Costs of predoctoral clinical psychology internship training in a Canadian health care setting.

Abstract

Financial pressures on institutional health care in Canada in recent years have led to substantial pressures on institutional psychological services. These pressures have resulted in the elimination or substantial diminution of psychological services in some of these institutions, including the discontinuation of many longstanding psychology internship programs. It is therefore important for psychologists to demonstrate their cost-efficiency in delivering services. However, evidence for this efficiency in the current Canadian context is lacking. This investigation examines the costs and clinical activities of the interns and staff at a major Canadian teaching hospital in order to determine the degree to which the internship is a cost-efficient method of delivering services. The results indicate that there is a small increased cost to having the services delivered through an internship program. The results are viewed as part of a balanced scorecard approach to the evaluation of an internship program. From such a perspective, other factors can be seen as balancing out the slightly increased cost. Also, a number of strategies are outlined for increasing internship cost-efficiency.

Postdoctoral Recruitment in Neuropsychology: A Review and Call for Inter-Organizational Action

“…While self-interest may manifest initially, proper long-term management can be accomplished for the greater good through an overarching governance structure. Larkin (2011) adds to this discussion by illustrating how graduate programs have financial incentive to develop programs but internship sites have a financial disincentive to expand-interns cost programs money and do not necessarily bring in financial resources to offset that cost (Klein and Nicholson, 2006). He argues that the motivation for solving the internship imbalance will come only if access to non-accredited and unregulated internship experiences is eliminated (or accepting such internships prevents advancement to the next stage of professional development, i.e., psychology licensure allowing professional practice).…”

Educação financeira na família: uma pesquisa bibliográfica nos últimos 30 anos

“…Algumas dessas publicações referem-se à influência do dinheiro nos relacionamentos conjugais, enquanto outros artigos mostram as decisões de casais em que o homem assume as atividades domésticas devido à mulher ganhar mais e, por isso, passa a ser a provedora principal do lar (Mcdaniel, Lusterman & Dphilpot, 2001). Também há artigos que abordam assuntos relacionados à escolha do parceiro para uma relação amorosa (Klein & Nicholson, 2006) e à divisão de tarefas domésticas sob a influência do dinheiro.…”

“…Curiosamente, há pesquisas relacionadas ao estágio de estudantes de psicologia, seja sobre avaliar os custos do estágio como prestação de serviço (Klein & Nicholson, 2006), sobre fazerem atividades de esporte em troca de ter o dinheiro (Leffingwell et al, 2001), sobre os compromissos financeiros necessários para se torna psicólogo e superarem os benefícios a longo prazo da profissão (Fagan et al, 2007), e sobre as novas avaliações em psicologia serem realizadas com base em recursos financeiros de instituições (Leigh et al, 2007). De um modo geral, existem outros dados dos artigos catalogados que reportam a diferentes temas, que incluem: a influência financeira no crescimento da indústria farmacêutica (Antonuccio, Danton & Mcclanahan, 2003), empresas da área aeronáutica iniciando trabalhos com certo tipo de material, como uma alternativa para economizar dinheiro (Botelho, E. C., Silva, R. A., Pardini, L. C., & Rezende, M. C., (2006), escolha de profissão com base na segurança financeira (Hsiao, 2013), o dinheiro ganho no trabalho de famílias camponesas ser ou não suficiente para o ano todo (Nogueira, 2013), dentre outras.…”

Clinical psychology in Canada: Challenges and opportunities.

“…For example, if the focus is on client care and direct service delivery, the time and resources required for research and development may be devalued and underappreciated. Training can also become viewed as a “cost” (to staff time and attention) rather than a “benefit” in terms of staff engagement, intellectual currency and renewal, and the development of the next generation of health care professionals (Klein & Nicholson, 2006). As a specific challenge, since most of the predoctoral internship/residency opportunities for training clinical psychologists occur in Canadian hospitals, the somewhat looser connection among psychologists in the settings is potentially problematical.…”