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November 2018 Vol Academy of Medical Psychology ACADEMY UPDATE FROM THE PRESIDENT BY STEPHEN GARY MCCLURE, PHD, ABMP Dear Colleagues, public at large. Psychologist, social I am both honored and humbled to assume worker, therapist, counselor and life coach the role as the next President of the Acad- are often used interchangeably to describe emy of Medical Psychology (AMP). I mental health providers, regardless of the have been serving on the board of direc- significant differences in training and tors as the chairman of the credentialing clinical experience of each specialty. committee for the past several years and To complicate things further, APA is de- NOVEMBER 2018 VOL. 7 ISSUE 1 the experience has been both challenging veloping a “Masters’ Program in Psychol- and rewarding. During my time as an ogy Accreditation Initiative.” APA’s A C A D E M Y U P- 1 DATE FROM THE AMP board member, I have witnessed consensus statement for the Masters’ Initi- PRESIDENT BY DR GARY what can be accomplished by a few dedi- ative states, MCCLURE cated psychologists, working toward a We recognize the expertise in sci- EXECUTIVE D I- 2 common goal. RECTOR COLUMN ence, clinical practice and leader- BY DR. JERRY MORRIS My goal as president is to build on the ship offered by psychologists. Our foundation established by the Medical responsibility is to address the PATIENT EDUCATION 3 Psychology pioneers preceding me that shifting demographics and behav- BY DR. RORY RICHARD- SON includes Drs. Lawson, Morris, Caccavale, ioral health needs of the U.S. pop- PRESCRIPTIVE AUTHORI- 4 Barngrover, Galle, Cole, Childerston, ulation. We need to bring addi- TY BY DR. SUSAN BARN- Nessetti, and Wiggins, to name a few. tional scientifically informed and GROVER These leaders have committed their time, culturally and linguistically re- HEALTH AND SCIENCE 5 resources, experiences and vision to the sponsible practitioners to all popu- BY DR. JEFF COLE future of medical psychology and all psy- lations, including underserved NEW DIPLOMATE AND NEW RESIDENT INTRO- 6 - chologists have benefitted exponentially populations, using approaches dis- DUCTION: DRS. ROSSILLI 7 AND SOSA from their tireless efforts. tinct from those offered by other ACMC INTERNSHIP AND behavioral health practitioners. 8 However, despite the tremendous accom- RESIDENCY BY DR. MATTHEW NESSETTI plishments of a few, our profession con- We believe this can be accom- tinues to lack a clear identity with the plished by the development of a HEAT RISK AND 11 PSYCHOTROPICS (Continued on page 10 ) BY DR. GALLE 14 SAN ANTONIO American Board of Medical Psychology Board of Directors: Gary McClure, PHD, ABMP, President and Head of Credentialing Committee; Jerry Mor- ris, PsyD, MBA, MSPharm, ABPP, NCSP, NBCC, CCM, Executive Director; Ward M. Lawson, PhD, ABPP, ABMP, Past President, Archives Edi- CONFERENCE tor; John Caccavale, PhD, ABMP, ABPP Director and NAPPP liaison; Jeffrey D. Cole, PhD, ABMP, Director, AMP Newsletter, Facebook Page Editor, Archives Assoc. Editor: Susan Barngrover, PhD, ABMP - Secretary, Archives Assoc. Editor; Susana Galle, PhD, ABMP—Director, Archives Science Editor, Cal Robinson, PhD, Director, Bethany Nevins administrative 660-200-7135. Page 2 VOL 7, ISSUE 1 NOVEMBER 2018 Executive Director’s Column walk in lock step with APA. state by Dr. Jerry Morris, PsyD, They often have most of their associ- ABMP, ABPP board members and leadership ations. APA has had a summit and con- that are academics since academ- It is cocted a “Master’s Program in ics get release time and are paid hard Psychology Accreditation Initia- for this type of service and practi- for tive” (http://www.apa.org/pi/mfp/ tioners must lose $1000 a day of many masters-summit/default.aspx )! income to take these positions. at Once again, as has occurred sev- States are falling in line, as state APA, eral times in my lifetime has APA psychological associations often in the started an initiative to help our do and take whatever comes re- academic colleagues who train down the pike from APA. Many search industry and in the aca- masters psychologists in opposi- states, such as my own are ap- demic industry, to understand tion to the APA Policy that the pointing academics as a liaison to practitioner’s angry resistance to title Psychologist is reserved for the APA master’s accreditation just accepting the national's revi- Doctors of Psychology. The aca- task force. They are decent people sion of their "Dr" only position demics indicate that this is a re- who will represent their industry that many of us in the past gener- sponse to both the national coun- well, but I have little expectation ation fought in the trenches and selor’s association’s maneuver that they will represent the practi- bled financially and took lots of with state licensure to stop allow- tioner movement or practice. retaliation to establish in the na- ing master’s in psychology (as It is immaterial to many states tion and my home state of Mis- opposed to counseling’s masters) that the practice community is souri. I am licensed in Missouri, to sit for Professional Counselor strongly behind the doctorate only Louisiana, and Kansas and have Licensure (the market for MS in position that has long been estab- several specialty Board certifica- Psychology departments for lished in APA, NAPPP, and all tions. I am an aging senior psy- years), and due to workforce Psychology Specialty Boards. chologist who understands the needs in the mental health indus- There has been little coordination importance of the issue at hand. try. Clearly, accrediting master’s with the practitioner movement I'm glad we want a depth discus- Degree Programs at Universities and associations that should be sion that thought about this dan- is not the only, or even the most involved in these debates. When gerous and complicated helpful solution to the workforce practitioners speak up people in move. I'm glad that respect for demand for Psychologists. The state associations whose loyalty is the idea that many problem could be solved by mak- greater to APA than the practi- practitioners are not sure or com- ing it easier and less expensive, tioner movement often call them fortable about this path, and that and more collaborative and uncivil, negative, or uncoopera- true respect and belief in how growth oriented to develop doc- tive. This is the typical in group- complicated the decision is should torate programs in psychology. outgroup lack of interest in allow- notbe just left for APA but should A second problem is that many ing practitioners to have the be well discussed and thought state psychological associations preeminent say so over any deci- (Continued on page 11) are dwindling in membership and sions that affect practice. That logic escapes both APA and many Page 3 VOL 7, ISSUE 1 NOVEMBER 2018 Patient Education, Informed Consent & Profes- time on these sional Competence and other is- Rory Fleming Richardson, Ph.D., TEP, ABMP sues, but this tends to be In the early 1970s, Oakland Kaiser Permanente, the limited. How Commonhealth Club in Santa Rosa, and other many of us, as healthcare centers, started to pioneer the field of practitioners, preventive, and prospective medicine through pa- spend time tient education, and health risk assessment. The talking to the introduction of the use of statistics for personal patient about health assessment took a significant leap through the issues of the work done by Lewis C. Robbins, MD and Jack name brand Hall, MD which resulted in the publication of How versus generic medications, the complications of to Practice Prospective Medicine (1970). With the taking over-the-counter medicationsand/or drinking interest in preventative methods, the nurse educa- alcohol, with prescription medications, or changes tion program at Sonoma State College began offer- in health habits impacting psychiatric and medical ing courses in Patient Education, and Health Risk treatment? Counseling, which were attended by nursing stu- dents and one psychology student, myself. We real- In the treatment of various psychiatric and physio- ized that the best way to garner patient compliance logical conditions, practitioners make decisions with health recommendations was through educa- based on assumptions drawn from research, testing, tion, and providing personalized knowledge, of that clinical experience, and observations. This pro- patient’s health risk. The choice was still the pa- vides the patient with the best available therapeutic tient’s to make, but it was more likely that if they intervention. One of the complications comes from were engaged as co-producers of their health care, patient behavior which the practitioner does not they would be more likely to make the best deci- know about. For example, if the patient takes over- sions. the-counter (OTC) medications for an acute condi- tion, such as a bad cold, these medications may Informed consent has always been a hallmark of compete with the prescribed medications for isoen- patient care. What is sometimes forgotten is that zymes altering the therapeutic effect. proper informed consent must be inclusive of ade- quate knowledge about benefits and risks. If the Just as a prescriber should alert the patient to the professional providing the informed consent is una- possibility of tobacco smoking habits altering ware of the scope of the benefits and risks, proper Olanzapine levels, or the impact of Prozac on birth informed consent is not possible. control medications, it is the clinicians duty to edu- cate the patient that various changes in health habits Since beginning in the mental health field in 1976, I can impact his/her reaction to regularly taken medi- have discovered that in the face of time-constraints, cations.1 practice quality often deteriorates. One of the areas which has been most impacted is attending to pa- Cytochrome P450 includes over 20 different isoen- tient education.
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