Dallas Psychoanalytic Center SUPERVISORY CANDIDATE EVALUATION FORM NOTE: This form is to be presented to the supervisor by the candidate for completion and discussion during supervision. After the assessment is discussed, the candidate and supervisor should sign the evaluation and the candidate should submit it to his/her Advisor. Please use the following scale for assessing the candidate on the various parameters: 1. Graduate: generally functions with a high level of competency independent of supervision. 2. Advanced: uses supervision well and is semi-independent, but has more to learn and recognizes that. 3. Capable: functions at a level of competence consistent with level of training. 4. Endeavoring: abilities are generally satisfactory, but require attention to this area of competency. 5. Challenged: abilities are below the level expected at the current stage of training and experience in this area of competency. I) CANDIDATE’S LISTENING AND OBSERVING COMPETENCIES: Develop a good working alliance? Graduate Advanced Capable Endeavoring Challenged 1 2 3 4 5 N/A Comment________________________________________________________ Adhere to proper boundaries with the patient? Graduate Advanced Capable Endeavoring Challenged 1 2 3 4 5 N/A Comment________________________________________________________ Maintain adequate neutrality?
Dallas Psychoanalytic Center SUPERVISORY CANDIDATE EVALUATION FORM NOTE: This form is to be presented to the supervisor by the candidate for completion and discussion during supervision. After the assessment is discussed, the candidate and supervisor should sign the evaluation and the candidate should submit it to his/her Advisor. Please use the following scale for assessing the candidate on the various parameters: 1. Graduate: generally functions with a high level of competency independent of supervision. 2. Advanced: uses supervision well and is semi-independent, but has more to learn and recognizes that. 3. Capable: functions at a level of competence consistent with level of training. 4. Endeavoring: abilities are generally satisfactory, but require attention to this area of competency. 5. Challenged: abilities are below the level expected at the current stage of training and experience in this area of competency. I) CANDIDATE’S LISTENING AND OBSERVING COMPETENCIES: Develop a good working alliance? Graduate Advanced Capable Endeavoring Challenged 1 2 3 4 5 N/A Comment________________________________________________________ Adhere to proper boundaries with the patient? Graduate Advanced Capable Endeavoring Challenged 1 2 3 4 5 N/A Comment________________________________________________________ Maintain adequate neutrality?
10.13%20Training%20Manual%20-%20Revised%20.docx