U d t Update on Psychology P h l Education in VA Education in VA Robert Zeiss, Ph.D. , Director, Associated Health Education Office of Academic Affiliations (14) Office of Academic Affiliations (14) VA Central Office, Washington, DC VA Psychology Leadership Conference VA Psychology Leadership Conference San Antonio, TX May 13, 2010
Topics for today Topics for today • Impact of VA Training on US Psychology • Impact of VA Training on US Psychology • Trends in VA Psychology Education • Affiliation Agreement Update • Stipends • Stipends • Associated Health Supervision Handbook 2 - - May 13, 2010 May 13, 2010
VA Training Impact on P Psychology h l 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 VA training. (AES - 2009) 3 - - May 13, 2010 May 13, 2010
VHA Workforce Succession Strategic Plan - 2010 Strategic Plan 2010 Developed annually by the p y y Healthcare Talent Management (HTM) Office. Office http://vaww.htm.wmc.va.g p g ov/planning/Succession/ default.aspx 4 - - May 13, 2010 May 13, 2010
VHA Workforce Succession Strategic Plan – 2010 – Needs Analysis Projected Hires Through FY15 Top Ten Occupations Rank 610 Nurse 1 38,435 0602 Medical Officer (Physician) 0602 Medical Officer (Physician) 2 2 17,640 17 640 0660 Pharmacist 3 3,796 0201 Human Resource Mgmt 4 3,029 0644 Medical Technologist 0644 Medical Technologist 5 5 2,857 2,857 0633 Physical Therapist 6 895 0620 Practical Nurse 7 11,379 0647 Diagnostic Radiologic Technologist 8 1,992 0180 Psychology 9 2,669 0605 Nurse Anesthetist 10 667 Total Top Ten Hires Needed Through FY15 p g 83,360 , 5 - - May 13, 2010 May 13, 2010
Psychology Educational E h Enhancement t OAA – OMHS Collaboration • 2008-2009 – 167 new positions in 79 programs – 4 New Internship Programs 4 New Internship Programs – 26 New Postdoctoral Fellowship Programs Programs • 2009-2010 – 11 MIRECC & COE Fellows 11 MIRECC & COE Fellows 6 - - May 13, 2010 May 13, 2010
Psychology Educational E h Enhancement t • 2010-2011 – 11 Additional MIRECC & COE Fellows – 25 New Training Positions • Temporary for 1 st year Temporary for 1 year • New RFP for competitive permanent allocation for 2011-12 allocation for 2011 12 • Will there be more? 7 - - May 13, 2010 May 13, 2010
Mental Health Professions Trainees Mental Health Professions Trainees 1100 1100 1000 900 900 Psychiatry 800 Psychology 700 700 Social Work 600 500 400 2006 2006 2007 2007 2008 2008 2009 2009 2010 2010 2011 2011 8 - - May 13, 2010 May 13, 2010
Mental Health Disciplines Mental Health Disciplines # St ff # Staff T Training i i $Milli $Millions Discipline FTEE Positions for Training Psychiatry 2400 1028 $58 Psychology 2800 683 $26 Social Work 8000 709 $5 9 - - May 13, 2010 May 13, 2010
Trainee Allocations AY 2010 2011 Trainee Allocations AY 2010-2011 • Interns – 437 • Postdoctoral Fellows – 246 • Total: 683 positions (38 more than last yr) 10 10 - - May 13, 2010 May 13, 2010
Internship Training, the Last Decade I t hi T i i th L t D d 450 450 400 350 300 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 11 11 - - May 13, 2010 May 13, 2010
Postdoctoral Training, the Last Decade 300 300 250 200 150 100 50 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 12 12 - - May 13, 2010 May 13, 2010
Wh t’ What’s Next? N t? • Hoping for modest increments in Training p g g Positions • May need to be more focused y - Rural Health - PCMH • APA Model Licensing Act – Unknown impact - Alabama - North Dakota - Arizona - Ohio - Indiana d a a - Utah Uta - Maryland - Washington 13 13 - - May 13, 2010 May 13, 2010
Affiliation Agreements Affiliation Agreements • For VA Internship Programs, Affiliation Agreements with the interns’ graduate programs are required. i d • Affiliation Agreements do not expire g p • For Postdoctoral Fellowships, they are not required. The Fellow, having already received i d Th F ll h i l d i d the degree, is no longer associated with the graduate program graduate program. 14 14 - - May 13, 2010 May 13, 2010
National Affiliation Agreements National Affiliation Agreements • For VA Internship Programs only, we are For VA Internship Programs only, we are moving to development of National Affiliation Agreements g – Simplified Format – Each school will need to complete only one – Training Directors will no longer need to develop them – They will be in place before the Match Th ill b i l b f th M t h – Prerequisite for application to a VA internship 15 15 - - May 13, 2010 May 13, 2010
National Affiliation Agreements National Affiliation Agreements • Maintained by OAA • List of Schools with Affiliation Agreements on OAA website http://vaww.oaa.med.va.gov/DBAHealth/ahPsyAffiliationList1.aspx • Training Directors and local Education Offices T i i Di t d l l Ed ti Offi are developing 1 st and 2nd rounds • About 140 of 325 completed Ab t 140 f 325 l t d 16 16 - - May 13, 2010 May 13, 2010
National Affiliation Agreements National Affiliation Agreements Once in place, • No expiration date, unless school insists p , on one • Will check against APA list of accredited • Will check against APA list of accredited graduate programs 1-2 times a year • Few additional ones needed each year F dditi l d d h 17 17 - - May 13, 2010 May 13, 2010
T Trainee Stipends i Sti d • Hoping for a modest stipend increase effective July 1, 2010 – New locality adjustment scale – Modest increase to base stipend p 18 18 - - May 13, 2010 May 13, 2010
Associated Health Supervision Handbook Associated Health Supervision Handbook • Published September 2 2008 • Published September 2, 2008 • Link is posted on OAA website http://vaww.va.gov/oaa • Monitor Documentation of Supervision Monitor Documentation of Supervision • Revision by 2013 – Teleservices – Telesupervision – Off site services 19 19 - - May 13, 2010 May 13, 2010
Th The Future? F t ? • Anticipate a few more good years at least • Modest increments in training positions • Emphasis on Rural Needs & PCMH – MD realization of the importance of MD realization of the importance of interprofessional teams • Educational Innovations • Educational Innovations • Increasing importance of VA Psychology T Training Council i i C il 20 20 - - May 13, 2010 May 13, 2010
Questions Questions Robert A. Zeiss, PhD Robert A. Zeiss, PhD Director, Associated Health Education Office of Academic Affiliations Office of Academic Affiliations (202) 461-9493 Robert.Zeiss@va.gov Robert Zeiss@va gov Intranet: vaww va gov/oaa Intranet: vaww.va.gov/oaa Internet: www.va.gov/oaa 21 21 - - May 13, 2010 May 13, 2010
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