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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.
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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 Discipline/Specialty of Individuals Trained: 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: Count all students from the training program identified in the Training Program Setup form in Block 3 (these students were all counted on the PC-1 and PC-9 forms).
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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: Enter the number of all other team-based care students, residents, fellows, and other trainees on separate lines who were also trained at this site in Block 8. Do not count faculty or non-trainees. See examples on the following pages.
Note If a profession/discipline has trainees counted on the PC form and no others, enter the number under Block 3 and a “0” under Block 8.
Note If a profession/discipline has trainees not counted on the PC form and no others, enter the number under Block 8 and a “0” under Block 3.
Note If a profession/discipline has trainees counted on the PC form as well as trainees not counted on the PC form, enter the number of trainees counted on the PC form under Block 3, and the number of trainees not counted on the PC form under Block 8. |
EXP-2 - Adding Individuals Trained Example 1Figure 5. EXP-2 - Adding Individuals Trained Example 1 Example with both your trainees and interprofessional trainees at the same site:
In the example on this page, the PA School’s MPAS degree program trained 24 PA students at North Regional Hospital. As part of Interprofessional team-based care, the PA School’s MPAS program also trained 2 Internal Medicine residents and 3 graduate students in psychology. At a second site, the MPAS program trained 14 of its PA students alongside 4 pharmacy students who were part of interprofessional team-based care.
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EXP-2 - Adding Individuals Trained Example 2Figure 6. EXP-2 - Adding Individuals Trained Example 2 Example with no interprofessional trainees at any site:
In this example, the PA students from the MPAS program do not have interprofessional experiences. The PA students trained at 3 different clinical training sites. At the first site, there were 24 PA students and no interprofessional trainees at North Regional Hospital. At the second site, there were 10 PA students and no interprofessional trainees at Community Physicians. At the third site, there were 4 PA students and no interprofessional trainees at the Doctor’s Clinic.
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EXP-2 - Adding Individuals Trained Example 3Figure 7. EXP-2 - Adding Individuals Trained Example 3 Example with both your trainees and interprofessional trainees of the same discipline at the same sites:
In the example on this page, the PA School’s MPAS degree program trained 24 of its own PA students at North Regional Hospital. As part of Interprofessional team-based care, the MPAS program also trained 10 PA students from non-HRSA funded programs (not part of the PA Training in Primary Care grant program), 2 Internal Medicine residents and 5 pharmacy students. At a second site, the MPAS program trained 10 of its own PA students alongside 8 PA students from different PA programs as well as 4 physical therapy students who were part of interprofessional team-based care.
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EXP-2 - Selecting Type of Site Used Figure 8. 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 Organization
- Critical Access Hospital
- Day and Home Care Programs (e.g. Home Health)
- 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 Government
- Tribal Health Department
- Tribal Organization
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EXP-2 - Selecting Type of Setting Where the Site was Located Figure 9. 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
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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