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Health Resources and Services Administration
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Academic Year: 2023-2024
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Bureau of Health Workforce
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OMB Number: 0906-0086
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Annual Performance Report
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OMB Expiration Date: 03/31/2027
EXP-2: Experiential Characteristics - Trainees by Profession/Discipline
EXP-2 - Selecting Training Program and Site NameWarning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 1. EXP-2 - Selecting Training Program and Site Name Type of Training Program:
Select a training
program by clicking on the drop-down menu in Column 1 and choosing one of the
training program options. The options available will be programs marked as
"Active" on the Training Program Setup Form.
Site Name:
Next, pair the selected
training program with a training site by clicking on the drop-down menu in
Column 2 and choosing a site name. The options available will be sites that
were marked as "Used" in the current reporting period on EXP-1.
Note
The EXP-2
form will initially appear blank. |
EXP-2 - Selecting Profession and Discipline/Specialty of Individuals Trained Figure 2. EXP-2 - Selecting Profession and Discipline/Specialty of Individuals Trained Select Profession of Individuals Trained: Select the individual’s profession by clicking on the drop-down menu in Column 3 and selecting one of the available options. - Allied Health
- Allied Health - Student
- Behavioral Health
- Behavioral Health - Student
- Dentistry
- Dentistry - Student
- Medicine
- Medicine - Student
- Nursing
- Nursing - Student
- Other
- Other - Student
- Paraprofessional
- Paraprofessional - Student
- Physician Assistant
- Physician Assistant - Student
- Public Health
- Public Health - Student
Select the individual’s discipline/specialty by clicking on the drop-down menu in Column 3a and choosing from one of the available options. Please note that you must select a discipline/specialty that is associated with the profession you selected in Column 26c. The disciplines/specialties are organized by profession in the drop-down; please scroll to find the correct option. Example: If you are reporting on an individual who is a Plastic Surgeon, the Individual’s Profession would be “Medicine” and the Individual’s Discipline/Specialty would be “Plastic Surgery”.
Example: If you are reporting on an individual who is studying to be an Occupational Therapist, the Individual’s Profession would be “Allied Health – Student” and the Individual’s Discipline/Specialty would be “Occupational Therapy”. Example: If you are reporting on an individual who is a Clinical Social Worker, the Individual’s Profession would be “Behavioral Health” and the Individual’s Discipline/Specialty would be “Clinical Social Work”. |
EXP-2 - Entering # Trained in the Profession and Discipline Figure 3. EXP-2 - Entering # Trained in the Profession and Discipline Enter # Trained in this Profession and Discipline: In Column 4 (Block 3), enter the number of HCOP students in the profession and discipline selected in the previous step that were trained at each site during the current annual reporting period.
Note
Counts provided should be based on individuals reported on LR-1 or INDGEN |
EXP-2 - Selecting Type of Site Used Figure 4. EXP-2 - Selecting Type of Site Used Select Type of Site Used: Following the selection of a training site in EXP-1, the associated type of site will be automatically populated when the save and validate button is selected. - Academic institution
- Acute Care for the Elderly (ACE) Units
- Acute care services
- Aerospace operations setting
- Ambulatory practice sites
- Assisted Living Community
- Community Behavioral Health Center
- Certified Community Behavioral Health Clinic (CCBHC)
- Community Health Center (CHC)
- Community Care Programs for Elderly Mentally Challenged Individuals
- Community-based Care Programs for Elderly Mentally Challenged Individuals
- Community Mental Health Center
- Community-based Organization
- Dental Services
- Day and Home Care Programs (e.g. Home Health)
- Extended care facilities
- Dentist Office
- Emergency Room
- Federal and State Bureau of Prisons
- Federal Government - Other
- FQHC or look-alike
- Hospital - academic center
- Geriatric Ambulatory Care and Comprehensive Units
- Hospital - community
- Geriatric Behavioral or Mental Health Units
- Hospital - federal
- Geriatric Consultation Services
- Hospice
- Hospital - for profit
- Hospital - Nonprofit
- Hospital
- Independent Living Facility
- Indian Health Service (IHS) Site
- International Nonprofit/Nongovernmental Organization
- Local Government Office or Agency
- Local Health Department
- Long-Term Care Facility
- Mobile Clinic/Site
- National Health Association or Affiliate
- Nurse Managed Health Clinics
- Nursing Home
- Other
- Other Community Health Center (e.g. free clinic)
- Other Oral Health Facility
- Physician Office
- Surgery Clinic
- Program of All Inclusive Care for the Elderly
- Residential Living Facility
- School-based Clinic
- Senior Centers
- Specialty Clinics (e.g. mental health practice/rehabilitation/substance abuse clinic)
- State Government Office or Agency
- State Health Department
- Tribal Health Department
- Tribal Organization
- Veterans Affairs Hospital or Clinic
Warning
Site types are linked to the name of training sites in EXP-1. To change the associated site type with a particular site name, return to EXP-1. |
EXP-2 - Selecting Type of Setting Where the Site was Located Figure 5. EXP-2 - Selecting Type of Setting Where the Site was Located Select Type of Setting Where the Site was Located: Following the selection of a training site in EXP-1, the associated settings will be automatically populated when the save and validate button is selected. - Medically underserved community
- Primary Care Setting
- Rural area
- None of the above
Warning
Site settings are linked to the name of training sites in EXP-1. To change the associated site settings with a particular site name, return to EXP-1. To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform. |
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