Udt P hlUpdate on Psychology Education in VAEducation in VAavapl.org/conference/pubs/2012...
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Udt P hl Update on Psychology Education in VA Education in VA Robert Zeiss, Ph.D. Director, Associated Health Education Office of Academic Affiliations (10A2D) Office of Academic Affiliations (10A2D) VA Central Office, Washington, DC VA Psychology Leadership Conference VA Psychology Leadership Conference San Antonio, TX April 13, 2012
Transcript of Udt P hlUpdate on Psychology Education in VAEducation in VAavapl.org/conference/pubs/2012...
U d t P h lUpdate on Psychology Education in VAEducation in VA
Robert Zeiss, Ph.D.,
Director, Associated Health EducationOffice of Academic Affiliations (10A2D)Office of Academic Affiliations (10A2D)
VA Central Office, Washington, DC
VA Psychology Leadership ConferenceVA Psychology Leadership ConferenceSan Antonio, TXApril 13, 2012
Topics for Todayp y
• Impact of VA Training on US Psychology• Impact of VA Training on US Psychology• Trends in VA Psychology Education• RFP for Rural Internships• Affiliation Agreement Update• Affiliation Agreement Update• Challenges• Opportunities
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OAA & Clinical Education in VAOAA & Clinical Education in VA
• One of 4 Statutory Missions of VHA
• World War II aftermath and
• Policy Memorandum #2
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Scope of OAAp
• $1 5 Billion budget• $1.5 Billion budget• 116,000 Trainees
37 000 Physician Residents– 37,000 Physician Residents– 32,000 Nursing Trainees
25 000 A i t d H lth T i– 25,000 Associated Health Trainees– 22,000 Medical Students– 1000 Dental Students & Residents– 300 Advanced Fellows
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VA Training Impact on P h lPsychology
VA h b t i i h l i tVA has been training psychologists since 1946.
Nationally, ~50% of psychologists have had some VA training.g(estimated from numbers who had VA training and number who passed EPPP in 2009)
~70% of VA Psychologists have had VA training.
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VA training.(AES - 2011)
VA Training Impact on PsychologyVA Training Impact on Psychology
• APPIC Data from 2012 Match– 4067 Applicants4067 Applicants– 3190 Internship Positions Offered
• (2365 Accredited)(2365 Accredited)– 501 VA Internship Positions– 1283 students did not match (29%)1283 students did not match (29%)
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VHA Workforce Succession Strategic Plan 2012Plan - 2012
Developed annually by theDeveloped annually by the Healthcare Talent Management (HTM) g ( )Office.
http://vaww.succession.va.gov/workforce_planning/d f ltdefault.aspx
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VHA Workforce SuccessionStrategic Plan – 2012 – Needs Analysis
T T O ti R kProjected HiresTh h FY1Top Ten Occupations Rank Through FY17
0602 Medical Officer (Physician) 1 15,573
0610 Nurse 2 32,371
0201 H R M t 3 2 1720201 Human Resource Mgmt 3 2,1720660 Pharmacist 4 3,3730633 Physical Therapist 5 9130644 Medical Technologist 6 2 1670644 Medical Technologist 6 2,167
0180 Psychology 7 2,2120647 Diagnostic Radiologic Technologist 8 1,6550631 Occupational Therapist 9 7360631 Occupational Therapist 9 736
0605 Nurse Anesthetist 10 590
Top Ten Hires Needed Through FY17 61,764
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Psychology Educational E h tEnhancement
OAA – OMHS Collaboration• 2008-2009
–167 new positions in 79 programs–4 New Internship Programs4 New Internship Programs–26 New Postdoctoral Fellowship
ProgramsPrograms
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Psychology Educational E h tEnhancement
• 2009-2010– 11 MIRECC & CoE Fellows
• 2010-2011– 11 Additional MIRECC & CoE Fellows– 25 New Training Positions
• Temporary for 1st year2011 2012• 2011-2012– 65 New Training Positions + 25 from 2010-11
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2011 2012 N I t hi2011-2012 New Internships
•Boise •Madison•Canandaigua •Philadelphia•Canandaigua •Philadelphia•Columbia SC •Tuscaloosa•Huntington •West Palm Beach•Huntington •West Palm Beach•Indianapolis
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2011-2012 New Postdoctoral F ll hiFellowships
•Atlanta •North Chicago•Biloxi •Salt Lake City MIRECCBiloxi Salt Lake City MIRECC•Columbia SC •San Juan•Dayton •Tampa•Dayton •Tampa•Hampton •Tucson•New York Harbor•New York Harbor
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2012-2013 New Internships2012 2013 New Internships
RURALChillicothe SheridanFargo Sioux FallsIron Mountain Spokane – Walla WallaNebraska – Western Iowa Texas Valley Coastal BendNorthern Arizona
NEW FACILITIESOrlando
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VA Psychology Training ProgramsVA Psychology Training Programs
107 Internship programs• 501 positions in
47 t t DC & P t Ri• 47 states + DC & Puerto Rico
57 P td t l it57 Postdoctoral sites • 221 positions in
31 t t + DC & P t Ri• 31 states + DC & Puerto Rico
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Mental Health DisciplinesMental Health Disciplines
# MH T i i $MilliDiscipline # MH Staff
Training Positions
$Millions for Training
Nursing 2500 591 $5
Psychiatry 2600 966 $62Psychiatry 2600 966 $62
Psychology 3000 722 $30y gy $
Social Work 4500 798 $6
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M t l H lth P f i T iMental Health Professions Trainees1100
900
1000
Psychiatry
700
800
900PsychologySocial Work
600
700
400
500
2006 2007 2008 2009 2010 2011 2012 20132006 2007 2008 2009 2010 2011 2012 2013
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Trainee Allocations AY 2012 2013Trainee Allocations AY 2012-2013
• Interns – 501
• Postdoctoral Fellows – 221*
• Total: 722 positions
*Excludes MIRECCs, CoEs, & HSR&D
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Excludes MIRECCs, CoEs, & HSR&D
I t hi T i i i 2005Internship Training since 2005550
500
550
450
350
400
3002005 2006 2007 2008 2009 2010 2011 2012 2013
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Postdoctoral Training since 2005
250
200
250
150
50
100
02005 2006 2007 2008 2009 2010 2011 2012 2013
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Future Directions
Growth will be in areas emphasizing Interprofessional Care & Educationp
• Centers of Excellence in Primary Care Education– West Haven has added 2 interns and 4 postdoctoral
fellows– San Francisco has added 2 postdoctoral fellows
OAA Offi f R l H lth C ll b ti• OAA-Office of Rural Health Collaboration– Soon to be released RFP
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LPS* Time is NOW!LPS Time is NOW!
• Ask your trainees to take the LPSAsk your trainees to take the LPS“The survey asks you to rate various aspects
of your clinical training experience. y gInformation from the survey provides feedback in identifying areas of excellence as well as areas needing improvement.”well as areas needing improvement.
• 15 minutes• Internet based:Internet based:
http://www.va.gov/oaa/surveys/*L ’ P ti S*Learners’ Perceptions Survey
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Intern Satisfaction with VA Training b VISN LPS 2009 2011by VISN – LPS 2009-2011
100
708090
Nat’l Average
40506070
Avg Score# Respondents
10203040 # Respondents
010
1 3 5 6 8 9 10 11 12 15 16 17 18 19 20 21 22 23On a scale of 0 to 100, where 100 is a perfect score and 70 is a passing score, what
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, p p g ,NUMERICAL SCORE would you give your MOST RECENT VA clinical training experience?
Affiliation AgreementsAffiliation Agreements
• For VA Internship Programs, Affiliation Agreements with the interns’ graduate programs are required.With t th d t i h NO T t• Without them, you and your trainees have NO Tort Claims Protection
• Affiliation Agreements do not expire• Affiliation Agreements do not expire• For Postdoctoral Fellowships, they are not
required The Fellow having already received therequired. The Fellow, having already received the degree, is no longer associated with the graduate program.
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National Affiliation AgreementsNational Affiliation Agreements
• For VA Internship Programs only, we are moving to National Affiliation Agreements
Si lifi d F– Simplified Format– Each school will need to complete only one– Training Directors will no longer need to
develop them for each school each year
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National Affiliation AgreementsNational Affiliation Agreements
• Maintained by OAA• List of Schools with Affiliation Agreements on
OAA websitehttp://vaww.oaa.med.va.gov/DBAHealth/ahPsyAffiliationList1.aspx
T i i Di t d l l Ed ti Offi• Training Directors and local Education Offices are developing early rounds237 f 325 l t d• 237 of 325 completed
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ChallengesChallenges
• Trainees and FTEE CapsTrainees and FTEE Caps
• Mandatory Training for Trainees/OAA/ d twww.va.gov/OAA/mandatory.asp
• Accreditation FeesForm 2237 – Work with Fiscal Office in Advance
• No major expansion foreseen• No major expansion foreseen
• Little, if any, increase in stipends
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OpportunitiesOpportunities
• Predict stable budget for next severalPredict stable budget for next several years
• Growth opportunities will be focusedpp– New and enlarging sites– Interprofessional Care & Education
Special RFPs Rural Health• Special RFPs – Rural Health• CoEs in Primary Care Education
– Boise– Cleveland– San Francisco– Seattle– West Haven
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More OpportunitiesMore Opportunities
• CoEs in Specialty Care Education• Cleveland – Cancer Center• Salt Lake City – Musculoskeletal Care• Atlanta – Women’s Health
(Emory/Morehouse)(Emory/Morehouse)
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Wh t’ N t?What’s Next?
I i i t f VA P h l• Increasing importance of VA Psychology Training Council
• Impact of Model Licensing Act? – 11 states
• Revision of Associated Health Supervision pHandbook (VHA Handbook 1400.04) due in 2013.
- TeleservicesTeleservices- Telesupervision- Off site services
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QuestionsQuestions
Robert A. Zeiss, PhDRobert A. Zeiss, PhDDirector, Associated Health EducationOffice of Academic Affiliations
(202) [email protected]
Intranet: vaww.va.gov/oaaI t t /Internet: www.va.gov/oaa
There are no known conflicts of interest associated
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There are no known conflicts of interest associated with this presentation.
There are no known conflicts of interestThere are no known conflicts of interest associated with this presentation.
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