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In the world of applied behavior analysis, the BACB Fieldwork form plays a crucial role in tracking the progress and experience of supervisees under the guidance of their supervisors. This structured document guides both parties through a defined supervision period, specifying essential details such as dates and hours accrued. It serves to document the various characteristics of the supervision, from individual client interactions to on-site experiences, ensuring that all relevant contexts, including remote and in situ observations, are accounted for. Within the form, supervisors and supervisees engage in reflective discussions about the readings that inform practice and the ethical considerations central to their work. The form also provides a checklist that aligns with the BACB task list items, covering key areas such as measurement of behavior, intervention strategies, and behavioral assessment. Beyond the technical aspects, the form emphasizes the importance of professional integrity, with sections to evaluate punctuality, communication skills, and overall performance. With both supervisor and supervisee signatures required, this form embodies a collaborative relationship essential for professional growth and compliance within the field of behavior analysis.

Bacb Fieldwork Example

BACB Fieldwork and Practicum Experience Supervision Form

Supervisee:_____________________________

Supervisor:___________________________

Date:__________________________________

Time Start:____________ End:___________

This supervision session addresses the period from ____/____/____ to ____/____/____

During this period, the supervisee accrued _________ hours of experience that met the BACB’s

Experience Standards

Check appropriate characteristics of this supervision period. (check all that apply)

Specific

Client

Group

Individual

Office

On-Site

Remote

Video

In Situ

Client(s)

privacy

Supervision

Supervision

Supervision

Supervision

Supervision

Observation

Observation

Discussed

protected

 

 

 

 

 

of

of

 

 

 

 

 

 

 

supervisee

supervisee

 

 

 

 

 

 

 

 

 

Readings suggested by supervisor: _______________________________________________________

Readings discussed in supervision:_______________________________________________________

Check BACB task list items discussed in this supervision session.

__ 1: Ethical Considerations

 

__ 6: Measurement of Behavior

 

__ 2: Definition and Characteristics

 

__ 7: Displaying and Interpreting Behavioral Data

__ 3: Principles, Processes, and Concepts

 

__ 8: Selecting Intervention Outcomes & Strategies

__ 4: Behavioral Assessment

 

__ 9: Behavior Change Procedures

__ 5: Experimental Evaluation of Interventions

 

__ 10: Systems Support

 

 

 

 

 

 

Check measures of professional integrity.

S NI U N/A

Arriving on time for supervision

Maintains professional and courteous interactions with:

Clients/Consumers

Other Colleagues

Other Service Providers

Coworkers

Maintains appropriate attire & demeanor

Initiates professional self-improvement

Accepts supervisory feedback appropriately

Seeks supervision appropriately

Timely submission of written reports

Communicates effectively

Written

Oral

Demonstrates appropriate sensitivity to non-behavioral providers

Supervisee self-detects personal limitations

Supervisee self-detects professional limitations

S – satisfactory NI - needs improvement

U - unsatisfactory N/A – not applicable

Overall evaluation of supervisee performance during this period (circle one): S NI U

Supervisee signature: _________________________

Supervisor signature: _______________________

DO NOT SUBMIT THIS FORM TO THE BACB WITH YOUR INITIAL EXAM APPLICATION

Form Characteristics

Fact Description
Form Purpose The BACB Fieldwork Form documents supervision sessions for individuals seeking BCBA or BCaBA certification.
Experience Standards Supervisees must accrue hours of experience that meet specific BACB standards for certification eligibility.
Client Privacy Supervision sessions emphasize client privacy, ensuring all discussions are conducted with confidentiality in mind.
Task List Items Supervisors and supervisees discuss various items from the BACB task list to ensure comprehensive training.
Professional Integrity The form includes measures for evaluating professional integrity, assessing behaviors like timely arrivals and courtesy with clients.
Signature Requirement Both supervisees and supervisors are required to sign the form, verifying the authenticity of the reported supervision session.

Guidelines on Utilizing Bacb Fieldwork

When preparing your Bacb Fieldwork form, you'll be documenting your fieldwork experience. Accurate completion of this form is crucial to ensure that all required information is captured correctly. Follow these steps to fill out the form effectively, and you’ll be on your way in no time.

  1. Begin by entering your name as the Supervisee at the designated space.
  2. Next, write the name of your Supervisor in the appropriate area.
  3. Fill in the Date of the supervision session.
  4. Record the Time Start and Time End for the supervision session.
  5. Indicate the supervision period by filling in the dates for the period during which you accrued hours of experience.
  6. Document the total number of hours that you completed during this supervision period.
  7. Check all applicable characteristics of this supervision session, such as Specific Client Group and the type of supervision (e.g., Individual, On-Site, Remote).
  8. List any Readings suggested by the supervisor in the provided space.
  9. Include readings that were discussed in supervision in the specified area.
  10. Check off the BACB task list items that were covered during the session. Make sure to include all relevant items.
  11. For the evaluations of professional integrity, check each measure and indicate S (satisfactory), NI (needs improvement), U (unsatisfactory), or N/A (not applicable) in the corresponding spaces.
  12. Evaluate overall performance of the supervisee by circling one of the options: S, NI, or U.
  13. Sign the form as the Supervisee to confirm your acknowledgment.
  14. Lastly, have your Supervisor sign the form.

Once you've completed all these steps, your form will be ready for your records. Remember, do not submit this form to the BACB with your initial exam application.

What You Should Know About This Form

What is the purpose of the BACB Fieldwork form?

The BACB Fieldwork form is designed to document the supervision experience of behavior analysts in training. This form captures essential details about the supervision session, including the date and time, the number of hours accrued, activities undertaken, and progress towards meeting the BACB’s Experience Standards. Essentially, it serves as a record of professional development and to ensure compliance with BACB requirements.

Who fills out the BACB Fieldwork form?

Both the supervisee and the supervisor are involved in completing the BACB Fieldwork form. The supervisee is responsible for providing his or her information and confirming the hours of experience gained. The supervisor provides insights into the supervisee’s performance, ensuring all relevant details about the supervision session are accurately recorded. This collaboration is vital for an effective supervision process.

What types of supervision settings can I indicate on the form?

The form allows you to check specific characteristics of your supervision period, including settings such as individual office, on-site, remote, video, and in situ supervision. Noting these details helps to clarify how services were delivered and illuminates the variety of experiences available to the supervisee.

What should I do if I need to indicate readings discussed during supervision?

In the section dedicated to readings, you can list any recommended and discussed readings. This part of the form provides an opportunity to highlight the learning materials that enhanced your supervision. By noting these readings, you also illustrate how you are expanding your knowledge and applying theory to practice in your fieldwork experience.

What evaluations does the form require regarding supervisee performance?

The BACB Fieldwork form includes a comprehensive evaluation of the supervisee’s performance. Supervisors assess several factors, including punctuality, professionalism in interactions, adherence to appropriate attire, and the ability to communicate effectively. Each criterion has options for satisfactory, needs improvement, unsatisfactory, or not applicable, helping to provide a clear picture of the supervisee’s professional integrity and areas for development.

Common mistakes

Completing the BACB Fieldwork form is a crucial step for aspiring behavior analysts, but mistakes can easily happen. One common error is neglecting to provide accurate dates. Missing or incorrectly filled dates can lead to confusion about the supervision period and hours accrued. Always double-check the dates to ensure they reflect the actual supervision timeline. It’s necessary for this information to be precise for both tracking supervision hours and fulfilling BACB requirements.

Another frequent mistake involves failing to detail reading materials. The section dedicated to suggested readings and discussions is vital. If not filled out thoroughly, it may seem like the supervisor did not provide necessary resources or that the supervisee did not engage in essential learning opportunities. Accurate documentation demonstrates commitment to professional development and reinforces the value of the supervision sessions.

One might also overlook the importance of checking appropriate supervision characteristics. Not checking these boxes can send the wrong message about the type of experience gained. The form includes specifics on client groups, supervision methods, and privacy considerations. Filling this out correctly showcases the relevant experience and aligns with BACB’s standards.

Furthermore, an error in assessing performance measures is often made. Supervisees should carefully evaluate their professional integrity and interactions. Misclassifying themselves in this section, whether it's marking “satisfactory” when there are areas needing improvement, can undermine the purpose of the supervision. Being honest here is essential for growth.

Finally, submitting the form without having both signatures can create significant delays. This oversight can prevent the documentation from being valid, as both the supervisee and supervisor need to confirm the accuracy of the information. Always ensure that signatures are present before any submission, keeping in mind the importance of collaboration and accountability in this professional journey.

Documents used along the form

The BACB Fieldwork form is a vital document in the supervision process for behavior analysts. Several other forms and documents are often completed alongside it to ensure proper tracking, evaluation, and compliance with the BACB requirements. Below is a list of common accompanying documents.

  • Supervision Agreement: This document outlines the terms of the supervisory relationship, including expectations, responsibilities, and the duration of supervision.
  • Fieldwork Hour Log: A detailed log where the supervisee records the hours worked and the specific activities undertaken during their fieldwork experience.
  • Assessment of Competence: A form that evaluates the supervisee’s abilities across various skill areas relevant to behavior analysis practice.
  • Feedback and Evaluation Form: This form is used by the supervisor to provide feedback on the supervisee's performance, noting strengths and areas for improvement.
  • Case Presentation Template: A structured template for presenting specific client cases, enabling the supervisee to apply theoretical knowledge to real-life situations during supervision.
  • Supervision Session Summary: A brief summary form that documents the key discussion points and outcomes from each supervision session.
  • Professional Development Plan: A personalized plan outlining goals for professional growth and the steps needed to achieve those goals throughout the supervision period.
  • Confidentiality Agreement: This agreement ensures that all parties involved adhere to confidentiality standards regarding client information and supervision details.
  • Ethics Training Acknowledgment: A form confirming that the supervisee has completed necessary ethics training required by the BACB for ongoing competency.

Utilizing these documents alongside the BACB Fieldwork form helps ensure that the supervision process is organized and effective. Proper documentation is crucial for the development of behavior analysts and for meeting certification standards.

Similar forms

  • Clinical Supervision Log: Similar to the BACB Fieldwork Form, this log documents the hours and types of supervision received during a clinical training period. It ensures a transparent record of the supervision process, mirroring the detailed input required on client interactions and supervisory feedback.

  • Internship Evaluation Form: This form gathers feedback on an intern’s performance during their placement. It, like the BACB form, includes evaluations of ethical considerations, effective communication, and the ability to handle criticism and professional development.

  • Performance Review Checklist: Used in various professional settings, this checklist assesses observable actions and competencies of employees. The structure of checking off competencies parallels the BACB's method of documenting areas of performance and adherence to professional standards.

  • Professional Development Plan: This document is made to track an individual’s goals and progress over time. Similar to the BACB Fieldwork Form, it emphasizes areas for improvement and achievements such as ethical considerations and communication skills.

  • Case Review Form: This document captures the essential discussions surrounding client care in therapeutic settings. It features components similar to the BACB form, like evaluating professional behavior and documenting supervisory engagement with specific cases.

  • Mentorship Agreement: Outlining expectations and goals in a mentorship relationship, this agreement echoes the BACB's supervision elements by emphasizing feedback mechanisms and professional growth opportunities.

  • Behavioral Intervention Plan (BIP): This plan lays out interventions based on assessment data, akin to the BACB form's focus on behavior measurement and intervention strategies. Both documents prioritize ethical practices and professional integrity.

  • Training Feedback Form: Collecting feedback from trainees about their learning experiences, this form shares a similar emphasis on professional standards and ongoing self-improvement, as seen in the BACB Fieldwork Form.

Dos and Don'ts

When filling out the BACB Fieldwork form, it's crucial to ensure accuracy and clarity. Here’s a list of things you should and shouldn’t do:

  • Do: Double-check all entries for accuracy before submission.
  • Do: Use clear and concise language to describe your experiences and readings.
  • Do: Ensure that all necessary signatures are included at the end of the form.
  • Do: Keep a copy for your own records after completing the form.
  • Do: Be honest about your experiences and the hours you accrued.
  • Don't: Leave any sections blank unless they are marked as not applicable.
  • Don't: Submit this form with your initial exam application; follow the submission guidelines.
  • Don't: Use abbreviations or shorthand in areas where full explanations are required.
  • Don't: Forget to check if any additional documentation needs to accompany the form.
  • Don't: Rely solely on memory; refer to your supervision notes and experiences as needed.

Misconceptions

Misconceptions about the BACB Fieldwork Form can lead to confusion for both supervisors and supervisees. Addressing these misunderstandings is crucial for ensuring that the supervision process meets the required standards.

  • The form is optional for supervisors and supervisees. Some believe that completing the fieldwork form is not mandatory. In reality, the form is essential for documenting the supervision process and tracking progress.
  • Time recordings on the form can be vague. There is a misconception that supervisors can simply estimate hours worked. However, precise time records are necessary to establish the completeness of fieldwork experiences.
  • All fieldwork experiences are the same. Many assume that any fieldwork experience suffices. The form specifies particular characteristics of supervision that must be checked to ensure they align with BACB standards.
  • Feedback and notes do not need to be documented. Some individuals think that verbal feedback is enough. Documenting discussions of readings and feedback is crucial for accountability and improvement.
  • The form can be submitted with the exam application. It is a common misunderstanding that this form should accompany the initial exam application. In actuality, it should not be submitted at that time.
  • Professional integrity measures are irrelevant. A misconception exists that evaluating professional integrity does not impact the fieldwork experience. These measures are important and provide insight into the supervisee’s readiness for the field.
  • Only the supervisor's signature is required. Some individuals mistakenly believe that only one signature is necessary. Both supervisees and supervisors must sign the form to indicate mutual agreement on the supervision experience.
  • All tasks from the BACB task list are covered by default. It is often thought that all tasks are discussed automatically. Supervisors should actively check off each relevant task to document thorough engagement with the required material.
  • There is no need for ongoing communication after submitting the form. Some individuals think that once the form is completed, the relationship ends. Continuous feedback and communication remain vital for professional development.

Key takeaways

Filling out and using the BACB Fieldwork form is an essential process for both supervisees and supervisors. Understanding its components can enhance professional development and effective supervision. Here are five key takeaways:

  • Accurate Documentation: Ensure that all fields are filled out completely and accurately, including dates, times, and hours accrued. This serves as an official record of supervision and experience.
  • Check Appropriate Characteristics: Identify and check all relevant characteristics of the supervision period, whether it involved specific client groups, locations, or methods of observation. This provides context for the experience.
  • Discuss Relevant Readings: Use the space provided to list suggested and discussed readings. Incorporating research supports enhanced learning and application of concepts.
  • Evaluate Professional Conduct: Utilize the measures of professional integrity to assess behaviors such as punctuality, communication, and responsiveness to feedback. This fosters accountability and growth.
  • Confidentiality Reminder: Remember, the completed form should not be submitted to the BACB with the initial exam application. Keep this in mind to protect confidentiality and maintain compliance with procedures.