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Oregon Board of Licensed Professional Counselors & Therapists FORM #7: INTERN SUPERVISED CLINICAL EXPERIENCE PLAN A Professional Disclosure Statement (PDS) is required for each employer/practice.
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How to fill out intern supervised clinical experience

01
Step 1: Gather all necessary documentation and forms required for the intern supervised clinical experience.
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Step 2: Review the guidelines and criteria established by the supervising organization or institution.
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Step 3: Complete the application form accurately and truthfully.
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Step 4: Attach any required supporting documents, such as transcripts or letters of recommendation.
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Step 5: Submit the application and documents to the designated authority or organization.
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Step 6: Wait for notification about the status of your application.
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Step 7: Once approved, follow any additional instructions provided by the supervising organization.
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Step 8: Begin the clinical experience under the supervision and guidance of an assigned mentor or preceptor.
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Step 9: Follow all procedures, guidelines, and ethical codes applicable to the clinical setting.
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Step 10: Document your experiences, learnings, and observations throughout the supervised clinical experience.
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Step 11: Seek feedback from your mentor or preceptor to improve your skills and knowledge.
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Step 12: Complete any required evaluations, assessments, or summaries at the end of the experience.
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Step 13: Reflect on your overall experience and use it to enhance your future professional development.

Who needs intern supervised clinical experience?

01
Students pursuing a degree or certification in a healthcare or clinical field.
02
Individuals seeking to gain practical experience in a supervised clinical setting.
03
Professionals looking to further their education and skills in a specific area of healthcare.
04
Anyone required by their educational institution or licensing board to complete intern supervised clinical experience.
05
Individuals transitioning or entering a new field of healthcare and needing hands-on experience.
06
Candidates applying for residency programs or advanced clinical positions.
07
Individuals wishing to enhance their chances of employment or advancement in the healthcare industry.
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Intern supervised clinical experience is a structured training program that provides hands-on experience and guidance to interns in a clinical setting.
Interns who are completing a supervised clinical experience as part of their training program are required to file intern supervised clinical experience.
To fill out intern supervised clinical experience, interns need to document their clinical hours, activities, and supervision details in a designated form or online portal.
The purpose of intern supervised clinical experience is to ensure that interns receive adequate training, supervision, and guidance during their clinical placements.
Interns must report details such as the number of clinical hours completed, types of activities performed, and names of supervisors during their intern supervised clinical experience.
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