title: What predicts performance during clinical psychology training?
abstract: OBJECTIVE
  While the question of who is likely to be selected for clinical psychology training has been studied, evidence on performance during training is scant. This study explored data from seven consecutive intakes of the UK's largest clinical psychology training course, aiming to identify what factors predict better or poorer outcomes.
  
  
  METHODS
  Longitudinal cross-sectional study using prospective and retrospective data.
  
  
  METHODS
  Characteristics at application were analysed in relation to a range of in-course assessments for 274 trainee clinical psychologists who had completed or were in the final stage of their training.
  
  
  RESULTS
  Trainees were diverse in age, pre-training experience, and academic performance at A-level (advanced level certificate required for university admission), but not in gender or ethnicity. Failure rates across the three performance domains (academic, clinical, research) were very low, suggesting that selection was successful in screening out less suitable candidates. Key predictors of good performance on the course were better A-levels and better degree class. Non-white students performed less well on two outcomes. Type and extent of pre-training clinical experience on outcomes had varied effects on outcome. Research supervisor ratings emerged as global indicators and predicted nearly all outcomes, but may have been biased as they were retrospective. Referee ratings predicted only one of the seven outcomes examined, and interview ratings predicted none of the outcomes.
  
  
  CONCLUSIONS
  Predicting who will do well or poorly in clinical psychology training is complex. Interview and referee ratings may well be successful in screening out unsuitable candidates, but appear to be a poor guide to performance on the course.
authors.affiliation: Research Department of Clinical, Educational and Health Psychology, University College London, UK.
authors.forename: Katrina
authors.initials: K
authors.lastname: Scior
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Bradley
authors.forename: Henry W W
authors.initials: HW
authors.lastname: Potts
authors.forename: Katherine
authors.initials: K
authors.lastname: Woolf
authors.forename: Amanda C
authors.initials: AC
authors.lastname: de C Williams
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D011237:Predictive Value of Tests; D011446:Prospective Studies; D011586:Psychology, Clinical / Q000193:education*; D012106:Research; D012189:Retrospective Studies; D012570:School Admission Criteria / Q000706:statistics & numerical data / Q000639:trends; D012737:Sex Factors; D058013:Test Taking Skills; D006113:United Kingdom; D044465:White People / Q000706:statistics & numerical data
keywords: clinical psychology; outcome; performance; training