Comfortable walking speed appears to have the highest ecological validity of the clinical gait tests investigated. Practice in natural and more complex environments should be incorporated into walking rehabilitation programs for people with TBI.

This study continues the development of more than 50 years of thinking about education and training in rehabilitation psychology and builds on the existing work to further advance the development of guidelines in this area. The conference developed aspirational guidelines for competency specification and measurement in rehabilitation psychology postdoctoral training (i.e., for studying the outcomes of these training programs). Structured observation of trainee competencies allows examination of actual training outcomes in relation to intended outcomes and provides a methodology for studying how program outcomes are related to program structures and processes so that program improvement can occur. Best practices in applying program evaluation research methods to the study of professional training programs are discussed.

The nature of health care delivery in the U.S. will change radically in the next 5 years, and the nature of psychological services provided will also change. Psychology is evolving into a primary health care profession, at least in terms of "health psychology" broadly defined. Modem clinical health psychology includes, at the minimum, rehabilitation psychology, neuropsychology, and traditional health psychology. The present article represents the views of 20 experts from this evolving area of practice and research on matters of public policy, training, and the future of psychology in health care settings.Editor's Note. Brick Johnstone and Robert G. Frank proposed the format of the current article, invited the participating authors to respond to one of the questions pertaining to the future of psychology in health care, and edited all responses.

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This online resource provides a guide to the knowledge and skills required by competent rehabilitation psychologists, with an emphasis on the evidence base of the specialty. It will assist those preparing for the Board Certification Examination in Rehabilitation Psychology and will also be valuable to newcomers to the field and to clinicians working on an outpatient basis with individuals with a wide variety of chronic conditions.

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A new reading test, designed to detect left-sided visual neglect, was administered to 66 patients with unilateral lesions. As expected, the group with right-hemisphere involvement had a considerably higher incidence of impaired performance; only subjects in this group exhibited severe neglect. In general, subjects who showed neglect on the reading test also did so on visual-perceptual tasks. However, in some instances neglect surfaced only on the former. This instrument appears to be a valuable screening measure, and it also has potential as a retraining tool.

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