1. The SDN iPhone App is back and free through November! Get it today and please post a review on the App Store!
    Dismiss Notice
  2. Dismiss Notice

delete

Discussion in 'Psychology [Psy.D. / Ph.D.]' started by chrostopherhenandex, Jun 25, 2018.

  1. chrostopherhenandex

    2+ Year Member

    Joined:
    Nov 25, 2015
    Messages:
    43
    Likes Received:
    6
    Status:
    Psychology Student
    delete
     
    #1 chrostopherhenandex, Jun 25, 2018
    Last edited: Sep 25, 2018
  2. Note: SDN Members do not see this ad.

  3. erg923

    erg923 Regional Clinical Officer, Cenpatico National
    10+ Year Member

    Joined:
    Apr 6, 2007
    Messages:
    9,562
    Likes Received:
    3,151
    Status:
    Psychologist
    1. Most people don't read your report.

    2. When you don't have a supervisor any longer, you can write reports in any way and organization structure that it fitting with you. Cause again, almost no one else will read it.

    3. Its not a creative writing class, and I've never understood why some supervisors seem to make it so. Shorter is almost always better, unless there is some forensic component or question. Shorter will at least increase the changes that people will actually read your report.
     
  4. WisNeuro

    WisNeuro Board Certified Neuropsychologist
    Psychologist 7+ Year Member

    Joined:
    Feb 15, 2009
    Messages:
    8,702
    Likes Received:
    6,798
    Status:
    Psychologist
    Depends. Once you're own your own, I'd always recommend that you talk with your main referral sources about what they want/need from you. I tailor my reports depending on my sources. The outside neurology clinics get a different report than the in-house neuro-oncology clinic does. People don't read some reports because people throw out poor quality cookie-cutter junk that they use for EVERYTHING. If you find out what people want and/or need in your reports, you can write some that will be read, and keep out the junk that won't get read.

    Caveat, always include whatever CYA you need, regardless of it's clinical usefulness.

    As to the OP, my reports are about 4-6 pages for a full neuropsych eval, and that includes a data table. These take me 45-60 minutes to throw together.
     
  5. PSYDR

    PSYDR Psychologist
    10+ Year Member

    Joined:
    Dec 18, 2005
    Messages:
    2,361
    Likes Received:
    1,652
    Beware slps trying to give neuropsych tests. Do not acquiesce to this.
     
  6. Kadhir

    2+ Year Member

    Joined:
    Nov 13, 2015
    Messages:
    197
    Likes Received:
    118
    Status:
    Psychology Student
    Your impressions section is the single most important section in your report and the (only) part most people will read... and subsequently copy/paste into their own notes (sigh). If this remains fairly unedited, you're in OK shape. Other elements of your report will continue to evolve. I've had supervisors many years into the game still revising their styles.
     
    singasongofjoy likes this.
  7. Therapist4Chnge

    Therapist4Chnge Neuropsych Ninja Faculty
    Faculty Moderator Emeritus 10+ Year Member

    Joined:
    Oct 6, 2006
    Messages:
    21,372
    Likes Received:
    2,277
    Status:
    Psychologist
    You mean scoring 8 / 10 on a naming task isn’t 80%?

    I wish I were kidding.
     
  8. ClinicalABA

    Psychologist 7+ Year Member

    Joined:
    Aug 31, 2011
    Messages:
    741
    Likes Received:
    547
    Status:
    Psychologist
    Parsimony is your best friend. You should be providing the minimum amount of info necessary to say what you need to say. If you can say it in a sentence, don’t use a paragraph. I’ve recently started using a grid for the history section, and it goes quicker and is easier for the reader.
     
  9. WisNeuro

    WisNeuro Board Certified Neuropsychologist
    Psychologist 7+ Year Member

    Joined:
    Feb 15, 2009
    Messages:
    8,702
    Likes Received:
    6,798
    Status:
    Psychologist
    "But, the patient improved their Trails A score by 25", they must be better! It couldn't possibly be because I administered it to the patient every day over the past week."
     
  10. briarcliff

    7+ Year Member

    Joined:
    Aug 26, 2011
    Messages:
    710
    Likes Received:
    322
    Status:
    Psychology Student
    Would you mind clarifying what you mean by "grid?" I've been looking for ways to more concisely write my reports.
     
  11. ClinicalABA

    Psychologist 7+ Year Member

    Joined:
    Aug 31, 2011
    Messages:
    741
    Likes Received:
    547
    Status:
    Psychologist
    History section is basically table, with cells for the following. Info in each cell is brief list. Given that 2 year old children who don't talk are a) a relatively homogeneous population and b) don't typically have a lot of history, much of this section is templated, and i just change a few things in each cell for each report. I really try to stick only to information relevant to the presenting problems (which is typically autism).

    Family Composition


    Family History

    Birth History

    Medical History

    Developmental History

    Parent Concerns
     
  12. CatLover&PsychEnthusiast

    Joined:
    Jun 21, 2018
    Messages:
    20
    Likes Received:
    3
    Oh my gosh, this had me so concerned. I recently had a practicum in a physical rehab setting and speech was doing all kinds of cognitive evaluations and cognitive remediation and after shadowing one I had some serious concerns.
     
  13. singasongofjoy

    Psychologist 2+ Year Member

    Joined:
    Dec 4, 2014
    Messages:
    718
    Likes Received:
    465
    Status:
    Post Doc
    My history sections are quite similar, and also include a chart for therapy/intervention type, dates, frequency and duration of sessions, and provider; similar chart for previous evaluations and results. Also recently started using the smart phrases and making some templates for some paragraphs that are Frequently used, adding in drop-down options (e.g., the standard sentences like NAME is currently in X grade at X school...) in our medical records system. Has definitely helped w my reports (which are, IMO, still way too long, usually around 10 pages which is shorter than many in my organization... working on that).
     
  14. Thelostlilac

    Joined:
    Jun 22, 2018
    Messages:
    11
    Likes Received:
    5
    Have you talked to your supervisors about it? What helped me become a better report writer was getting good feedback from my supervisors and incorporating it each time I wrote a new report.
     
  15. smalltownpsych

    Psychologist 2+ Year Member

    Joined:
    Mar 24, 2014
    Messages:
    4,411
    Likes Received:
    3,844
    Status:
    Psychologist
    Assessment class: 15 - 20 pages
    internship: 10 - 12 pages
    post-doc: 5 - 7 pages
    licensed psychologist: 4 - 5 pages
    in the future as a retired psychologist: 0 pages
     
  16. mypointlesspov

    Joined:
    Dec 5, 2017
    Messages:
    53
    Likes Received:
    22
    Status:
    Psychology Student
    Right? At my practicum I was mortified when my supervisor cut out information that my professor/school assessment clinic would have considered necessary. But, as Shakespeare wrote, brevity is the soul of assessment reports.
     
    briarcliff likes this.
  17. EmotRegulation

    Psychologist Faculty 5+ Year Member

    Joined:
    Apr 11, 2012
    Messages:
    422
    Likes Received:
    247
    Status:
    Psychologist
    Ya'll are making me so happy. I might just copy and paste this entire thread for my class. I teach personality assessment and supervise in our in-house training clinic and these reports are SO DAMN LONG. They come to me after a cognitive assessment course where they are trained to write out everything, and I basically have to teach them how to undo the extensive report writing in favor of brevity and clarity. The students don't believe me that real-world reports are shorter than the 15-20 page monstrosities they send me. So thanks for this!!
     
  18. AbnormalPsych

    AbnormalPsych Clinical Psychologist
    2+ Year Member

    Joined:
    Dec 8, 2014
    Messages:
    144
    Likes Received:
    90
    Status:
    Psychologist
    One may argue short reports are much more ethical as well:

    4.04 Minimizing Intrusions on Privacy
    (a) Psychologists include in written and oral reports and consultations, only information germane to the purpose for which the communication is made.
     
  19. Grenth

    Grenth Clinical Psychology PhD Student
    2+ Year Member

    Joined:
    Aug 22, 2015
    Messages:
    81
    Likes Received:
    24
    Status:
    Psychology Student
    In my assessment classes right now we're being taught/expected to do 5-7 page reports, which means at this rate by the time I'm a venerable psychologist like smalltownpsych, I'll be down to around -1 to 0 pages.
     
    mypointlesspov likes this.
  20. AbnormalPsych

    AbnormalPsych Clinical Psychologist
    2+ Year Member

    Joined:
    Dec 8, 2014
    Messages:
    144
    Likes Received:
    90
    Status:
    Psychologist
    My inpatient reports were 1.5-2 pages max when I did that work. Report + feedback on same day. It was awesome. And all the other professionals on the unit loved the brevity.
     
    Therapist4Chnge likes this.
  21. EmotRegulation

    Psychologist Faculty 5+ Year Member

    Joined:
    Apr 11, 2012
    Messages:
    422
    Likes Received:
    247
    Status:
    Psychologist
    I mean....I think it's important to distinguish between test results and fact (rating scales don't SAY anything, we interpret them). Also, you might consider checking your own grammar on that one. (It's "your," not "you're.")
     
    psych.meout likes this.
  22. CA_PsyD_FL_LMHC

    Joined:
    Feb 9, 2018
    Messages:
    23
    Likes Received:
    10
    Status:
    Psychology Student
    I'm hoping this was pun-intended.
     
  23. mypointlesspov

    Joined:
    Dec 5, 2017
    Messages:
    53
    Likes Received:
    22
    Status:
    Psychology Student
    You'd be a fine candidate for Derek Zoolander's School for Kids Who Can't Read Good and Want to Learn to Do Other Stuff Good Too


    /s in case anyone gets mad
     
  24. Justanothergrad

    Justanothergrad Counseling Psychologist
    Psychologist Faculty 5+ Year Member

    Joined:
    Mar 2, 2013
    Messages:
    1,367
    Likes Received:
    933
    I've written reports anywhere from 2 pages (single spaced) for practice to about 4-5. I cant think of a time where I could justify a longer report being needed or useful.

    I'm straight up horrified at teaching 20 page reports. Why practice what we dont do. That isnt what I teach in assessment courses either.
     
    #23 Justanothergrad, Jul 10, 2018
    Last edited: Jul 10, 2018
  25. BuckeyeLove

    BuckeyeLove Forensic Psychologist
    Psychologist 2+ Year Member

    Joined:
    Mar 1, 2014
    Messages:
    262
    Likes Received:
    179
    Status:
    Psychologist
    Just finished a death penalty mitigation evaluation: 120 pages. smh
     
    mypointlesspov likes this.
  26. WisNeuro

    WisNeuro Board Certified Neuropsychologist
    Psychologist 7+ Year Member

    Joined:
    Feb 15, 2009
    Messages:
    8,702
    Likes Received:
    6,798
    Status:
    Psychologist
    I don't mind writing lengthy reports as long as it's all billable time at a few hundred dollars an hour.
     
  27. AcronymAllergy

    AcronymAllergy Neuropsychologist
    Moderator Psychologist Gold Donor Classifieds Approved 7+ Year Member

    Joined:
    Jan 7, 2010
    Messages:
    7,081
    Likes Received:
    1,358
    Status:
    Psychologist
    Do you get to charge by the pound? That'd be great.
     
    BuckeyeLove likes this.
  28. Seven_Costanza

    Joined:
    Jun 20, 2018
    Messages:
    16
    Likes Received:
    12
    Given the variability, I'm wondering which type of reports do internship sites - specifically VA sites - like to see from applicants. I have more extensive 25 page reports, and I have more brief 10 page reports.
     
    CA_PsyD_FL_LMHC likes this.
  29. CA_PsyD_FL_LMHC

    Joined:
    Feb 9, 2018
    Messages:
    23
    Likes Received:
    10
    Status:
    Psychology Student
    That's a good question. I will have a pretty hefty variety of styles to choose from by the time I apply, and would love to know what style VA's and State Hospitals would generally prefer. Or is sending the style I prefer generally a good way to promote goodness-of-fit?
     
  30. AbnormalPsych

    AbnormalPsych Clinical Psychologist
    2+ Year Member

    Joined:
    Dec 8, 2014
    Messages:
    144
    Likes Received:
    90
    Status:
    Psychologist
    In my experience... VA neuro: 5-7 pages, VA non-neuro: Always less than 4 pages
     
    AcronymAllergy likes this.
  31. WisNeuro

    WisNeuro Board Certified Neuropsychologist
    Psychologist 7+ Year Member

    Joined:
    Feb 15, 2009
    Messages:
    8,702
    Likes Received:
    6,798
    Status:
    Psychologist
    Most VA neuro places don't put too much stick in the sample reports you send. Prac students essentially have to recreate their supervisors style, so it doesn't always tell us much about the individual student unless the report is a trainwreck. Definitely check it for typos. We recently had one that was absolutely riddled with spelling errors and typos. I didn't even bother with reviewing the rest of the application at that point.
     

Share This Page