Climbing the stairway to competency: Trainee perspectives on competency development.

Abstract

Training programs have increasingly focused on development of competencies as a benchmark for trainee progress. While much writing on the subject of trainee competency has focused on programmatic implementation of competency-based training, considerably less attention has been paid to the experience of trainees in these programs. The current study sampled a cross-section of 641 graduate students enrolled in member doctoral programs of the Council of University Directors of Clinical Psychology. These students were divided into four groups based on stage of training and reported on their development of core competencies. Overall, students entered doctoral programs reporting high levels of adaptive trainee characteristics and felt competent in a range of areas by the time they applied for internship. Competencies in research, assessment, and intervention developed over the course of graduate training. Reported competency in research was higher for trainees endorsing a goal of a research career, while reported competency in empathy and therapeutic relationships was higher for trainees endorsing a goal of clinical practice. Findings are discussed in the context of implementing competency assessment that encompasses the ratings of trainees as well as supervisors and programs.