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Professional Psychology: Research and Practice

© 2019 American Psychological Association 2019, Vol. 50, No. 2, 95–105


0735-7028/19/$12.00 http://dx.doi.org/10.1037/pro0000225

Advancing the Assessment of Professional Learning, Self-Care,


and Competence
Greg J. Neimeyer Jennifer M. Taylor
The American Psychological Association, Washington, DC University of Utah

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.

Public Significance Statement


This article introduces the reader to four professional development tools (the Commitment-to-Change
Assessment, the Jefferson Scale of Psychotherapists Lifelong Learning, the Professional Self-Care
Scale, and the Professional Competencies Scale). These tools can be used by professional psychol-
ogists as self-assessment measures or by researchers to support the field of professional development
and professional competence.

Keywords: professional self-assessment, competence, professional development, lifelong learning, self-care

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.

participants to complete CTCs while the other half were prompted


late these changes in specific, behavioral form, which requires
This document is copyrighted by the American Psychological Association or one of its allied publishers.

to reflect on the workshop using the Critical Incident Question-


them to reflect on the relevance and applicability of the new
naire (CIQ) in the absence of the specific formulation of CTCs.
information and to adapt its application to their own interests and
Two months following the workshop, there was a modest differ-
experience. They are then asked to indicate their level of commit-
ence favoring the CTC group over the reflection-only group. The
ment to making each of these changes they have formulated,
percentage of those who demonstrated significant change was
utilizing a rating scale that reflects their commitment to change,
significant in both groups, but it favored those who had formulated
from low (1) to high (5). In the Commitment to Change procedure,
specific commitments to change. Overall, 67% of the individuals
participants are often reminded of their commitments in a subse-
who used CTCs integrated these changes in practice, compared to
quent follow-up 1–2 months later, and asked to indicate if they
50% of those in the CIQ group who reported doing likewise.
actually enacted, or attempted to enact, each of their stipulated
A recent study of the relationship between reflection and behavior
CTCs, and to describe their experience or outcomes.
change in continuing medical education provides further evidence in
The effectiveness of the CTC procedure seems to be related to
this regard (Ratelle et al., 2017). In a cohort study of attendees at a
its three steps. The timing of the administration, immediately after
continuing medical education course at a national hospital, 223 par-
the learning event, provides the participant an opportunity to
ticipants rated the level of reflection that was generated from them in
reflect on the most salient elements of the material and to formu-
relation to each presentation they attended, and formulated
late it in terms that are most relevant to their own experience,
commitment-to-change statements at the conclusion of each course.
interests, or needs. Rating the level of commitment provides a
Reflection scores consisted of ratings, on a 5-point scale, about the
concrete mechanism for reflecting on the importance or value of
extent to which the presentation had prompted reflection, reconsider-
the change, and it anchors the individual in a level of expectation
ation, deliberation, or critical reevaluation of their practices. A
about completing it. And the subsequent follow-up provides a
3-month postcourse survey was conducted to determine whether
sense of accountability, together with the opportunity to reflect on
planned CTCs were successfully implemented, and whether they
the translation of the material into practice, or the barriers that may
were related to higher levels of reflection.
have impeded or prevented that translation.
Overall, 65.5% of the participants who had formulated commit-
ments to change implemented at least one of them. Reflection
Applications of CTCs
scores correlated significantly with the number of planned CTC
CTCs have been the subject of attention in relation to the statements, r ⫽ .65, p ⬍ .01, suggesting the potential role of
organizational change literature for several decades, as a tool for reflection as a mechanism for enhancing CTCs and the subsequent
facilitating critical shifts in organizational structure, processes, or translation of new learning into actual practice. In addition, higher
style. Within the allied health literatures, medicine was among the reflection scores were related to the greater availability of oppor-
first to explore the utility of CTCs as a mechanism for facilitating tunities for audience response and the use of clinical case illustra-
the translation of new knowledge into actual clinical practice. tions. The researchers concluded that “we found that reflection
Within this literature, the actual development and translation of strongly correlates with CTC” and that “continuing education
CTCs into practice varies widely, from 47% to 87% of participants curricula that stimulate reflections may actually promote positive
(Wakefield, 2004), based on a number of identified factors. These patient care behaviors” (Ratelle et al., 2017, p. 166).
factors include the extent to which individuals feels as if the CTCs A recent extension of this work was conducted by psychologists
are useful and relatively easy to do, and the extent to which they completing continuing education workshops at the annual American
feel as though they have personal control over completing them Psychological Association conference (Neimeyer & Taylor, 2018).
(Lockyer et al., 2001). The greater the environmental or institu- Participants were asked to “carefully consider the potential applica-
tional constraints, the less likely individuals are to be able to tion of the workshop material to your own clinical practice. Think
follow through on their commitments and accomplish the behav- about what is being discussed and whether it might apply to the work
ioral changes they have formulated (Parochka & Paprockas, 2001). that you are doing and, if so, how you might apply the content to your
A number of studies have demonstrated that the CTC procedure current practices, or might change your practices in some ways as a
can trigger actual changes in practice-related behavior, including consequence of what you learn today. In other words, please reflect on
the specific prescriptions that physicians write following educa- what you are learning and see if you can identify elements of what
tional programs and the specific interventions utilized by occupa- you learn that would be useful to you, and identify for yourself what
MEASURES OF PROFESSIONAL ASSESSMENT 97

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.

motivational factors that operate within a value system that em-


This document is copyrighted by the American Psychological Association or one of its allied publishers.

Summary phasizes creativity, empowerment, and an ongoing quest for new


knowledge and skills (Taylor & Neimeyer, 2015). The breadth of
Professional psychologists who are interested in enhancing
the construct has presented challenges both to its operationaliza-
learning, and the translation of that learning into practice, may
tion in general as well as to its specific relevance to professional
increase the retention and translation of material by incorporating
psychologists. Measures of self-directed learning in general adult
CTCs into their professional development programs. Although the
populations are available, for example, but often assess generic
overall effectiveness of CTCs as a tool to enhance the integration
attitudes toward learning (“I love to learn”; Guglielmino, 1978), or
of new learning into practice is still under study, the current
personality characteristics of self-directed learners in ways that
evidence is promising. The incorporation of simple reflective
have led to variable indications of reliability and inconclusive
questions into a learning experience may itself be useful, as when
studies of validity (Oddi, Ellis, & Altman Roberson, 1990).
the psychologist asks, “How can I use this new knowledge?” “How
In response to the need for a more focused instrument with sound
does this apply to my practice and to what I do?” or “What might
psychometrics, Hojat and his colleagues began developing the Jeffer-
I do differently based on what I have learned today?” Although
son Scale of Physician Lifelong Learning (JSPLL) scale (Hojat,
simple reflection itself appears to facilitate both learning and the
Veloski, Nasca, Erdmann, & Gonnella, 2006) that has since been
translation of that learning into practice, the express formulation of
modified for use with psychologists (Taylor & Neimeyer, 2015).
potential changes and a commitment to those changes may add
Importantly, Hojat and colleagues (2006) defined lifelong learning
further value (Lowe et al., 2009). Overall, the formulation of CTCs
operationally as “a concept that involves a set of self-initiated activ-
represents a relatively simple mechanism for promoting reflection,
ities (behavioral aspect), and information seeking skills (capabilities)
anchoring expectations regarding subsequent application, and le-
that are activated in individuals with a sustained motivation to learn
veraging new learning into novel practice behaviors. Simple ex-
and the ability to recognize their own learning needs (cognition)” (p.
tensions of the CTC procedure that may provide additional benefit
931). Early factor analytic work yielded four factors that corre-
include conducting surveys of postcourse behaviors to assess com-
sponded to these conceptual features: “professional learning beliefs
pliance with the CTCs, encouraging participants to report to col-
and motivation,” “scholarly activities,” “attention to learning oppor-
leagues or other peers regarding their CTCs in order to build in
tunities,” and “technical skills in seeking information.”
additional elements of accountability, or establishing timelines for
Subsequent work in support of the instrument follows from a
the completion of CTCs. With continued utilization and examina-
study of 5,553 graduates of Jefferson Medical College between
tion, commitment-to-change procedures may join the ranks of
1975 and 2000 (Hojat, Veloski, & Gonnella, 2012), where a wide
other processes, procedures, and techniques that jointly constitute
variety of performance variables were positively associated with
what has increasingly come to be recognized as the set of “best
higher scores on the JSPLL scale. These included graduate school
practices” in the field of ongoing professional education and
standing and a wide range of indicators of professional accom-
continuing professional competence. Appendix A contains a com-
plishment, such as publication and grant productivity, professional
plete copy of a Commitment-to-Change Assessment that may be
presentations and addresses, and leadership positions within aca-
useful in evaluating and facilitating new learning in professional
demic and professional societies, organizations, or institutions.
training and development contexts.
Given the centrality of lifelong learning to the field of profes-
Assessing Lifelong Learning Through the Jefferson sional psychology, it is surprising that its operationalization and
measurement have not received greater attention. One recent effort
Scale of Psychotherapist Lifelong Learning
in this regard involved the modification of the JSPLL (Hojat et al.,
In the field of professional psychology, as in broader allied 2006) for use with professional psychologists. Because the scale
health fields, a commitment to learning throughout one’s career was originally designed for physicians, the items were adapted for
has been described as a critical element of professionalism, as well psychotherapists (see Appendix B) and renamed the Jefferson
as an ethical mandate. The APA Ethical Principles of Psycholo- Scale of Psychotherapist Lifelong Learning, accordingly (Taylor,
gists and Code of Conduct American Psychological Association Neimeyer, & Wear, 2012; Taylor & Neimeyer, 2015). As with its
(2002) stipulates that “psychologists undertake ongoing efforts to original form, the revised JSPLL consists of 19 items, each mea-
develop and maintain their competence,” a task that is made sured on a 4-point rating scale. Lower scores represent lower
increasingly difficult with the rapid pace of new knowledge gen- orientations toward lifelong learning.
98 NEIMEYER AND TAYLOR

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.

levels of self-care, although CE was related to levels of perceived


Neimeyer, & Dorociak, 2018) is a brief, psychometrically promising
This document is copyrighted by the American Psychological Association or one of its allied publishers.

professional competence. In concluding their work, Taylor and col-


self-report measure that assesses five dimensions of self-care. Its use
leagues observed that it is noteworthy that “current conceptualizations
within graduate training contexts, with predoctoral internships, and
of professional competency place a premium on a variety of personal
among practicing professional psychologists suggests its potential
qualities . . . that are uncommon targets of continuing education
value as a tool for assessing levels of self-care and predicting levels of
programs” (p. 257). Wise and Barnett (2016) and Wise and Gibson
professional competence and a commitment to lifelong learning. It
(2012) articulate a compelling rationale for considering self-care as an
may be useful as a tool for monitoring levels of self-care within
ethical imperative, and advocate a broad and flexible approach to
professional training or practice contexts, and as a mechanism for
self-care within graduate training programs as well as postgraduate
determining the nature of the relationships among professional com-
continuing education programs.
petence, self-care, and a commitment to ongoing professional devel-
A precondition to advancing work in the area of self-care,
opment. A complete version of the scale appears in Appendix C in
however, is the development and utilization of psychometrically
order to facilitate its use in further training and research contexts.
sound measurements of this construct. One recent development is
this regard is the Professional Self-Care Scale (PSCS) developed Measuring Professional Competence Through the
by Neimeyer, Taylor, and Dorociak (2015).
Professional Competence Scale
Attention to issues of professional competence has been an endur-
Professional Self-Care Scale
ing feature of the field of professional psychology since its inception
The PSCS is a 19-item self-rated instrument designed to assess (Webster, 1971), with notable conferences marking milestone mo-
multiple dimensions of professional self-care (Neimeyer et al., ments in the field’s quest for practical, conceptual, and empirical
2015) that has been used in a number of studies of professional advances in the concept of competence. In 2002, the American
psychologists (Taylor, Fouad, Latorre, Milam, & Santana, 2018; Psychological Association invited over 130 psychologists to the Com-
Taylor, Neimeyer, Cox, Rozensky, & McLeod, 2013). petencies Conference: Future Directions in Education and Credential-
In working with this instrument, Taylor, Neimeyer, and Doro- ing. At this conference, psychologists updated the 1986 National
ciak (2018) provided a three-sample factor analysis of the scale Council of Schools and Programs of Professional Psychology
using undergraduates (N ⫽ 629), predoctoral interns (N ⫽ 264), (NCSPP) foundational and functional competencies for psychologists
and board-certified professional psychologists (N ⫽ 531) to deter- and developed a “Cube Model” of professional competence. Twelve
mine the factor structure, reliability, and aspects of the measure’s professional competencies were conceptualized as either foundational
convergent and divergent validity. Results of their work revealed competencies (e.g., knowledge, attitudes, or values critical for prac-
a robust five-factor structure (Meaning Making; Discuss Health ticing in the field) or functional competencies (e.g., the skills to carry
Concern; Exercise; Life Adjustments; and Attitudes, Thoughts, out professional roles and requirements). These competencies were
and Emotions). Cronbach alphas for each of the subscales was defined at three stages of professional practice: readiness for practi-
moderately high (r ⫽ .78 –.85), with an overall full-scale Cronbach cum, readiness for internship, and readiness for licensure (Fouad et
of r ⫽ .85. In a subsequent study of 559 graduate students, the al., 2009; Rodolfa et al., 2005).
PSCS continued to perform well (overall Cronbach’s alpha: r ⫽ Since its initial inception, several extensions of the Cube Model
.85, and reliabilities for each subscale reflected the following, have occurred. For example, researchers have conceptualized an
respectively: r1 ⫽ .85, r2 ⫽ .82, r3 ⫽ .85, r4 ⫽ .80, r5 ⫽ .80). The additional professional competency domain (continuing competen-
PSCS demonstrated promising convergent and divergent validity cies) that covers lifelong learning values and competencies beyond
as well, showing a positive relationship with the Satisfaction With readiness for licensure. Additionally, the Cube Model has ex-
Life Scale among university samples (r ⫽ .55; Diener, Emmons, panded to a variety of professional contexts, including competen-
Larsen, & Griffin, 1985) and an inverse relationship with the cies for clinical child psychologists, pediatric psychologists, and
Perceived Stress Scale (r ⫽ ⫺.28; Cohen, Kamarck, & Mermel- geropsychologists. Despite theoretical developments of the Cube
stein, 1983). Among board-certified psychologists and graduate stu- Model, little empirical work has been generated on the basis of the
dents, respectively, findings were consistent. The PSCS was nega- model. The availability of assessment tools built on this theoretical
tively correlated with the Perceived Stress Scale (r ⫽ ⫺.36, ⫺.49; model are essential to establishing its empirical validity and utility.
Taylor et al., 2013; Taylor, Neimeyer, & Dorociak, 2018). Subsequent The Professional Competence Scale represents one such tool, a
100 NEIMEYER AND TAYLOR

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,
References
Functional, and Continuing Competencies) based on the Cube Model. American Psychological Association. (2002). Ethical principles of psy-
This measure can be used in training contexts for supervision and chologists and code of conduct. American Psychologist, 57, 1060 –1073.
advising, in professional contexts as a self-assessment measure, and http://dx.doi.org/10.1037/0003-066X.57.12.1060
within research contexts as a brief assessment tool for exploring the American Psychological Association Council of Representatives. (2000).
development and maintenance of professional competencies. Minutes of APA Council of Representatives. Washington, DC: Author.
Barnett, J. E., Baker, E. K., Elman, N. S., & Schoener, G. R. (2007). In
Limitations pursuit of wellness: The self-care imperative. Professional Psychology:
Research and Practice, 38, 603– 612. http://dx.doi.org/10.1037/0735-
It is important to note that all of the assessments introduced in 7028.38.6.603
this article were initially designed as self-report measures, and Brodie, J., & Robinson, B. (1991). Distressed/impaired survey: Overview
self-report measures carry certain limitations. For example, self- and results. Minnesota Psychologist, 40, 7–9.
report measures are subject to social desirability biases and de- Brucato, B., & Neimeyer, G. J. (2009). Epistemology as a predictor of
mand characteristics. In addition, participants may not recall an- therapists’ self-care and coping. Journal of Constructivist Psychology,
22, 269 –282. http://dx.doi.org/10.1080/10720530903113805
swers to some survey questions (e.g., how often they search
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of
computer databases to learn about new developments in the field,
perceived stress. Journal of Health and Social Behavior, 24, 385–396.
or how often they take part in physical activities), and participants http://dx.doi.org/10.2307/2136404
may differ in the ways in which they interpret survey items (e.g., Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The
“somewhat agree” may mean something different to different Satisfaction With Life Scale. Journal of Personality Assessment, 49,
participants). Nonetheless, these measures constitute provisional 71–75. http://dx.doi.org/10.1207/s15327752jpa4901_13
instruments of potential utility that may be worthy of additional Dubin, S. S. (1972). Obsolescence or lifelong education: A choice for the
exploration, validation, and application. As it stands, the utility of professional. American Psychologist, 27, 486 – 498. http://dx.doi.org/10
these instruments remains promissory with potential applications .1037/h0033050
in educational, training, and professional practice contexts. Elliott, D. M., & Guy, J. D. (1993). Mental health professionals versus
non-mental-health professionals: Childhood trauma and adult function-
Conclusion ing. Professional Psychology: Research and Practice, 24, 83–90. http://
dx.doi.org/10.1037/0735-7028.24.1.83
In this article, four professional assessments were introduced, all Fouad, N. A., Grus, C. L., Hatcher, R. L., Kaslow, N. J., Hutchings, P. S.,
of which offer utility in a range of different training and practice Madson, M. B., . . . Crossman, R. E. (2009). Competency benchmarks:
MEASURES OF PROFESSIONAL ASSESSMENT 101

A model for understanding and measuring competence in professional Neimeyer, G. J., Taylor, J. M., & Dorociak, K. (2015). The Development
psychology across training levels. Training and Education in Profes- of the Professional Self-Care Scale. Unpublished manuscript, University
sional Psychology, 3, S5–S26. http://dx.doi.org/10.1037/a0015832 of Florida, Gainesville, Florida.
Guglielmino, L. M. (1978). Development of the Self-Directed Readiness Neimeyer, G. J., Taylor, J. M., Rozensky, R. H., & Cox, D. R. (2014). The
Scale (Doctoral dissertation). Retrieved from Dissertation Abstracts diminishing durability of knowledge in professional psychology: A
International. (Accession No. 1979 –14573-001) second look at specializations. Professional Psychology: Research and
Guy, J. D., Poelstra, P. L., & Stark, M. J. (1989). Personal distress and Practice, 45, 92–98. http://dx.doi.org/10.1037/a0036176
therapeutic effectiveness: National survey of psychologists practicing Oddi, L. F., Ellis, A. J., & Altman Roberson, J. E. (1990). Construct validity
psychotherapy. Professional Psychology: Research and Practice, 20, of the Oddi continuing learning inventory. Adult Education Quarterly, 40,
48 –50. http://dx.doi.org/10.1037/0735-7028.20.1.48 139 –145. http://dx.doi.org/10.1177/0001848190040003002
Hojat, M., Nasca, T. J., Erdmann, J. B., Frisby, A. J., Veloski, J. J., & Parochka, J., & Paprockas, K. (2001). A continuing medical education
Gonnella, J. S. (2003). An operational measure of physician lifelong lecture and workshop, physician behavior, and barriers to change. The
learning: Its development, components and preliminary psychometric Journal of Continuing Education in the Health Professions, 21, 110 –
data. Medical Teacher, 25, 433– 437. http://dx.doi.org/10.1080/ 116. http://dx.doi.org/10.1002/chp.1340210208
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

0142159031000137463 Ratelle, J. T., Wittich, C. M., Yu, R. C., Newman, J. S., Jenkins, S. M., &
This document is copyrighted by the American Psychological Association or one of its allied publishers.

Hojat, M., Veloski, J. J., & Gonnella, J. S. (2012). Physician lifelong Beckman, T. J. (2017). Relationships between reflection and behavior change in
learning: Conceptualization, measurement, and correlates in full-time CME. The Journal of Continuing Education in the Health Professions, 37,
clinicians, academic clinicians, and medical students. In G. J. Neimeyer 161–167. http://dx.doi.org/10.1097/CEH.0000000000000162
& J. M. Taylor (Eds.), Continuing professional development and life- Rodolfa, E., Bent, R., Eisman, E., Nelson, P., Rehm, L., & Ritchie, P.
long learning: Issues, impacts and outcomes (pp. 29 – 69). Hauppauge, (2005). A cube model for competency development: Implications for
NY: Nova Science. psychology educators and regulators. Professional Psychology: Re-
Hojat, M., Veloski, J., Nasca, T. J., Erdmann, J. B., & Gonnella, J. S. search and Practice, 36, 347–354. http://dx.doi.org/10.1037/0735-7028
(2006). Assessing physicians’ orientation toward lifelong learning. Jour- .36.4.347
nal of General Internal Medicine, 21, 931–936. http://dx.doi.org/10 Simpson, S., Simionato, G., Smout, M., van Vreeswijk, M. F., Hayes, C.,
.1007/BF02743140 Sougleris, C., & Reid, C. (2018). Burnout amongst clinical and coun-
Institute on Medicine. (2010). Redesigning continuing education in the
selling psychologist: The role of early maladaptive schemas and coping
health professions. Washington, DC: National Academies Press.
modes as vulnerability factors. Clinical Psychology & Psychotherapy.
Johnson, C. C., & Fargo, J. D. (2014). A study of the impact of transfor-
Advance online publication. http://dx.doi.org/10.1002/cpp.2328
mative professional development on Hispanic student performance on
Skovholt, T. M., & Starkey, M. T. (2010). The three legs of the practitio-
state mandated assessments of science in elementary school. Journal of
ner’s learning stool: Practice, research/theory, and personal life. Journal
Science Teacher Education, 25, 845– 859. http://dx.doi.org/10.1007/
of Contemporary Psychotherapy, 40, 125–130. http://dx.doi.org/10
s10972-014-9396-x
.1007/s10879-010-9137-1
Kleespies, P. M., Van Orden, K. A., Bongar, B., Bridgeman, D., Bufka,
Skovholt, T. M., & Trotter-Mathison, M. (2016). The resilient practitioner:
L. F., Galper, D. I., . . . Yufit, R. I. (2011). Psychologist suicide:
Burnout and compassion fatigue prevention and self-care strategies for
Incidence, impact, and suggestions for prevention, intervention, and
the helping professions (3rd ed.). New York, NY: Routledge. http://dx
postvention. Professional Psychology: Research and Practice, 42, 244 –
.doi.org/10.4324/9781315737447
251. http://dx.doi.org/10.1037/a0022805
Taylor, J. M., Fouad, N., Latorre, C., Milam, S., & Santana, M. (2018).
Kushnir, T., Cohen, A. H., & Kitai, E. (2000). Continuing medical educa-
Professional competence and personal well-being in graduate school.
tion and primary physicians’ job stress, burnout and dissatisfaction.
Medical Education, 34, 430 – 436. http://dx.doi.org/10.1046/j.1365-2923 Unpublished manuscript, University of Utah, Salt Lake City, UT.
.2000.00538.x Taylor, J. M., & Neimeyer, G. J. (2014, August). The impact of multicul-
Lockyer, J. M., Fidler, H., Ward, R., Basson, R. J., Elliott, S., & Toews, J. tural awareness, professional competence, lifelong learning, and self-
(2001). Commitment to change statements: A way of understanding how care. Poster session presented at the 2014 American Psychological
participants use information and skills taught in an educational session. Association Convention, Multicultural, Social Justice, and Advocacy,
The Journal of Continuing Education in the Health Professions, 21, Washington, DC.
82– 89. http://dx.doi.org/10.1002/chp.1340210204 Taylor, J. M., & Neimeyer, G. J. (2015). The assessment of lifelong
Lowe, M., Hebert, D., & Rappolt, S. (2009). ABCs of CTCs: An intro- learning in psychologists. Professional Psychology: Research and Prac-
duction to Commitments to Change. Occupational Therapy Now, 11, tice, 46, 385–390. http://dx.doi.org/10.1037/pro0000027
20 –23. Taylor, J. M., & Neimeyer, G. J. (2017). Continuing education and lifelong
Lowe, M., Rappolt, S., Jaglal, S., & Macdonald, G. (2007). The role of learning strategies. In S. Walfish, J. E. Barnett, & J. Zimmerman (Eds.),
reflection in implementing learning from continuing education into handbook of private practice (pp. 602– 618). New York, NY: Oxford
practice. The Journal of Continuing Education in the Health Profes- University Press.
sions, 27, 143–148. http://dx.doi.org/10.1002/chp.117 Taylor, J. M., Neimeyer, G. J., Cox, D., Rozensky, R., & McLeod, D.
Mahoney, M. J. (1997). Psychotherapists’ personal problems and self-care (2013, February). The relationship between self-care and professional
patterns. Professional Psychology: Research and Practice, 28, 14 –16. competence among board-certified psychologists. Poster session pre-
http://dx.doi.org/10.1037/0735-7028.28.1.14 sented at the Big Ten Counseling Centers Conference, Iowa City, IA.
Mann, K., Gordon, J., & MacLeod, A. (2009). Reflection and reflective Taylor, J. M., Neimeyer, G. J., & Dorociak, K. (2018). The development of
practice in health professions education: A systematic review. Advances the Professional Self-Care Scale. Unpublished manuscript, University of
in Health Sciences Education, 14, 595– 621. http://dx.doi.org/10.1007/ Utah, Salt Lake City, UT.
s10459-007-9090-2 Taylor, J. M., Neimeyer, G. J., & Duffy, R. (2018). The development of the
Neimeyer, G. J., & Taylor, J. M. (2018). Continuing education and Professional Competencies Scale: An assessment of foundational, func-
commitment to change: Results of a randomized controlled study. Un- tional, and continuing competencies for psychotherapists. Manuscript
published manuscript, Washington, DC. submitted for publication.
102 NEIMEYER AND TAYLOR

Taylor, J. M., Neimeyer, G. J., & Wear, D. (2012). Professional compe- Wise, E. H. (2010). Life-long learning for psychologists: Current status and
tency and personal experience: An exploratory study. In G. J. Neimeyer a vision for the future. Professional Psychology: Research and Practice,
& J. M. Taylor (Eds.), Continuing professional development and life- 41, 288 –292. http://dx.doi.org/10.1037/a0020424
long learning: Issues, impacts and outcomes (pp. 249 –261). Hauppauge, Wise, E. H., & Barnett, J. E. (2016). Self-care for psychologists. In J. C.
NY: Nova Science. Norcross, G. R. VandenBos, & D. K. Freedheim (Eds.), APA handbook
Wakefield, J. G. (2004). Commitment to change: Exploring its role in of clinical psychology (Vol. 5, pp. 209 –222). Washington, DC: Amer-
changing physician behavior through continuing education. The Journal ican Psychological Association.
of Continuing Education in the Health Professions, 24, 197–204. http:// Wise, E. H., & Gibson, C. M. (2012). Continuing education, ethics and
dx.doi.org/10.1002/chp.1340240403 self-care: A professional life span perspective. In G. J. Neimeyer & J. M.
Webster, T. G. (1971). National priorities for the continuing education of Taylor (Eds.), Continuing professional development and lifelong learn-
psychologists. American Psychologist, 26, 1016 –1019. http://dx.doi.org/ ing: Issues, impacts and outcomes (pp. 203–227). New York, NY: Nova
10.1037/h0032256 Science.
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.
This document is copyrighted by the American Psychological Association or one of its allied publishers.

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

Response Options 11. I give on average at least one presentation at profes-


1 ⫽ Strongly Disagree sional meetings in every given year.
2 ⫽ Disagree
3 ⫽ Agree 12. I frequently publish articles in peer-reviewed journals.
4 ⫽ Strongly Agree
13. I routinely exchange e-mail messages with my colleagues.
1. Rapid changes in science require constant updating of
knowledge and development of new professional skills. 14. I routinely attend presentations offered in my field regard-
This article is intended solely for the personal use of the individual user and is not to be disseminated broadly.

less of whether a certificate for attendance is offered.


This document is copyrighted by the American Psychological Association or one of its allied publishers.

2. I recognize my need to constantly acquire new profes-


sional knowledge. 15. I routinely attend annual meetings of professional organi-
zations.
3. Lifelong learning is a professional responsibility of all
psychotherapists. 16. I attend professional development programs regardless of
whether CE credit is offered.
4. I believe I would fall behind if I stopped learning about
new developments in my profession. 17. I take any opportunity to gain new knowledge/skills that
are important to my profession.
5. One of the important missions of undergraduate educa-
tion is the development of the habit of lifelong learning. 18. My preferred approach to finding an answer to a question
is to search the appropriate computer databases.
6. I enjoy reading articles in which issues of my profes-
sional interests are discussed. 19. I search computer databases (e.g., PsycLIT) to find out
about new developments in my field.
7. I always make time for self-directed learning, even
when I have a busy practice schedule and other profes- Note. Items 1–9 comprise subscale 1 (Professional Learning Be-
sional and family obligations. liefs and Motivation), items 10 –13 comprise subscale 2 (Scholarly
Activity), items 14 –17 comprise subscale 3 (Attention to Learning
8. Searching for an answer to a question is, in and by itself,
Opportunities), and items 18 –19 comprise subscale 4 (Technical
rewarding.
Skills in Information Seeking). To score: each item is rated on a
9. I read professional journals at least once every week. scale from 1 (strongly disagree) to 4 (strongly agree), with higher
scores indicating greater levels of lifelong learning. The scale is
10. I actively conduct research as a principle investigator or adapted from the Jefferson Scale of Physician Lifelong Learning
coinvestigator. (Hojat et al., 2003, 2006).

Appendix C
Professional Self-Care Scale

The following 11 questions contain statements about your present 2 ⫽ Rarely


way of life or personal habits. Please respond to each item as 3 ⫽ Occasionally
accurately as possible, and try not to skip any item. Indicate the 4 ⫽ Sometimes
frequency with which you engage in each behavior. 5 ⫽ Often
Response Options 6 ⫽ Very Often
1 ⫽ Never 7 ⫽ Routinely

(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.

Professionalism Item formation Seeking)


1. I contribute to the development and advancement of the 8. Rapid changes in science require constant updating of knowl-
profession and colleagues. edge and development of new professional skills.
Reflective Practice/Self-Assessment/Self-Care Item 9. I routinely attend continuing education programs to improve
2. I recognize when new or improved competencies are required client/patient care.
for effective practice. 10. I routinely search computer databases to find out about new
Scientific Knowledge and Methods Item developments in my specialty.
3. I routinely utilize scientific knowledge and skills in the Note. Each item is rated on a scale from 1 (strongly disagree) to
solution of problems. 5 (strongly agree), with higher scores indicating greater levels of
perceived competence. This empirically driven assessment in-
cludes three subscales (foundational, functional, and continuing
Functional Competencies Subscales competencies), and builds from the theoretical literature of
Assessment Items Rodolfa et al. (2005) and Fouad et al. (2009).
4. My interviews and reports lead to the formulation of appro-
priate diagnoses and treatment plans. Received September 13, 2018
5. I interpret assessment results accurately, taking into account Revision received October 28, 2018
the limitations of the evaluation method. Accepted November 8, 2018 䡲

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