Through the observation / mentorship level, clinicians-in-training learn the basics of clinical conduct and develop a high degree of comfort within the clinical setting. They observe on Practitioner (P) shifts, where they are led through the clinical encounter by supervisors who treat patients and explain the process of performing the patient intake, development of the diagnosis, and treatment options. The total portion of clinical training is 200 hours with pure observation.
At upper level observation levels, Supervisors slowly integrate clinicians-in-training into the clinical encounter by allowing them to engage in supervised activities with patients (performing parts of intakes, point locations, diagnosis discussion, etc.). All of their clinical activity is heavily supervised and critically examined as this training is crucial for the next part of clinical skill acquisition. This part of skill development happens in the latter stages of the above 200 hours.
At the three Intern levels, clinicians-in-training graduate up to the Intern level and participate in Intern (I) shifts where they are now responsible to lead the clinical encounter. At this point, intake and diagnostic skills are at levels where they conduct full interviews and diagnose on their own. All of their work is monitored by top supervisors who will check and confirm all diagnoses before working with the interns on treatment development. Interns learn the important skills needed to perform clinical treatments for their patients but also develop important skills of patient rapport and patient retention. Level one requires 400 clinical hours with 20 hours of case studies; level two requires 200 hours with 20 hours of case studies; and level three requires 200 hours with 20 hours of case studies.