As far as I know, there is no APA accredited online degree so I would not think there are crappy online degree licensed psychologists and from what I see the additional training guidelines are rigorous. At the hospital where I work, the medical doctors, some very good ones at that, would rather have myself and the other psychologists prescribe than the mid-levels and they count us as "real" doctors even. I had a good conversation about it with the ER doc just this past weekend. What I told him was that I would need to have sufficient education, training, and supervised practice before I could even begin making medication recommendations not to mention independent practice. As a licensed healthcare professional it is my ethical obligation to ensure that I am practicing within the scope of my level of competency and I make those decisions every day. So I take a little offense at the insinuation that psychologists are going to receive "an online PhD in Psychology and some crappy part-time medical training". Sure there are bad psychologists just as there are lots of bad doctors and I won't even argue which is worse since I doubt there is hard data on it.