Annual Progress Report – Clinical Psychology

Form Type: Records and Registration
Form For: Current Students

Description

This is the Annual Progress Report for masters and doctoral students in Clinical Psychology.

This form must be completed by the student, supervisor, co-supervisor (if applicable), program assistant, and program coordinator and submitted to the College of Graduate Studies by June 1st of each year. Please check with your program regarding program submission deadlines.

Further Information:

Note: you are unable to save your progress as you work through THIS form. It is recommended that you draft the content for the form in a Word document and then copy it over to the digital form.

The form will automatically be sent to your supervisor, co-supervisor (if applicable), program assistant, and program coordinator once you hit submit. You will receive email updates as your form moves through the approval stages.

If you have questions about your form and its progress, please contact gradadmin.ubco@ubc.ca

STUDENT SECTION
To be completed by the student.
Name*
First Last
Student Number*
Email*
Enter Email Confirm Email
Degree*
- Master's Degree
- Doctoral Degree
Date of Clinical Faculty Review?*
Month
Day
Year

MM DD YYYY
Are you on probation/remediation?*
- Yes
- No
Date master's thesis was defended?*
Month
Day
Year

MM DD YYYY
Institution that master's degree was obtained from?*
Date entered UBCO for graduate school?*
Month
Day
Year

MM DD YYYY
Date entered UBCO Clinical Psychology?*
Month
Day
Year

MM DD YYYY
Year in program as of previous September?*
Anticipated program end date (Month/Year)?*
Supervisor*
Do you have a co-supervisor?*
- Yes
- No
Co-supervisor Name*
First Last
Co-Supervisor Email Address*
Enter Email Confirm Email
Number of committee members (not including supervisor and co-supervisor)?*
Committee Member 1 Name*
First Last
Committee Member 1 Email Address*
Enter Email Confirm Email
Committee Member 2 Name*
First Last
Committee Member 2 Email Address*
Enter Email Confirm Email
Committee Member 3 Name*
First Last
Committee Member 3 Email Address*
Enter Email Confirm Email
Committee Member 4 Name*
First Last
Program Assistant:*
Please select your graduate program assistant from the dropdown below.
PHD FUNDING
All eligible full-time current and incoming UBC students (domestic and international) in PhD programs at UBC’s Okanagan campus will be provided with a minimum funding package of at least $22,000 for each of the first four years of a PhD. PhD students will be required to disclose their sources of university or scholarship funding, as well as other income sources to their graduate program, and must inform their program immediately of new funding sources. See Minimum Funding for Ph.D. Students http://www.calendar.ubc.ca/okanagan/index.cfm?tree=18,285,1113,0 in the UBC Okanagan Calendar for full details.
For this academic year, please list which of the following funding types you received (external or internal) including awards, teaching-assistantships, research assistantships, internships, graduate academic assistantships, other off-campus research-related work, and/or other off-campus related employment in your field:*
Please confirm if your total funding package available from all sources above will exceed or be less than $22,000 for this year.*
- Will meet or exceed $22,000 for this year
- Will be less than $22,000 for this year
* available GTAships, even if declined by the student, are counted in the total funding package available Personal funding sources (i.e. savings, student loans, family supports) do not need to be specified. The International Doctoral Partial Tuition Award (IDPT) does not count towards a student’s minimum funding package.
If less than $22,000 please estimate the shortfall* amount below:*
MASTERS FUNDING
The Psychology department tracks MA student funding (internal and external sources) annually to gain an understanding of how our students fund their education.
For this academic year, please list which of the following funding types you received (external or internal) including awards, teaching-assistantships, research assistantships, graduate academic assistantships, other off-campus research-related work, and/or other off-campus employment in your field:*
Please confirm if your total funding package available from all sources above will exceed or be less than $18,000 for this year.*
- Will meet or exceed $18,000 for this year
- Will be less than $18,000 for this year
If less than $18,000 please estimate the shortfall* amount below:*
* available GTAships, even if declined by the student, are counted in the total funding package available Personal funding sources (i.e. savings, student loans, family supports) do not need to be specified.
COURSEWORK
Please submit the list of your Clinical courses and practica completed to date with corresponding grades from your SIS profile to your supervisor separately once you've completed this form.
My coursework has been*
- Satisfactory
- Unsatisfactory
Did you earn a grade below B in a core, practicum, or internship course?*
- Yes
- No
How are you going to address the grade below B in a core, practicum, or internship course?*
- Retake the core course the next time it is offered
- Develop a 1-semester IEP with the practicum/internship instructor
Please check each required Clinical course you have completed*
- Advanced Statistics & Research Methods – PSYO 507
- Psychopathology I - PSYO 510
- Psychopathology II - PSYO 511
- Psychological Assessment I - PSYO 514
- Psychological Assessment II – PSYO 515
- Ethics and Professional Standards in Clinical Psychology - 512
- Psychological Intervention I – PSYO 516
- Psychological Intervention II – PSYO 517
- Contemporary Theories of Psychology (History course) – PSYO 506
- Social Bases of Behaviour – PSYO 521
- Biological Bases of Behaviour – PSYO 522
- Cognitive Basis of Behaviour – PSYO 523
- Program Evaluation – PSYO 526
- Clinical Supervision - PSYO 524
- Approved Clinical Residency - PSYO 730
Please check each non-mandatory course you have completed
- Internship Preparation – PSYO 625
- Health Psychology – PSYO 520
- Equity, Diversity, and Inclusion – PSYO 501
Please detail other courses taken during your program (i.e. Advanced Topics, Directed Studies, etc.):*
Date coursework was completed?*
Month
Day
Year

MM DD YYYY
Please outline a detailed plan including a timeline of how you plan to complete the remaining required coursework.*
Student comments about coursework.*
Hidden
Supervisor comments about coursework.*
CLINICAL AND INTERPERSONAL SKILLS
My clinical and interpersonal skill development has been*
- Satisfactory
- Unsatisfactory
*
A remediation plan will be developed to improve my clinical and interpersonal skills beyond unsatisfactory
This past year you successfully completed practica?*
- Yes
- No
Please list the practicum placements you have been involved in this year.*
Please list integrated health practicums completed to date (from current or past years) below. Examples include KGH, Kelowna Mental Health, Northern Health, Minnesota, and CONNECT practica.*
Using Time2Track please enter your following clinical practicum hours accumulated to date, as indicated:
Number of assessment hours?*
Number of treatment hours?*
Number of individual supervision hours?*
Number of group supervision hours?*
Number of integrated reports?*
Please list any research projects or non-practicum clinical hours you have been involved in to date that accumulate clinical hours.*
TOTAL clinical hours to date (cumulative):
Number of assessment hours?*
Number of treatment hours?*
Number of individual supervision hours?*
Number of group supervision hours?*
Number of integrated reports?*
Student comments about clinical and interpersonal skill development.*
Hidden
Supervisor comments about clinical and interpersonal skill development.*
RESEARCH PROGRESS
My research progress has been*
- Satisfactory
- Unsatisfactory
Participation in a research group has been satisfactory?*
- Yes
- No
Thesis proposal was defended?*
- Yes
- No
Dissertation proposal was defended?*
- Yes
- No
Date proposal was defended?*
Month
Day
Year

MM DD YYYY
Date thesis/dissertation should be defended/was defended by?*
Month
Day
Year

MM DD YYYY
Student comments about research progress.*
Hidden
Supervisor comments about research progress.*
GENERAL COMPREHENSIVE EXAM
Status of General Comprehensive Exam?*
- I have successfully completed the General Comprehensive Exam
- I have begun work on the General Comprehensive Exam
- I have not yet begun work on the General Comprehensive Exam
Date you successfully completed the General Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Date you plan to complete the General Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Date you plan to begin work on the General Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Student comments about General Comprehensive Exam:*
Hidden
Supervisor comments about General Comprehensive Exam:*
CLINICAL COMPREHENSIVE EXAM
Status of Clinical Comprehensive Exam*
- I have successfully completed the Clinical Comprehensive Exam
- I have unsuccessfully attempted the Clinical Comprehensive Exam and will retake this requirement by
- I have not yet completed the Clinical Comprehensive Exam
Date you successfully completed the Clinical Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Date you plan to retake the Clinical Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Date you plan to complete the Clinical Comprehensive Exam:*
Month
Day
Year

MM DD YYYY
Student comments about Clinical Comprehensive Exam:*
Hidden
Supervisor comments about Clinical Comprehensive Exam:*
CANDIDACY
Status of candidacy*
- I have successfully achieved Candidacy, per the College of Graduate Studies
- I have not yet achieved Candidacy, per the College of Graduate Studies
Eligibility: 1) all required coursework completed and 2) dissertation proposal approved and 3) comprehensive(s) completed; must be admitted to candidacy prior to end of 36 months in the PhD program. (Separate forms must be submitted to CoGS.)
Date you successfully achieved Candidacy*
Month
Day
Year

MM DD YYYY
Date you plan to achieve Candidacy by:*
Month
Day
Year

MM DD YYYY
TEACHING ASSISTANTSHIPS
(*please note this does not affect your eligibility for an assistantship)
*
- I held a full-time (12 hour/week) assistantship
- I held a half-time (12 hour/week) assistantship
- I did not hold an assistantship
Student comments about assistantships:*
Hidden
Supervisor comments about assistantships:*
DEPARTMENTAL CITIZENSHIP/ENGAGEMENT
*
- My involvement in the departmental level meetings and engagement has been satisfactory.
- My involvement in the departmental level meetings and engagement has been unsatisfactory.
Student comments about departmental citizenship/engagement:*
Hidden
Supervisor comments about departmental citizenship/engagement:*
WORK/LIFE BALANCE
Maintaining an effective work / life balance is critical to a student’s professional development. Please comment on the student’s ability to maintain work / life balance throughout the year:
Student comments about work/life balance:*
Hidden
Supervisor comments about work/life balance:*
READINESS FOR INTERNSHIP
*
- You have been approved by the faculty and are ready for internship based on the clinical program requirements.
- You plan to submit an internship readiness package at the upcoming Clinical Faculty Retreat.
- N/A
Student comments about planning and/or readiness for internship:*
Student must be concurrently eligible for Candidacy.
Hidden
Supervisor comments about readiness for internship:*
PROBATION/REMEDIATION:
Have you met the requirements specified in your remediation plan and are no longer on probation/remediation?*
- Yes
- No
Student comments about probation/remediation:*
Hidden
Supervisor comments about probation/remediation:*
FINAL COMMENTS & APPROVAL
Student Signature*
Date*
Month
Day
Year

MM DD YYYY
Hidden
Clinical Training Committee’s overall comments (summarized by research supervisor following retreat):
Hidden
Supervisor Signature*
Hidden
Date*
Month
Day
Year

MM DD YYYY
Hidden
Program Assistant's Comments:
Hidden
Program Assistant Signature:*
Hidden
Date*
Month
Day
Year

MM DD YYYY
Hidden
Program Coordinator:*
Hidden
Student's Academic Progress*
I have reviewed the student's grades to confirm if they are/are not making progress in their courses.
Hidden
Verification of Definitions*
I have read and understand the definitions of Satisfactory, Improvement Required and Unsatisfactory. View definitions.
Hidden
Overall student progress in the last twelve (12) Months:*
- Satisfactory
- Improvement Required
- Unsatisfactory
Note: This question is not indicative of the quality of the student, but an objective assessment of the student's progress in the program.
Note: Students with unsatisfactory progress become ineligible for award funding. Students will regain eligibility when improvement required or satisfactory status is reported in the required six-month interim progress report or a subsequent annual progress report.
Hidden
Please provide a rationale for the student's progress being marked satisfactory:*
Hidden
Please provide a rationale for the student's progress being marked improvement required and outline the plan for improving student progress in the next twelve (12) months:*
Hidden
Please provide a rationale for the student's progress being marked unsatisfactory and outline the plan for improving student progress in the next twelve (12) months:*
Hidden
Psychology Clinical Director/Associate Director of Clinical Training Signature:*
Hidden
Comments:*
Hidden
Date*
Month
Day
Year

MM DD YYYY

Privacy Notification

Your personal information is collected under the authority of section 26(c) of the Freedom of Information and Protection of Privacy Act (FIPPA). Questions about the collection of this information may be directed to gradadmin.ubco@ubc.ca

Downloads

Annual Progress Report – Clinical Psychology

Description

Note: you are unable to save your progress as you work through THIS form. It is recommended that you draft the content for the form in a Word document and then copy it over to the digital form.

STUDENT SECTION

PHD FUNDING

MASTERS FUNDING

COURSEWORK

CLINICAL AND INTERPERSONAL SKILLS

RESEARCH PROGRESS

GENERAL COMPREHENSIVE EXAM

CLINICAL COMPREHENSIVE EXAM

CANDIDACY

TEACHING ASSISTANTSHIPS

DEPARTMENTAL CITIZENSHIP/ENGAGEMENT

WORK/LIFE BALANCE

READINESS FOR INTERNSHIP

PROBATION/REMEDIATION:

FINAL COMMENTS & APPROVAL

Privacy Notification

Downloads