Blog Archives

Page 2-Medical Apps that Save Time & Lives

Take a look at RxP’s 2nd page of apps:

IMG_1267

The following Medical apps are listed:

  • Interactions: UPDATE-Don’t bother, already removed from iPhone!
    • When I started making these reviews, I decided to clean it up a little. So I deleted Interactions and a few other apps. Interactions started out being a pretty easy to use, bare bones, drug interaction check. However, an update (or lack there of) made it where you can only search generic medications. Additionally, I don’t trust that it is entirely accurate in its findings. I wouldn’t even bother with this one. See below:

       

      WebMD

  • WebMD:
    • Now, I’m sure almost everyone (whether you are in the medical field, just curious, or a hypochondriac) has heard of and probably uses WebMD on a regular basis. It’s a great app and comes in handy when a patient tells me they have a rare disease, or medical disorder. Helps the user with Symptom Checker, Med Reminders,  Conditions, Rx, First Aid Info, Local Health Listings, Medical terms, and Tests and Procedures.
    • Also, from the link above you will find every WebMD app available. WebMD Pregnancy & WebMD Baby were particularly helpful when my wife was pregnant and we had our son!
    • **Bonus: They recently teamed up with Walgreens to allow a quick scan of your bottle to refill, or transfer meds to your nearest Walgreens, right inside the app! Of course, you could use the Walgreen’s app for a few more features.

       

  • MDLinx  MDLinx Oncology Articles:
    • I realize Oncology articles, while interesting, seem unrelated to psychology, or medical psychology. However, I decided to download this app in order to learn more information about cancer and their treatments because #CancerSucks. Furthermore, I currently have patients (and friends) in recovery from various forms of cancer. This app provides access to the latest medications, treatments, and trials.
      (Dedicated to my buddy, Scott, who lost his battle to cancer in 2014.)
    • For a bonus, go over to MDLinx.com was extremely helpful when I was studying for the Medical Exam (PEP). It gives you a free, board-like examination to prepare for whatever board you are taking. They are the same makers of The Smartest Doc board prep, just select your specialty and voila! You’re on your way to a few practice tests.
  • Psychiatry: UPDATE: Don’t bother with this one, either.
    • This app is pretty limited. I only realized that after I downloaded it. It wants you to buy the videos? I was initially curious but that is gone, now. I will likely delete this one, as well.

LactMed

  • LactMed:
    • This app has come up recently on the LAMP (Louisiana Academy of Medical Psychologists) listserv. At times during our practice, we have a patient who becomes pregnant, or a new patient comes in with pregnancy-onset depression, or with post-partum depression, or psychosis. Therefore, we have a dilemma of wanting to help the patient maintain, or gain their stability while not endangering the fetus/child. The reality of it is that there just aren’t that many studies done with pregnant women and psychotropic medications. You can guess why that may be… who wants to put their unborn child at risk? That said, the studies that have been conducted have mixed results. Therefore, the FDA assigns a category based on how the medication has been (and if) studied and their effects, see below:
      FDA Preg Categories
    • Therefore, a prescriber has to weigh the risks vs. the benefits (Risk-Benefit Ratio) and analyze the situation with the patient in order to come to a consensus about whether to continue with the current medications, change to “safer” medication(s), or taper off all medication(s). This can apply when the mother is breastfeeding, as well. As some medications will pass through the mother’s milk. LactMed provides a lot of valuable information to assist with the decision process.

       

MangoApp

  • Mango Health:
    • Now, this app is cool. It’s extremely user-friendly so I frequently recommend it to patients to set reminders for their medications. Especially, those who are required to take their medication(s) more than once per day and/or take multiple medications. It uses a “token economy” (a Cognitive Behavior concept) to reward you when you take your meds! Highly effective when dealing with teens and other non-adherent patients.

       

      Stay tuned…

  • Psychiatry Lite
  • NCSBN’s Rx Flashcards
  • Mastering Psychiatry
Advertisements

Q: What’s the difference between a psychologist, a psychiatrist and a medical psychologist?

Haha, there has to be a joke in there somewhere!!
But, for real, this is a common question I’m asked when I tell people about the psychopharmacology program.

A: The simple answer is:

“not very much” and “a whole lot” …read on.

A: The complicated answer is:

A psychologist has a minimum of the following:

  • BA in clinical psychology, sociology, or related field
  • MA in psychology (can be obtained interim)
  • Supervised by licensed clinician for 1500 pre-doc hours
  • Doctorate in psychology (Either PsyD, or PhD, EdD, etc.)
  • Sup. by licensed psychologist for 1500 post-doc hours
  • Successful passing of the National Exam
    • In the United States that is the Examination for Professional Practice in Psychology, or EPPP
  • Successful passing of the State Ethical Exam
    • In California it is the California Psychology Supplemental Examination, or CPSE
  • Accepted application and initial fee to State of licensure
    • California Board of Psychology, or CA BOP

source: 
Please also refer to my other post discussing the requirements that a licensed psychologist must meet prior to licensure.

A psychiatrist has a minimum of the following:

  • BA in psychology, or a related field
  • MD from medical school completion
  • Residency completion
  • The United States Medical Licensing Examination USMLE is a multi-part professional exam sponsored by the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME)
  • Passing of the State medical board
  • Accepted application and initial fee to State of licensure

sources: 
-Cloud, J. (2010). Psychology vs. Psychiatry: What’s the Difference, and Which Is Better? Time.  
-http://www.usmle.org/ 

Okay, here is where it gets a bit confusing…

A Medical Psychologist can be a:

1-highly trained and licensed psychologist
WHO CAN PRESCRIBE PSYCHOTROPIC MEDICATIONS: 

OR

2-highly trained and licensed psychologist
WHO CANNOT PRESCRIBE ANY MEDICATIONS 

sources:
upon request.

CONCLUSION:
The lines between psychiatry and medical psychology are becoming blurred. Though, they are admittedly VERY different fields with different qualifications and degrees. It is this author’s belief that the blur happens from a variety of sources: depictions on television and other media outlets, misinformation, miseducation, interpretation and perception. But, the most important blur is occurring due to the nation-wide scarcity of prescribers, in general! You may have noticed the increasing amount of Nurse Practitioners, Physician’s Assistants and dun-dun-dun-dun-duuuuun… Medical Psychologists!

Some people prefer to call a psychologists who can prescribe a “prescribing psychologist” in Louisiana, New Mexico, Guam, Native American territories, and some state and Federal departments (currently the only places said professional can prescribe.) Makes sense, but in Louisiana, many entities, (including the ones who license folks) call a psychologist who can prescribe psychotropic medications a “medical psychologist” even using the suffix “MP.” ex-Jen Chandler, PsyD, MP

Other similar names have popped up over the years, including: psychopharmacologist, pharmacopsychologist, pharmacology psychologist, psychology pharmacologist, prescribing psychologist, RxP, and as discussed medical psychologist. In my opinion, the varying names for this practice may highlight the general disorganization of the field of psychology. Historically, we have not been our own best advocates…

Hope this clears up some misinformation, or confusion. Thanks for reading.

Sharing is caring,
Dr. Jen Chandler

I started this blog because…

I want to hold myself and other  colleagues accountable for learning and implementing the material we are learning in our Post-doc Master of Science in Clinical Psychopharmacology so that we will pass the Psychopharmacology Examination for Psychologists (AKA PEP) the first go-round.

Here is a brief introduction to what the heck all that means!

A Post-doc Master of Science in Clinical Psychopharmacology is a post-doctoral degree that can only be obtained when the following prerequisites have been met:

  • Licensed clinical psychologist
    • BA in clinical psychology, sociology, or related field
    • MA in psychology (can be obtained interim)
    • Supervised by licensed clinician for 1500 pre-doc hours
    • Doctorate in psychology (Either PsyD, or PhD)
    • Sup. by licensed psychologist for 1500 post-doc hours
    • Successful passing of the National Exam
      • In the United States that is the Examination for Professional Practice in Psychology, or EPPP
    • Successful passing of the State Ethical Exam
      • In California it is the California Psychology Supplemental Examination, or CPSE
    • Accepted application and initial fee to State of licensure
      • California Board of Psychology, or CA BOP
  • Preferred to be actively practicing as a psychologist
  • Time, dedication and money for the course work ahead
  • Passing of the Psychopharmacology Examination for Psychologists, the PEP
    • In Louisiana, it is required to become licensed as a psychologist and medical psychologist, and
    • Consult with a medical doctor, psychiatrist, or medical psychologist for 3 years

I hope this gives you a helpful introduction to the field of medical psychology, prescribing psychology, psychopharmacology, or otherwise known as pharmacopsychology — more on this next time!

Thanks for reading!
Sharing is caring,
Dr. Jen Chandler

%d bloggers like this: