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

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 addiction medicine fellows in your fellowship 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 addiction medicine fellows at Site A and then report the 24 addiction medicine fellows in column 4 and 0 in column 5. 

 SECOND EXAMPLE:

At Site B, 3 addiction medicine fellows in your fellowship program received experiential training. The 3 addiction medicine fellows trained alongside 5 addiction medicine fellows and 3 psychiatrist fellows who were not part of your fellowship program. In this example, you would need to create two rows for Site B; one row to capture the addiction medicine fellows and one row for the psychiatry fellows. 

•  In the first row, you would report the 3 addiction medicine fellows from your fellowship program in Column 4 and the 5 addiction medicine fellows who were not part of fellowship program in the same row in Column 5. 
• Then, you would create a second row to report the psychiatry fellows. Because none of them were associated with your fellowship program, you would enter 0 for column 4 and 3 in column 5.