American Psychological Association Division 40 (Clinical Neuropsychology) Records

(Mss. 4745)

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 The residency section specified the percentages of time to be spent in clinical service, clinical research, and educational activities. Some delegates were uncomfortable with this since the percentages might be appropriate for some settings and not for others. It was proposed that this section say that
the resident spends some time in each of the aforementioned activities. Delegates were reminded that the internship section said that the percentage of time in clinical neuropsychology should be determined by the training needs of the individual intern. Specifying percentages of time spent on each activity was seen also as inconsistent with an integrative model as well as micro-managing of programs. Concern was raised that, if percentages are not specified, residents would be used as cheap labor for clinical service or alternatively, will see very few patients. The motion was made to say that "each resident spends significant percentages of time in clinical service, and clinical research, and educational activities" and that the words "appropriate to the individual resident s training needs" be added to the end of the sentence. The motion carried. Section XI was now approved by the delegates.
 The figure that was eventually part of section XV in the final draft of the policy statement was discussed. It was proposed that a second figure be added showing lower amounts of acquisition of knowledge at the doctoral level, for instance, be added. This would help the reader understand the flexibility in the proposed integrated model of education and training. It was also suggested that the knowledge and skill areas not be numbered so that the reader not try to map them onto the knowledge and skill areas given in the policy statement. A motion to have the planning committee construct a second figure was made and carried. Section XV was approved.
 Section XI, Nature and place of sub-specialities within clinical neuropsychology, and section XII, Continuing education in clinical neuropsychology, were approved without further discussion.
 Wording for section XIV, Application of the model, was introduced: "Nothing in this document is to be applied retroactively to individuals currently trained or in training in the specialty of clinical neuropsychology. Individuals entering the specialty or training for the specialty of clinical neuropsychology prior to the implementation are governed by existing standards as to the appropriateness of identifying themselves as clinical neuropsychologists." There was discussion of the implications of this section for individuals calling themselves neuropsychologists. The criteria for calling oneself a clinical neuropsvchologist that were in place at the time that one was trained were thought to be the appropriate criteria. To the extent that new criteria are to be found in the policy statement, these new criteria apply to those entering the field when the policy statement is implemented. Clarification was requested with respect to when "implementation" was said to have occurred. Implementation was thought to occur when various organizations, such as accrediting bodies or the Council of Graduate Departments of Psychology accept the policy statement. Since some of the standards in the policy statement are already found in other documents and already apply, it was suggested that the beginning of this section be changed from "Nothing in this document is to be applied retroactively..." to "This document does not apply retroactively to individuals ..." A delegate asked whether training in this section should be replaced by education and training to conform with the rest of the document. It was said that training was a generic term that included education so no change was made. There was some discussion whether both sentences were needed. A motion to remove the second sentence was defeated. The motion to change the language as described above carried. Section XIV was approved.
 A committee reported on the wording for a section, Diversity in education and training presented. The wording was identical to that which can be found in section XIII of the policy statement with the exception that "training" was referred to rather than "education and training." The change to "education and training," was suggested and approved. A comment was made that this section may go against some state laws. It was countered that it did not since there was no affirmation. Section XII of the policy statement was approved. The committee also asked the delegates to include wording about cultural diversity in section V, Professional and scientific activity. The sentence recommended was: "The specialist whose professional activities involve diverse cultural, ethnic, and linguistic populations has the knowledge and skills to perform those activities competently and ethically." This addition to section V was approved.
 The policy statement then was unanimously approved by the delegates.

Sunday, September 7, 1997

IV. HOW SHOULD THE OUTCOME OF THE CONFERENCE BE IMPLEMENTED?
PLENARY SESSION

The session began with thanks being given to various groups for their part in making the psychology Department at the University of Houston conference successful, the staff of the and especially the Department Chair, Dr. Marco Mariotto, and the Departmental Administrator, Ms. Manuela Kuffel. The breakout group chairs, Dr. Stanley Berent, Dr. Tom Boll, Dr. Eileen Fennell, Dr. Ann Marcotte, Dr. Byron Rourke, and Dr. Wilfred Van Gorp, were thanked for their effort in leading the discussion in their groups and bringing out of these discussions the core of the policy statement that was further developed in the Saturday Plenary session by all of the delegates. Dr. Hannay was thanked for her role in making the conference a reality. Dr. Bieliauskas was thanked for serving as parliamentarian. The other members of the planning committee were thanked for their role. Delegates were asked about the times of their flights and transportation arrangements from the hotel to the Houston airport.
 Four questions had been posed for this session: (a) What tasks need to be accomplished and who will do them? (b) How does clinical neuropsychology education and training interface with education and training in the rest of professional psychology? (c) At which levels is program accreditation warranted? (d) How should the results of this conference be disseminated?
 Questions (a), (c), and (d), but not (b) were touched on during the discussion that followed. Dr. VandeCreek, the observer representing the Board of Educational Affairs (BEA) at APA, had been asked during the conference to obtain clarification from the Committee on Accreditation (CoA), to the extent possible, concerning the potential accreditation of specialty programs at the doctoral, internship, and residency level. Since he had an early flight, this issue was addressed first. on the basis of discussions that Dr. VandeCreek had with the CoA during, the conference he made the following comments. He reminded the delegates that the CoA accredited three traditional specialty areas, clinical, counseling, and school psychology, and that the Commission for the Recognition of Specialties and Proficiencies in Professional Psychology (CRSPPP) had begun to recognize new specialty areas, clinical neuropsychology being one of them. In 1996, the CoA was empowered to accredit what are called in the manual, emerging substantive areas. It is that phrase which is the operative phrase and some source of dispute. The dispute was then outlined by Dr. VandeCreek. He said that identification of a specialty by CRSPPP does not, in the view of the CoA, mandate that the CoA recognize the specialty as an emerging substantive area. At this point, the CoA apparently is unclear as to how to interpret the guidelines as applied to a specialty and does not have a mechanism in place, nor is it prepared to receive a self-study from a program outside of the traditional specialty areas. With respect to doctoral programs, it welcomes, as it always has, programs with tracks, with large tracks, but not a full program that is not clinical, counseling, or school. It apparently is not yet prepared to do

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