licensure.

My wife is a neuropsychologist, which means she has to be licensed to practice by each state in which she works.  In many states it’s not a big deal; there’s a standard test called the EPPP that over half the states will accept as proof that a person is competent to practice psychology.  Other states, however, require a lot more hoop jumping in addition to the EPPP.  As it turns out, the two states with the most hoop jumping are Massachusetts and California, the two states where I happen to be most employable.

 

Interestingly enough, the licensure requirements in MA and CA appear to be less about protecting the public from incompetent psychologists and more about protecting turf.  These two states have a surplus of psychologists, and the state psychology boards deliberately make it tedious and difficult to obtain licensure, regardless of the applicant’s training.  Of course, they claim it’s all about ensuring that every licensed psychologist is appropriately trained, but as far as we can tell this is somewhere between pure fantasy and an outright lie.

 

So, the first step was the EPPP exam, which is the standard test everyone has to take.  It’s actually kind of a big deal, so she studied for ten weeks.  Of course, she studied too much and passed with no problem.  $555 down the tube.  Check a box.

 

Then the extra hoops started appearing, courtesy of the great state of Massachusetts.  First she had to take this ridiculous course in cross-cultural psychology at a local “professional” school that is one step below a community college.  The instructor taught the course with an overly Freudian slant, i.e, junk science that has long since been discredited.  My wife sat in the back, bit her tongue, did crosswords, and aced the class.  This privilege cost her $2000 and wasted an entire semester.  Check a box.

 

Did I mention that my wife actually taught two sections of this very same class at a four-year college in Rhode Island just over a year ago?  Not good enough, says the great state of Massachusetts.  It has to appear on your transcript as a course you have taken and passed, not as one you have organized and taught.  No exceptions.  Huh.

 

Next, she had to take one extra credit hour of social psychology, because she only had two hours of it (not three) on her transcript.  This was because her graduate program had tweaked their curriculum the year she was taking this sequence of classes; they revised their curriculum the next year to address this very problem, but that doesn’t do her or her classmates any good.  After lots of phone calls and headache, she was able to arrange to do an independent study with her old graduate program to pick up the extra hour.  Another $900 dollars wasted.  Check a box.

 

Finally, she came to the last of the ridiculous requirements, which is one more written test to confirm that she wasn’t retarded.  This comprehensive test cost $200 and consisted of a grand total of 20 questions covering Massachusetts law.  The material was described in a booklet that the state thoughtfully put together and sold her for the low, low proce of $25.  She had to leave work to take the train to a community college in Charlestowne to take the test, which she finished in 20 minutes.  The last kick in the pants was she had to pay them to send her the results from a company in Tennessee.  Check a box.

 

This process has taken ten months and cost over four thousand dollars…after she had already been licensed by the state of Rhode Island.  And if we ever want to move to California, she’ll literally have to go back to school for another semester’s worth of b.s. coursework to prove her worthiness.  If this were really about protecting the public, wouldn’t it be enough just to use the test of basic competency?  Shouldn’t it be about demonstrating specific knowledge and skills, however they were acquired, rather than checking off specific transcript requirements?  Should Rhode Island be allowing her to practice if Massachusetts and California really think she might be a danger to her patients?


screeds & diatribes

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