placement. It is attended by the clinical tutor,

course director or clinical practice coordinator, the supervisor and the trainee. It involves a

panel assessment of samples of the trainee's work on placement and the trainee must make

sure the required samples are available for this meeting. (Please refer to Appendix 13 for

the Evaluation of Trainee Placement Performance). In addition, the supervisor provides

the trainee with written comments concerning the trainee's placement performance and also



25

completes the End of Placement Continuation Sheet (See Appendix 14) in consultation

with the trainee. The latter form is a list of the trainee's strengths and weaknesses, and

areas of inexperience, to be used in planning subsequent placements. The trainee retains a

copy of the continuation sheet, to hand on to the subsequent supervisor. Prior to the final

placement review meeting, the trainee completes the Trainee's Evaluation of Clinical

Placement/Supervision Rating Form (See Appendix 15 for a copy) and hands this to the

clinical tutor at the meeting. The trainee should have shown this completed form to the

supervisor prior to the meeting.



Throughout the duration of the placement, the trainee documents clinical experiences

obtained in the Logbook (See Appendix 16). The trainee should also keep a record of all the

clients (s)he has seen, including a brief summary of demographic details, type of problem

and treatment techniques employed. The trainee logbook is reviewed at all placement

meetings.





Current 4th and subsequent years. The Final Placement Review meeting should take

place at some point during the last two weeks of the placement and involves all the

participants present at the MPR. It involves discussion of the progress that has been made

on placement in achieving the learning outcomes specified at the beginning of the

placement (as indicated by the final ratings made for each learning outcome) and

discussion of the trainee‟s ratings of the extent to which the placement and supervisor/s

have facilitated the achievement of those goals. (See the PPAP for the documentation

used). The Final Placement Review provides formative feedback to the trainee, but also

provides the supervisor/s with the opportunity to exercise their gate keeping function by

failing trainees whom they believe have met the relevant criteria described in the Clinical

Section of the Course Handbook (PP.33 -34). In order to ensure that there is a level

playing field for trainees on a 5½/6 month placement and those on a year long split

placement, any risk of failure identified at the first MPR for trainees on year long

placements will lead to a notional „Final‟ Placement Review meeting being held at the end

of March (or two months after the MPR for fourth years). At this point, the trainee may be

judged to have failed the placement if remedial action has not been effective.



Throughout the duration of the placement, the trainee documents clinical experiences

obtained in the Logbook. This contains a record of all the clients (s)he has seen, including a

brief summary of demographic details, type of problem and mode of intervention and

model employed. The logbook is designed to ensure that the trainee and clinical tutor can

monitor the extent to which minimum required experiences are being met on placement.

The trainee logbook is reviewed at all placement meetings.



In April of each year Trainees receive a formal Course evaluation of their developing

clinical skills, which in Year 4 focuses on 1:1 working, in Year 5 on multi-disciplinary

working and which takes the form of a clinical viva for 6th years.









26

10.3 Examples of the placement plans and goals for trainees showing how clinical skills

and experience are developed over the Course, including a full range of placements.



Please refer to Appendix 17 for examples of the Placement Agreements, Continuation

sheets and the Placement matrix used with 5th and 6th years. Please refer to Appendix 18

for a Supervisors List; Appendix 19 for Placement Matrices and Training Pathways for

current 4th year.





10.4 Details of how allocation to placements is carried out.



Prior to coming on the Course

Candidates for clinical training are informed at selection that they need to be prepared to

travel to placements outside the Hull and East Yorkshire area. Whilst every effort will be

made to arrange local placements for trainees with carer responsibilities, candidates are

made aware that this cannot be guaranteed. Expenses are paid to trainees requiring

overnight stays in the area of their placement. Factors that are taken into account when

determining allocation of a training pathway at the beginning of the fourth year include



a) special needs relating to trainee disabilities

b) carer responsibilities

c) whether the trainee has previously been a graduate mental health

worker/ assistant in which case they will normally be allocated to a different

department than the one in which they have previously worked

d) trainee preference for a particular set of clinical experiences

e) trainee preference for a particular geographical area.



Trainees who feel that they have special needs relating to the allocation of a training

pathway are strongly encouraged to make contact with the Clinical Practice Co-ordinator

prior to the beginning of the Course.





Fourth Years

Information about the training pathways available and allocation criteria are provided as

part of the induction process on the first day of the Course. Trainees are asked to rank

order their preferences for particular pathways after this meeting and to bring this

information to a subsequent meeting with the Clinical Practice Co-ordinator within two

weeks of the initial information session. At this session, pathways will be provisionally

allocated based on trainee rankings, taking into account the factors outlined above.

Trainees with issues they do not wish to discuss in detail in this forum should see the

Clinical Practice Co-ordinator prior to the meeting. When more than one trainee wants a

particular pathway and no allocation criteria are relevant, the decision will be reached by

the Clinical Practice Co-ordinator following discussion within the group. Trainees are

informed in writing of their allocated training pathway within a week of this meeting. Each

trainee will have a nominated clinical tutor whom they should contact in the first instance

with any queries or concerns about the placement once allocated.



27

In April of each year there is a meeting between the Clinical Practice Coordinator or

representative and supervisors in each geographical grouping to confirm placements for the

second year of training pathways and to establish whether there will be any change in the

number of pathways available for new trainees. Any changes that affect current trainees

will be notified to them in writing following these meetings. When placement providers

cannot deliver any aspect of a specific pathway because of resource issues, equivalent or

equally relevant experiences will be provided within the same geographical grouping. In

exceptional circumstances when this is not possible the Course will support providers in

identifying alternatives in other geographical areas.



Fifth Years

In April, following the meetings with placement providers, trainees are circulated with

information about the final year placements (See Appendix 20) available and are asked to

indicate in writing their placement preferences for Year 6 These are discussed at a

meeting between the year group and the Clinical Practice Co-ordinator in May. Conflicting

preferences will be identified and decisions taken about allocation based on the following

criteria.



a) special needs relating to trainee disability

b) log book gaps that require to be filled/other identified training needs

c) carer responsibilities

d) experience in different department/s to the ones in which they have

previously worked

e) trainee preference for a particular set of clinical experiences

f) trainee preference for a particular geographical area.



Trainees should bring their logbooks to these meetings. They are informed about the final

allocation in writing by the end of June.



Review process

Feedback on the process each year and the need for review is established through a variety

of mechanisms:

1. Individual feedback from trainees to the Clinical Practice Co-ordinator.

2. Trainee representation on the Board of Supervisors where the placement allocation

process is a standing agenda item.

3. Confidential trainee feedback gained via the TQA (See Appendix 21).



A formal review is held at the first Placement Committee of each academic year, where

feedback from all the above sources is discussed. There is trainee representation on the

Placement Committee.



See Appendix 22 for Clinical Placements Committee Minutes and Board of Supervisors

Minutes.









28

Guidelines concerning the specification of the minimum required experience are

incorporated into the Logbook. This specification is reviewed annually, at the Board of

Supervisors meeting.





11.0 Clinical Supervision



Details of procedures for selecting supervisors and placements for the Course.



The Hull and Leeds Courses collaboratively arrange and run a course of four introductory

supervisor workshops each year for supervisors new to the area and clinical psychologists

approaching two years post-qualification (See Appendix 23). All new supervisors are

expected to have attended these workshops. Newly qualified psychologists in the local

Trusts are personally invited to attend Supervisor Workshops. Advanced workshops are

also organised regularly. Appendix 24 provides a detailed listing of Advanced Supervisor

workshops, local and Regional PQT events.



Only clinical psychologists are used as primary supervisors (with one exception, the lead

clinician of the Early Intervention in Psychosis service-PSYPHER, where the secondary

supervisor is a qualified psychologist). Although the majority of secondary supervisors

continue to be clinical psychologists, other disciplines are making an increasing

contribution to secondary supervision, particularly in relation to the provision of

specialised psychotherapy and family therapy experience.



New training pathways, which are established for 4th and 5th years, are only done so once

appropriate supervisors have been identified at the joint meeting in April with the Trusts

and other services in particular geographical areas. Any new pathways are designed in

order to maximise experience for trainees across the age and ability range.



New potential supervisors for 6th year placements are requested to submit a placement

description to the Clinical Practice Co-ordinator. These are reviewed at the April meeting

to ensure that each area is providing sufficient 6th year placements to cover the number of

training pathways available, although these placements will in general be filled by trainees

who have not previously worked in that area.



The Course enjoys a close, collaborative relationship with local experienced supervisors.

Our Department runs its own programme of workshops and events for the benefit of local

supervisors, in addition to the Regional PQT programme.



The Course makes use of the BPS Guidelines on Supervision, copies of which are included

in the Course Handbook and which are discussed with, and provided to, new supervisors as

part of their training. The Course Handbook contains all the information required to

supervise a Hull trainee, including advice about the organisation and content of the

placement, placement monitoring and trainee evaluation.









29

It is made clear to all supervisors at placement visits that they are required to provide at

least one hour of formal supervision and a further three hours of informal contact per week.



11.1 Details of number and frequency of visits by Clinical Tutor or others to trainees on

placements and mechanism for review



Year 4 (10-month placement): Initial Placement Review, two Mid-Placement Reviews,

End-of-Placement review.

Year 4 (1 x 4½ and 1 x 5½-month placements): Initial Placement review, Mid-Placement

Review, End-of-Placement Review (for each placement)



Year 5 (10-month placement): Initial Placement review if a new placement, two Mid-

Placement Reviews, End-of-Placement review.

Year 5 (2 x 5½-month placements): Initial Placement review if a new placement, Mid-

Placement Review, End-of-Placement Review (for each placement)



Year 6(10-month placement): Initial Placement review if a new placement, two Mid-

Placement Reviews, End-of-Placement review.

Year 6 (2 x 6-month placements): Initial Placement review if a new placement, Mid-

Placement Review (End-of -Placement Review is not mandatory but may occur at the

request of either party) (for each placement)



Where the 10-month placement is split between two supervisors (2 days/1 day) both

supervisors are expected to attend the review meetings. For a small number of 6th year

placements where geographical distance presents a barrier to joint meetings, mid

placement review meetings are held for each placement component.



Trainees complete the Trainee Evaluation of the Clinical Placement and Supervision form

(PPAP Section 4) at the end of each placement. Members of the clinical tutor team also

receive verbal feedback from trainees at the mid-placement review. Trainees also

contribute to review of placements through their representation on the placement

committee.





12. Formal Teaching





12.1 An Introduction to the Academic Component of the Course

The academic component of the course (teaching sessions) has been revised to support a

progressive learning model on the Hull Clinical Psychology training course and to prepare

trainees for their training placement pathways. The course bundle structure provides an

organising framework for academic course input across the integrated undergraduate and

postgraduate elements of the Hull Clinical Psychology Training Course. In addition, the

bundles reflect the philosophy of the course and highlight areas of development that were

drawn from extensive consultation with course stakeholders







30

Teaching on the revised programme has been re-organised into workshops which provide

generic/‟core‟ information on a topic area, together with applications of this information to

clinical populations across the lifespan and intellectual functioning range, and in a variety

of different clinical settings





Strong links between theory and practice are encouraged in a number of ways:



 Much teaching is provided by Clinical psychologists who work locally within the

NHS and their contribution is greatly valued and encouraged, with increasing

consultation and lecturer involvement regarding content

 Workshops co-ordinators are encouraged to include case material and examples in

their sessions and trainee feedback has confirmed the value of this to their learning

 Improved communication regarding teaching input will enable supervisors to gain a

clearer overview of teaching areas that have been covered by trainees

 Forums are provided for trainees to share aspects of their clinical work and reflect

on its links to theory and to learn from each other in this process



The course strives to deliver the academic component of the course through a variety of

teaching strategies that reflect the adult learners who are undertaking it and their

developmental progression across the 4 years of the course. These include:



 A strong emphasis on trainee participation and skill development

 Explicit teaching and reflection to aid “Learning about learning” in order to equip

trainees with the skills and commitment to undertake continuous professional

development throughout their careers

 Enabling trainees to provide feedback to influence the teaching they receive and to

select future teaching areas appropriate to their needs

 The introduction of small scale „problem based learning‟ tasks

 Ensuring that assessment methods are relevant and related to competencies

 Working with trainees to identify their own learning strengths and needs and to use

development plans to enhance their progress



The useful role of trainees learning from each other is actively encouraged (including

across the three postgraduate years), together with the development of communication and

presentation skills.



The course is committed to providing quality teaching and values trainee feedback and

peer observation in ensuring this is maintained and improved.





12.2 Overarching Learning Objectives

 To contribute to the overall aim of the course to foster the development of

competent, reflective scientist-practitioners who are able to work effectively as

clinical psychologists within the NHS





31

 To provide trainees with a comprehensive knowledge base that is applicable to all

areas of clinical practice (populations and settings), prepares them for clinical

placements and encourages the integration of theory and practice

 To enable trainees to develop their competence in applying knowledge to unique

clients and situations through reflection and creativity and the application of the

core skills in assessing, formulating, intervening and evaluating

 To foster trainees awareness of “learning about learning” and the development of

lifelong learning strategies to enable trainees to take active responsibility for their

continuous professional development

 To enable trainees to develop their own skills in communication, presenting and

teaching and to apply these in a range of settings

 To enable and encourage trainees to give constructive feedback on teaching quality

and their learning experience



12.3 Curriculum Bundles

Following the recent changes to the British Psychological Society (BPS) Committee for

Training in Clinical Psychology accreditation criteria, the academic teaching programme

has been revised. Courses are now accredited on the basis of trainees being able to

demonstrate their competence in a variety of areas listed by the BPS. This means that the

teaching we provide on the course has to be focused on helping trainees to develop

competencies and needs to relate to the competencies they are working to develop in their

clinical placements. We have restructured the course to reflect competencies and instead

of organising teaching on the basis of clinical areas (e.g. child, learning disability) we have

broadly based our structure on competency areas. The teaching is organised within seven

bundles. A bundle acts as an organising structure for course input for trainees. Each one

broadly links to areas of core competence and collectively they reflect and emphasise the

philosophy of the course. Within the bundles “core” workshops are organised to provide

teaching in relevant areas, each of which will explore adaptations to clinical populations

and settings.

Each bundle has an explicit developmental dimension and runs across the integrated 4

years of the clinical psychology course (one undergraduate and three postgraduate years).

Within this, the scheduling of workshop topics is in line with the progressive learning

model of the Hull postgraduate course, which focuses on the development of 1-1 working

skills in year 4 and team working skills in year 5 across the full range of clinical

populations and settings. The 6th year provides an opportunity to develop expertise further

and to ensure that all necessary clinical experiences have been gained. The bundles are:



 Therapeutic relationships and self awareness

 Clinical Skills

 Practice Based Knowledge and its Application

 Ethical Practice, Values and Professional Issues

 Disciplined Enquiry

 NHS Context and Professional Relationships

 Integration Through Reflection







32

12.4 Relationship Between Bundles and Placement Themes

The aims of each bundle reflect the competency based learning outcomes specified by the

CTCP. Assessment of clinical competence (the OUTCOME or END POINT of the course

in terms of trainee‟s demonstrated competence) is structured according to placement

THEMES, which also have an implicit developmental progression. Specified learning

outcomes (competence) at one level (which reflects the ability of the individual to integrate

theory and skills into competent functioning as a clinician) must be achieved and

demonstrated before progression to the next stage. These themes also closely mirror the

CTCP specified core competencies. Fig 1 below depicts the relationship between bundles

and themes.





Bundles Themes

(organisational structure (placement learning outcomes)

for teaching input)





Integration through reflection General and Transferable Skills



Clinical Skills Psychological Assessment

Psychological Formulation

Psychological Intervention

Practice Based Knowledge Communication, Teaching, Training



Disciplined Enquiry Research and Evaluation



Ethical Practice, Values and

Professional issues

Services and Organisations

Therapeutic Relationships and

Self Awareness

Personal and Professional Skills

NHS context and Professional

Relationships





Fig 1 Mapping the relationship between bundles and themes:





NB. Although both bundles and themes include an explicit area relating to reflection/transferable skills, it is

expected that this aspect in practice goes across all areas.



12.4 Academic Syllabus for the Course.

The Academic Syllabus has recently been substantially revised to bring it into line with

BPS competency based accreditation criteria and with the progressive learning model

adopted by the Hull course. There are therefore two academic syllabi running in parallel at

the moment. The 5th and 6th years are completing their training with the “old” syllabus



33

while the 3rd and 4th years are being taught from the new syllabus. For the sake of clarity

information about the syllabus will be given about the current 3rd and 4th years first and

then about the current 5th and 6th years.







Current 3rd & 4th years



Please refer to the “Academic Elements of the Programme” section of the Course

handbook, PP 39 - 49. The following documents are of particular relevance to each of the

sections



Please see the Course Handbook Course Purpose and Philosophy (PP14-15) Main

Principles of Academic Component (PP39-40);







12.5 Distribution Of Days Across Core & Specialist Teaching Areas across three years



In line with competency-based training, the new course bundle structure aims to provide

generic or core information, which can be applied across the ability range and the lifespan.

In some sense therefore the majority of teaching in the 4th and 5th years is core teaching.

The 6th year programme will provide specialist teaching which will cover specialist

therapies, complex case working and consultation. Transcultural issues will be addressed

across the teaching syllabus. Substance misuse is introduced in the 4th year programme.

Teaching skills and techniques form an integral part of the Thursday case and research

presentations. 5th Year trainees will be consulted about their 6th Year teaching programme.





Bundle No Of Days



Therapeutic Relationships & Self Awareness 3.5

Clinical Skills 18.0

Practice Based Knowledge & Applications 19.5

Ethical Practice, Values & Professional Issues 1.5

Disciplined Enquiry 2.0

Integration through Reflection 2.0*

Spare Teaching Days 3.0

Study Leave 10.0



*While there are only 2 days of teaching scheduled in the main timetable, a significant

amount of teaching within this bundle happens in the Thursday Case and Research

Conferences. See Research Section of Course Handbook (Components PP56-57). Please

see Appendix 26 for the Academic Timetable.



See appendix 27 for a list of clinical skills workshop for current 4th year.



34

See Appendix 28 for description of the course contents.



A key reference list is the old academic handbook for the current 5th and 6th year. For

current 4th year, please see the key references under each workshop (Course Handbook PP

135 – 172).





Current 5th & 6th years



Please refer to Appendix 25 pp 1-2 for Teaching Aims and Objectives and Achievement of

Aims and Objectives; pp 2-3 for Summary of Core Areas.; pp 4-32 for the course content,

a full list of lectures and key reference lists for the 5th & 6th years.





The core knowledge and skills taught during the Adult Mental Health block, in particular,

are generalisable to the other core and specialist areas;

 Core skills form an integral part of most of the postgraduate teaching;

 The Child/Adolescent & Family Mental Health block teaching includes teaching about

young people with and without learning difficulties and hence covers, in part, this

aspect of the learning disabilities teaching;

 Transcultural issues are considered essential to all core and specialist areas;

 Teaching skills and techniques form an integral part of the Thursday case and research

presentations;

 Trainees can request more Personal & Professional Development input than timetabled

particularly during Year 6; and

 5th Year trainees are consulted about their 6th Year teaching programme.

 Substance misuse is taught in the current 6th year.



See appendix 27 for a list of clinical skills workshop for current 5th & 6th years.





12.6 Additional courses, workshops or conferences attended routinely by trainees.



Trainees have an annual budget of £250 primarily intended to fund attendance at local,

regional and national training events relevant to clinical training. Trainees are regularly

circulated with information about such events, and usually they have free access to the

Yorkshire PQT programme. Most trainees will attend at least one external training event

per year. There are annual older adult workshops involving eminent external speakers. In

addition, an annual recruitment fair is jointly organised by the Hull and Leeds Courses to

which all final year trainees are invited.



12.7 Arrangements for reviewing and developing the syllabus, including methods for

obtaining feedback from trainees.









35

The principal forum for regular review and development of the syllabus is the Academic

Syllabus Committee. It meets four times a year and consists of the Academic Syllabus Co-

ordinator (Chair), the Course Director, the Administrator, the Module

Managers/Workshop organisers, one Trainee Representative and co-opted members as

required. It is the responsibility of the committee to advise the Board of Management on

all matters concerning syllabus change and development. In addition, the Academic

Syllabus Co-ordinator arranges meetings and informal discussions with trainees to obtain

feedback and preferences regarding teaching. (See Appendix 29 for Academic Syllabus

Committee Minutes)



In order to undertake the curriculum review, a sub-committee of the Academic Syllabus

Committee was convened. This sub-committee undertook a comprehensive review, which

included seeking views from those who teach on the course, trainees and recently qualified

Hull Clin.Psy.D. graduates. The sub-committee then made recommendations to the

Academic Syllabus Committee and the Department Staff Committee. Following further

refinement, the new syllabus was put to the Board of Management and approved.



TQA procedures, as described above, are an integral part of the doctorate programme. All

feedback is processed by the Academic Syllabus Co-ordinator and considered in the light

of the trainee feedback. Where there is consensual criticism, steps are taken to remedy the

difficulty. In addition to the trainees TQA, feedbacks from the workshop organisers are

also sought.







13. Research



13.1 Introduction, Aims and Objectives of the Research Programme



The research programme is organised by a staff research group led by the Research

Coordinator. It operates in the context of a Departmental Research Strategy, which is

strongly focussed on ongoing research by academic staff who act as supervisors for the

large-scale trainee research project. It aims to equip and motivate trainees with a broad

range of knowledge and skills, thus enabling them to become effective and productive

scientist-practitioners of evidence-based research methods in typical areas of clinical

psychology. It also provides the skills required to enhance areas of research-methods

competence in future clinical psychological careers, as part of continuing professional

development. The primary focus of the programme has been on the large scale Doctoral

Research Project, although the Small Scale Research Project -SSRP (used to be know as

Placement Based Project) is also included (see Course Handbook P 87). The Small Scale

Research Project is set in the NHS with placement supervisors suggesting topics [and

providing supervision] that are of interest the to the placement and supervisors interest in

service provision. Teaching and qualitative or statistical analysis support to conduct the

SSRP, is available to the Trainee from the Department. From 2005/6 the SSRP has been

integrated developmentally into the research programme in terms of both teaching and

practice. It will be evaluated at the end of Year 4 prior to trainees embarking on their large



36

scale research project. From 2005/6 improved integration of clinical and research

components of training is reflected in an evaluated critical literature review of a clinical

condition (i.e. a case on placement) in Year 4



The Research Programme has the following objectives:



1. To ensure that trainee research is relevant to the profession of Clinical Psychology,

the NHS and other care systems that support patients and families who are served

by clinical psychologists.

2. To assist trainees to develop critical skills which enhance new knowledge or that

apply knowledge in new ways to clinical settings.

3. To assist trainees in developing knowledge on research ethics and also current NHS

procedures for ethical scrutiny and research governance.

4. To develop skills necessary for project management from design to completion of a

clinically relevant research project

5. To develop verbal and written communication skills to disseminate new research –

driven concepts and procedures. In accordance with evidence – based practice these

should have the potential to re-shape clinical practice and the quality of

psychological services to patients and families

6. To develop research active clinical practitioners who can disseminate their research

findings in peer review and practitioner journals.



The research programme is organised developmentally, extending over years four to six of

the 6-year training course in clinical psychology. It takes into account the timing of the

programme outcomes (see section on trainee evaluation) and builds on the research

methods and statistics courses undertaken in the three year BSc degree in psychology. It

provides some formal teaching that adopts wherever possible the principles of problem

based learning. The teaching methods used are primarily interactive, to encourage

collaboration, participation, critical analysis and review. This more interactive form of

module delivery is implemented as follows: research presentations involving a structured

programme of peer and staff collaboration and the presentation of a progress report at two

key points during the research training (in years 5 and 6) – see Course Handbook PP 56-

57; Research Groups [ see Course Handbook P 57] involving individualised trainee needs

– led sessions such as focused thematic research groups that can include development of

concepts in the fifth year and research-methods and statistics clinics in the sixth year (see

Course Handbook P 57). These „research groups‟ are specific to the issues that need to be

considered in order to complete an individual trainee‟s doctoral research and can be

attended by trainees academic staff and field clinicians. This method of learning through

facilitated staff and peer research presentations and research groups, provide individualised

developmental support across year groups and a structure for collaboration and peer

support. In Years 5 and 6, a minimum of once monthly individual research supervision is

also provided by a named academic supervisor within a written research contract (see

Course Handbook PP 361-370). The latter is monitored by the academic staff research

group led by the Research Co-ordinator and is formally reviewed three times a year (see

Course Handbook PP 359-360). The Research Co-ordinator provides advice and support

to individual supervisors and their trainees should this proactive monitoring scheme



37

highlight potential problems for the successful completion of a doctoral standard research

thesis. Trainees also have direct access to a medical statistician who is available each week

within the Department for individual appointments with trainees and their academic

supervisor, throughout the 3 years of the Doctoral programme. One member of the

academic staff team has particular expertise in qualitative analysis and is available for

consultation by appointment.



The advantages of “learning by doing” are capitalized on throughout training since these

are a means of helping ensure acquisitions of skills, as well as providing an example of

how the key skills of critical thinking about and evaluation of decisions concerning

research need to permeate all stages of the research process. These help to ensure good

quality, timely, and effective communication of research progress reports.



Underlying the entire research process, both for qualitative and quantitative approaches, is

a common structure. Making clear this structure and carrying out the research activities in

sequence, as specified by this structure, will help ensure that research is planned well and

adequately, documented accurately and at an appropriate level of detail, and completed

within the time constraints, allowing sufficient time for reflection and appraisal of research

reports that are required. The Research Section of the Course Handbook outlines the

developmental structure used within the academic programme (PP 56-63; 211-213),

research supervision (PP 60-63), evaluation of research tasks i.e. Critical literature, the

Small Scale Research Project, a Journal article and the Thesis (PP 339 – 360) and

supervision monitoring (PP 359- 360). This structure applies equally to the completion

and submission of research reports for publication in peer-reviewed journals. One specific

aim of the course is for trainees to submit at least one research-based paper for publication

carried out on the course (see Course Handbook P 59). Trainees are also expected to

disseminate their research to the NHS at a Research Conference (Course Handbook PP 59)

that is arranged by the Department at the end of the sixth year, prior to the viva voce

examination. At this conference trainees also deliver a poster presentation (see Course

Handbook PP 220 for poster template) which has been used in recent years by some

trainees for dissemination at national and international conferences.



Within this structure, important decisions have to be made about the choice of a trainee‟s

research topic (see section 13.4 below), the form and the means by which it is planned,

carried out and disseminated. The Research Co-ordinator therefore oversees the teaching,

supervision and monitoring of all trainee large scale research and is available to the

academic research teaching and supervisory staff for advice on matters arising from trainee

research activity.



13. 2 .List of formal courses

These cover critical appraisal, research design, methodology, analysis, ethics, and research

practice in the NHS including research governance (see Course Handbook PP 225 -231 for

details). The following specific content is covered to enable trainees to make critical and

informed decisions about research read and appraised, research carried out, and research

used to make recommendations to others:





38

1. The identification, description, and critical appraisal of published research, leading to

the specification of an appropriate research question in terms of a research aim.

2. The relative strengths and weaknesses of qualitative and quantitative approaches to

research, and their inter-dependence.

3. The roles and uses of single-case studies as opposed to group designs; small N designs;

their strengths and weaknesses; and the use of single-case studies in informing case

reports and performance appraisal as well as work more typically described as

“research”.

4. Devising a specific research plan or design, which, if followed, enables one to answer

an already-identified research question. The following material will be covered:

a) The specification and allocation of participants to groups or conditions that enables

comparisons to be made, thus informing answers to the research question;

b) Principles of sampling, to enable representative samples to be drawn that match

the degree of generalizability required by the research question;

c) Sampling and Power Analysis;

d) Principles of ethical research and one‟s commitments to all stakeholders in the

research, including the participants;

e) The choice of observations that one needs to make in order to answer the research

question; the bases of these choices, including issues of reliability, validity, and

bias; different kinds of psychometric characteristics that scales and questionnaires

can have, and the strengths and weaknesses of them in their use for different

research questions;

f) Grounded Theory, Interpretative Phenomenological Analysis and other qualitative

techniques.

g) How different research questions and designs inform the choice of statistical

analyses one needs to perform in order to provide statistical answers to the

research question.

h) The requirement of interpreting the statistical answers provided by analyses in

terms of the clinical research questions and issues that motivated the research.

i) All trainees are expected to have covered basic statistics in their undergraduate

course. In Hull, students use an interactive scheme MERLIN that informs

manipulation of SPSS as well as accessing use of basic analyses such as

parametric and non-parametric correlation tests, tests of reliability, ANOVA and

simple regression. In year 4 they are given a knowledge quiz and gaps in basic

knowledge are extracted to develop the teaching programme to meet both group

and individual requirements of the year group. Formal teaching aims to ensure that

trainees know the parameters of test selection rather than the detail of particular

tests. Specific statistical matters that require working knowledge by the trainee

include in following:



 Descriptive versus inferential statistics; typical scores (means, medians and

modes); measures of variability (variance, standard deviation, interquartile

range); measures of relationship and correlation (Pearson‟s r, Kendall‟s tau,

Spearman‟s r); and measures of association, agreement, and consistency (e.g.

phi, Cramer‟s C, Cohen‟s kappa, Cronbach‟s alpha), Null Hypothesis tests and

their logic; and Confidence Intervals.



39

 Parametric versus Nonparametric Statistical tests (ANOVA, t-tests, Regression,

Chi-Squared tests, tests based on ranks)

 Univariate versus multivariate analyses (Simple and multiple regression,

MANOVA, Logistic Regression, Log-Linear analyses)

Advanced Statistical Techniques are not covered but trainees are made aware that

these methods exist and that for certain research questions require these will be

needed. Such analyses include:

 Confirmatory and Exploratory Factor Analysis, Path Analysis, and an

Analysis of Covariance Structures (LISREL-like analyses).



j) The critical appraisal of the choices made for the above components in terms of

how well they avoid undermining alternative explanations that unduly weaken the

conclusions that can be made from the research; the revision of the research

question and/or design in order to eliminate, as best as possible, any identified

alternative explanations.

k) Practical issues in analysing data (the use of packages, such as SPSS).The choice

and preparation of information in the form of tables and graphs.

l) Interpreting the results of research in terms of the research question and placing

the results into the wider research and clinical context. Appraising and critically

reviewing one‟s own research



Year 4 concentrates on the underlying theories of research design and methodology and the

principles and practice of qualitative and statistical analyses. It also includes small scale

research studies, single case and small n studies, applicable to the Small Scale Research

(Placement Based) Project. Year 5 concentrates on the statistical issues of research

methods; and year 6 concentrates on the critical appraisal of research and practical issues

relating to conducting qualitative and statistical analyses. Preparing the large scale project

for Local Research Ethics Committee appraisal and Research in the NHS including the

principles and practice of research governance and dissemination is formally addressed

within the timetable (0.75 days).



13.3 Availability of statistical and computing advice and facilities



Statistical advice can be obtained from the Department‟s statistician who is resident for 2-3

sessions each week primarily to assist trainees with their research, including where

necessary providing individuals with specific advice about the use of the SPSS software

package on PC, acting as guarantor for the Local Research Ethics Committee and assisting

with particular soft ware that may be needed in addition to SPSS, for particular analyses.

There is also expertise available in some (but not the full range of) qualitative

methodology from one academic member of staff.



13.4 Procedures for selection of research topics and supervision of projects



The Departmental Strategy for the trainee research project was developed in July 2001 and

refined when the University‟s Graduate School was formally established in 2002. The

purpose of the departmental strategy is to ensure that trainee research is collaborative in

nature, aligned with current NHS policy (such as the broad principles of research

40

governance and dissemination), adds to developing knowledge in a clinically relevant area

of enquiry and builds on the particular area of research enquiry from year to year. In

addition the Graduate school requires that before agreeing to supervise a trainee, academic

staff should satisfy themselves that they have the necessary knowledge and skills to

supervise the project, that the project is of a Doctoral degree standard, that it can be

undertaken within the resources available, in the required timescale and that staff are

confident as far as this is possible to determine that the student has the capacity to

undertake the project successfully. Academic Staff Supervisors are therefore encouraged to

develop research themes or clinical research programmes. Since our philosophy is that

high quality research can only be carried out in a collaborative research environment, staff

research programmes usually involve groups of staff (see Course Handbook PP 54-55).

Trainees are usually required to develop their choice of research within these themes or

programmes and the aspiration is that trainees will progressively learn to contribute to the

development of new knowledge within Departmental programmes from year to year.



The outcome of this focussed research strategy has produced a small but pleasing growth

in publication of trainee research in peer review journals and abstracted conferences over

the past years. Please see trainee theses (Course Handbook PP193 -198), publications

(see Course Handbook PP 199-203) and staff publications (see Course Handbook PP

175-192). The latter demonstrates how some trainees have contributed progressive

development of research themes and also how some have continued with post qualification

research activity.



There is an emphasis on stimulating trainees‟ thinking and enthusiasm in terms of research

topic selection during the fourth year. The following process is used (and refined each

year), to implement the strategy including the requirements for academic staff supervision

from the Graduate School:



1. Early in the fourth year trainees are encouraged to read relevant detail in the Research

Section and Appendices of the Handbook pertaining to staff research interests, recent

publications and how these relate to past trainee research projects. On the basis of these

they are advised to access past trainee thesis or publications and arrange informal

discussions with relevant members of the staff research group to explore how past

trainee research may be extended or new areas of expertise that are developing within

the staff group.

2. Fourth year trainees are made aware at the start that their final research topic will be

governed not just by their particular interest but also by the availability of academic

supervisor expertise and resources.

3. Although to some extent the Doctoral Research Programme is seen as training in

clinical research, dissemination in peer review and practitioner journals is seen as a key

outcome to whether trainees will go on to become research active practitioners in the

NHS. Since our evidence is that publication is rare when trainee research is outside that

of the supervisor‟s particular research area, fourth year trainees are not encouraged to

consider topics that are outside the knowledge and expertise of academic research staff,

unless an exceptional case can be made and supervisor expertise and resources can be

found.



41

4. Fourth year trainees attend research presentations from sixth year trainees as part of

the Thursday morning seminar programme. They are provided with a recording

sheet/research log which they use to record exposure to a potential research topic and

their reaction to it

5. Research presentations from academic supervisors are arranged four months into the

fourth year research teaching programme. These are on topics that are considered

timely and relevant by academic staff, but there is ample opportunity for trainees to

discuss with staff and develop the particular area of enquiry further.

6. Following these presentations fourth year trainees are provided with timetabled

sessions to begin the process of choosing topics (and back up topics) and to test their

interest by completing one more short mini literature reviews on their potential

research topic(s).For specific instructions see Course Handbook PP 215-218.

7. Reviews are perused by the Research Co-ordinator and one member of the academic

research staff group and advice is provided to inform the trainees‟ choice of research

topic.

8. By June of the fourth year, trainees are expected to have some idea of a major topic

area they are interested in and have approached a member of staff for initial

discussions. They are then required to write a critical literature review having

conducted a CD ROM and/or internet search of the topic area, for submission by end of

July. This should culminate in identification of gaps in the literature, the formulation of

a number of pertinent research questions and preliminary design and a feasibility

statement. A provisional academic research supervisor is allocated and trainees are

given time and clear instructions (see Course Handbook PP 216 – 218). Trainees are

also encouraged to explore the potential for field supervisors where necessary, in

considering recruitment and feasibility. Field supervisors will generally be clinicians

who will facilitate participant recruitment and the collection of data.

9. Over the summer break each review and preliminary proposal is evaluated by two

members of the academic research staff (not the potential supervisor) and discussed by

a research panel early in the fifth year.

10. Following this, trainees and academic research supervisors enter into a formal research

contract (see Course Handbook PP 361 -370), unless there are concerns expressed by

the panel, about feasibility of the project within the resources available, in the required

timescale or that the trainee may not be able to undertake the project successfully. The

Research Co-ordinator is available at this stage to explore supervision arrangements

with trainees and academic research staff. Trainees and supervisors are also encouraged

to establish formal agreements with field supervisors.



13.5 Monitoring of the trainee research project



The University has a procedure for the monitoring of postgraduate academic research

progress. This is administered via the Post Graduate Medical School reporting to the

Graduate School. It is required that both supervisors and supervisees make an annual

written report on their progress including indicating any problems, which might be

occurring.









42

In addition there is monitoring of Trainee research via a research panel (prior to

submission for ethical approval in the fifth year), research presentations within the

teaching programme during year 5 and 6 this process, a paper trail of research supervision

held by the Departmental Administrator and formal review by the staff research group

three times a year using a report form that is completed by the trainee and supervisor (see

Course Handbook PP 359-360 for monthly minimum and 3 monthly supervision form).



Research progress is also monitored every two months at the Departmental Staff meeting

where each trainee‟s progress is discussed routinely as a standing agenda item under

“reserved business”.



Guidelines provided to trainees on choice, execution and writing up of research projects

are updated and provided to trainees at each stage of their programme (see Course

Handbook PP 60 -83).



13.6 Summary



The trainee research programme described includes a developmental teaching module that

covers years 4 - 6, structured staff and peer support and collaboration, a research strategy

for academic supervision that adheres to NHS and University requirements, that aims to

maximise dissemination (via abstracted conferences and peer review and practitioner

journal publication) and has an established process for monitoring the quality of research

teaching and supervision. Full details can be found in the Course Handbook [PP 50 – 92]

and related Appendices [PP 174 – 257; PP 338 – 383]. Also see Appendix 30 for Trainee

Research Committee Minutes.







14. Integration of Theory and Practice



14.1 Details of methods used to help trainees integrate theory and practice.



The Course has at its heart a general strategy of integration, which reflects its core

philosophy. The starting point is the Course's overall aims and objectives, which lead

directly to a programme of training, which emphasises the development and progressive

evaluation of competence in the core clinical skills of assessment, formulation,

intervention and outcome evaluation. This emphasis on clinical competence runs

throughout the three strands of teaching, research and practice experience, fusing them into

a unified training strategy in which all three elements interact, jointly contributing to an

approach to clinical work which includes the critical use of relevant literature,

psychological theory, practical clinical skills and the routine evaluation of outcome. On

placement, there is a strong emphasis on clinical hypothesis testing and the development of

formulations, which are embedded in sound psychological theories. Many clinical

supervisors are lecturers on the Course and the importance of linking theory to practice is

emphasised in supervisors‟ workshops. Thus reference to theoretical and empirical

literature is required in routine clinical work, and this is then reflected in the submission of

case reports and case conference presentations. Throughout 4th, 5th and 6th years trainees



43

attend and present at weekly clinical conferences. At least three members of staff are also

present and supervisors receive formal invitations to these. The specific objective of these

90-minute conferences is to integrate theory and practice by developing scientist and

evidence-based practice. Trainees complete either a placement based research project or

case study in most placements. All trainees also use the internet for searching clinical

literature (e.g. Cochrane, Medline, and PsychLit) and this skill is framed in terms of its use

in both the research and clinical placement contexts. The research programme emphasises

the application of the full range of research and evaluative skills within the context of

routine clinical work. Trainees are taught how to evaluate their own clinical practice as a

matter of routine.



All teaching is related to clinical issues, is expected to involve a clinical component and

stresses the importance of clinical case material throughout. All lecturers include actual

clinical case material alongside a review of psychological theory and literature in the

formal teaching programme. The teaching programme also includes considerable attention

to professional and ethical issues in clinical practice. A list of clinical workshops is

presented in Appendix 27.



14.2 Local arrangements for Continuing Professional Development



The Hull Course team has two representatives on the Yorkshire Post Qualified Training

(PQT) Committee. This is a particularly active and successful committee, which promotes

continuing professional development for all departments of clinical psychology in the

region. A number of areas are covered on an annual basis (see Appendix 31 for a list of

Continuing Professional Development Workshops):



 Skills – Supervision workshop, consultation group

 NHS and BPS developments – Clinical Governance, new NHS, CPD monitoring

 Interface with other professions – Multi-disciplinary conferences

 Clinical updates – Across specialisms

 Occasional workshops – e.g. teaching methods



The Course also enjoys a very close relationship with local NHS clinical psychologists.

This enables support to be offered through the challenges arising from the constant round

of NHS reforms.







15. PERSONAL AND PROFESSIONAL DEVELOPMENT (PPD)



The Course has developed a written policy towards PPD (Course Handbook PP 98- 103).

The Course emphasises the importance for trainees to develop the skills of self and critical

reflection. Over the years, in addition to formal evaluation of trainees‟ progress, there are

also formative assignments, which aim to facilitate academic and professional

development. The importance of PPD is taught and discussed in the Introduction Block of

the fourth year and throughout the course. In addition to these mechanisms for the



44

provision of support listed in Section 11.2 below, the Course provides experiential

personal development seminars led by external psychodynamic clinicians as a regular part

of the teaching programme. Clinical presentations and placement evaluation also

encompass a focus on PPD.





15.1 Systems to monitor trainees' progress in clinical, academic and research work and in

developing professional roles.





Trainees are provided with annual individual appraisal meetings with the Course Director

or a member of the course team designated by the Course Director in which progress

across all aspects of the Course is reviewed in an holistic manner with the explicit intention

of integration of Course experience and professional development.



The appraisal system is formative and is based on the principle that training and

development is best seen as a continuous developmental process. The purpose is to assist

trainees to reflect on the training they have received so far and to prepare them for the

coming year. It brings together both the clinical and academic (including research) aspects

of the clinical training. Prior to the appraisal meeting, trainees fill in the self-reflective

section, which is designed to help them to reflect on what they have learned to date and to

identify their further needs and set clear targets for the forthcoming year. See appendix 32

for Trainee Appraisal Guidelines and Appraisal Forms.



Three appraisal meetings take place during the course of three years of clinical training. In

the final year the annual appraisal meetings also include discussion of post-qualification

employment, clinical interests and CPD needs early in their career as qualified clinical

psychologists. Trainees are invited to attend an annual recruitment fair organised jointly

by the Hull and Leeds Courses. One sixth year workshop is devoted to preparing for

qualified NHS employment. In addition much informal support and guidance is provided

by individual members of staff. Trainees are made aware of the Regional PQT Programme

and encouraged to develop specialist clinical skills by seeking relevant post-qualification

training.



15.2 Details of provision of formal supports.



In addition to the naturally occurring (and often most commonly employed) informal

support of peers, partners, friends and family, the Hull Course makes provision for the

personal and professional support of trainees in four ways:



1. At the beginning of the postgraduate course, the student is allocated a Personal tutor

who will be a member of the clinical academic staff of the University. It is expected that

the personal tutor and student will meet at least once a term in order to discuss academic

and personal progress and/or difficulties. The personal tutor also acts as the student's

advocate where and if the student is the subject of University disciplinary procedures,

appeals, official inquiries and other difficulties.



45

2. Each trainee will also be allocated a personal mentor prior to the commencement of the

first placement. The purpose of the mentoring system is to provide trainees support by

practising psychologists without prejudice to the trainees‟ standing on the course. Hence

mentors are clinical psychologists NOT employed by the University, nor directly involved

in the formal assessment of the trainee's academic or clinical performance on the Course.

Most commonly these mentors are drawn from the supervisory pool. Occasionally the

trainee may later seek, or be allocated, a placement supervised by their mentor. In these

circumstances the mentor is temporarily (or permanently if desired by the trainee) replaced

by a substitute clinician. The trainee can at any stage request a change of mentor, although

it is hoped that there will be a degree of continuity associated with the relationship.

Mentors are obliged meet the trainee at the beginning of the course for rapport-building

purposes. Thereafter, trainees meet their mentors at least once a semester. There is a

formal code of conduct, signed by both parties, governing the trainee-mentor relationship,

and this is as follows:



 Professional standards of confidentiality and conduct on the part of the mentor

apply. Where an issue has implications for the Course, or the trainee's academic or

clinical progress, the mentor will encourage the trainee to discuss the matter with

the relevant Course staff member. Such information will not be divulged to Course

teachers or the Director by the mentor, unless explicit permission has been given by

the trainee.



 Trainees are encouraged to contact the Course Administrator in confidence if they

would prefer to be offered an alternative mentor. The right to a change of mentor

will remain for the duration of the course; however, if a trainee makes more than

one change, he or she will be expected to discuss in detail the nature of the

difficulty with the Course Director.





3. The Course encourages appropriate peer bonding and support. The „Buddy‟ system has

been put in place to structure this. Guidelines for the system are included in the Course

Handbook (p262). The Course Administrator keeps a list of buddy pairs.



4. It is expected that the clinical supervisor of each placement will offer (but not impose)

that quality of supervision which may encompass personal issues and personal

development. Trainees often feel able to discuss personal and professional issues with the

Clinical Practice Co-ordinator particularly in relation to placement progress, and this is

encouraged. The Clinical Practice Co-ordinator is probably best placed to provide an

objective overview of the trainee's clinical progress, given that it is she who organises all

placements and makes many placement visits and reviews.









46

15.3 Procedures for supporting trainees who have severe personal problems or

psychological disturbance.



The Course has access to two independent sources of support for trainees who develop

severe personal or mental health problems. These are:



1. the University Counselling Service (which includes access to clinical psychologists);

2. the employing Trust‟s occupational health service, which includes access to

psychiatrists and clinical psychologists.



Trainees identified by the Course Team as being in distress, or exhibiting signs of

behavioural disturbance, will initially be encouraged to obtain support from the University

Counselling Service (if appropriate). If this does not resolve the difficulty or the problem is

deemed too severe or acute for the counselling service, the trainee may be referred to the

Occupational Health Service, which is able to arrange psychiatric consultation. Invariably

such a circumstance will necessitate immediate suspension of the trainee from all clinical

placement work (in consultation with the clinical supervisor), for the protection of both the

trainee and patients, until the difficulty resolves. The trainee may also be withdrawn from

academic and research commitments. The trainee may return to clinical and course work

following assessment and subsequent recommendation of the Trust Occupational Health

Service.



There is allowance within the organisation of the Course for an extended period of sick

leave (just as there is for maternity leave) which, following resolution, may eventually lead

to successful completion.



The University has an institution-wide health and safety policy (Statement of University

Health and Safety Policy and Code of Practice on the University Portal; Postgraduate

Handbook -appendix 6 - page 27) and the Course Administrator is responsible for keeping

members of the Course team and the trainees up to date with developments. The Course

addresses issues of health and safety on placement during the induction course (the 2-day

NHS Mandatory Training) and all supervisors are asked to discuss personal safety issues

with their trainees at the beginning of each placement. The Course has a policy of

providing all trainees with personal alarms, which are available for long-term loan from the

Course Administrator.





16. Evaluation of Trainees



Trainees are provided with all detailed information regarding evaluation procedures at the

start of the course (Course Handbook PP 93 – 97). Full University regulations are

accessible on the University website http://hull.ac.uk/



Trainee performance on the three major components of the Course (taught academic

syllabus, clinical placement work and research) is assessed independently: trainees must

achieve a “pass” standard in each component to complete the Course. Constituent parts of



47

each component are summed to produce a component percentage score: trainees must

achieve a cumulative result greater than 50% to pass each component. The taught

component is assessed primarily by written unseen examinations at the end of the fourth

and fifth years. All written assignments are double-marked independently and trainees‟

identity is concealed by a candidate number to ensure bias-free assessment. The placement

component is assessed by ratings of clinical competence and a case study report from

placements. Early identification of potential failure is achieved in the placement visits and

communications between the placement supervisors and clinical tutors. Research skills are

assessed by means of a critical literature review (research essay), small scale ( placement

based) research project report, journal article, final doctoral thesis reports from external

and internal examiners and the research viva. Explicit criteria for failure exist in the form

of guidelines for examiners (Course Handbook PP 354 - 357 for research criteria).

Trainees can fail the programme either due to incompetence on any of the three major

components of the Course or due to unethical behaviour.





16.1 Criteria for placement failure

The current procedure for placement pass out or failure includes supervisors making

recommendations about the trainees‟ performance. The trainee and supervisor then hold a

joint meeting with two Course Team Members who rate either a clinical tape or clinical

reports. A final decision of passing or failure will be made at the end of the meeting. The

placement failure criteria are included in the Course Handbook (P.133).





16.2. Trainees complaint/appeals procedures



With regards to university matters, any student complaints are initially made to the

department. If they cannot be resolved at that level, students have the right to take the

mater to the University Complaints Investigation Officer (CIO). The CIO is an

experienced administrator who will be independent of the department about which the

student is complaining. Details of the CIO procedure can be accessed at

www.hull.ac.uk/handbook/rights. Any complaints or appeals relating to issues of their

NHS employment are dealt with following the NHS employment grievance procedure.



16.3. External examiners

The Course currently have three External Examiners who are chartered clinical

psychologists and senior members of the profession. Their appointments are approved

through the University. Information regarding roles and responsibility of external

examiners in viva examination (PP 254 – 257 of Course Handbook) and the Course

Handbook itself are sent to them. Examiners are appointed for three years and provide

valuable and comprehensive external evaluations. All examiners contribute to the

examination of theses.





The following documents are in the Appendix of this document:





48

 Appendix 33: A detailed description of trainee evaluation

 Appendix 34: The Assessment Matrix.

 Appendix 35: Criteria for placement failure

 Appendix 36: Copies of academic or clinical assessment forms used on the

programme

 Appendix 37: Copies of past examination papers

 Appendix 38:Guidelines to assessors and marking procedures

 Appendix 39: Copies of External Examiners Reports

 Appendix 40: Details of appeals procedures [GRADUATE SCHOOL]



The Assessment Matrix, criteria for placement failure, assessment guidelines and

assessment forms are published in the Course Handbook for trainee information.







17. Collaborative provision





The Programme has extensive collaborative arrangements with NHS colleagues and the

University for providing teaching and learning opportunities. Over 60% of the teaching is

carried out by NHS-based clinical psychologists and academics from the Psychology

Department and the Post Graduate Medical Institute at Hull University. These include

formal lecturing, workshops as well as research supervision. Members of the Special

Interest Groups (SGI) are represented on the Academic Syllabus Committee. Members of

the Course Team are usually members of the SIG relevant to their clinical specialism,

hence promoting further collaboration between the Course and the SIGs.

External speakers are often expert in the field either through their clinical practice or

“cutting edge” research. Some external teachers also collaborate with members of the

Programme team in the delivery of teaching. Where possible, a more experienced member

will work with a more junior member in planning and delivery of individual sessions.

The clinical placement system has inherent structures to support collaborative provisions.

Often placement supervisors are external lecturers to the Teaching Programme. Field

supervisors also visit the Department for formal passing of the trainees. These frequent

contacts provide a network of collaborations between clinicians in the field and the Course

Team.

NHS colleagues and University colleagues are encouraged to supervise students‟ research

projects. Efforts have been made to expand the scope of “Field Supervisors” in the NHS

Psychology Departments for the main research projects. Students were informed about the

structure and collaborative nature of teaching and learning opportunities in the induction

block and in the details of the teaching programme in the handbook.









49

Appendices

1. Course Handbook

2. Academic and Academic-related Staff Development and Appraisal Policy

3. University of Hull Equal Opportunity Policy.

4. CVs of Course Members

5. Summaries of the main duties of Staff Members.

6. Constitution of Board of Management and minutes

7. TQA feedback questionnaire

8. Trainee Recruitment Publicity Pamphlet

9. Selection Committee Minutes

10. Trainee Selection Procedures and Person Specification

11. Specimens of contracts and honorary contracts for trainees

12. Placement Planning and Assessment Pack

13. Evaluation of Trainee Placement Performance

14. End of Placement Continuation Sheet

15. Trainee's Evaluation of Clinical Placement/Supervision Rating Form

16. Placement Log book

17. Placement Agreements, Continuation sheets and the Placement matrix used with 5th

and 6th years

18. Supervisors List

19. Placement Matrices and Training Pathways for current 4th year.

20. Information about the final year placements

21. Confidential trainee feedback placement TQA

22. Clinical Placements Committee Minutes and Board of Supervisors Minutes

23. Details of Introductory Supervisor Workshops

24. Detailed listing of Advanced Supervisor workshops, local and Regional PQT

events

25. Syllabus content for current 5th and 6th year only

26. Academic Timetable.

27. A list of clinical skills workshop.

28. Detailed description of the course contents.

29. Academic Syllabus Committee Minutes

30. Trainee Research Committee Minutes

31. A list of Continuing Professional Development Workshop

32. Trainee Appraisal Guidelines and Appraisal Forms

33. A detailed description of trainee evaluation

34. The Assessment Matrix.

35. Criteria for placement failure

36. Copies of academic or clinical assessment forms used on the programme

37. Copies of past examination papers

38. Guidelines to assessors and marking procedures

39. Copies of External Examiners Reports

40. Details of appeals procedures [GRADUATE SCHOOL]





50



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