1) I think some digital stuff will become standard. However, the legal requirements for supervision mean you must physically be in the same office as the patient. (Uh oh, sounds like people are breaking the law). I also think that Pearson et al will AGAIN attempt to make the calculations and norms "proprietary". This would mean that we are not allowed to see the norms or regression formulas. If the field was every foolish enough to accept this proposition, the entire assessment field is over and done with. We become technicians, who can be replaced with anyone including teachers. This also makes our testing inadmissible to any court. Downstream, this means programs teach less of psychometrics because it is less useful. Then we have no one to develop tests, outside of a select group of corporations. Be sure, this is what most of the AI space wants in healthcare. Patients walk in, report their symptoms, AI gives a diagnosis and treatment plan, company finds a way around the requirement for professional licenses. It will likely happen in optometry first. Any younger psychologist should evaluate the likelihood of this, and maybe consider that testing will not be a viable career in 20 years. Or consider I am full of it.
2) Neurologists try this from time to time. There are two big problems with this:
a. It's not lucrative enough for them from a time:income ratio. They can see 3-4 EM code patients/hr for $350/hr. Suspected dementia? Throw some aricept and/or memantine at them with zero testing. Alternatively, they can do telemetry, remote EEGs, or sleep medicine interpretation from their home. Compared to hiring a psychometrician, administering tests for $100/hr, then writing some BS note, and they must be physically in the office while NP testing is performed? It's just not worth it.
b. Neurologists are not trained in psychometrics. As the standard of care requires education in psychometrics, it is literal negligence for them to do this.
c . There is a lot of hassle that comes with NP testing. Record keeping . Billing is complicated. They don't know what they are doing. Patients act up. No one likes hearing they are demented, or that their neuro symptoms are psychiatric in nature. The medications for AZ dementia are extremely limited. Same for PD, HD, PSP, etc. It's just not worth it.