Update on Psychology Education in VA

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1 Update on Psychology Education in VA Robert A. Zeiss, PhD Director, Associated Health Education Office of Academic Affiliations NOTE: Dr. Zeiss was unable to deliver this presentation at the 2013 conference but has made his slides available to those who attended the conference. VA Psychology Leadership Conference San Antonio, TX

2 VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 1

3 Topics for Today Impact of VA Training on US Psychology Trends in VA Psychology Education Mental Health Expansion Challenges Opportunities VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 2-

4 Scope of OAA 116,000 Trainees Annually 37,000 Physician Residents 32,000 Nursing Trainees 25,000 Associated Health Trainees 22,000 Medical Students 1000 Dental Students & Residents 300 Advanced Fellows $1.5 Billion budget (Direct & Indirect Costs) 3- VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

5 VA Training Impact on Psychology VA has been training psychologists since 1946 APA s accreditation efforts resulted from VA s 1945 request Nationally, >50% of psychologists have had some VA training (estimated from numbers who had VA training and number who passed EPPP in 2012) ~70% of VA Psychologists have had VA training (AES 2012) 4- VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

6 VA Training Impact on Psychology APPIC Internship Data from 2013 Match 4114 Applicants 3326 Internship Positions Offered (2506 Accredited) 575 VA Internship Positions (17%) 788 students did not match (19%) 5- VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

7 VHA Workforce Succession Strategic Plan Developed annually by the Healthcare Talent Management (HTM) Office. default.aspx 6- VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

8 VHA Workforce Succession Strategic Plan 2013 Needs Analysis Top Ten Occupations Rank Projected Hires Through FY Medical Officer (Physician) 1 16, Nurse 2 38, Human Resource Mgmt 3 2, Physical Therapist 4 1, Medical Technologist 5 2, Pharmacist 6 3, Psychology 7 3, Occupational Therapist Physician Assistant 9 1, Nurse Anesthetist Top Ten Hires Needed Through FY17 69,567 VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 7-

9 VA Psychology Training Programs Internship programs 575 positions in 47 states + DC & Puerto Rico 57 Postdoctoral sites 301 positions* in 31 states + DC & Puerto Rico Total: 876 positions *Excludes MIRECCs, CoEs, & HSR&D 8- VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

10 Internship Training since VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 9

11 Postdoctoral Training since VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 10

12 Psychology Educational Enhancement YEAR Positions Added ?? VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 11

13 Mental Health Disciplines Discipline # MH Staff Training Positions $Millions for Training Nursing * $6 Psychiatry $62 Psychology $34 Social Work $7 *Includes Med-Surg Training positions VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 12 -

14 Mental Health Professions Trainees Rebalancing the Portfolio Positions Psychiatry Psychology Social Work VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 13 -

15 LPS* Time is NOW! Ask your trainees to take the LPS The survey asks you to rate various aspects of your clinical training experience. Information from the survey provides feedback in identifying areas of excellence as well as areas needing improvement. 15 minutes Internet based: *Learners Perceptions Survey 14VETERANS - HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

16 APA Needs Site Visitors APA has a shortage of Site Visitors, particularly in VA OAA and the VAPTC encourage volunteers APA will be sponsoring some regional trainings in the fall New OAA OGC Guidance on Site Visit Participation VHA recognizes the importance of VA staff participation in accreditation site visit activities and encourages eligible staff to do so. A professional VA staff member who participates in a site visit does so on behalf of VA and therefore must be on OFFICIAL TRAVEL DUTY status. When procedures described in the Guidance are followed, the accrediting organization can either pay the VA employee s travel costs directly or those costs can be paid by VA which would then be reimbursed by the accrediting organization. The VA employee may not personally accept reimbursement from the accrediting agency. VA Form 0893 (Gift of Non Federal Travel Support) is not required when there is an agreement between the accrediting organization and VA. See Site Visit Guidance on OAA website at VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 15

17 Challenges Trainees and FTEE Caps Mandatory Training for Trainees Accreditation Fees Form 2237 Work with Fiscal Office in Advance Guidance on OAA Website Little, if any, increase in stipends 16VETERANS - HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

18 Opportunities Growth will be in areas emphasizing Interprofessional Care & Education Centers of Excellence in Primary Care Education Boise Cleveland San Francisco Seattle West Haven 17VETERANS - HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

19 Opportunities Mental Health Expansion 5 Year Commitment 1200 Positions in Mental Health Disciplines Phase I: 200 Positions (62 in psychology) Phase II: Request for Proposals forthcoming soon for VETERANS - HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS

20 What s Next? Increasing importance of VA Psychology Training Council Impact of Model Licensing Act? 11 states Revision of Associated Health Supervision Handbook (VHA Handbook ) due in Teleservices Telesupervision Off site services VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 19 -

21 The Future VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 20

22 Questions Robert A. Zeiss, PhD Director, Associated Health Education Office of Academic Affiliations (202) Intranet: vaww.va.gov/oaa Internet: There are no known conflicts of interest associated with this presentation. VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 21 -

23 VETERANS HEALTH ADMINISTRATION OFFICE OF ACADEMIC AFFILIATIONS 22

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