Direct assessment of clinical competence
Direct assessment of therapy competences
Supervisors have an important role to play in observing trainees’ work, giving feedback and assessing competence. It is a course requirement that trainees are directly observed and given feedback using a standardised measure of therapy skills at least once during every placement.
The primary measure used by the course to assess CBT skills is the Assessment of Core CBT Skills (ACCS, Muse, McManus, Rakovshik & Thwaites,2016). Trainees are required to be observed and given feedback using either the ACCS or a generic therapy skills rating scale (Clinical Observation Rating Scale-Revised –CORS-R, developed by the Leicester and Surrey DClinPsych programmes) at least once during every placement. These are for formative feedback only, will inform the Evaluation of Clinical Competence (ECC) at the end of placement as well as shaping goals for development on future placements.
At least two ratings on the ACCS are required during training, one of these must be in the first year (on an adult mental health or child placement).
The manual and feedback form for the ACCS can be accessed here:-
Training on the use of the ACCS can be accessed here (an overview of the measure, with a sample rating):-