CPE LEVEL I/LEVEL II MANUAL – UC Davis Health

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UC DAVIS MEDICAL CENTER
CLINICAL PASTORAL SERVICES
An ACPE Center for Clinical Pastoral Education
Accredited for Training Level I, Level II and Supervisory CPE
2315 Stockton Boulevard
Housestaff Building, Room 1002
Sacramento, California 95817

ACPE CLINICAL PASTORAL EDUCATION

CPE LEVEL I/LEVEL II
MANUAL

Samuel C.M. Brown-Dawson, M.Div., ACPE Supervisor

ASSOCIATION FOR CLINICAL PASTORAL EDUCATION, INC.
One West Court Square, Suite 325
Decatur, Georgia 30033
(404) 320-1472
www.acpe.edu

UC DAVIS MEDICAL CENTER

2315 Stockton Boulevard
HouseStaff Buiildning, Room 1002
Sacramento CA 95624.
916.734., 916.734. – FAX
www.ucdmc.ucdavis.edu

ACPE
CPE LEVEL I/LEVEL II
AND SUPERVISORY CPE
HANDBOOK

Accredited by:

Association for Clinical Pastoral Education, Inc.
One West Court Square, Suite 325
Decatur, Georgia 30033
(404) 320-1472
www.acpe.edu

and

U. S. Department of Education
Accreditation and State Liaison Division.
Office of Postsecondary Education
1900 K Street, Room #7105, Washington, DC 20006-
8509 www.ed.gov

A hard copy of this handbook is available in the Reference Manual in Clinical Pastoral Services
classroom in Housestaff Room 2001 Office and in USB drives

The Standards of the Association for Clinical Pastoral Education (ACPE) and any forms from
UC Davis Medical Center supersedes the requirements of this handbook. The current ACPE 2010
Standards are on the Public Drive listed above or www.acpe.edu.

NOTE: The Handbooks are for educational purposes only and are not to be considered a
contract.

TH E CP E H AN D B O OK
ACPE 201 0 STANDAR D 3
03.5

Welcome to the Clinical Pastoral Education (CPE) program at UC Davis Medical Center. CPE
is the educational arm of the Clinical Pastoral Services department. We are glad that you will
take part in an exciting, self-directed, adult learning process. As a way of getting you started,
we will provide you a thorough orientation to The University of California Davis Medical
Center, the philosophy and structure of the ACPE/CPE program, and the various expectations
and requirements for your participation in this unit of CPE.

You have chosen to participate in a CPE program that is fully accredited by the Association
for Clinical Pastoral Education, Inc. (ACPE) to offer Level I, Level II, and Supervisory
Education. Furthermore, we are part of the Pacific Region of the ACPE and we participate
with other CPE Centers in and around the Sacramento Area.

Why this book?

We want you to have the information you need for a successful UC Davis Medical Center
CPE experience. Within these pages, you will find information that will help you in every
aspect of your work while you are with us and information about pertinent guidelines and
procedures of this center and of ACPE.

What exactly is CPE?

CPE is an experience in process education, which has been shaped by history and yet remains
responsive to the present-day cultural developments that will affect your pastoral formation.
The heart of CPE is your ministry with people and learning from that ministry through
reflection, discussion, and evaluation with other students (your peers) and your supervisor. In
your CPE experience, you will use verbatims, case studies, and other ministry descriptions to
present your ministry for supervision. The focus in some seminars will be on what is
happening to the people receiving your ministry. There will be opportunities to learn from the
behavioral sciences while also reflecting theologically, so that you can draw from both in
understanding the human condition. You will be challenged to think about groups and social
structures as well as individuals in defining your ministry. You will also be part of a dynamic
learning group with your peers and your supervisor, which will provide opportunities for
mutual supervision, care giving, challenge, and appreciation.

Once again, Welcome.

ACPE Supervisor

Table of Contents

Welcome and Introduction ………………………………………………………………………………………………………………………….. 2
A Brief History of UC Davis Medical Center ………………………………………………………………………………………………… 2
A Brief History of UC Davis Medical Center ………………………………………………………………………………………………… 3
History of Pastoral Services and the CPE Program …………………………………………………………………………………………. 6
Clinical Pastoral Services Management Team ……………………………………………………………………………………………… 14
Administrative Structure for Pastoral Services ……………………………………………………………………………………………… 15
Administrative Support …………………………………………………………………………………………………………………………….. 16
Administrative Support …………………………………………………………………………………………………………………………….. 17
The Pastoral Care Advisory Committee ………………………………………………………………………………………………………. 22
Pastoral Learning Philosophy at UC Davis ………………………………………………………………………………………………….. 26
A Concept of Clinical Pastoral Education ……………………………………………………………………………………………………. 27
The Process of Supervision ……………………………………………………………………………………………………………………….. 32
CPE Programs Requirements …………………………………………………………………………………………………………………….. 37
Objectives and Outcomes of Level I and II CPE …………………………………………………………………………………………… 38
Requirements for Level I and Level II CPE: full credit …………………………………………………………………………………. 42
Requirements for Level I and Level II CPE: Half Credit ……………………………………………………………………………….. 44
Curriculum Level I/Level II ………………………………………………………………………………………………………………………. 46
Expectations of UCD Level I/Level II …………………………………………………………………………………………………………. 50
CPE level I/II Calendar …………………………………………………………………………………………………………………………….. 51
Required Consents and Releases ………………………………………………………………………………………………………………… 58
Required Consents and Releases ………………………………………………………………………………………………………………… 58
Annual Notice ………………………………………………………………………………………………………………………………………….. 59
Family Education Rights and Privacy Act (FERPA) ……………………………………………………………………………………… 60
Agreement for Training …………………………………………………………………………………………………………………………….. 61
Stipend agreement ……………………………………………………………………………………………………………………………………. 65
Non-Stipend Agrement ……………………………………………………………………………………………………………………………… 68
Unit Evaluation Release Form ……………………………………………………………………………………………………………………. 71
Educational Resources ………………………………………………………………………………………………………………………………. 74
Educational Resources ………………………………………………………………………………………………………………………………. 74
Why Use Learning Contracts …………………………………………………………………………………………………………………….. 75
Focal Points For Individual Supervision ……………………………………………………………………………………………………… 77
Group Covenant……………………………………………………………………………………………………………………………………….. 78
IPR …………………………………………………………………………………………………………………………………………………………. 79
General Verbatim Write-Up (Beginning CPE) ……………………………………………………………………………………………… 80
General Verbatim Write-Up ………………………………………………………………………………………………………………………. 83
General Verbatim Write-Up ………………………………………………………………………………………………………………………. 83
Spiritual Verbatim Format …………………………………………………………………………………………………………………………. 87
Verbatim Write Up with BCCI competencies ………………………………………………………………………………………………. 92
Guideline for Reflection Papers………………………………………………………………………………………………………………….. 94
BIWeekly Highlights report and reflections …………………………………………………………………………………………………. 95
Theological Integration Seminar ………………………………………………………………………………………………………………… 96
Guidelines For Maintaining Integrity In Theological Reflection …………………………………………………………………….. 99
Critical Incident Report …………………………………………………………………………………………………………………………… 100
Spiritual Assessment ………………………………………………………………………………………………………………………………. 101
Spiritual Centering Experience Feedback…………………………………………………………………………………………………… 102
Guidelines for Ethics Case Study Presentation ……………………………………………………………………………………………. 103
Guidelines for Interdisciplinary Case Conference ……………………………………………………………………………………….. 104
Specialty Project Outline …………………………………………………………………………………………………………………………. 109
Final Evaluation Guidelines Level I ………………………………………………………………………………………………………….. 111
Final Evaluation Guidelines Level II …………………………………………………………………………………………………………. 114
Final Evaluation Guidelines Level II …………………………………………………………………………………………………………. 114

CPE Program Evaluation …………………………………………………………………………………………………………………………. 117
UC Davis Policies and Procedures ……………………………………………………………………………………………………………. 122
Coverage ……………………………………………………………………………………………………………………………………………….. 123
Department organization …………………………………………………………………………………………………………………………. 125
Performance Improvement ………………………………………………………………………………………………………………………. 133
Position Description ……………………………………………………………………………………………………………………………….. 134
Staff Meeting/Communication …………………………………………………………………………………………………………………. 135
Religious/Spiritual Preferences of Patients and Family Members ………………………………………………………………….. 138
Access to Protected Health Information (PHI) for Chaplains………………………………………………………………………… 140
Disclosing Protected Health Information (PHI) to the Clergy, Media and Public …………………………………………….. 142
Patients’ Visitors …………………………………………………………………………………………………………………………………….. 146
Standards of Dress and Personal Appearance ……………………………………………………………………………………………… 152
ACPE CPE Policies and Procedures………………………………………………………………………………………………………….. 156
Access to ACPE Standards and Commission Manuals ………………………………………………………………………………… 157
Access to Library and Other Resources ……………………………………………………………………………………………………… 158
Admission of CPE Students …………………………………………………………………………………………………………………….. 161
Training Agreement ………………………………………………………………………………………………………………………………… 164
Resolution of Complaints ………………………………………………………………………………………………………………………… 165
Commitment to Complete Unit or Program ……………………………………………………………………………………………….. 170
Consultation For Students ……………………………………………………………………………………………………………………….. 172
Discipline, Dismissal, and Withdrawal ……………………………………………………………………………………………………… 174
Ethical Conduct of ACPE members ………………………………………………………………………………………………………….. 177
Maintenance of Student Records ………………………………………………………………………………………………………………. 182
Supervisor’s evaluation …………………………………………………………………………………………………………………………… 185
Financial ……………………………………………………………………………………………………………………………………………….. 187
Student’s Rights and Responsibilities ……………………………………………………………………………………………………….. 189

TABLE OF CONTENTS

Section 1: Introduction and Welcome
Welcome and Introduction ……………………………………………………………………………………………………………………. 2

A Brief History of UC Davis Medical Center ………………………………………………………………………………………….. 2

History of Pastoral Services and the CPE Program …………………………………………………………………………………… 6

Clinical Pastoral Services Management Team ……………………………………………………………………………………….. 14

Administrative Structure for Pastoral Services ……………………………………………………………………………………….. 15

Administrative Support ………………………………………………………………………………………………………………………. 16

The Pastoral Care Advisory Committee ………………………………………………………………………………………………… 22

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WELCOME AND INTRODUCTION

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The welcome and introduction section of this
ACPE/CPE Student Manual provides introductory
information about the pastoral context of CPE at
University of California Davis Medical Center, the
administration structure, the support systems and
resources, the Clinical Pastoral Services department
and the CPE faculty.
Located in Sacramento, CA, UC Davis Medical
Center is part of the UC Davis Health System. In
turn, UC Davis Health System is part of the
University of California in Davis, CA.

A BRIEF HISTORY OF UC DAVIS MEDICAL CENTER
ACPE 2010 STANDARDS 302.2 AND 308.6.4

UC Davis Medical Center is a nationally renowned teaching and research hospital at the
geographic and political center of America’s most populous state. More than 10,000 faculty,
staff and students collaborate on urgent global health problems at the Medical Center, the
top-ranked UC Davis School of Medicine, the new Betty Irene Moore School of Nursing,
nationally prominent research/clinical centers, and the UC Davis Medical Group, which
together are affiliated as the UC Davis Health System.

Sacramento’s early medical community developed along with the city’s wealth of gold and
land. Pioneering doctors tended the sick in tents, huts, and at Sutter’s Fort. For the privileged,
there were some private hospitals, but few had operating rooms. Many people couldn’t afford
private hospitals, and public concern for care of the poor mounted. To help resolve this
problem, the city of Sacramento built UC Davis Medical Center’s predecessor, a county
hospital that provided health care for the infirm and a home for the elderly. In 1852, the
original hospital structure stood at 10th and L streets on what would later be part of the State
Capitol grounds. In 1871, the hospital moved to its present 110 acre site on Stockton
Boulevard.

The University of California, Davis School of Medicine opened in the city of Davis in 1966,
and admitted its first class of 48 students in 1968. The University expected a Veterans
Administration hospital with on-site teaching and research facilities to be constructed in
Davis. Initial plans also anticipated an affiliation with the Sacramento County hospital on
Stockton Boulevard.

In 1966, the University entered into an affiliation agreement with the Sacramento County
Board of Supervisors to use its county hospital as the principal clinical teaching site for the
UC Davis School of Medicine, pending the new VA hospital. In 1970, a bond issue failed
that would have provided the funds for a permanent School of Medicine facility and an on-
campus hospital. The tie to the Sacramento site grew stronger. Legislation moved forward
that changed the 1965 Medi-Cal Act. Now special county options for county hospitals
previously provided by the act would cease.

In 1973, the University purchased the hospital and, in 1978, named it the UC Davis Medical
Center. The University then began to develop its now fourfold mission of: education,
research, quality patient care, and public service for a healthier community and region. Thus
began the long and difficult process of transformation into a state-of-the-art academic and
acute-care medical center.

The Medical Center is now broadly recognized by the public, health-care providers, and the
media as a center of both academic and patient-care excellence – and one with a continued
and major emphasis on addressing the health-care problems that matter most to society.

Today UC Davis Medical Center is a 619-bed complex, tertiary, quaternary and acute-care
hospital with Level I adult and pediatric trauma centers and a comprehensive array of
specialty and ancillary services. Centers of excellence include a National Cancer Institute-
designated comprehensive cancer center; the unique UC Davis MIND Institute for the study
of neurodevelopmental disorders; a comprehensive children’s hospital; and UC Davis
Medical Group outpatient clinics in communities throughout the Sacramento region.

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