Clinical Supervision, Didactics, and Evaluation


Fellows receive a minimum of 3 hours per week of clinical supervision:

  • One hour of individual, face-to-face clinical supervision per week (Fellows rotate through 4 different supervisors over their 2 years period in 6 month blocks)
    • Supervisors are responsible for all cases (reviewing and countersigning all clinical assessments, notes, treatment plans, case summaries).
  • One hour of individual face-to-face clinical supervision either with the training director or research director (every other week).
  • One hour of face-to-face, group clinical supervision per week, rotating among the clinical faculty responsible for the major programmatic areas: relationship and sex therapy, compulsive sexual behavior, transgender health, and child and adolescent gender health. 

Fellows receive an additional supervision as follows:

  • One hour of face-to-face group supervision per month to meet with training director for overall supervision
  • Two hours of face-to-face individual research supervision per month with research supervisor
  • 2-4 hours of group therapy co-led by faculty supervisors with pre-and post-group face-to-face supervision 
  • Once a week face-to-face case consultation meetings
  • Ongoing consultation provided by clinical supervisors as needed

In addition, fellows participate in a minimum of 2 hours of learning activities per week including:

  • Twice monthly clinical didactic lectures
  • Once a month research lecture
  • Weekly group supervision
  • Co-therapy
  • Case management meetings

Fellows attend the following courses and conferences:

  • Required Primary Care in Psychiatry: Management and Medications course
  • Required online HIPPA and IRB, and clinical practice courses
  • EMR training courses
  • Required Sexual Attitude Reassessment Seminar 
  • Minimum of one scientific conference yearly focused on sex therapy and research – either Society for the Scientific Study of Sexuality (SSSS), American Association of Sexual Educators, Counselors and Therapists (AASECT), Society for Sex Therapy and Research, (SSTAR) World Professional Association for Transgender Health (WPATH), International Academy of Sex Research
  • Additional training courses are arranged based upon individual needs


Fellows are evaluated at 6, 12, and 18 months and upon completion of the fellowship (2 times per year). Evaluations provide fellows the opportunity to give and receive feedback about their clinical and research skills and how the fellowship is meeting their needs. All faculty at ISGH review these evaluations twice a year. Individual supervisors review this feedback with the fellows. The training director reviews these evaluations and feedback with the fellows as well. 

Evaluations are conducted in a face-to-face meeting with the fellow's supervisors. Evaluation methods are given to them at the beginning of their fellowship. If fellows do not meet required levels of competency on fellow evaluations, the due process guidelines may be initiated.

Due Process and Grievance Procedures

Fellows are informed at the beginning of their fellowship about due process and grievance procedures. They are given printed copies as well as digital access related to all of their training activities.