Attaining medical staff membership and privileges for psychologists: A case study.

Abstract

The profession of psychology has grown substantially over the last 20 years, yet throughout the United States, there are disparities in practice expansion. One notable disparity is in the domain of hospital practice. Why do psychologists lack parity in various hospital settings? The purpose of this article is to draw attention to the issue of professional inequities psychologists face in inpatient medical facilities, and to question why more has not been achieved. The article provides a theoretical foundation in support of full medical staff membership for psychologists, key principles or "how to" guide for obtaining medical staff membership, and a case example that describes an innovative, primary care solution that worked in a large hospital system. The article concludes with a frank look at obstacles that psychologists continue to face and discussion regarding how to navigate these barriers.

Guidelines for psychological practice in health care delivery systems.

“…Most, however, distinguish between full-time, part-time, and temporary staff. Whenever possible, psychologists seek a level of staff appointment that allows voting for bylaws, officers, and other governance matters; typically this will mean full medical staff membership and privileges (Eckleberry-Hunt, Van Dyke, Stucky, & Misch, 2009). The criteria for assigning clinical privileges (patient care responsibilities) are determined by the rules of clinical departments, specialty units, or programs, under the auspices of the medical staff.…”

Psychologists' medical staff membership in academic healthcare: Past, present, and future challenges.

“…The importance of psychologists obtaining medical staff membership within hospitals has been addressed by various authors (e.g., American Psychological Association Practice Directorate, 1998;Eckleberry-Hunt, Stucky, & Misch, 2009;Rozensky, 2006;Tovian, Rozensky, & Sweet, 2003). The function of the medical staff is to fulfill accountability to the governing body of institutions and to provide leadership and input affecting the provision of care, treatment, and services, and day-to-day operations of the hospital.…”

General hospitals.

“…Not surprisingly, medical staff structures of many hospitals have changed. Psychologists in some medical centers have full membership on the medical staff with all its rights, obligations, and privileges; have appropriate credentialing to match education and clinical experience; and have a department of psychology that functions much like all other clinical departments in the medical center (Eckleberry-Hunt et al, 2009).…”