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Advancing The Assessment of Professional Learning, Self-Care, and Competence
Advancing The Assessment of Professional Learning, Self-Care, and Competence
Advances in the empirical study of continuing education in professional psychology rely on the
development and utilization of measurements that assess key aspects of learning, the translation of that
learning into practice, and the development of ongoing professional competence. This article describes
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
4 such instruments. Each measure is designed to target an element that is critical to the overall processes
This document is copyrighted by the American Psychological Association or one of its allied publishers.
and objectives of continuing education. These include measures to enhance professional learning, to
assess an ongoing commitment to lifelong learning, to measure levels of professional self-care, and
to assess foundational, functional, and continuing competencies among professional psychologists. This
article discusses each of these measures, reviews the developing literatures surrounding them, and
identifies contexts in which they might be useful in the ongoing study of continuing education and
continuing professional development. Copies of all 4 scales are included in the Appendixes to encourage
their further use in advancing the literatures on continuing professional development and competence.
The rapid proliferation of new knowledge in psychology has practice such as psychopharmacology, child health, forensics, sub-
placed renewed demands on professional practitioners to keep stance use, and neuropsychology, among others (Neimeyer, Tay-
pace with ongoing advances. Overall, knowledge may remain lor, Rozensky, & Cox, 2014). This means that, in the absence of a
current in professional psychology for as little as about six to seven commitment to ongoing professional development, many practi-
years, with more rapidly diminishing durability in key areas of tioners may begin to experience knowledge obsolescence even
while they are still in the early stages of their career.
Best Practices
Editor’s Note. Susan J. Simonian served as the action editor for this article.
In response, the field of professional psychology, together with
other allied health professions, have redoubled their efforts to
GREG J. NEIMEYER received his PhD in counseling psychology from the
formulate sets of “best practices” that can enhance learning and the
University of Notre Dame. He is an emeritus professor of psychology at the
University of Florida. A fellow of the American Psychological Associa-
translation of that learning into practice (Institute on Medicine,
tion, he has served as director of training and graduate coordinator in the 2010; Taylor & Neimeyer, 2017). The collective objective of these
Department of Psychology and was inducted as a lifetime member of the best practices is to enhance the comprehension, retention, and
Academy of Distinguished Teaching Scholars. His research interests in- application of new knowledge in support of ongoing professional
clude the study of professional competence and lifelong learning. He competence. Some of these practices focus on the value of adapt-
currently serves as the associate executive director of Continuing Educa- ing the learning strategies to individuals’ unique learning styles,
tion in Psychology at the American Psychological Association. presenting information multiple times utilizing different media,
JENNIFER M. TAYLOR received her PhD in counseling psychology from and providing opportunities for individuals’ input, application, and
the University of Florida. She is an assistant professor of counseling behavioral rehearsal of the material, in addition to receiving peer
psychology and counseling in the Department of Educational Psychology,
or instructor review and feedback (Taylor & Neimeyer, 2017).
University of Utah. Her research interests include professional compe-
tence, continuing professional development, mentoring, continuing educa-
Although some mechanisms for triggering change are necessarily
tion, and lifelong learning. intensive and may require considerable time, others are designed as
CORRESPONDENCE CONCERNING THIS ARTICLE should be addressed to Greg brief reflective exercises that can occur immediately after, or even
J. Neimeyer, American Psychological Association, 750 First Street, NE, during, a learning event. A longstanding literature on the concept of a
Washington, DC 20002-4242. E-mail: gneimeyer@apa.org commitment to change illustrates the value of utilizing this simple
95
96 NEIMEYER AND TAYLOR
technique in the service of generating greater learning and the trans- tional therapists over the course of their work with their clients
lation of that learning into actual practice (Lockyer et al., 2001). (Lowe, Rappolt, Jaglal, & Macdonald, 2007).
The precise mechanisms involved in triggering this translation
Facilitating Learning Through Commitments to into practice are not fully known, but recent work has begun to
Change (CTCs) address them. Herbert, Lowe, and Rappolt (cited in Lowe, Hebert,
& Rappolt, 2009), for example, wondered whether reflection alone
CTCs have been the subject of attention for the last few decades,
at the end of a new learning experience was sufficient to promote
but only recently have they been imported into the fields of allied
practice change, or whether the express formulation of a commit-
health or, more recently still, psychology. CTCs are generally
ment of change was an essential element. Reflection has long been
generated following an educational event such as attending a
a key component of ongoing professional development programs,
lecture, participating in a workshop, or reading an article (Wake-
as reflected in the Mann, Gordon, and MacLeod (2009) systematic
field, 2004). To complete a CTC, participants are asked to identify
review of reflection within continuing medication education
a set of possible changes they would like to make in their own
courses. Lowe et al. (2009), in their study, asked half of their
practice based on the educational event. They are asked to formu-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
those may be. At the end of the workshop we are going to invite you eration and the diminishing durability of knowledge as a conse-
to identify a few specific things that you would be willing to do, or do quence. Continuing education plays a critical role in lifelong
differently, as a consequence of today’s workshop.” Immediately professional learning, although it does not define it. The American
following the workshop, participants were invited to formulate up to Psychological Association regards continuing education as an on-
five CTCs and to rate each CTC according to how easily it might be going process consisting of learning activities that (1) are relevant
integrated into their practice, how valuable that integration might be, to psychological practice, education, and science, (2) enable psy-
and how committed they were to attempting that integration. Results chologists to keep pace with emerging issues and technologies, and
of the study support Ratelle et al.’s (2017) study with physicians. (3) allow psychologists to maintain, develop, and increase com-
Overall, nearly 90% of the participants generated at least one CTC, petencies in order to improve services to the public and enhance
with the modal number being four CTCs, suggesting again the po- contributions to the profession (American Psychological Associa-
tential value of proactive instructions to reflect on the utility and tion Council of Representatives, 2000).
application of new learning as a mechanism for enhancing the prob- Lifelong learning, however, represents a broader, more com-
ability of its translation into subsequent practice. plex, and multidimensional construct that includes personal and
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
In a study of 413 professional psychologists, Taylor et al. (2012) Stark, 1989). At the extreme, emotional and mental distress has been
reported an overall Cronbach’s alpha of r ⫽ .85 for the total scale linked to professional dysfunction and compromised performance,
score, with moderately strong subscale scores, as well. The sub- which has spawned renewed attention to issues of professional self-
scale for professional learning beliefs and motivation had a Cron- care (Wise, 2010; Wise & Gibson, 2012). The importance of self-care
bach’s alpha of r ⫽ .78 (9 items), the subscale for scholarly echoes the longstanding, and broader, recognition of the importance
activities had an r ⫽ .80 (4 items), the subscale for attention to that personal well-being and adjustment play in effective service
learning opportunities had an r ⫽ .77 (4 items), and the subscale delivery. Skovholt and Starkey (2010), for example, have identified
for technical skills in seeking information had an r ⫽ .62 (2 items). what they call the “three legs of the practitioner’s learning stool,”
In addition to exploring the reliability of the measure, Taylor noting that personal maturation, scholarly development, and ongoing
and colleagues (2012) explored the convergent validity of the scale personal experience all can play critical roles in developing, and
and found significant relationships between lifelong learning and maintaining professional competence (p. 125). Significant personal
several related constructs. Higher levels of lifelong learning cor- experiences, such as loss, grief, pain, and recovery, all have the ability
related with higher levels of both Formal CE (r ⫽ .25) and to enhance, or compromise, our ability to empathize and intervene in
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Informal CE (r ⫽ .38), as well as measures of professional com- relation to the suffering we work with. “In order to be most effective
This document is copyrighted by the American Psychological Association or one of its allied publishers.
petence (r ⫽ .54), professional self-efficacy (r ⫽ .16), and a range with clients, therapists need to realize and accept their own human-
of performance indicators such as publication records (r ⫽ .49), ness,” note Skovholt and Starkey (p. 129), highlighting the interde-
awards (r ⫽ .37), and professional service both as reviewer (r ⫽ pendence between personal experiences and professional capabilities.
.46) and on professional committees (r ⫽ .45). Similarly, Taylor Professional psychologists are subject to many of the stresses
and Neimeyer (2015) conducted a follow-up study with 136 psy- and strains common to everyone else. In a study of members of the
chologists in the Midwest, and their findings provided further Minnesota Psychological Association, for example, many psychol-
validation of the relationships between lifelong learning and other ogists reported significant mental health concerns (Brodie & Rob-
professional constructs. In their 2015 study, lifelong learning was inson, 1991). A substantial percentage of psychologists (47%)
found to be significantly related to Formal (r ⫽ .61) and Informal reported experiencing depression; for example; 60% reported feel-
CE (r ⫽ .38), professional competence (r ⫽ .61) and engagement ing burned out or overworked, and 49% reported experiencing
in scholarly activities (r ⫽ .52). These findings provide provisional relationship problems. More recently, researchers have concluded
support for the potential utility of the scale for use in assessing a that psychologists are at an increased risk of suicide (Kleespies et
commitment to learning among professional psychologists across al., 2011). Other studies have reported that relatively high levels of
the course of their professional lifespans in a way that might be substance abuse, feelings of isolation, emotional exhaustion, and
useful in ongoing efforts to understand the concomitants, and anxiety are also common among practicing psychotherapists (El-
facilitators, of a commitment to lifelong learning across the course liott & Guy, 1993; Mahoney, 1997; Simpson et al., 2018), under-
of professional training and practice. scoring the acute need for attention to issues of self-care within the
ranks of professional psychologists (Wise & Barnett, 2016).
Summary In addition, practicing psychotherapists face distinctive stressors
related to the services they provide and the populations they may
A robust literature within medicine indicates the potentially
work with. Compassion fatigue is the result of the “caring cycle,”
important role of lifelong learning in helping to scaffold the
which is characterized by a cycle of empathy, involvement, and
attitudes and behaviors that promote ongoing professional perfor-
attachment to clients, followed by termination of the therapeutic
mance, competence, and accomplishment. While corresponding
relationship (Skovholt & Trotter-Mathison, 2016). This process
data within professional psychology remains in its nascence, pro-
can lead the therapist to feel emotionally depleted and exhausted,
visional evidence supports the potential utility of assessing and
registering an adverse effect on their professional functioning. For
promoting levels of lifelong learning. Graduate training programs
this reason, self-care has been regarded as an essential element of
and internships, both tasked with inculcating the values of lifelong
professional renewal and has been nominated as a critical ingre-
learning, could utilize the Jefferson Scale of Psychotherapist Life-
dient in preventing burnout (see Brucato & Neimeyer, 2009) and
long Learning (Taylor et al., 2012; Taylor & Neimeyer, 2015) to
maximizing professional capacities (Wise & Gibson, 2012). Self-
assess lifelong learning attitudes and behaviors and to monitor
care can include a wide range of activities that enable an individual
them over the course of training. Likewise, researchers interested
to maintain physical and emotional well-being. Participating in
in exploring the role of lifelong learning in maintaining profes-
hobbies, reading, personal therapy, and taking vacations are all
sional competence or predicting professional accomplishment may
examples of potential self-care behaviors that may reduce levels of
find the measurement of this construct as useful in their programs
stress and contribution to levels of personal adjustment and well-
of research. A copy of the Jefferson Scale of Psychotherapist
being (Mahoney, 1997). The primary objective of self-care is not
Lifelong Learning appears in Appendix B to encourage the ongo-
the elimination of stress, but an adaptive coping with it (Barnett,
ing exploration of this construct and its potential value in programs
Baker, Elman, & Schoener, 2007), developing or embracing more
of research within the field of professional psychology.
constructive forms of self-care in favor of more maladaptive forms
Monitoring Self-Care: The Professional of coping (e.g., through drugs or alcohol).
The role of continuing education in promoting self-care and
Self-Care Scale
supporting ongoing professional competence has only recently
Although continuing education is designed to promote ongoing begun to receive attention. A compelling conceptual rationale for
professional development, the role of personal well-being has been a the role of CE in self-care has been advanced by Wise (2010) and
longstanding feature of the competency literature (Guy, Poelstra, & further developed by Wise and Gibson (2012) and Wise and
MEASURES OF PROFESSIONAL ASSESSMENT 99
Barnett (2016). The empirical evidence for the relationship among work has shown a strong relationship between the PSCS and mea-
CE, self-care, and professional competence is in its early stages, sures of professional competence, ranging from r ⫽ .31 (Taylor &
however. One study of continuing medical education (CME), for Neimeyer, 2014) to r ⫽ .51 (Taylor et al., 2013), levels of
example, has reported that levels of CME participation were in- professional self-efficacy (r ⫽ .43; Taylor, Neimeyer, & Dorociak,
versely related to levels of stress, job dissatisfaction, and burnout 2018), lifelong learning (r ⫽ .18; Taylor & Neimeyer, 2014), and
(Kushnir, Cohen, & Kitai, 2000). diversity awareness and appreciation (r ⫽ .38; Taylor &
Likewise, among psychologists, the work of Taylor et al. (2012) Neimeyer, 2014). Taken together, these findings suggest that cre-
supports the interrelationship among these variables. In their survey of ating a culture of competence, self-care, and lifelong learning may
71 practicing psychologists, they found that levels of self-care were translate to greater openness and engagement with other cultures
inversely related to levels of stress (r ⫽ ⫺.49) and positively related as well.
to levels of life satisfaction (r ⫽ .49), life adjustment (r ⫽ .46), and
measures of professional competence (r ⫽ .29) and professional Summary
self-efficacy (r ⫽ .26). Neither formal nor informal CE was related to
The Professional Self-Care Scale (Neimeyer et al., 2015; Taylor,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
brief self-assessment measure patterned after the Cube Model settings. These include graduate and postgraduate training con-
(Taylor, Neimeyer, & Duffy, 2018). texts, as well a number of different practice contexts where it may
prove valuable to facilitate the translation of new learning into
Professional Competencies Scale practice (the Commitment-to-Change Scale), to assess therapists
The Professional Competencies Scale (PCS; Taylor, Neimeyer, levels of lifelong learning (the Jefferson Scale of Psychologist
& Duffy, 2018) was created as a tool to explore critical compo- Lifelong Learning), to monitor levels of professional self-care (the
nents of professional competence among trainees and licensed Professional Self-Care Scale), or to monitor or promote levels of
psychologists. The scale includes 10 items, comprising of three foundational, functional, or continuing competencies (the Profes-
subscales: Foundational Competencies, Functional Competencies, sional Competencies Scale). While research suggests that profes-
and Continuing Competencies. Cronbach’s alphas suggest suffi- sional knowledge attrition can occur over time (Dubin, 1972;
cient interitem reliability for the PCS and its subscales. Among Taylor & Neimeyer, 2015), these measures may provide valuable
samples of over 400 general licensed psychologists, more than 450 mechanisms for tracking these important components of ongoing
board-certified psychologists, and over 400 predoctoral interns, professional development and assessing the impact of various
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
overall reliability for the PCS was reported at r ⫽ .80, .76, and .76 interventions aimed at facilitating them.
This document is copyrighted by the American Psychological Association or one of its allied publishers.
(r ⫽ .69, .76, and .50 for Foundational Competencies; r ⫽ .82, .53, One connecting thread between each of the measures introduced
and .74 for Functional Competencies, and r ⫽ .65, .88, and .62 for in this paper relates to the potential value of creating a network of
Continuing Competencies; Taylor, Neimeyer, & Duffy, 2018). learners and facilitating interpersonal relationships to support pro-
Convergent validity for each subscale provides evidence of signifi- fessional competence. There is promising research that suggests
cant relationships between the PCS and other related constructs (Tay- that professional development communities can enhance profes-
lor, Neimeyer, & Duffy, 2018). The Foundational Competencies sional competence (Johnson & Fargo, 2014), and these tools may
subscale was significantly related to a measure of diversity appreci- be useful in those contexts. In developing and sharing their pro-
ation and awareness (r ⫽ .31) and therapist self-care (r ⫽ .11). The fessional development plans, for example, psychologists could use
Functional Competencies subscale was significantly related to profes- these instruments to monitor and document their commitment to
sional self-efficacy (r ⫽ .48). And the Continuing Competencies key components of professional development, and to demonstrate
subscale was significantly related to measures of lifelong learning their accountability to the maintenance of competence in relation
(r ⫽ .73), engagement in formal continuing education (r ⫽ .19) and to the public that they serve.
in informal continuing education (r ⫽ .22). By embracing further measures and mechanisms of accountabil-
ity, professional psychology might advance an understanding of
Summary the components of professional competence and at the same time
affirm its continuing compact with the society it seeks to support.
The Professional Competencies Scale (Taylor, Neimeyer, & Duffy,
2018) is a concise, psychometrically promising instrument that as-
sesses three components of professional competence (Foundational,
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102 NEIMEYER AND TAYLOR
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10.1037/h0032256 Science.
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Appendix A
Commitment-to-Change Assessment
In considering what you have just read, please identify one or more specific things that you might add to, or do differently, in your practice
as a professional psychologist as a result of today’s training. Please make these as specific and behavioral as you can; things you might
actually be able to integrate into your work within the coming weeks or months in your practice. Record as many as are appropriate to
you below by indicating specific things you are committed to doing or changing as a result of what you have learned:
1. Commitment to Change Number 1.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
How easy do you think it would be to do this item?
Very Easy 5 4 3 2 1 Very Difficult
How valuable would it be to do this?
Very Easy 5 4 3 2 1 Very Difficult
How committed are you to doing this?
Very Easy 5 4 3 2 1 Very Difficult
2. Commitment to Change Number 2.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
How easy do you think it would be to do this item?
Very Easy 5 4 3 2 1 Very Difficult
How valuable would it be to do this?
Very Easy 5 4 3 2 1 Very Difficult
How committed are you to doing this?
Very Easy 5 4 3 2 1 Very Difficult
3. Commitment to Change Number 3.
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
How easy do you think it would be to do this item?
Very Easy 5 4 3 2 1 Very Difficult
How valuable would it be to do this?
Very Easy 5 4 3 2 1 Very Difficult
How committed are you to doing this?
Very Easy 5 4 3 2 1 Very Difficult
If you are interested in doing so, consider setting a goal for yourself in relation to a timeline for attempting these changes and, perhaps,
telling a colleague about your anticipated changes and discussing with them how these changes turned out.
Goal with Timeline to Make Changes:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
MEASURES OF PROFESSIONAL ASSESSMENT 103
(Appendices continue)
Appendix B
Jefferson Scale of Psychotherapist Lifelong Learning
Appendix C
Professional Self-Care Scale
(Appendices continue)
104 NEIMEYER AND TAYLOR
1. Believe that my life has purpose. 13. If my mobility is decreased, I make the needed adjust-
ments.
2. Maintain meaningful and fulfilling relationship with others.
14. When needed, I set new priorities in the measures that I
3. Look forward to the future. take to stay healthy.
4. Work toward long-term goals in my life. 15. I look for better ways to take for myself.
5. Touch and am touched by people I care about. We would like to ask you some questions about your emotional
life, in particular, how you control (that is, regulate and manage)
6. Report any unusual signs or symptoms to a physician or
your emotions. The questions below involve two distinct aspects of
other health professional.
your emotional life. One is your emotional experience, or what you
7. Question health professionals in order to understand their feel like inside. The other is your emotional expression, or how
you show your emotions in the way you talk, gesture, or behave.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
instructions.
Although some of the following questions may seem similar to one
This document is copyrighted by the American Psychological Association or one of its allied publishers.
8. Discuss my health concerns with professionals. another, they differ in important ways.
Response Options
9. Exercise vigorously for 20 or more minutes at least three 1 ⫽ Strongly Disagree
times a week (such as walking, bicycling, aerobic dancing, 2 ⫽ Disagree
using a stair climber). 3 ⫽ Somewhat Disagree
4 ⫽ Neutral
10. Take part in light to moderate physical activity (such as 5 ⫽ Somewhat Agree
sustained walking 30 – 40 min 5 or more times per week). 6 ⫽ Agree
7 ⫽ Strongly Agree
11. Take part in leisure-time (recreational) physical activities
(such as swimming, dancing, bicycling). 16. When I want to feel more positive emotion (such as joy
or amusement), I change what I’m thinking about.
A list of statements which people have used to describe themselves is
given below. Please read each statement and then select the appro- 17. When I want to feel more positive emotion, I change the
priate statement to indicate how much you agree or disagree with the way I’m thinking about the situation.
statement or a description of you. There are no right or wrong
answers. Do not spend too much time on any one statement but give 18. I control my emotions by changing the way I think
the answer which seems to be the most descriptive of you. about the situation I’m in.
Response Options
1 ⫽ Strongly Disagree 19. When I want to feel less negative emotion, I change the
2 ⫽ Disagree way I’m thinking about the situation.
3 ⫽ Somewhat Disagree
4 ⫽ Neutral Note. Items 1–5 comprise subscale 1 (Orientation toward Mean-
5 ⫽ Somewhat Agree ing Making/Purpose), items 6 – 8 comprise subscale 2 (Commit-
6 ⫽ Agree ment to Discussing Health Concerns With a Health Professional),
7 ⫽ Strongly Agree items 9 –11 comprise subscale 3 (Commitment to Exercise), items
12–15 comprise subscale 4 (Commitment to Making Necessary
12. As circumstances change, I make the needed adjust- Life Adjustments), and items 16 –19 comprise subscale 5 (Orien-
ments to stay healthy. tation Toward Changing Attitudes/Emotions/Thoughts).
(Appendices continue)
MEASURES OF PROFESSIONAL ASSESSMENT 105
Appendix D
Professional Competencies Scale
To what extent do you agree with each of the following in relation Consultation Items
to your practice . . . 6. I demonstrate the ability to gather information necessary to
Response Options answer referral questions.
1 ⫽ Strongly disagree 7. I prepare clear, useful consultation reports and recommenda-
2 ⫽ Disagree tions to all appropriate parties.
3 ⫽ Neither agree nor disagree
4 ⫽ Agree Continuing Competences Subcale
5 ⫽ Strongly agree
Psychotherapist Lifelong Learning Scale (Measures three
components of lifelong learning: Learning Beliefs and Motivation,
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
Foundational Competencies Subscales Attention to Learning Opportunities, and Technical Skills in In-
This document is copyrighted by the American Psychological Association or one of its allied publishers.