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Teaching and asessing e thics in psychology training in the UK - Work in Progress…. Tony Wainwright and Tony Roth. Running order. 2.00 Introduction and overview – Tony Wainwright 2.25 Ethics and the competence framework for CAMHS – Tony Roth

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Teaching and asessing e thics in psychology training in the uk work in progress

Teaching and asessingethics in psychology training in the UK - Work in Progress…

Tony Wainwright and Tony Roth


Running order

Running order

2.00 Introduction and overview – Tony Wainwright

2.25 Ethics and the competence framework for CAMHS – Tony Roth

2.45 Group work – applying the four component model:

Ethical Sensitivity

Ethical Reasoning

Ethical Motivation

Ethical Implementation

Task is to identify principles on:

1. Delivery of teaching.

2. Identification of relevant competence

3. Assessment method noting reliability and validity issues

3.20Feedback

3.40 Closing discussion

3.45 Close


Outline

Outline

Context

Survey of ethics teaching by BPS Ethics Committee

Survey of ethics teaching experience by BPS Postgraduate Affairs Group

Competencies


Context

Context

EFPA SCE1999 recommendations on teaching ethics

2010 Survey data from Austria by Dr. Wolf-Dietrich Zuzan

Suggested this is an area for review


Some questions we have been considering

Some questions we have been considering

What should be the content and method for teaching undergraduate/postgraduate/professional psychology about ethics?

Is there an equivalent to evidence-based practice that we use in other aspects of training?

Can we operationalise ethics competencies and develop standards for assessment.


Competency based training

Competency based training

BPS Accreditation criteria for psychology training are now ‘competency based’

For Clinical Psychology, for example:

Requires trainees to develop competencies across the life-span, with a range of client groups, in various clinical settings and using different therapeutic modalities. Crosscutting competencies, such as working with diversity and ethical practice are also mentioned.

Generally rather high level statements with limited operationalisation


Ethics teaching audit

Ethics teaching audit

  • Survey:

    • Ethics Committee - UK courses

    • Postgraduate Affairs Group (PsyPAG) - postgraduates

  • Review standards

  • Identify examples of good practice

  • Review competencies and assessment methods

  • Publish guidance on curriculum and assessment of teaching.


Surveys

Surveys

Psychology Departments

113 institutions surveyed covering 612 accredited courses.

Responses received from 42 institutions (37%)

Good range of undergraduate courses responded

Good range of professional training courses

Sufficiently consistent to make develop some tentative broad conclusions.

Individual postgraduate psychologists

Members of PSYpag

Approx110 responses


The initial survey results 1 departments 2 individual postgraduates experiences

The initial survey results1. Departments2. Individual postgraduates experiences


1 please indicate in what primary capacity you are responding to this survey

1. Please indicate in what primary capacity you are responding to this survey:

Ethics Teaching Survey


2 please indicate which society accredited courses are currently run within your department

2. Please indicate which Society accredited courses are currently run within your Department:

Ethics Teaching Survey


3 is there a written curriculum covering ethics

3. Is there a written curriculum covering ethics?

The following questions relate to the delivery of ethics teaching in your Department.

Ethics Teaching Survey


Teaching and asessing e thics in psychology training in the uk work in progress 2606126

4. Please indicate if there are specific teaching sessions devoted to ethics for each of the Society accredited courses run within your Department:

Ethics Teaching Survey


5 is there guidance for all teachers to include ethics in their teaching sessions

5. Is there guidance for all teachers to include ethics in their teaching sessions?

Ethics Teaching Survey


Teaching and asessing e thics in psychology training in the uk work in progress 2606126

8. Please indicate whether the Society-accredited course(s) run within your department covers the following areas of ethics:

The following questions relate to the content of Society accredited courses run within your Department.

Ethics Teaching Survey


9 is there a specific person or persons responsible for ethics teaching within the department

9. Is there a specific person or persons responsible for ethics teaching within the Department?

Ethics Teaching Survey


7 does the department aim to develop an ethical identity in your students

7. Does the Department aim to develop an ethical identity in your students?

We are concerned with how Departments foster the integration of ethics within the "identity" of the students as future graduates and/or practitioners of psychology . This is goes beyond the teaching of ethics (e.g. the skills of recognising the presence of common ethical issues, skills in ethical reasoning, or improved understanding of the language and concepts of ethics) and relates to the development of ethical, as well as techinically competent and knowledgeable, graduates and practitioners.

Ethics Teaching Survey


Ethics committee survey summary

Ethics Committee survey summary

Large majority cover Professional Codes of Ethics

Approximately half cover other areas:

Philosophical ethical traditions

Moral and ethical reasoning

Moral behaviour

Different domains of ethics (e.g. individual, social, environmental)

Wide variation in the content and extent of ethics training delivered at both undergraduate and postgraduate level.

Some respondents very positive about their work and have examples of excellent practice

The BPS QA team have also examples of excellent practice.


Individual postgraduates survey

Individual postgraduates survey

  • Four questions relating to codes of ethics

  • Two questions relating to experience of ethics training as undergraduate or postgraduate.

  • Twelve questions relating to the experience of gaining ethical approval for research


Psypag survey undergraduate experience

PsyPAG survey - undergraduate experience

For undergraduate courses over half of those who responded to this survey did have some structured teaching in ethics although nearly 40% of respondents report no ethical instruction at this level.

The most common method of delivery for the teaching of ethics is via a research methods module.

Some training appears to be very thorough, whilst other training appears to be rather minimal.


Psypag survey postgraduate experience

PsyPAG survey - Postgraduate experience

At postgraduate level ethical training appears to be much more consistent amongst those on clinical courses when compared to PhD and masters courses.

BPS Code well covered, HPC code much less so.

Some training very focused on the process of gaining ethical approval perhaps at the cost of a more in depth discussion of the purpose of ethics.


Conclusions

Conclusions

The two surveys give a similar picture and provide some confirmation of the findings

Survey indicates wide variation in ethics teaching and the exposure students get to this area of knowledge

Plan to have core curriculum derived from good practice examples with material posted on the BPS website, together with published guidance in due course.


Teaching and asessing e thics in psychology training in the uk work in progress 2606126

But…

  • Teaching is not the same as learning.

  • So how to assess ethical competence?


Psychology of moral development

Psychology of moral development

Piaget and Kohlberg


Evidence based ethics

Evidence-based ethics

  • The patient

  • The ethical dilemma – questions, food for thought

  • Medicine

  • Law

  • The ethics

  • The formulation

  • Afterthoughts

  • References and further reading


Ethical competency assessment

Ethical competency assessment

There appears to be no consistent approach to ethical competence assessment in psychology training

Illingworth 2009 Guidance on assessment within Applied/Professional Ethics

http://www.prs.heacademy.ac.uk/pdf.html/prsdocuments/104

http://prs.heacademy.ac.uk/projects/ethics/index.html


Illingworth 2009 guidance on assessment within applied professional ethics

Illingworth 2009 Guidance on assessment within Applied/Professional Ethics

The conclusion to this guide to assessment within applied and professional ethics is that there is at present, no reliable conclusion to be drawn regarding the best way to assess ethics learning and teaching. However, there are many tests available, particularly in respect of the measurement of moral reasoning capacity.What should one assess, and how should one assess it? Neither question has an easy answer, but it is vital that those concerned with ethics learning and teaching, particularly as it concerns professional ethics, continue to debate and develop this vital if contested area.

http://www.prs.heacademy.ac.uk/pdf.html/prsdocuments/104


Assessing ethical competencies george lind moral judgment test

Assessing Ethical Competencies - George Lind Moral Judgment Test

Given a series of dilemmas

Asked to rate reasons for persons actions

Scored on the degree to which it corresponds with developed ethical understanding.

Studies cross culturally, and with large number of students. Been in use for 30 years. Translated into 35 languages. Has good psychometric properties and defensible evidence-base.


Four component model

Four Component Model

  • James Rest 1982 A Psychologist Looks at the Teaching of Ethics The Hastings Center Report, Vol. 12, No. 1 (Feb., 1982), pp. 29-36

  • Ethical Sensitivity

  • Ethical Reasoning

  • Ethical Motivation

  • Ethical Implementation

  • Developed the Defining Issues Test


Psychology and ethical competence

Psychology and Ethical Competence


National competency frameworks developed professors tony roth and stephen pilling

National competency frameworks developed - Professors Tony Roth and Stephen Pilling

Ethical competencies particularly developed in the Children Competency framework which is publically available on http://www.ucl.ac.uk/clinical-psychology/CORE/child-adolescent.php.


Tony roth

Tony Roth

  • Competencies


Examples of competence areas

Examples of competence areas

  • legal responsibility

  • professional standards of behaviour

  • maintaining competence

  • harassment

  • dual relationships


Group work four components

Group work – four components

Ethical sensitivity

Ethical reasoning

Ethical motivation

Ethical implementation

  • What teaching could be delivered relevant to this component?

  • What are the relevant competencies?

  • How might you go about assessing these competencies?


Ethical sensitivity

Ethical Sensitivity

Component I:

the Situation. This involves Interpreting the perception that something one might do or is doing can affect the welfare of someone else either directly or indirectly (by violating a general practice or commonly held social standard).

From Rest 1982


Ethical reasoning

Ethical Reasoning

Component II:

Formulating the Morally Ideal Course of

Action. In seeking the morally ideal course of action, the

person tries to integrate the various considerations - personA's needs, person B's needs, personal needs, expectationsfounded on previous promises or roles or instituted practices,and so on-insofar as they influence the alternativecourses of action available in a particular situation.

From Rest 1982


Ethical motivation

Ethical Motivation

Component III:

Deciding What one actually intends to do. Simply because the morally ideal course of action has been defined does not mean that the person will choose to follow it. From Rest 1982


Ethical implementation

Ethical Implementation

Component IV

Executing and implementing a plan of action, involves figuring out the sequence of concrete actions, working around impediments

and unexpected difficulties, overcoming fatigue and frustration, resisting distractions and other allurements, and keeping sight of the eventual goal. From Rest 1982


Thank you for listening

Thank you for listening

[email protected]

[email protected]


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