Competency-based Education and Assessment in Clinical Psychology Internship Training Programs: Application for early Intervention among Preschool Children




Bei-Yi Su;Nai-Wen Guo;Ta-Shen Kuan

Key Words

competency-based education ; competency-based assessment ; clinical psychology ; early intervention ; preschooler


Journal of Medical Education

Volume or Term/Year and Month of Publication

26卷1期(2022 / 03 / 01)

Page #

34 - 45

Content Language


Chinese Abstract

Early intervention is a service for preschoolers with cognitive, emotional, or physical disabilities that helps them improve their functioning and performance in regard to participating in school or everyday life. Purpose: To enhance the quality of internship education in clinical psychology, the objective of this study was to measure the effect of competency-based education (CBE) and competency-based assessment (CBA) in the early intervention of clinical psychology training programs. Methods: We provided early intervention for preschoolers with suspected autism spectrum/emotional problems, suspected developmental delay/cognitive problems, or suspected attention-defi cit/hyperactivity problems. We used Core Competencies of Rehabilitation Psychology (CCRP) to explore four domains of competence before and after the intervention, including: (1) psychopathology of rehabilitation psychology and neuropsychology, (2) case formulation, (3) skills of psychotherapy, and (4) psychotherapy process and procedure. Results: Trainees and clinical supervisor assessed significant improvements in the four domains of competencies among three types of preschoolers (p < 0.001). Furthermore, feedback received from caregivers after the early intervention showed a high degree of satisfaction. Conclusions: The core competencies are the foundation required for high-quality mental healthcare. The experiences of CBE and CBA might help to improve the clinical psychology internship training program in Taiwan.

Topic Category 醫藥衛生 > 醫藥總論
社會科學 > 教育學
  1. Corsello CM. (2005). Early intervention in autism. Infants and Young Children, 18(2), 74–85.
  2. McGoey KE, Eckert TL, DuPaul GJ. Early intervention for preschool-age children with ADHD: A literature review. J Emoti Behav Disord 2002; 10(1): 14–28.
  3. Spittle A, Orton J, Anderson PJ, et al.: Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev 2015; (11): CD005495.
  4. Frank JR, Snell LS, Cate OT, et al.: Competency-based medical education: Theory to practice. Med Teach 2010; 32(8): 638–645.
  5. Kaslow NJ. Competencies in professional psychology. Am Psychol 2004; 59: 774–781.
  6. Roberts MC, Christiansen MD, Borden KA, et al.: Fostering a culture shift: Assessment of competence in the education and careers of professional psychologists. Prof Psychol Res Pr 2005; 36(4): 355–361.
  7. Stevens B, Hyde J, Knight R, et al.: Competency-based training and assessment in Australian postgraduate clinical psychology education. Clin Psychol 2017; 21(3): 174–185.
  8. Lockyer J, Carraccio C, Chan MK, et al.: Core principles of assessment in competency-based medical education. Med Teach 2017; 39(6): 609–616.
  9. Holmboe ES, Sherbino J, Long DM, et al.: The role of assessment in competency-based medical education. Med Teach 2010; 32(8): 676–682.
  10. Schmidmaier R, Eiber S, Ebersbach R, et al.: Learning the facts in medical school is not enough: Which factors predict successful application of procedural knowledge in a laboratory setting? BMC Med Educ 2013; 13(1): 1–9.
  11. Krathwohl, DR. A Revision of Bloom ’ s Taxonomy : An Overview. Theory Prac 2002; 41(4): 212–218.
  12. Kuo HT, Muo CH, Chang YT, et al.: Change in prevalence status for children with developmental delay in Taiwan: A nationwide population-based retrospective study. Neuropsychiatr Dis Treat 2015; 11: 1541–1547.
  13. American Psychological Association. (2015). Standards of accreditation for health service psychology, (August 2017), 1–50. Retrieved from www.apa.org/ed/accreditation%0Ahttp://www2.ku.edu/~acejmc/BREAKING/New_standards_9-03.pdf
  14. Norcini JJ, Holmboe ES, Hawkins RE. 2008. Evaluation challenges in the era of outcomes-based education. In: Holmboe ES, Hawkins RE, editors. Practical Guide to the Evaluation of Clinical Competence. Philadelphia, PA: Mosby/Elsevier. pp 1–9.
  15. Guo NW, Liao YC, Huang KT, et al.: (2018, April 22-23). Supervision construction, supervision ethics, professional content, relationships, efficacy, and professional career development in neuropsychological rehabilitation. [Conference presentation]. 7th Annual Conference of Clinical Psychology. Taipei, Taiwan.
  16. Liao YC, Huang KT, Wu YH, et al.: (2018, April 22-23). The Supervision Construction of Neuropsychological Rehabilitation for Clinical Psychologists: Supervision Ethics, Professional Content, Relationships, Effectiveness, and Professional Career Development. [Conference presentation]. 8th Annual Conference of Clinical Psychology. Taipei, Taiwan.
  17. Cohen J. Statistical power analysis for the behavioral sciences, 2nd ed. New York: Academic Press. 1988.
  18. Eells TD, Kendjelic EM, Lucas CP. What’s in a case formulation? Development and use of a content coding manual. J Psychother Pract Res 1998; 77(2): 144–153.
  19. Vitrikas K, Savard D, Bucaj M. Developmental delay: When and how to screen. Am Fam Physician 2017; 96(1): 36-43.
Times Cited
  1. Tsung-Yen Tsai,Shih-Ming Li,Chiung-Wen Chang,Chiung-Fang Liang(2022)。Framework for Clinical Psychologist Competency in Taiwan: The Perspective of Practitioners。醫學教育,26(2),112-120。