Abstract
Supervision is a primary instructional vehicle for genetic counseling student clinical training. Approximately two-thirds of genetic counselors report teaching and education roles, which include supervisory roles. Recently, Eubanks Higgins and colleagues published the first comprehensive list of empirically-derived genetic counseling supervisor competencies. Studies have yet to evaluate whether supervisors possess these competencies and whether their competencies differ as a function of experience. This study investigated three research questions: (1) What are genetic counselor supervisors’ perceptions of their capabilities (self-efficacy) for a select group of supervisor competencies?, (2) Are there differences in self-efficacy as a function of their supervision experience or their genetic counseling experience, and 3) What training methods do they use and prefer to develop supervision skills? One-hundred thirty-one genetic counselor supervisors completed an anonymous online survey assessing demographics, self-efficacy (self-perceived capability) for 12 goal setting and 16 feedback competencies (Scale: 0–100), competencies that are personally challenging, and supervision training experiences and preferences (open-ended). A MANOVA revealed significant positive effects of supervision experience but not genetic counseling experience on participants’ self-efficacy. Although mean self-efficacy ratings were high (>83.7), participant comments revealed several challenging competencies (e.g., incorporating student’s report of feedback from previous supervisors into goal setting, and providing feedback about student behavior rather than personal traits). Commonly preferred supervision training methods included consultation with colleagues, peer discussion, and workshops/seminars.
Similar content being viewed by others
Notes
Post hoc analysis to allow for more direct comparison with Atzinger et al. (2014) found no significant relationship between years of supervision experience and the self-efficacy factors [λ = .945, F(4,122) = 1.78, p = .14].
References
Accreditation Council for Genetic Counseling. (2013). Standards for accreditation. Retrieved from: https://doi.org/www.gceducation.org/Pages/Standards.aspx
American Board of Genetic Counseling. (2004). Requirements for graduate programs in genetic counseling seeking accreditation by the American Board of Genetic Counseling. Bethesda: American Board of Genetic Counseling.
American Psychological Association. (2015). Guidelines for clinical supervision in health service psychology. American Psychologist, 70, 33–46.
Atzinger, C.L., Lewis, K.L., Martin, L.J., Yager, G., Ramstetter, C., & Wusik, K. (2014). The impact of supervision training on genetic counselor supervisory identity development. Journal of Genetic Counseling, 23, 1056–1065.
Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122–147.
Bandura, A. (1994). Self-efficacy. In V. S. Ramachaudran (Ed.), Encyclopedia of human behavior. (Vol. 4, pp. 71–81). New York: Academic Press. (Reprinted in H. Friedman [Ed.], Encyclopedia of mental health. San Diego: Academic Press, 1998).
Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares & T. Urdan (Eds.), Self beliefs of adolescents (pp. 307–337). Greenwich: Information Age Publishing.
Bernard, J. M., & Goodyear, R. K. (2013). Fundamentals of clinical supervision (5th ed.). Upper Saddle River: Pearson Education, Inc.
Borders, L. D. (2006). Snapshot of clinical supervision in counseling and counselor education. The Clinical Supervisor, 24(1–2), 69–113.
Borders, L. D., & Brown, L. L. (2005). The new handbook of counseling supervision. Mahwah: Lahaska/Lawrence Erlbaum.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Erlbaum.
DeKruyf, L. (2007). Training needs of school counseling site supervisors in the Pacific Northwest: An exploration via the construct of self-efficacy. Dissertation Abstracts International: Section A. Humanities and Social Sciences, 68(07A), 2825. (UMI No. 3276923).
DeKruyf, L., & Perhsson, D. E. (2011). School counseling site supervisor training: an exploratory study. Counselor Education and Supervision, 50, 314–327.
Elo, S., & Kynga, S. H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.
Etter, J. F., Bergman, M. M., Humair, J. P., & Perneger, T. V. (2000). Development and validation of a scale measuring self-efficacy of current and former smokers. Addiction, 95, 901–913.
Eubanks Higgins, S., McCarthy Veach, P., MacFarlane, I. M., Borders, L. D., LeRoy, B., & Callanan, N. (2013). Genetic counseling supervisor competencies: results of a Delphi study. Journal of Genetic Counseling, 22, 39–57.
Evans, D. (1987). Live supervision in the same room. Social Work Education: The International Journal, 6(3), 13–17.
Falendar, C. A., & Shafranske, E. P. (2004). Clinical supervision: A competency-based approach. Washington: American Psychological Association.
Falendar, C. A., & Shafranske, E. P. (2012). The importance of competency-based clinical supervision and training in the twenty-first century: why bother? Journal of Contemporary Psychology, 42(3), 129–137.
Fiddler, M. B., Fine, B. A., Baker, D. L., & ABGC Consensus Development Consortium. (1996). A case-based approach to the development of practice-based competencies for accreditation of and training in graduate programs in genetic counseling. Journal of Genetic Counseling, 5, 105–112.
Goldsmith, C., Honeywell, C., & Mettler, G. (2011). Peer observed interaction and structured evaluation (POISE): a Canadian experience with peer supervision for genetic counselors. Journal of Genetic Counseling, 20, 204–214.
Gu, L., McCarthy, V. P., Eubanks, S., Leroy, B. S., & Callanan, N. (2011). Boundary issues and multiple relationships in genetic counseling supervision: supervisor, non-supervisor, and student perspectives. Journal of Genetic Counseling, 20, 35–48.
Haggman-Laitila, A., Elina, E., Riitta, M., Kirsi, S., & Leena, R. (2007). Nursing students in clinical practice: developing a model for clinical supervision. Nurse Education in Practice, 7, 381–391.
Haycock, L. A., McCarthy, P., & Skay, C. L. (1998). Procrastination in college students: the role of self-efficacy and anxiety. Journal of Counseling and Development, 76, 317–324.
Hendrickson, S. M., McCarthy Veach, P., & LeRoy, B. S. (2002). A qualitative investigation of student and supervisor perceptions of live supervision in genetic counseling. Journal of Genetic Counseling, 11, 25–49.
Hoffman, M. A., Hill, C. E., Holmes, S. E., & Freitas, G. F. (2005). Supervisor perspective on the process and outcome of giving easy, difficult, or no feedback to supervisees. Journal of Counseling Psychology, 52, 3–13.
Hoy, A. W., & Davis, H. A. (2006). Teacher self-efficacy and its influence on the achievement of adolescents. In F. Pajares & T. Urdan (Eds.), Self beliefs of adolescents (pp. 117–137). Greenwich: Information Age Publishing.
Johnson, E. A., & Stewart, D. W. (2008). Perceived competence in supervisory roles: a social cognitive analysis. Training and Education in Professional Psychology, 2(4), 229–236.
Lee, H. K., McCarthy Veach, P., & LeRoy, B. (2009). An investigation of relationships among genetic counselors’ supervision skills and multicultural counseling competence. Journal of Genetic Counseling, 18, 287–299.
Lent, R. W., & Hackett, G. (1987). Career self-efficacy: empirical status and future directions. Journal of Vocational Behavior, 30, 347–382.
Lent, R. W., Hill, C. E., & Hoffman, M. A. (2003). Development and validation of the counselor activity self-efficacy scales. Journal of Counseling Psychology, 50(1), 97–108.
Lindh, H. L., McCarthy Veach, P., Cikanek, K., & LeRoy, B. S. (2003). A survey of clinical supervision in genetic counseling. Journal of Genetic Counseling, 12, 23–41.
Masunga, A., Wusik, K., He, H., Yager, G., & Atzinger, C. (2014). Barriers impacting the utilization of supervision techniques in genetic counseling. Journal of Genetic Counseling, 23, 992–1001.
McCarthy Veach, P., & LeRoy, B. (2009). Student supervision: Strategies for providing direction, guidance, and support. In W. R. Uhlmann, J. L. Schuette, & B. Yashar (Eds.), A guide to genetic counseling (2nd ed., pp. 401–434). New York: Wiley.
McIntosh, N., Dircks, A., Fitzpatrick, J., & Shuman, S. (2006). Games in clinical genetic counseling supervision. Journal of Genetic Counseling, 15, 225–243.
Moritz, S. E., Feltz, D. L., Fahrbach, K. R., & Mack, D. E. (2000). The relation of self-efficacy measures to sport performance: a meta-analytic review. Research Quarterly for Exercise and Sport, 71(3), 280–294.
National Society of Genetic Counselor. (2012). 2012 Professional Status Survey. Retrieved from https://doi.org/nsgc.org/
Pajares, F. (1996). Self-efficacy beliefs in academic settings. Review of Educational Research, 66, 543–578.
Pajares, F. (2006). Self-efficacy during childhood and adolescence. In F. Pajares & T. Urdan (Eds.), Self beliefs of adolescents (pp. 339–367). Greenwich: Information Age Publishing.
Sexton, A., Hodgkin, L., Bogwitz, M., Bylstra, Y., Mann, K., Taylor, J., & Kentwell, M. (2013). A model for peer experiential and reciprocal supervision (PEERS) for genetic counselors: development and preliminary evaluation within clinical practice. Journal of Genetic Counseling, 22, 175–187.
Shulman, L. S. (2005). Signature pedagogies in the professions. Daedalus, 134(3), 52–59.
Spek, V., Lemmens, F., Chatrou, M., van Kempen, S., Pouwer, F., & Pop, V. (2013). Development of a smoking abstinence self-efficacy questionnaire. International Journal of Behavioral Medicine, 20, 444–449.
Stevens, D. T., Goodyear, R. K., & Robertson, P. (1998). Supervisor development: an exploratory study in changes in stance and emphasis. The Clinical Supervisor, 16, 73–88.
Stoltenberg, C. D., & McNeill, B. W. (2010). IDM Supervision: An integrative developmental model for supervising counselors and therapists (3rd ed.). New York: Routledge.
Tschannen-Moran, M., Woolfolk Hoy, A., & Hoy, W. K. (1998). Teacher efficacy: its meaning and measure. Review of Educational Research, 68, 202–248.
Vanneste, R., Chiu, S. M., Russell, L., & Fitzpatrick, J. (2013). Effects of second language usage on genetic counseling training and supervision. Journal of Genetic Counseling, 22, 58–75.
Weil, J. (2000). Introduction. Journal of Genetic Counseling, 9, 375–378.
Wherley, C., McCarthy Veach, P., Martyr, M., & LeRoy, B. S. (2015). Form follows function: a model for clinical supervision practice in genetic counseling. Journal of Genetic Counseling. doi:https://doi.org/10.1007/s10897-0159837-5.
Zahm, K. W., McCarthy Veach, P., & LeRoy, B. S. (2008). An investigation of genetic counselor experiences in peer group supervision. Journal of Genetic Counseling, 17, 220–233.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Compliance with Ethical Standards
Conflict of Interest Sabra Ledare Finley, Pat McCarthy Veach, Ian M. MacFarlane, Bonnie S. LeRoy, and Nancy Callanan declare that they have no conflict of interest.
Human Studies and Informed Consent All procedures performed involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study.
Animal Studies This article does not contain any studies with animals performed by any of the authors.
Rights and permissions
About this article
Cite this article
Finley, S.L., Veach, P.M., MacFarlane, I.M. et al. Genetic Counseling Supervisors’ Self-Efficacy for Select Clinical Supervision Competencies. J Genet Counsel 25, 344–358 (2016). https://doi.org/10.1007/s10897-015-9865-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10897-015-9865-1