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Health Resources and Services Administration
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Academic Year: 2025-2026
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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 available residency program options (marked on the Training Program Setup Form as “active” in the annual reporting period).Site Name: Pair the selected training program with a site name by clicking on the drop-down menu in Column 2 (Block 1) and choosing one of the available options (sites that were marked in EXP-1 as “used” in the annual reporting period). Repeat this process until all used Training Program/Site combinations used in EXP-2 are present. Note
The EXP-2 form will initially appear blank. |
EXP-2 - Selecting Profession and Discipline/Specialty of Individuals TrainedWarning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully. 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 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: For each row, enter the number of "Principal" trainees, your residents, in the profession and discipline listed. Note
Principal residents are those who were directly or indirectly supported through your grant. For your grant program, these are the individuals reported on the INDGEN form. |
EXP-2 - Entering # of Other Interprofessional trainees who participated in team-based care Figure 4. EXP-2 - Entering # of Other Interprofessional trainees who participated in team-based care
Enter # of Other Trainees in this Profession and Discipline Who Participated in Interprofessional Team-based care: In Column 5 (Block 8), enter the number of "other interprofessional" trainees who participated in team-based care alongside the Principal trainees. Other interprofessional trainees should be those who train along side the Principal trainees. Note
Counts should not include individuals reported on INDGEN. Individuals reported on INDGEN should be counted in Column 4 as a Principal trainee.
Note
Do not count faculty, site supervisors, or site support staff who are at the site, but not participating in the experiential training. 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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