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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: To begin completing the EXP-2 subform, select a training program by clicking on the drop-down menu under "Type of Training Program" and choosing one of the available options.
Site Name: Next, select a clinical site name by clicking on the drop-down menu under Column 2 and choosing one of the available options.
Note
The options available under "Type of Training Program" will prepopulate with information entered and saved in the Training Program Setup Form.
Note
The options available under Column 2 will prepopulate with information entered and saved in the EXP-1 subform. |
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: Enter # Trained in this Profession and Discipline: For each row, enter the number of "Principal" trainees in the profession/discipline listed.
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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: For each row, enter the number of all "Other Interprofessional" trainees in each profession/discipline listed.
Note
Do not count faculty, practicing professionals, or support staff. |
EXP-2 - Selecting Type of Site Used Figure 5. 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
- Certified Community Behavioral Health Clinic (CCBHC)
- Community Health Center (CHC)
- Community Care Programs for Elderly Mentally Challenged Individuals
- Community Mental Health Center
- Community-based Organization
- Critical Access Hospital
- 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
- Hospice
- Hospital
- National health association
- 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
- 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
- Veterans Affairs Healthcare (e.g. VA Hospital or clinic)
- Residential Living Facility
- Rural Health Clinic
- 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
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 6. 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. Note
This Block will prepopulate for prior records with data submitted in previous reporting periods.
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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