APPENDIX B: SAMPLE COMPETENCY EVALUATIONS
Walter Reed National Military Medical Center
Clinical Psychology Internship Program
PSYCHOLOGY TRAINEE COMPETENCY ASSESSMENT FORM
OUTPATIENT ROTATION
Trainee Name: Click here to enter text.
Supervisor Name: Click here to enter text.
Rotation: Choose an item. Choose an item.
Evaluation Period: Start Date: Click here to enter a date. End Date: Click here to enter a date.
ASSESSMENT METHOD(S) FOR COMPETENCIES
COMPETENCY RATINGS DESCRIPTIONS
Rating expected at completion of postdoctoral training. Competency attained at full psychology staff privilege level, however supervision is required while in training status.
A frequent rating at completion of internship. Competency attained in all but non-routine cases; supervisor provides overall management of trainee's activities; depth of supervision varies as clinical needs warrant.
Minimum rating for passing a rotation. Common rating throughout internship. Routine supervision of activities required.
Required intensive supervision efforts are documented on the Individual Development Plan.
Requires remedial work.
