EXP-2 - Selecting Training Program and Site Name

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Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Note
The EXP-2 form will initially appear blank

EXP-2 - Selecting Profession and Discipline/Specialty of Individuals Trained

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Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

EXP-2 - Entering # Trained in the Profession and Discipline

Note
“Other Interprofessional” trainees are those individuals who trained at the same site on an interdisciplinary team with your principal trainees, but who did not received support from or have an association with your HRSA grant.

Note
Do not enter counts for faculty, site staff, or other non-trainees

Note
Principal trainees are those who participated in your training program. These are the individuals reported on the Individual Characteristics (IND-GEN) form.

EXP-2 - Entering # of Other Interprofessional trainees who participated in team-based care

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. 

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EXP-2 - Adding Individuals Trained Example

FIRST EXAMPLE: At Site A, there were 24 public health dentistry residents in your public health dentistry residency program. These principal trainees did not train with anyone from a different training program or with any other professions. In this scenario, you would create one row for the public health dentistry residents at Site A and then report the 24 public health dentistry residents in column 4 and 0 in column 5.

SECOND EXAMPLE: At Site B, 3 public health dentistry residents in your public health dentistry residency program received experiential training. The 3 HRSA-supported public health dentistry residents trained alongside 5 public health dentistry residents and 3 general dentistry residents that were not associated with the HRSA grant. In this example, you would need to create two rows for Site B; one row to capture the public health dentistry residents and one row for the general dentistry residents.

·        In the first row, you would report the 3 public health dentistry residents associated with your public health dentistry residency program in Column 4 and the 5 public health dentistry residents not associated with your public health dentistry residency program in the same row in Column 5.

·        Then, you would create a second row to report the general dentistry residents. Because none of them were part of your public health dentistry residency program You would enter 0 for column 4 and 3 in column 5.