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== Certifications == The Academy of Medical Psychology defines medical psychology as a specialty trained at the postdoctoral 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 prescribing psychologist who is a psychologist with advanced training in psychopharmacology and may prescribe medicine or consult with a physician or other prescriber to diagnose mental illness and select and recommend appropriate psychoactive medicines. Medical psychologists 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"/> The specialty of medical psychology has established a specialty board certification, American Board of Medical Psychology and Academy of Medical Psychology (www.amphome.org) requiring a doctoral degree in psychology and extensive postdoctoral training in the specialty and the passage of an oral and written examination. Although the Academy of Medical Psychology defines medical psychology as a "specialty," has established a "specialty board certification," and is recognized by the national psychology practitioner association (www.nappp.org), there is a split between NAPPP and the [[American Psychological Association]] in that they do not currently recognize the same specialties. APA represents scientists, academics, and practitioners and NAPPP represents only practitioners. However, Louisiana, having a unique definition of medical psychology does recognize the national distinction between medical psychology as a specialty and a [https://www.apa.org/ed/graduate/specialize/clinical-psychopharmacology?_ga=2.205287376.1524242252.1640627274-422746752.1639255355 clinical psychopharmacology specialty]<ref>{{Cite web|title=APA Clinical Psychopharmacology Specialty|url=https://www.apa.org/ed/graduate/specialize/clinical-psychopharmacology?_ga=2.205287376.1524242252.1640627274-422746752.1639255355}}</ref> 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. 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 and has established a specialty in clinical psychopharmacology. In 2006, the 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 postgraduate 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. # Basic Science: [[anatomy]], & [[physiology]], [[biochemistry]]; # Neurosciences: [[neuroanatomy]], [[neurophysiology]], [[neurochemistry]]; # Physical Assessment and Laboratory Exams: physical assessment, laboratory and radiological assessment, medical terminology; # [[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; # Clinical and Research Pharmacology and Psychopharmacology: [[pharmacology]], [[clinical pharmacology]], [[pharmacogenetics]], [[psychopharmacology]], developmental psychopharmacology; # Clinical Pharmacotherapeutics: professional, ethical and legal issues, combined therapies and their interactions, computer-based aids to practice, pharmacoepidemiology; # 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 national certifying body (Academy of Medical Psychology; www.amphome.org) have established the national training, examination, and specialty practice criteria 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.
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