This blog post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity (CARED). This series will discuss current events and issues in psychology and how these relate to graduate students. If you are interested in contributing to the CARED Perspectives series, please contact Aleesha Young, Chair of APAGS-CARED.
By Fiona C. Thomas
Grad school, that time in your life where you are constantly thinking about what milestone comes next. Course completion, Master’s thesis, comps, practica, dissertation proposal, data collection, analysis, publications…and that final training experience…internship. Although it feels like so much of our preparation in grad school is for this near final stage of the internship, there is one more milestone to meet before we can finally refer to ourselves as licensed psychologists – the EPPP.
The Examination for Professional Practice in Psychology (EPPP) was first administered in 1965 (Rehm & Lipkins, 2006) and is now a key requirement to independent practice as a clinical psychologist. It is required for licensing in all US states, three US territories, and the majority of Canadian provinces (DeMers & Schaffer, 2012). After all our years of training, and unique experiences along the way, it is that one shared experience we will all have as we work towards independent practice.
As I prepare to begin internship in September, this next milestone of licensure is on my mind. When do I begin preparing for this exam? What are the most effective methods to study for it? What is the pass rate? It is also timely to be thinking about this exam as a second part to the EPPP, which assesses professional skill, is a new requirement coming to an undisclosed list of jurisdictions in 2020 (Association of State and Provincial Psychology Boards [ASPPB], 2019).
With these questions on my mind, I recently became aware of a study conducted by Dr. Brian Sharpless which found performance discrepancies based on ethnicity (2018). In other words, failure rates were highest for individuals who identified as Black (38.5%), Hispanic (35.6%), Asian (24%), and lowest for those who identified as White (14.07%) (Sharpless, 2018). Interestingly, it was not the first time these findings emerged. In 2013, Sharpless and Barber identified that doctoral programs with greater ethnic diversity also reported lower program-wide EPPP pass rates. Going back almost four decades to an early study on this topic, Werner (1981) similarly found that Whites had an EPPP pass rate almost twice that of any other ethnic group. Reviewing survey data of individuals who graduated between 2005 and 2015 with a doctoral degree in clinical, counseling, school or combined/integrated psychology, Bowman and Ameen (2018) found similar results. In particular, their analysis indicated that White psychologists were significantly more likely to pass the EPPP on the first administration compared to psychologists of color (92 percent vs. 83 percent). For this study, psychologists of color included individuals who identified as Asian, Hispanic/Latino, multiracial, Black, American Indian/Alaska Native, and Middle Eastern/North African (Bowman & Ameen, 2018).
As someone who identifies as an ethnic minority, these studies surprised me. What variables contributed to these fail rates? What could be done about this? And what did I need to know to be better prepared so that I didn’t become an embarrassing and expensive statistic?
Of course, as with all research, there are limitations to these findings, and this is important to keep in mind. Until recently, demographic information (e.g., ethnicity) was not collected in EPPP administration (DeMers, 2009). This means that these studies are mainly based on self-report information, which is less robust and reliable compared to test administration data (Bowman & Ameen, 2018). Additionally, some ethnic minorities are not properly represented in these studies. In the studies mentioned here, Middle Eastern/North African (MENA) Psychologists and Indigenous Psychologists are not included as distinct groups. We also have limited information about pass/fail rates for ethnic minority licensure applicants in Canada. Despite these limitations, the replication of such results has prompted me to wonder what the root causes of these differences are and what can be done to address this discrepancy.
In good news, the test publisher, ASPPB, has started collecting race and ethnicity data as optional information on the EPPP. This will continue to better inform whether some test takers, namely test-takers of color, are at a disadvantage. Importantly, this information will be collected as optional data after the completion of the exam to avoid priming any stereotype threats (ASPPB, 2019). If questions show differential responding by ethnicity, ASPPB will take specific items to a diversity committee who can then review and decide whether to keep or discard the questions in future tests. Relatedly, graduate and internship programs are also becoming aware of this discrepancy. Such knowledge can lead to initiatives to better prepare ethnic minority students.
As psychology’s clients and practitioners becomes increasingly diverse, it is important to understand how the EPPP and other high-stakes exams may be leaving certain individuals behind. Factors such as Eurocentric item construction, minority stress, or performance expectancy may or may not be playing a role in score discrepancies (Bowman & Ameen, 2018). Such hurdles can only be identified by appropriately collecting data on race and ethnicity, and transparently reviewing it.
As a member of the APAGS Committee for the Advancement of Racial and Ethnic Diversity (APAGS-CARED), we are keen to explore this further and will be hosting a webinar on this very topic on October 1, 2019. We hope you will join us!
If you have experience with taking the EPPP and have tips to share for future licensure applicants, we would love to hear from you! Please feel free to share your experiences below.
References
Association of State and Provincial Psychology Boards. (2019). The Examination for Professional Practice in Psychology (EPPP): Frequently asked questions. Retrieved from https://cdn.ymaws.com/www.asppb.net/resource/resmgr/eppp_2/eppp__part_2-skills__faq_s.pdf
Bowman, N., & Ameen, E. (2018, June). Exploring differences in pass rates on the Examination for Professional Practice in Psychology. Retrieved from https://www.apa.org/pi/oema/resources/communique/2018/06/pass-rates.
DeMers, S. T. (2009). Understanding the purpose, strengths, and limitations of the EPPP: A response to Sharpless and Barber. Professional Psychology: Research and Practice, 40, 348–353. doi:10.1037/a0015734.
DeMers, S. T., & Schaffer, J. B. (2012). The regulation of professional psychology. In S. J. Knapp (Ed.), APA handbook of ethics in psychology: Volume 1: Moral foundations and common themes (pp. 453–482). Washington, DC: American Psychological Association.
Rehm, L. P., & Lipkins, R. H. (2006). The examination for professional practice in psychology. In T. J. Vaughn (Ed.), Psychology licensure and certification: What students need to know (pp. 39–53). Washington, DC: American Psychological Association.
Sharpless, B., & Barber, J. (2013). Predictors of Program Performance on the Examination for Professional Practice in Psychology (EPPP). Professional Psychology: Research and Practice, 44(4), 208-217.
Werner, E. (1981). A review of the examination for professional practice in psychology. Sacramento, CA: California Department of Consumer Affairs.