As you've said, I don't think many RxP psychologists would completely agree with your statement--I can see how the training would essentially turn psychologists into psychiatric NPs strictly in terms of medical education (I'm guessing this is what you meant?). However, the psychologist obviously also has the additional training provided by his/her doctorate, hence the reason for disagreement. As for PECs, I can't speak for every hospital in Louisiana. What I can say, though, is that I've known several psychologists who've PEC'd clients to various hospitals without issue from the receiving facility. I've actually even had to work with an NP to PEC a client when a physician wasn't available, and as far as I know, there were no problems that sprung up there, either. I do understand your point, though, and wouldn't doubt that--at the least--some hospitals would initially provide resistance to any PEC, particularly one initiated by a psychologist. And particularly if that psychologist did not have some type of working relationship with the receiving facility.