IND-GEN - SetupTo begin providing individual-level data for students and faculty enrolled in the degree or faculty development program during the annual reporting period, click "Yes" to the initial setup question. Clicking "Yes" will activate the embedded Excel form that will allow you to begin data entry. Do you have either a) new trainees OR b) updates to provide for trainees from a previous reporting period? | Yes (complete IND-GEN) No (click Save and Validate button to proceed to the next form) |
Figure 1. IND-GEN - Setup Do you have either a) new trainees OR b) updates to provide for trainees from a previous reporting period?: Warning STUDENTS DO NOT RECEIVE DIRECT FINANCIAL SUPPORT IN THE VBSN PROGRAM. DATA COLLECTED ON INDGEN FORM IS TO CAPTURE DEMOGRAPHIC DATA AS WELL AS FOLLOW-UP
Warning If you have used the INDGEN form before, this answer is pre-selected ‘Yes’ for you. You do not need to answer this question again. Please move ahead to the INDGEN form by using the form list located on the left side of your screen.
Warning If you are unable to enter data into the INDGEN form, edit prior records, or see drop-down menus despite the question above being answered ‘Yes’, you have a browser compatibility problem. Please refer to the Getting Started-Browser Settings page at the beginning of this manual.
Warning Gray fields in prior records cannot be edited.
Warning Prior records cannot be deleted. |
IND-GEN - Selecting Type of Training Program Figure 2. IND-GEN - Selecting Type of Training Program Type of Training Program: To begin completing the IND-GEN subform, select the training program associated with each individual by clicking on the drop-down menu under the column labeled "Type of Training Program" 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 This program is no longer able to select "Other" for Type of Training Program. Also, prior records for faculty who had a Type of Training Program of "Other" were deleted. Note This Block will prepopulate for prior records with data submitted in the previous reporting period. Example: The School of Nursing saved one (1) entry in the Training Program Setup form to reflect the type of degree program supported by the grant. Under "Type of Training Program" the School of Nursing would see the following options: - Degree/Diploma program | BSN
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IND-GEN - Entering Trainee Unique ID Figure 3. IND-GEN - Entering Trainee Unique ID Trainee Unique ID: Enter a seven (7) character alphanumeric unique identifier for each individual in the textbox in Column 2 (Block 1).
Warning It is the responsibility of each grantee to generate each unique ID and keep a log of all unique IDs used, as these will be required to provide annual updates and 1-year follow-up data for each individual. Note This Block will prepopulate for prior records with data submitted in previous reporting periods. |
IND-GEN - Selecting Individual's Training or Awardee Category Figure 4. IND-GEN - Selecting Individual's Training or Awardee Category Select Individual's Training or Awardee Category: Select each individual’s training category during the annual reporting period by clicking on the drop-down menu under Block 2 and choosing one of the following options: - Enrollee (campus-based only)
- Enrollee (distance learning only)
- Enrollee (hybrid)
Note This Block will prepopulate for prior records with data submitted in the previous reporting period. |
IND-GEN - Selecting Individual's Enrollment/Employment Status Figure 5. IND-GEN - Selecting Individual's Enrollment/Employment Status Select Individual's Enrollment / Employment Status: Select each individual's current enrollment (f or VBSN students) or employment (faculty) status during the annual reporting period by clicking on the drop-down menu under Block 3 and choosing one of the following options: - Full-time
- Both Full-time and Part-time
- Part-time
- On leave of absence
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IND-GEN - Selecting Individuals Gender Figure 6. IND-GEN - Selecting Individuals Gender Select Individual's Gender(s): - Female
- Male
- Transgender or non-binary or another gender
- Not reported
Warning The 'Not Reported' option may not be selected for prior records.
Warning 'Not Reported' cannot be selected in combination with any other options under column 5a. Note Column 5 will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or deleted. |
IND-GEN - Entering Year of Birth Figure 7. IND-GEN - Entering Year of Birth Enter Year of Birth: Select each individual's year of birth in the dropdown menu under Block 5. - 1933
- 1934
- 1935
- 1936
- 1937
- 1938
- 1939
- 1940
- 1941
- 1942
- 1943
- 1944
- 1945
- 1946
- 1947
- 1948
- 1949
- 1950
- 1951
- 1952
- 1953
- 1954
- 1955
- 1956
- 1957
- 1958
- 1959
- 1960
- 1961
- 1962
- 1963
- 1964
- 1965
- 1966
- 1967
- 1968
- 1969
- 1970
- 1971
- 1972
- 1973
- 1974
- 1975
- 1976
- 1977
- 1978
- 1979
- 1980
- 1981
- 1982
- 1983
- 1984
- 1985
- 1986
- 1987
- 1988
- 1989
- 1990
- 1991
- 1992
- 1993
- 1994
- 1995
- 1996
- 1997
- 1998
- 1999
- 2000
- 2001
- 2002
- 2003
- 2004
- 2005
- 2006
- 2007
- 2008
- 2009
- 2010
- 2011
- 2012
- 2013
- 2014
- 2015
- 2016
- 2017
- Not Reported
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IND-GEN - Selecting Individual's Ethnicity Figure 8. IND-GEN - Selecting Individual's Ethnicity Select Individual's Ethnicity: Select each individual's ethnicity by clicking on the drop-down menu under Block 6 and choosing one of the following options: - Hispanic/Latino
- Non-Hispanic/Non-Latino
Note This Block will prepopulate for prior records with data submitted in the previous reporting period. If "Not Reported" was selected for a record during a previous reporting period, you must provide the appropriate updated information in order to successfully submit your PRGCA. |
IND-GEN - Selecting Individual's Race Figure 9. IND-GEN - Selecting Individual's Race Select Individual's Race: Select each individual’s race by clicking on the drop-down menu under Block 7 and choosing all that apply from the following options: - American Indian or Alaska Native
- Asian
- Black or African-American
- Native Hawaiian or Other Pacific Islander
- White
Warning You may not select "Not Reported" in combination with any other option. Note This Block will prepopulate for prior records with data submitted in the previous reporting period. If "Not Reported" was selected for a record during a previous reporting period, you must provide the appropriate updated information in order to successfully submit your PRGCA. |
IND-GEN - Selecting if Individual is from a Rural Residential Background Figure 10. IND-GEN - Selecting if Individual is from a Rural Residential Background Select Whether Individual is from a Rural Residential Background: Select whether each individual is from a rural residential background by clicking on the drop-down menu under Block 8 and choosing one of the following options: Reference Refer to the glossary for a definition of rural setting. |
IND-GEN - Selecting if Individual is from a Disadvantaged Background Figure 11. IND-GEN - Selecting if Individual is from a Disadvantaged Background Select Whether Individual is from a Disadvantaged Background: Select whether each individual is from a disadvantaged background by clicking on the drop-down menu under Block 9 and choosing one of the following options: Note This Block will prepopulate for prior records with data submitted in the previous reporting period. If "Not Reported" was selected for a record during a previous reporting period, you must provide the appropriate updated information in order to successfully submit your PRGCA. Reference Refer to the glossary for a definition of disadvantaged background. |
IND-GEN - Selecting Individual's Veteran Status Figure 12. IND-GEN - Selecting Individual's Veteran Status Select Individual's Veteran Status: Select each individual's veteran status by clicking on the drop-down menu under Block 10 and choosing one of the following options: - Active Duty Military
- Individual is not a Veteran
- National Guard
- Reservist
- Veteran - Prior Service
- Veteran - Retired
- Not Reported
Note This Block will prepopulate for prior records with data submitted in the previous reporting period. If "Not Reported" was selected for a record during a previous reporting period, you must provide the appropriate updated information in order to successfully submit your PRGCA. Reference Refer to the glossary for a definition of the various types of veteran statuses. |
IND-GEN - Entering BHW-Funded Financial Award InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 13. IND-GEN - Entering BHW-Funded Financial Award Information Select Whether Individual Received BHW Financial Award?: Select whether each faculty member received BHW-funded financial assistance during the annual reporting period by clicking on the drop-down menu under Column 12 and choosing one of the following options (for students, select ‘No’): Enter Individual's Financial Award Amount (BHW funds only): Stipend:
- If the faculty received a BHW-funded financial award or any form of financial assistance was paid on their behalf, enter the total amount of BHW dollars provided during the annual reporting period in the textbox under the column labeled "Stipend". The total amount reported should account for all BHW dollars including those applied to travel, training and conferences, as allowed by federal statutes and regulations.
- If the faculty did not receive a BHW-funded financial award, enter "0" in the textbox under the column labeled "Stipend".
- If the individual is a student, select ‘No’ under Column 12 and enter "0" in the textbox under the column labeled "Stipend."
Enter Individual's Financial Award Amount (BHW funds only): Academic Year Total: Note Please record all BHW financial assistance paid on behalf of faculty or students for travel, conferences and trainings. This is NOT referring to financial awards given directly to students or faculty. |
IND-GEN - Entering # of Academic Years the Individual has Received BHW Funding Figure 14. IND-GEN - Entering # of Academic Years the Individual has Received BHW Funding Enter # of Academic Years the Individual has Received BHW Funding: Select the cumulative number of academic years that each student has received a BHW-funded financial award by clicking on the drop-down menu under Column 22 and choosing one of the following options: Note The number of academic years receiving BHW-funded financial assistance does not need to be consecutive; rather, the cumulative total number of years receiving awards should be reported.
Note If a faculty did not receive BHW-funded financial assistance during the annual reporting period, select "0" under Column 22.
Note If an individual had financial assistance for ½ an academic year, please round up. For example, if a student or faculty member has received financial assistance for 1 ½ years, please enter 2.
Note If a faculty received BHW-funded financial assistance for the first time during the annual reporting period, select "1" under Column 22.
Note For students who do not receive funding, please select "0" under Column 22. |
IND-GEN - Selecting Individual's Academic or Training Year Figure 15. IND-GEN - Selecting Individual's Academic or Training Year Select Individual's Academic or Training Year: Select each student's current training year by clicking on the drop-down menu under Block 15 and choosing one of the following options: - Non-degree Training Program Year 1
- Undergraduate Year 1
- Undergraduate Year 2
- Undergraduate Year 3
- Undergraduate Year 4
- N/A
Note For faculty or preceptors, select N/A. |
IND-GEN - Selecting any HHS Priority Topic Area on which an Individual Received Training Figure 16. IND-GEN - Selecting any HHS Priority Topic Area on which an Individual Received Training Select any HHS Priority Topic Area on which an Individual Received Training: Use the dropdown menu in Column 26b to select all that apply from the list of topic areas on which the individual was trained. - Individual received COVID-19 related training
- Individual received provider resilience training
- Individual received training in Health Equity/Social Determinants of Health
- Individual received training in medication assisted treatment (MAT) for SUD/OUD
- Individual received training in substance use treatment
- Individual received training on integrated behavioral health in primary care
- Individual received training related to maternal health
- None of the above
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IND-GEN - Selecting Profession and Discipline/Specialty Figure 17. IND-GEN - Selecting Profession and Discipline/Specialty Select Individual's Profession: Select the individual’s profession by clicking on the drop-down menu in Column 26c 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 Individual's Primary Discipline/Specialty: Select the individual’s discipline/specialty by clicking on the drop-down menu in Column 26d 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. |
IND-GEN - Entering Training Information in a Setting that Offers Telehealth Figure 18. IND-GEN - Entering Training Information in a Setting that Offers Telehealth Training in Telehealth: Select Whether Individual Received Training: Select whether each individual received clinical or experiential training in telehealth during the current reporting period by clicking on the drop-down menu in Column 27d and choosing one of the following options: |
IND-GEN - Entering Training Information in a Primary Care SettingWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 19. IND-GEN - Entering Training Information in a Primary Care Setting Training in a Primary Care Setting: Select Whether Individual Received Training: Select whether each student received experiential training in a primary care setting during the annual reporting period by clicking on the drop-down menu under Block 17 and choosing one of the following options: Warning Select "N/A" in the drop-down menu under Block 17 for faculty. |
IND-GEN - Entering Training Information in a Medically Underserved CommunityWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 20. IND-GEN - Entering Training Information in a Medically Underserved Community Training in a Medically Underserved Community: Select Whether Individual Received Training: Select whether each individual received clinical or experiential training in a medically underserved community during the current reporting period by clicking on the drop-down menu in Column 31 and choosing one of the following options: |
IND-GEN - Entering Training Information in a Rural AreaWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 21. IND-GEN - Entering Training Information in a Rural Area Training in a Rural Area: Select Whether Individual Received Training: Select whether each individual received clinical or experiential training in a rural area during the current reporting period by clicking on the drop-down menu in Column 33 (Block 19) and choosing one of the following options: |
IND-GEN - Selecting Whether Individual Left the Program Before Completion Figure 22. IND-GEN - Selecting Whether Individual Left the Program Before Completion Select Whether Individual Left the Program Before Completion: Select whether each individual permanently left the degree program or faculty development program before completion during the annual reporting period by clicking on the drop-down menu under Block 21 and choosing one of the following options: |
IND-GEN - Entering Graduation/Completion InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 23. IND-GEN - Entering Graduation/Completion Information Select Whether Individual Graduated/Completed the Program: Select whether each individual completed the degree program or faculty development program during the annual reporting period by clicking on the drop-down menu under Block 22 and choosing one of the following options: Select Degree Earned: If a student graduated from their degree program during the annual reporting period, select the type of degree earned through the program by clicking on the drop-down menu under Block 22a and choosing one of the options listed below.
If a student did not graduate during the annual reporting period or is a faculty member, select "N/A" under Block 22a. Select Individual's Post-Graduation/Completion Intentions: If a student graduated from their degree program during the annual reporting period, select the student's training or employment intentions by clicking on the drop-down menu under Block 22b and choosing all that apply from the options listed below.
If a student did not graduate during the annual reporting period or is a faculty member, select "N/A" under Block 22b. - Individual intends to apply for NHSC Loan Repayment
- Individual intends to apply to an advanced nursing degree program
- Individual intends to practice or continue practicing in a medically underserved area
- Individual intends to practice or continue practicing in a primary care setting
- Individual intends to practice or continue practicing in a rural area
- None of the above
- Not Reported
- N/A
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IND-GEN - Entering the % FTE Individual Spent in Different Roles Figure 24. IND-GEN - Entering the % FTE Individual Spent in Different Roles Enter the % FTE Individual Spent on the Following Roles: Research: Enter the percentage of time each faculty spent in 'Research' during the annual reporting period in Column 40 (Block 24a).Enter the % FTE Individual Spent on the Following Roles: Teaching: Enter the percentage of time each faculty spent in 'Teaching' during the annual reporting period in Column 41 (Block 24b).Enter the % FTE Individual Spent on the Following Roles: Administration: Enter the percentage of time each faculty spent in 'Administration' during the annual reporting period in Column 42 (Block 24c).Enter the % FTE Individual Spent on the Following Roles: Clinical: Enter the percentage of time each faculty spent in 'Clinical' during the annual reporting period in Column 43 (Block 24d). Note For students, enter ‘0’ under each Block 24. For faculty, the percentage time in all four faculty areas must total 100%. |
IND-GEN - Entering # of Articles Published Figure 25. IND-GEN - Entering # of Articles Published Enter # of Articles Published in Peer-Reviewed Journals: Enter the number of articles published by each faculty in peer-reviewed journals during the annual reporting period in the textbox under Block 25. Note For students, enter ‘0’ under Block 25. 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. |
IND-GEN - Entering Individual's Employment DataWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 26. IND-GEN - Entering Individual's Employment Data Select Whether Your Organization Hired this Individual: Select whether your organization hired this individual following training program completion by selecting an option for Column 56a. If employment data are not available for the individual or if the individual is still enrolled, select “N/A.” Select Whether a Partner Organization Hired this Individual: Select whether a partner organization hired this individual following training program completion by selecting an option for Column 56b. If employment data are not available for the individual or if the individual is still enrolled, select “N/A.” Warning For Column 60, None of the above, not reported, and N/A cannot be selected in combination with any other option. Note If an individual has completed the program but is not currently employed, please select “Yes” for Column 56 (Select whether employment data is available). Leave the zip code, city, and state blank and select "N/A" for whether you or a partner organization hired the individual (Columns 56a and 56b). Then, select “Not Currently Employed” for Column 60 and N/A for Column 61. |
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