Iowa Administrative Code › Agency 653 - Medicine Board › Chapter 19 - Prescribing Psychologists › Rule 653-19.10 - Standards of Practice-supervision of a Conditional Prescribing Psychologist

Current through Register Vol. 47, No. 3, July 24, 2024
A supervising physician shall be a person who is licensed to
				practice medicine and surgery or osteopathic medicine in Iowa who regularly
				prescribes psychotropic medications for the treatment of mental disorders as
				part of the physician's normal course of practice and who supervises a
				conditional prescribing psychologist. A supervising physician shall be
				board-certified in family medicine, internal medicine, neurology, pediatrics,
				or psychiatry. A supervising physician shall fully comply with the following
				standards of practice.
(1)
Supervision.
A supervising physician shall provide appropriate
			 oversight and direction to a conditional prescribing psychologist during the
			 period of supervised practice to achieve patient safety and optimal clinical
			 outcomes. A supervising physician shall ensure that appropriate clinical
			 examinations and necessary testing are performed and that all
			 psychopharmacology services provided are appropriate for the patient's
			 condition. Supervision may be in person or via electronic communications in
			 accordance with these rules.
(2)
Primary supervising physician.
A supervising physician shall
			 determine whether the supervising physician has been designated as a
			 conditional prescribing psychologist's primary supervising physician and shall
			 fulfill the responsibilities of the primary supervising physician in accordance
			 with these rules. A conditional prescribing psychologist may have more than one
			 supervising physician.
(3)
Maximum number of conditional prescribing psychologists.
A
			 supervising physician shall not supervise more than two conditional prescribing
			 psychologists at one time.
(4)
Minimum period of supervision.
The primary supervising
			 physician shall ensure that a conditional prescribing psychologist completes a
			 minimum of two years of supervised practice prescribing psychotropic
			 medications to patients with mental disorders in accordance with these rules in
			 order for the conditional prescribing psychologist to be eligible to apply for
			 a prescription certificate.
(5)
Minimum number of patients.
The primary supervising physician
			 shall ensure that a conditional prescribing psychologist has seen a minimum of
			 300 patients who had a diagnosed mental disorder for whom pharmacological
			 intervention was considered as a treatment option, even if a decision was made
			 not to prescribe a psychotropic medication to the patient. The primary
			 supervising physician shall ensure that a conditional prescribing psychologist
			 has treated a minimum of 100 patients with psychotropic medication throughout
			 the supervised practice period.
(6)
Initial assessment.
Prior to supervising a conditional
			 prescribing psychologist, each supervising physician shall assess the
			 conditional prescribing psychologist's relevant education, training,
			 experience, and competence.
(7)
Scope of practice.
Each supervising physician shall ensure
			 that all psychopharmacology services provided by a conditional prescribing
			 psychologist are within the competence and scope of practice of the supervising
			 physician and the conditional prescribing psychologist.
(8)
Prescriptive authority.
Each supervising physician shall ensure that a conditional prescribing
			 psychologist only prescribes psychotropic medications for the treatment of
			 mental disorders.
(9)
Prescriptions.
A supervising physician shall ensure that each
			 prescription issued by a conditional prescribing psychologist identifies the
			 prescriber as a "psychologist certified to prescribe" and includes the Iowa
			 license number of the conditional prescribing psychologist and the name of the
			 supervising physician.
(10)
Active DEA and CSA registration.
A supervising physician shall
			 ensure that a conditional prescribing psychologist has an active DEA
			 registration and CSA registration at all times during the period of
			 supervision.
(11)
Patient
			 populations.
A supervising physician shall ensure that a conditional
			 prescribing psychologist only provides psychopharmacology services to patient
			 populations within the conditional prescribing psychologist's education,
			 training, experience, and competence. A supervising physician may establish
			 limitations on the types of populations to whom a conditional prescribing
			 psychologist may provide psychopharmacology services based on the conditional
			 prescribing psychologist's education, training, experience, and
			 competence.
(12)
Psychotropic
			 medications.
Asupervising physician shall ensure that a conditional
			 prescribing psychologist only prescribes psychotropic medications that are
			 within the conditional prescribing psychologist's education, training,
			 experience, and competence. A supervising physician may establish limitations
			 on the types of psychotropic medications that a conditional prescribing
			 psychologist may prescribe based on the conditional prescribing psychologist's
			 education, training, experience, and competence.
(13)
Specialization.
A
			 supervising physician shall ensure that a conditional prescribing psychologist
			 has completed 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.