Iowa Admin. Code r. 653-19.3 - Supervised practice as a conditional prescribing psychologist-joint rule
A
(1)
Supervision plan. Prior
to issuing a conditional prescription certificate , the board shall review and
approve the proposed supervision plan.
a. The
proposed supervision plan must include the following:
(1) Conditional prescribing psychologist
information. The plan must include the name, license number, address, telephone
number, and email address of the supervisee.
(2) Supervising physician information. The
plan must include the name, license number, date of licensure, area of
specialization, address, telephone number, and email address of each
supervising physician .
(3) Primary
supervising physician . The plan must include a designation of the primary
supervising physician .
(4) Period
of supervision. The plan must include the beginning date of the supervision
plan and estimated date of completion.
(5) Locations and settings. The plan must
include a description of the locations and settings where and with whom
supervision will occur.
(6) Scope
of practice. The plan must include a description of the scope of practice of
the conditional prescribing psychologist , including any limitations on the
types of psychotropic medications that may be prescribed and the patient
populations to which a prescription may be issued and including the
expectations and responsibilities of the supervising physician.
(7) Release of information. The plan must
include a provision requiring the conditional prescribing psychologist to
obtain a release of information from all patients who are considered for
psychopharmacological intervention, authorizing the conditional prescribing
psychologist to share the patient's health information with the supervising
physician.
(8) Consultation between
the conditional prescribing psychologist and the supervising physician. The
plan must include a provision requiring that the conditional prescribing
psychologist consult with the supervising physician on a regular basis
regarding a patient's psychotropic treatment plan and any potential
complications. A conditional prescribing psychologist shall not prescribe a new
psychotropic medication, discontinue a psychotropic medication, or change the
dosage of a psychotropic medication if the supervising physician objects on the
basis of a contraindication.
(9)
Consultation between the supervising physician and the primary care physician .
The plan must include a provision requiring that the supervising physician
consult with the patient's primary care physician on a regular basis regarding
the patient's psychotropic treatment plan and any potential
complications.
(10) Termination of
the supervision plan. The plan must include a description of how the
supervision plan may be terminated and the process for notifying affected
patients.
(11) Signatures. The plan
must include signatures of the psychologist and all supervising
physicians.
b. A
conditional prescribing psychologist shall inform the board of any amendments
to the conditional prescribing psychologist's supervision plan, including the
addition of any supervising physicians, within 30 days of the change.
Amendments to a supervision plan are subject to board approval.
c. The board shall transmit all approved
supervision plans and approved amendments to the board of medicine.
(2)
Responsibilities of a
supervising physician . A supervising physician shall provide
supervision in accordance with rules established by the board of
medicine.
(3)
Responsibilities of a conditional prescribing psychologist . At
the initial contact, a conditional prescribing psychologist shall inform a
patient, or a patient's legal guardian when appropriate, that the conditional
prescribing psychologist is practicing under the supervision of a physician for
purposes of prescribing psychotropic medication and shall provide the name of
the supervising physician. A conditional prescribing psychologist shall provide
sufficient information regarding the supervision requirements to obtain
informed consent and appropriate releases. Upon request, a conditional
prescribing psychologist shall provide additional information regarding the
conditional prescribing psychologist 's education, training, or experience with
respect to prescribing psychotropic medications.
(4)
Specialization. A
conditional prescribing psychologist shall complete the following training
during the supervised practice period to be eligible to prescribe psychotropic
medications to the respective population as a prescribing psychologist:
a.
Children. To prescribe
to patients who are less than 17 years of age, a conditional prescribing
psychologist shall complete at least one year of the required two years of
supervised practice in either:
(1) A pediatric
practice,
(2) A child and
adolescent practice, or
(3) A
general practice provided the conditional prescribing psychologist treats a
minimum of 50 patients who are less than 17 years of age.
b.
Elderly patients. To
prescribe to patients who are over 65 years of age, a conditional prescribing
psychologist shall complete at least one year of the required two years of
supervised practice in either:
(1) A geriatric
practice, or
(2) A general practice
with patients across the lifespan including patients who are over 65 years of
age.
c.
Serious
medical conditions. To prescribe to patients with serious medical
conditions including but not limited to heart disease, cancer, stroke,
seizures, or comorbid psychological conditions, or patients with developmental
disabilities and intellectual disabilities, a conditional prescribing
psychologist shall complete at least one year prescribing psychotropic
medications to patients with serious medical conditions.
(5)
Completion of supervised
practice. A conditional prescribing psychologist shall see a minimum
of 300 patients over a minimum of two years to complete the supervised practice
period, provided each of the 300 patients has a diagnosed mental disorder and
pharmacological intervention is considered as a treatment option, even if a
decision is made not to prescribe a psychotropic medication to the patient. A
conditional prescribing psychologist shall treat a minimum of 100 patients with
psychotropic medication throughout the supervised practice period.
a. At the conclusion of the supervised
practice period, a primary supervising physician shall certify the following:
(1) Supervision was provided in accordance
with rules established by the board of medicine.
(2) A conditional prescribing psychologist
has successfully completed two years of supervised practice, considered at
least 300 patients for psychopharmacological intervention, and treated at least
100 patients with psychotropic medications.
(3) A conditional prescribing psychologist
intending to specialize in the psychological care of children or elderly
persons, or persons with serious medical conditions, has completed the
requirements of subrule 19.3(4).
(4) A conditional prescribing psychologist
has successfully completed the supervised practice period and demonstrated
competence in psychopharmacology by demonstrating competency in the milestones
listed in paragraph 19.2(3)"f" sufficient to obtain a
prescription certificate .
b. If a conditional prescribing psychologist
is unable to successfully complete the supervised practice period prior to the
expiration of the conditional prescription certificate, the conditional
prescribing psychologist may request an extension of the conditional
prescription certificate provided that the conditional prescribing psychologist
can demonstrate that the conditional prescribing psychologist is likely to
successfully complete the supervised practice within the extended time
requested. Any requests for extension must be submitted to and approved by both
the board and the board of medicine.
Notes
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