EXP-2 | HRSA EHBs

EXP-2 - Selecting Training Program and Site Name

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

Type of Training Program	Site Name
(1)	(2) Block 1

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 options (programs that were marked on the Training Program Setup Form as “active” in the current 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 current reporting period). Repeat this process until all used Training Program/Site combinations used in EXP-2 are present.

Note

If the same site was used for multiple training programs, then multiple entries are required in the EXP-2 subform.

Note

If the same program used multiple training sites, then multiple entries are required in the EXP-2 subform.

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

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

Select Profession of Individuals Trained	Select Discipline/Specialty of Individuals Trained
(3)	(3a)

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.

ALLIED HEALTH OPTIONS (please select)
Audiology
Certified Nursing Assistant
Community Health Worker
Dental Assistant
Dental Hygiene
Dental Hygiene/Public Health
Dental Therapy
Dialysis Technology/Technician
EMT/Paramedic
Home Health Aide
Medical Assistant
Midwife (non-nurse)
Nurse Assistant/Patient Care Associate
Nutritionist/Dietician
Occupational Therapy
Optometry
Pharmacy
Pharmacy Aide/Technician
Phlebotomy Technician
Physical Therapy
Physical Therapy Assistant
Radiological Technician
Rehabilitation Therapy
Respiratory Therapy
Speech Pathology/Therapy
BEHAVIORAL HEALTH OPTIONS (please select)
Addictions Counseling
Clinical Mental Health Counseling
Clinical Psychology
Clinical Social Work
Counseling Psychology
Marriage and Family Therapy
Pastoral/Spiritual Care
Professional Counselor
School Counseling
School Psychology
School Social Work
DENTISTRY OPTIONS (please select)
Advanced General Dentistry
Dental Anesthesiology
Dental Public Health
Endodontics
General Dentistry
Oral and Maxillofacial Pathology
Oral and Maxillofacial Radiology
Oral and Maxillofacial Surgery
Oral Medicine
Orofacial Pain
Orthodontics and Dentofacial Orthopedics
Pediatric
Periodontics
Prosthodontics
DENTAL SCHOOL OPTIONS (please select)
Dental School
Dental School/Public Health
MEDICAL OPTIONS (please select)
Aerospace Medicine
Allergy and Immunology
Anesthesiology
Colon and Rectal Surgery
Dermatology
Emergency Medicine
Family Medicine
General Surgery
Geriatric Medicine
Geriatric Psychiatry
Integrative Medicine
Internal Medicine
Internal Medicine/Family Medicine
Internal Medicine/Pediatrics
Medical Genetics and Genomics
Medical Oncology
Neurological Surgery
Neurology
Nuclear Medicine
Obstetrics and Gynecology
Ophthalmology
Orthopaedic Surgery
Otolaryngology - Head and Neck Surgery
Palliative Care
Pathology - Anatomic and Clinical
Pediatrics
Physical Medicine and Rehabilitation
Plastic Surgery
Plastic Surgery - Integrated
Preventive Medicine/Aerospace Medicine
Preventive Medicine/Family Medicine
Preventive Medicine/Internal Medicine
Preventive Medicine/Occupational Medicine
Preventive Medicine/Pediatrics
Preventive Medicine/Public Health
Psychiatry
Public Health and General Preventive Medicine
Radiation Oncology
Radiology - Diagnostic
Thoracic Surgery - Independent
Thoracic Surgery - Integrated
Urology
Vascular Surgery - Integrated
MEDICAL SCHOOL OPTION (please select)
Medical School
NURSING OPTIONS (please select)
Advanced Practice Nursing
Aggregate/Systems/Organizational
Alternative/Complementary
Clinical Nurse Leader (CNL)
Clinical Nurse Specialist (CNS)
Community Health Nursing
Forensics
Licensed Practical/Vocational Nurse (LPN/LVN)
Nurse Administrator
Nurse Anesthetist
Nurse Educator
Nurse Midwife
Nurse Practitioner (NP)
Nursing Informatics
Public Health Nurse
Registered Nurse (RN)
Researcher/Scientist
OTHER OPTIONS (please select)
Chiropractic
Direct Service Worker
Doula
Exercise Physiology
Facility Administrator
Firefighter
Health Informatics/Information Technology
Law Enforcement
Lay/Family Caregiver
Medical Laboratory Sciences
Office/Support Staff
Podiatry
Veterinary Medicine
Primary School (grades K-8)
Secondary School (grades 9-12)
Post-high School/Pre-college
Undergraduate School
Post-baccaluareate Premedical
PARAPROFESSIONAL OPTIONS (please select)
Behavioral Health Technician/Aide
Mental Health Worker
Outreach Worker
Peer Paraprofessional
Promotora
Recovery Coach
Social Services Aide
Substance Use/Addictions Worker
Youth Worker
Discipline/Specialty Not Listed
PHYSICIAN ASSISTANT OPTION (please select)
Physician Assistant
PUBLIC HEALTH OPTIONS (please select)
Biostatistics
Community Health
Disaster Preparedness
Disease Prevention/Health Promotion
Environmental Health
Epidemiology
Global Health
Health Administration
Health Communication
Health Education
Health Policy/Management
Infectious Disease Control
Injury Control/Prevention
Maternal/Child Health
Nutrition
Social/Behavioral Sciences

Example:

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

Enter # Trained in this Profession and Discipline
(4) Block 3

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 principal trainees in the profession and discipline selected in the previous step that were trained at each site during the current reporting period.

Note
Principal Trainee counts provided in the textbox in Column 4 (Block 3) should be based on individuals reported on INDGEN.

Principal trainees are those who were directly or indirectly supported through your grant. For your grant program, these are the individuals reported on the INDGEN form.

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

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
(5) Block 8

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.

EXP-2 - Selecting Type of Setting Where the Site was Located

Select Type of Setting Where the Site was Located
(7)

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.

Note
This Block will prepopulate for prior records with data submitted in previous reporting periods.

Reference
To determine whether a site is located in a medically underserved community, please visit HRSA’s Office of Shortage Designation at http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx

Reference
To determine whether a site is located in a rural area, please visit HRSA’s Office of Rural Health Policy at http://datawarehouse.hrsa.gov/RuralAdvisor/ruralhealthadvisor.aspx

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.

HRSA Electronic Handbooks

Navigation

Program Manual

Public Health Training Centers

EXP-2: Experiential Characteristics - Trainees by Profession/Discipline

EXP-2 - Selecting Training Program and Site Name

EXP-2 - Selecting Training Program and Site Name

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

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

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

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

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

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

EXP-2 - Selecting Type of Setting Where the Site was Located

EXP-2 - Selecting Type of Setting Where the Site was Located

Footer Information

Tools Panel