Health service psychology (HSP) programs, encompassing clinical, counseling, and school psychology, play a pivotal role in shaping the U.S. health care workforce. Practicum and internship sites are critical gatekeepers within this training. However, there is limited empirical evidence available regarding the prevalence of clinical dismissal and its consequences for affected trainees. To bridge these gaps in our understanding of clinical dismissal during HSP training, Study 1 conducted an analysis of a quantitative survey involving training directors (N = 123) from HSP academic programs. The results revealed that 28% of programs reported at least one trainee having been dismissed from a practicum or internship site within the past seven years, with an overrepresentation of racial minority and international trainees. In addition, PsyD programs (56%) exhibited a significantly higher likelihood of having dismissed trainees compared to PhD programs (23%) over the same period. In Study 2, qualitative interview data were collected from ten trainees who had experienced dismissal during their HSP training. Using the Consensual Qualitative Research method, we identified six distinct domains, each comprising unique categories and subcategories: Antecedents to dismissal, reasons for dismissal, process of dismissal, chain reactions, trainee impact, and recommendations. Taken together, this mixed-method study highlights that clinical dismissal is not an uncommon occurrence in HSP training and raises significant concerns about the current implementation process. We illuminate structural issues and offer recommendations to improve the process of clinical dismissal within the HSP field. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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把关的隐性课程：健康服务心理学学员的解雇经历


健康服务心理学 (HSP) 项目涵盖临床、咨询和学校心理学，在塑造美国医疗保健劳动力方面发挥着关键作用。实习和实习地点是本次培训的关键把关人。然而，关于临床解雇的普遍程度及其对受影响学员的影响，现有的经验证据有限。为了弥补我们对 HSP 培训期间临床解雇的理解上的这些差距，研究 1 对一项涉及 HSP 学术项目的培训主管 (N = 123) 的定量调查进行了分析。结果显示，28% 的项目报告至少有一名实习生在过去七年内被实习或实习地点解雇，其中少数族裔和国际实习生的比例过高。此外，同期，与博士项目 (23%) 相比，心理学博士项目 (56%) 解雇实习生的可能性明显更高。在研究 2 中，从在 HSP 培训期间经历过解雇的 10 名学员收集了定性访谈数据。使用共识定性研究方法，我们确定了六个不同的领域，每个领域都包含独特的类别和子类别：解雇的前因、解雇的原因、解雇的过程、连锁反应、受训者影响和建议。总而言之，这项混合方法研究强调，临床解雇在 HSP 培训中并不罕见，并引起了人们对当前实施过程的严重担忧。我们阐明了结构性问题并提供了改进 HSP 领域临床解雇流程的建议。 （PsycInfo 数据库记录 (c) 2024 APA，保留所有权利）。