New Mexico Administrative Code
Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING
Chapter 22 - PSYCHOLOGISTS AND PSYCHOLOGIST ASSOCIATES
Part 6 - PSYCHOLOGISTS: PRACTICUM, DOCTORAL INTERNSHIP AND POSTDOCTORAL SUPERVISED EXPERIENCE
Section 16.22.6.10 - POSTDOCTORAL SUPERVISORY PLAN

(1) name of applicant;

(2) name of primary supervisor, address, license number, and state in which the license was granted; area of specialization;

(3) names of additional licensed specialists, if applicable;

(4) dates of practice covered by the plan;

(5) number of practice hours during the period covered by the plan;

(6) number of one-on-one supervisory hour per week;

(7) amount of any telesupervision or telephonic supervision provided;

(8) the setting(s) in which the applicant will practice and the hours per week worked at each setting;

(9) the applicant's duties;

(10) the clinical and professional responsibilities of the applicant;

(11) the location where the supervision will take place;

(12) the areas in which the primary supervisor has specialized skills to render competent supervision and, if applicable, whether specific training will be assigned to other specialists; if non-psychologist specialists are assigned, their practice and teaching skills as they pertain to supervision of the applicant and their degrees and licenses;

(13) the number of applicants the primary supervisor will supervise during this time period;

(14) the way in which the primary supervisor will demonstrate clinical and professional responsibility for the applicant's work;

(15) the way in which the applicant will be represented to the public, and the way in which all written communications and public announcements will identify the primary supervisor as clinically and professionally responsible for all psychological services;

(16) other information necessary to clarify the nature and scope of supervision.