Article Figures & Data
Tables
Demographic Characteristic Frequency % Type of program Medical school–affiliated program 50 78.1 Other 13 20.3 No answer 1 1.6 Institution's city size Large city (population >250,000) 45 70.3 Mid-sized or small city (population <250,000) 19 29.6 Types of therapy supervisors Full-time MDs 60 93.8 Community MDs 50 78.1 Full-time PhDs 55 85.9 Community PhDs 41 64.1 Survey Item Frequency % Formal written therapy policies and procedures Residents required to inform patients that they are under supervision 56 87.5 Clear supervision guidelines available 50 78.1 Established protocol for emergency supervision when supervisor is unavailable 47 73.4 Policy in place that lays out appropriate resident conduct in therapy 21 33 Established protocol in place for supervisor–resident boundaries 17 26.6 Residents required to inform patients in writing that they are under supervision 15 23.4 Require documentation of receipt of training guidelines 11 17.2 Require documentation that supervisors understand expectations in terms of conduct 5 7.8 Require documentation that residents understand expectations in terms of conduct 3 4.7 Provide written material to patients regarding boundary expectations 5 7.8 Supervision structure Supervision schedules are generally adhered to 53 82.8 Regular supervision hours established 50 78.1 Supervision sessions documented 27 42.2 Supervisors routinely review chart documentation 23 35.9 Supervisors assess resident competency before providing therapy with increased risk 20 31.3 Institutional policies and procedures Institution's malpractice insurance covers liability for employed supervisors 48 75.0 Protocol in place should a patient need treatment from a more experienced clinician in case of emergency 47 73.4 Program uses therapy supervisors as the supervisor of record 47 71.9 Credentialing process for nonemployed supervisors 33 51.6 Billing issued in the supervisors' name 27 42.2 Program directors are required to make supervisors aware of concerns about a particular resident 26 40.6 Outside therapy supervisors must provide evidence of malpractice that covers therapy supervision 14 21.9 Program provides an assessment of resident competency before providing high-risk therapy (hypnosis, Amytal interview) 13 20.3 Institution's malpractice insurance covers liability for nonemployed supervisors 12 18.8 Knowledge of a law suit against a supervisor at the institution 0 0
