Medical::medical Training::clinical Medicine::academy American::practice Physical::illness National::national
Certifications The Academy of Medical Psychology defines medical psychology as a specialty trained at the post doctoral level and designed to deliver advanced diagnostic and clinical interventions in Medical and Healthcare Facilities utilizing the knowledge and skills of clinical psychology, health psychology, behavioral medicine, psychopharmacology and basic medical science. The Academy of Medical Psychology makes a distinction between the Psychopharmacologist who is a psychologist with advanced training in psychopharmacology and may prescribe medicine or consult with physician or nurse practitioner prescribers to diagnose mental illness and select and recommend appropriate psychoactive medicines, and the Medical Psychologists who are prepared to do the psychopharmacology consulting or prescribing, but also must have training which prepares them for functioning with Behavioral and Lifestyle components of physical disease and functioning in or in consultation with multidisciplinary healthcare teams in Primary Care Centers or Community Hospitals in addition to traditional roles in the treatment of mental illness and substance abuse disorders. The specialty of Medical Psychology and this distinction from Psychopharmacologist is recognized by the National Alliance of Professional Psychology Providers (the psychology national practitioner association; see www.nappp.org).<ref name="defs"/>
A specialty of medical psychology has established a specialty board certification, American Board of Medical Psychology and an Academy of Medical Psychology requiring a doctorate degree in psychology and extensive post doctoral training in the specialty and the passage of an oral or written examination.
Although the Academy of Medical Psychology defines medical psychology as a "specialty" and has established a "specialty board certification," and is recognized by the national psychology practitioner association (www.nappp.org) there is a split in national psychology associations between NAPPP and APA and the American Psychological Association and the National Alliance of Professional Psychology Providers do not currently recognize the same specialties with the APA being a group that represents scientists, academics, and practitioners (as a minority) and NAPPP being an organization that represents only practitioners. However, Louisiana does recognize and restricts the term and practice of medical psychology by statute (the Medical Psychology Practice Act) as a "profession of the health sciences" with prescriptive authority. It is equally important to note than the American Psychological Association does not recognize that the term medical psychology has, as a prerequisite, nor should the term be equated with having, prescriptive authority.
In 2006, the American Psychological Association (APA) recommended that the education and training of psychologists, who are specifically pursuing one of several prerequisites for prescribing medication, integrate instruction in the biological sciences, clinical medicine and pharmacology into a formalized program of postdoctoral education. In 2009, the National Alliance of Professional Providers in Psychology recognized the education and training specified by the American Board of Medical Psychology (www.amphome.org; ABMP) and the Academy of Medical Psychology as the approved standards for post graduate training and examination and qualifications in the nationally recognized specialty in Medical Psychology. Since then numerous hospitals, primary care centers, and other health facilities have recognized the ABMP standards and qualifications for privileges in healthcare facilities and verification of specialty status.
The following Clinical Competencies are identified as essential in the education and training of psychologists, wishing to pursue prescriptive authority. These recommended prerequisites are not required or specifically recommended by APA for the training and education of medical psychologists not pursuing prerequisites for prescribing medication.:
III. Physical Assessment and Laboratory Exams: physical assessment, laboratory and radiological assessment, medical terminology;
IV. Clinical Medicine and Pathophysiology: pathophysiology with emphasis on the principal physiological systems, clinical medicine, differential diagnosis, clinical correlation and case studies, chemical dependency, chronic pain management;
VI. Clinical Pharmacotherapeutics: professional, ethical and legal issues, combined therapies and their interactions, computer-based aids to practice, pharmacoepidemiology;
VII. Research: methodology and design of psychopharmacology research, interpretation and evaluation, FDA drug development and other regulatory processes.
The 2006 APA recommendations also include supervised clinical experience intended to integrate the above seven knowledge domains and assess competencies in skills and applied knowledge.
The national psychology practitioner association (NAPPP; www.nappp.org) and top national certifying body (Academy of Medical Psychology; www.amphome.org) have established the national training, examination, and specialty practice criterion and guidelines in the specialty of Medical Psychology and have established a national journal in the specialty. Such certifying bodies, view psychopharmacology training (either to prescribe or consult) as one component of the training of a specialist in Medical Psychology, but recognize that training and specialized skills in other aspects of the treatment of behavioral aspects of medical illness, and mental illness affecting physical illness is essential to practice at the specialty level in Medical Psychology. The Louisiana Academy of Medical Psychology (LAMP), currently the largest organization of psychologists with prescriptive authority in the world and the only organization representing practitioners of medical psychology in Louisiana as defined by Louisiana statute within any jurisdiction in the United States, no longer recognizes the Academy of Medical Psychology as an adequate certifying body for its practitioners, and its members have resigned from the Academy of Medical Psychology en masse. Similarly, virtually all members of LAMP have also resigned from the Louisiana Psychological Association (LPA) after many LPA members uncovered that the LAMP's prescriptive authority movement covertly came to an agreement with Louisiana's medical board to transfer the entire practice of psychology for psychologists with prescriptive authority to the medical board. Louisiana is the only state in which the practice of psychology, including psychological testing, psychotherapy, diagnosis, and treatment for some psychologists (i.e., medical psychologists) is regulated by a medical board.
Medical psychology sections
Intro Behavioral medicine Certifications References See also External links
|PREVIOUS: Intro||NEXT: Behavioral medicine|