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Your Competitive Edge:
Strategies for Becoming a Successful New Psychologist

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Making the Most of Your Practicum Year
Part I: Establish and Nurture a Strong Professional Reputation
by John T. Carlsen, Psy.D.
 
Your practicum training is one of the most important parts of your graduate school experience. Not only is it the time when you start developing your clinical skills. It is also the time when you begin to establish a strong foundation for your professional identity and learn to build meaningful, productive relationships with your future colleagues.

Ultimately, the experiences you have and relationships you develop during these formative years are the key to ensuring that you have a successful, fulfilling, and effective career long into the future. This is especially true since your early supervisors usually provide reference or recommendation letters when you apply for internship and your first post-doctoral job. As witnesses from the days when you first struggled to write your first actual testing report and staff your first therapy case, they will be in a position to validate your early efforts.  They will also be able to attest to your professional commitment and the development of your character.

No one else will have this perspective on your development.  Your professors know how well you learned to conceptualize and analyze.  But, your first supervisors will know how well you applied  knowledge and what it took for you to build your competence.  More important, they will start formulating this perspective as soon as you begin, and first impressions are difficult very to overcome. So, you owe it to yourself to start out with strong footing in these relationships. . . from your very first days. How can you make sure this happens?  

By establishing credibility and a solid reputation right away. The following guidelines will get you started on this path:

  1. Treat your practicum experience as a professional job. Show up on time, dressed appropriately and prepared to work hard. Let your supervisor know when you arrive onsite and when you get ready to leave. Immediately inform your supervisor if you are running late or need to be absent because of illness. Remember that arriving late because a class lecture ran over or you had to study for an exam is a poor excuse for a training professional. Also, arrange any scheduled time off far in advance and negotiate it professionally with your supervisor. In every case, take responsibility right away for addressing any problems that arose as a result of your absence. Regarding your professional image: Even though you are a student, your clients do not care. In their minds, you are their therapist, so they expect you to dress and act appropriately.
  2. Avoid cutting corners with your time .  Remember that time is the basis psychologists use interpreting the significance of nearly everything in clinical work, from test performance and mental status to dynamic issues in psychotherapy. So, you cannot afford to underestimate the power of negative impressions you will convey if you have poor time management skills, especially to this particular audience.  Show up on time for the start of the day and every meeting.  Never leave early without first clearing your decision with your supervisor.  Ultimately, he or she expects to treat you as a "professional-in-training" rather than as a student who regularly needs accommodations in managing his or her responsibilities.  Do whatever it takes to grant this wish.  The last thing your supervisor needs is to wonder where you are or why you are late:  This pattern might even appear as the tip of an iceberg that leads him or her to lose trust, to start asking questions, and to shift into micromanaging your work.
  3. Use your unscheduled time productively. Rather than using your down time to catch up on reading for class or check your email, spend this time reading charts or getting to know the other professional staff. Volunteer to help out at the agency wherever possible, whether answering the telephone, cleaning out a spare office, filing papers, or typing letters for the agency director. Bear in mind that no task is beneath someone in training - even someone in a doctoral program.  (I once had a trainee who said she felt the boss was exploiting her by taking advantage of her word processing skills to type a report for him. She felt that her days of being a secretary had ended when she began her doctoral program. I wanted to tell her how often I have changed ceiling light bulbs and installed window air conditioners as a licensed psychologist. It simply goes with the territory in community mental health or emergency room work. Ironically, she failed to notice how much time he later invested in providing her with spontaneous, back-up case consultation.)
  4. Prioritize your responsibilities strategically and advertise your commitments publicly. For today’s multi-tasking students, practicum can feel like "one more thing to fit into an already-overwhelming schedule". Thus, without realizing what they are doing, trainees can inadvertently communicate the wrong message about their level of investment in the training.   For example, they can talking about when they are not available to be at the agency (because of their class schedules) rather than when they are.  This attitude can quickly set a tone that they value coursework over clinical training.  From a supervisor’s perspective, however, your practicum should be your highest priority, since it is the place where you actually learn to do the work of a professional. You would be smart to convey the attitude that you agree. No matter how tempted you feel to hide behind your busy schedule and give preference to your class requirements or outside employment, remember that they are secondary in importance to your training.
  5. Take the time to show your supervisor(s) that you will do whatever is necessary to fulfill your responsibilities to them and to your clients.  Always remember that providing your clients and the agency with high-quality service demands a strong, reliable commitment from you.  Although most supervisors will work to accommodate any necessary schedule changes or absences, the last message you want to communicate to them is that you are "squeezing in" the experience they are working so hard to provide for you. The fact that you have a lot of demands is entirely your responsibility. Do not let your difficulties with managing outside commitments spill over into your training experience and tarnish your reputation.  Remember that they are training you by choice, not necessity.  Show your gratitude by always conducting yourself professionally. 
  6. Establish a strong relationship with each supervisor and work to maintain it throughout the training year. Regularly cultivate and nurture the level of trust your supervisor places in you. Start by following his or her clinical or administrative recommendations closely, gradually learning to question or challenge them as your competence increases. Always be prepared to defer to your supervisor’s judgments - even if you disagree with them - because he or she is ultimately responsible for the outcome of any situation that involves you and/or clients. Routinely check back with a supervisor after implementing the recommendations to inform him or her of what happened. Do not assume that he or she feels comfortable assuming that everything turned out all right.. Instead, maintain the relationship responsibly by "closing the loop" Always remember whose license is on the line - it is not yours.
  7. Make sure that you study something that you genuinely want to learn. Do not simply accede responsibility for your training to the staff by learning only what you think they want you to learn or what you believe future employers will expect you to know. You are investing a great deal of time, money, and energy in for this training experience, so make sure you get at least something significant that you want for yourself. Maybe it’s studying a particular psychological test in depth and gaining expertise with administering and interpreting it. Or, maybe it’s learning to conceptualize cases using your favorite theory. In any case, promise to yourself is a bit like making sure that you stop long enough during a party you are hosting to make sure you get to eat one of those scrumptious deserts you provided for your guests. Rather than simply hoping that you will wind up with the qualifications you want, take some responsibility to make sure that it happens.

In addition to the above, you deserve to know one of the basic truths about practicum and internship training: Regardless of how much energy, time and commitment training demands from supervisors, most of them view new trainees as they would a breath of fresh air. As a budding therapist, you bring a level of curiosity and enthusiasm to their program that could rightly be called infectious. Anyone who works with an awestruck, well-intentioned trainee such as you cannot help but experience your triumphs vicariously and rejoice along with you as you learn. Do what it takes to be that trainee:  The challenging questions you ask with a positive attitude and your commitment to excellence have the potential to completely revitalize any work environment.

No matter how exciting your supervisors initially found their jobs, any work becomes routine - and more than a bit tedious - eventually. So, the chance to immerse themselves in the ongoing learning process of new trainees can bring a new perspective to their work. In many cases, an enthusiastic trainee can even remind them of why they originally entered the profession and restore their latent passion for it.

With such power and influence resting in your hands, you would be truly negligent if you failed to use it to your full professional advantage.

John T. Carlsen, Psy.D. is a licensed clinical psychologist who trains and supervises psychology interns and externs. He offers personal coaching and training resources for graduate students applying for internships and post-doctoral jobs. Click here to learn more about how to write effective applications and prepare for interviews. Click here to submit comments, questions, or suggestions for future newsletter topics.

 


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