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Recommendations for
Students Applying for Clinical Internships

David J. A. Dozois, University of Calgary

In Dozois, D. J. A. (1997). Recommendations for students applying for clinical internships. Canadian Clinical Psychologist, 7 (1), 15 - 17.

A 1996 APPIC survey of graduate departments and professional schools in North America indicated that the number of clinical students seeking internship placements was 1,871. Seventy-eight percent of individuals obtained a placement on Uniform Notification Day (UND). Of those remaining, 22% did not procure a placement, 28% dropped out of the process, and 48% were eventually placed through the Clearing House (the remaining 2% were unaccounted for due to missing data). In 1997, 470 students in the United States and 11 students in Canada were without placements on UND (after placements were allocated through the Clearing House, these numbers were reduced to 148 and 5, respectively)

There are several systemic and individual factors contributing to this ominous trend. For example, some internship settings that previously offered placements are no longer able to do so because of cutbacks. According to APPIC's data, there are also 3 principal individual-specific factors contributing to the high number of unsuccessful applicants: (1) geographical restrictiveness, i.e., not applying broadly enough, (2) applying only to the most competitive programs, and (3) applying to too few programs. Although these variables have made the ratio of applicants to positions seem worse than it actually is, there still appear to be a substantial number of unplaced applicants after the Clearing House resources have been depleted each year.

Apart from the obvious importance of attempting to remedy this situation by applying more broadly to a wider range of programs, there are additional steps that applicants can take to improve their chances of obtaining quality internships.1 These strategies involve careful preparation at each of the pre-application, application, interview, and decision-making stages.

The Pre-application Stage

According to CCPPP's 1996 survey of internship directors, the type of clinical experience and the strength of reference letters, stated goals and interests, and academic scholarship, are some of the most important variables considered by internship faculty in their ranking of candidates.2 Given that quality of clinical experience was rated higher than quantity, students would be wise to round out their clinical experience, to the extent possible, by balancing both bandwidth and fidelity (e.g., attaining some degree of specialization while also gaining experience in different therapeutic modalities, and with diverse populations).

By the time internship candidates reach the application compilation stage, they should have as many program requirements completed as possible. Demonstration that one is near completion of the Ph.D., not provides the internship setting with the assurance that a candidate will be able to focus fully on the internship experience, it also allows more experience to accumulate which can be used in the assessment of one's suitability for a program.

The Application Stage

When completing applications, it is crucial to be organized, thorough, and accurate in the presentation of materials. Most internship settings require a cover letter, a curriculum vitae (CV), 3 letters of reference, academic transcripts, a statement of internship readiness, and a completed APPIC application form. One advantage for students applying for the 1998-1999 year, is that the majority of settings have begun to adopt the standard APPIC application form, which should save time and promote more polished responses to the information required.

Cover letters and personal statements reflecting both breadth and depth, and letters of recommendation that support the candidate personally, professionally and academically, are recommended. Letters of recommendation should be acquired from persons who have a good writing style, are credible and trustworthy, are familiar with the candidate's work, may know the internship faculty, and are reputable. Personal statements of goals and interests should accurately and succinctly outline previous experience, training objectives, career plans, rotations of interest (and reasons for their appeal), and the ways in which one is a good match for a particular setting. The curriculum vitae (CV) should similarly be as concise as possible. CVs should highlight one's education, work/practica experience, awards and honours, any editorial, administrative, teaching or supervisory experience, professional publications and conference presentations, as well as manuscripts submitted for publication.

The Interview Stage

Some things worthy of consideration for interview preparation include learning about the internship faculty and site, formulating a list of questions, networking at conferences (and previous involvements in professional organizations and committees), being able to explain one's research project(s), and arranging to meet with the current interns. During the interview, it is important to be respectful and professional (remember that internship faculty talk both within specific settings and across settings), to keep discussion about one's school and advisor positive, to be comfortable (but not lackadaisical), to ask questions that demonstrate interest, and to be honest and genuine.

The Decision-Making Stage

Assuming that there will be a choice as to which internship setting one is ultimately placed in, it is also important to ensure that this placement will maximize not only professional goals, but personal and practical ones as well. A few studies have examined variables that intern applicants deem important in the determination of their ideal placements. Such variables include geographical location (e.g., whether one's spouse is able to find work in a given area, financial ramifications of certain locations), future job prospects, specialty training (e.g., empirically-validated treatments) and types of rotations offered, diversity of experience, and stipend. Information from each internship setting is most helpful if it is gathered in a manner akin to a comprehensive psychological assessment (i.e., multiple sources of convergent data). Information can be gathered through internship brochures, informal interactions with internship faculty, discussions with current and past interns, advise from academic faculty, and interactions during the interview proper. Once this information is accumulated, objectively sifting through one's set of criteria and determining how each setting meets them, can facilitate unbiased decision-making as to which internship setting is most appropriate for one's unique training and personal needs.

* Footnotes

1 Several of these steps were highlighted at a joint symposium/conversation hour (sponsored by the Section on Students in Psychology and the Section on Clinical Psychology) which was held at the 1997 CPA conference in Toronto, Ontario. This column represents a synopsis of the main points covered in these presentations.

2 It should be noted that two American-based surveys found that academic/research productivity ranked further down the list of criteria. Dr. Martin Antony, of the Clarke Institute of Psychiatry, however, noted that while this may represent the mean ranking of internship directors, one must not ignore the sigma (i.e., some institutions rank academic credentials and research productivity higher tha