Clinical Placements Summary 2021 - (Saidatul Sariyah) - (P108543) - 1st Year Trainee - 17082021

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SUMMARY OF CLINICAL PLACEMENTS 2021

Master of Clinical Psychology PPK, UKM


1st Year Trainee
A. Student’s details and Acknowledgement
1 Student Name Saidatul Sariyah Binti Sainawan
2 Student ID P108543
3 IC. No 870330-01-5344
4 Email P108543@siswa.ukm.edu.my
5 Phone no 019-2566240
6 Postal Address No 5 Jalan BKD 45,
Taman Bukit Katil Damai 2,
75450, Bukit Katil Ayer Keroh Melaka

7 Acknowledgment The records of following clinical hours are correct based on my records and history of clinical placement (as
reported).

Signature:

Name: Saidatul Sariyah Binti Sainawan

Date: 26/08/2021

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SUMMARY OF CLINICAL PLACEMENTS 2021
Master of Clinical Psychology PPK, UKM
B. Clinical Placement Summary
No Clinical Placement details (1) NNNC6065: Clinical (2) NNNC7015: (3) NNNC7025: Clinical
Placement I Clinical Placement II Placement III
1 Facility for clinical placement
KPK-FSK
2 Academic Semester
2,2020/2021
3 Duration of placement (Dates)
24th March - !0th September 2021
4 Number of Weeks
25 Weeks
5 Clinical supervisor(s)
Ms. Shabira ‘Inani Binti Md.
Zaini
6 Direct Contact hours with
clients (A) 143 Hours (6A) ……………………Hours(6B) ……………………Hours(6C)
F2f/online
7 Indirect Clinical Hours/ Other
supervised clinical hours (B) 174 Hours ……………………Hours ……………………Hours
Report/scoring/supervision
8 Total Clinical Hours by
Placement (A+B) 317 Hours(8A) ……………………Hours (8B) ……………………Hours(8C)
9 Total Clinical hours for 3
placements (8A + 8B + 8C) 317 Hours
10 Total direct contact hours with
clients 424 Hours
(6A + 6B + 6C)

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SUMMARY OF CLINICAL PLACEMENTS 2021
Master of Clinical Psychology PPK, UKM

C. Additional Clinical Hours


No Details Courses from Program Volunteer Work Webinars or Training
1 Client Contact Hours
(Assessment, Intervention, Supervision) 12
2 Professional Development Hours
8 87
3 Total Clinical Hours
12 Hours 8 Hours 87 Hours
4 Total Hours
107 Hours

Refer to the *Appendix A for the list of activities.

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