IHS Scholarship Program Recipient Orientation Post-Graduate Clinical Training and

1. IHS Scholarship Program Recipient Orientation Post-Graduate Clinical Training and Fulfilling Your Service Commitment http://www.ihs.gov/scholarship

2. IHS Scholarship Program Agenda • Graduation Requirements • Post-Graduate Clinical Training • Fulfilling Your Service Commitment • Breach of Contract and Default • Additional Information http://www.ihs.gov/scholarship

3. Graduation Requirements http://www.ihs.gov/scholarship

4. Graduation Requirements Forms and Documentation • Notice of Impending Graduation (IHS-856-13) form — Due to your IHS Scholarship Program analyst at the beginning of your final academic term. • Other Documentation — You must submit the following documentation after graduation: • A copy of your diploma. • An official transcript documenting the degree awarded. • A copy of your license or board certification, if applicable. www.ihs.gov/scholarship

5. Graduation Requirements Forms and Documentation • Placement Update (IHS-856-15) • Submit 30, 60 and 90 days after graduation or completion of post-graduate clinical training. • Attach documentation of attempts to secure employment (for example, letter of application, interview dates, denial letters, etc.). http://www.ihs.gov/scholarship

6. Post-Graduate Clinical Training http://www.ihs.gov/scholarship

7. Post-Graduate Clinical Training Purpose • To allow Health Professions scholarship recipients in identified health professions the opportunity to complete required or optional post-graduate clinical training programs to fulfill the requirements for board certification or licensure. All training positions must begin within 90 days of graduation. http://www.ihs.gov/scholarship

8. Post-Graduate Clinical Training Required Forms Prior to Training • Request for Approval of Deferment (IHS-856-11) • Submit to your IHS Scholarship Program Analyst at the beginning of your final year of academic training. • List post-graduate clinical training program(s) to which you will be applying. • Receive approval for the program(s) from your IHS Scholarship Program Analyst. http://www.ihs.gov/scholarship

9. Post-Graduate Clinical Training Required Forms Prior to Training • Notification of Deferment Program (IHS-856-14) • Submit by the end of the last month of your final year of academic training. • Notify your analyst of the post-graduate clinical training program in which you have been accepted and intend to begin your training. • The Request for Approval of Deferment form, submitted at the beginning of the academic year, must list that clinical training program. http://www.ihs.gov/scholarship

10. Post-Graduate Clinical Training Health Professions with Required Training • Medicine • Clinical Psychology • Social Work • Dietetics http://www.ihs.gov/scholarship

11. Post-Graduate Clinical Training Medicine—Eligible Residencies • Three-Year Deferment: • Emergency Medicine • Family Practice • General Internal Medicine • General Pediatrics http://www.ihs.gov/scholarship

12. Post-Graduate Clinical Training Medicine—Eligible Residencies • Four-Year Deferment: • Family Practice/Psychiatry • General Psychiatry • Internal Medicine/Family Practice • Internal Medicine/Pediatrics • Internal Medicine/Psychiatry • Obstetrics/Gynecology http://www.ihs.gov/scholarship

13. Post-Graduate Clinical Training Medicine— Eligible Residencies • Five-Year Deferment: • Anesthesiology • General Surgery http://www.ihs.gov/scholarship

14. Post-Graduate Clinical Training Clinical Psychology • The maximum deferment period is two years. • State licensing boards require that graduate psychologists practice under the supervision of a licensed clinical psychologist for a specified number of hours (usually 2,000) before they are eligible to take the state exam. • You must complete a PhD or PsyD program and become an independent, licensed clinical psychologist before any service will count toward your service commitment. http://www.ihs.gov/scholarship

15. Post-Graduate Clinical Training Social Work • The maximum deferment period is three years. • State licensing boards require graduate social workers to practice under the supervision of a licensed clinical social worker/psychologist for a specified number of hours (usually 2,000 – 3,000) before they are eligible to take the state exam. • You must complete a master’s degree program and become an independent, licensed clinical social worker before any service will count toward your service commitment. http://www.ihs.gov/scholarship

16. Post-Graduate Clinical Training Dietetics • The maximum deferment period is one year. • The American Dietetic Association (ADA) requires dietitians to complete a 900-hour ADA-approved internship under the supervision of an RD before they are able to take the ADA registration exam. • You must complete a bachelor’s degree program and become a registered dietitian before any service will count toward your service commitment. http://www.ihs.gov/scholarship

17. Post-Graduate Clinical Training Health Professions with Optional Training • Dentistry • Nursing • Optometry • Pharmacy http://www.ihs.gov/scholarship

18. Post-Graduate Clinical Training Dentistry • The maximum deferment period is one year. • You must complete a one-year Advanced Education Program in General Dentistry (AEGD) or General Practice Residency (GPR). • Only programs that are fully operational with the ADA CODA accreditation status are permitted. http://www.ihs.gov/scholarship

19. Post-Graduate Clinical Training Nursing • The maximum deferment period is one year. • The training program must emphasize clinical out-patient (OPD), in-patient (IPD) and/or emergency (ERD) nursing skills (example: Montana American Indian Nurse Internship program [MAINI]). http://www.ihs.gov/scholarship

20. Post-Graduate Clinical Training Optometry • The maximum deferment period is one year. • You must enroll in Ocular Disease/Pathology and Primary Care Optometry residency programs only. • Consult the IHS Discipline Chief for Optometry prior to applying to a residency program. http://www.ihs.gov/scholarship

21. Deferment of Your Service Obligation Pharmacy • The maximum deferment period is one year. • You must complete a one-year American Society of Health-System Pharmacists (ASHP) or American Pharmacists Association (APhA) accredited Post-Graduate Year One (PGY 1) Pharmacy Residency Program (Hospital, Community or Managed Care only). http://www.ihs.gov/scholarship

22. Post-Graduate Clinical Training Required Forms and Documentation During Training • Annual Status Report (IHS-856-16) • Submit annually until the approved deferment period is complete. • Letter of Good Standing • Submit annually until the approved deferment period is complete. • Signed by the Program Director or Coordinator. http://www.ihs.gov/scholarship

23. Fulfilling Your Service Commitment http://www.ihs.gov/scholarship

24. Fulfilling Your Service Commitment Program Policies • All recipients scheduled to graduate or complete post-graduate clinical training must: • Provide one year of service for each year of scholarship support received, with a two-year minimum service period. • Apply for available job vacancies in their chosen health profession. • Find a position at a facility within 90 days of graduation or completion of training. http://www.ihs.gov/scholarship

25. Fulfilling Your Service Commitment Program Policies • Engage in full-time clinical practice. • 40 hours/week — with a minimum of 32 hours providing direct inpatient or outpatient care. • Spend no more than five weeks, or 35 days, per service year away from the practice. http://www.ihs.gov/scholarship

26. Fulfilling Your Service Commitment Eligible Service Sites • Private practice: • Option for physicians, dentists and clinical psychologists only. • Must be in a designated Health Profession Shortage Area (HPSA) in which at least 75 percent of the patient base from that geographic area are documented members or descendants of federally or state-recognized Tribes. • Only available when there are no identified vacancies in an Indian, Tribal or Urban Indian (I/T/U) health program. • Final approval of this option is at the discretion of the IHS Director. http://www.ihs.gov/scholarship

27. Fulfilling Your Service Commitment Job Search • Step One — Familiarize Yourself with IHS and an Indian Health Career • Step Two — Contact an IHS Recruiter or Indian Health Facility • Step Three — Research Career Paths • Step Four — Determine Eligibility of Facility and Position • Step Five — Apply for Openings • Step Six — Submit Verification of Employment http://www.ihs.gov/scholarship

28. Fulfilling Your Service Commitment Job Search • Step One — Familiarize Yourself with IHS and an Indian Health Career • IHS website • Career Opportunities • 12 IHS Areas http://www.ihs.gov/scholarship

29. Fulfilling Your Service Commitment Job Search • Step Two — Contact an IHS Recruiter or Indian Health Facility: • http://www.ihs.gov/careeropps • http://www.ihs.gov/findhealthcare http://www.ihs.gov/scholarship

30. Fulfilling Your Service Commitment Job Search • Step Three — Research Career Paths • Federal civil service • Direct Tribal hire • USPHS Commissioned Corps http://www.ihs.gov/scholarship

31. Fulfilling Your Service Commitment Job Search • Step Four — Determine Eligibility of Facility and Position • Indian Health Service program • Tribal health program • Urban Indian health program • Private practice http://www.ihs.gov/scholarship

32. Fulfilling Your Service Commitment Job Search • Step Five — Apply for Openings • Federal Employment — You must submit your application for employment with the federal government via USAJOBS. • Tribal/Urban Indian — You must contact the local Human Resources department directly. • Provide copies of all vacancy announcements and position descriptions for which you have applied to your IHS Scholarship Program analyst for service approval before accepting any job offer. http://www.ihs.gov/scholarship

33. Fulfilling Your Service Commitment Job Search • Step Six — Submit Verification of Employment • Federal civil service — Notification of Personnel Action (SF-50) form. The program will also accept a hire letter from the facility indicating your start date, position title and position description. • Tribal/Urban Indian program — A hire letter from the facility indicating your start date, position title and position description. • USPHS Commissioned Corps — Call-To-Active-Duty (CAD) notice. • Private practice — A contract, work agreement or hire letter from the facility indicating your start date, position title, position description and terms of employment and benefits. http://www.ihs.gov/scholarship

34. Fulfilling Your Service Commitment Job Search • You will be subject to involuntary placement if you do not secure employment after 90 days of graduation or completion of post-graduate clinical training. http://www.ihs.gov/scholarship

35. Fulfilling Your Service Commitment Required Forms and Documentation During Your Service Commitment • The following documentation is due annually until your service commitment is completed: • Annual Status Report (IHS-856-16) • Leave Report Summary • Your local Human Resources department will provide this report. Note: Private practice clinicians must also provide quarterly reports documenting the practice’s user population of American Indians and Alaska Natives versus non-Indians and Alaska Natives. http://www.ihs.gov/scholarship

36. Fulfilling Your Service Commitment Other Notifications • You are also required to notify the IHS Scholarship Program if there are any interruptions in your service commitment due to: • Maternity leave. • Extended sick leave. • Disability or family-friendly leave. • Outside training exceeding 10 days per a 12-month period. • Breaks in service related to a change of work site. • Any other extended time away from work. http://www.ihs.gov/scholarship

37. Fulfilling Your Service Commitment Transfer Requests • Service commitment is site and position specific. • Site or position transfer must be approved by the program. • Position description and vacancy announcement for new facility or position is required. http://www.ihs.gov/scholarship

38. Fulfilling Your Service Commitment Transfer Requests • Three letters are also required: • A letter from you stating why you are requesting a transfer. • A letter from your facility administration (HR, CEO, etc.) stating the impact of your transfer on the facility’s day-to-day operations. • A letter from the prospective site documenting the position vacancy, your hire date, a position description and the impact of your transfer on the facility’s day-to-day operations. http://www.ihs.gov/scholarship

39. Breach of Contract and Default http://www.ihs.gov/scholarship

40. Breach of Contract and Default • You will be in breach of your IHS Scholarship Contract and placed in default if you: • Pursue an unapproved post-graduate clinical training program. • Fail to serve within the health profession for which you received financial aid. http://www.ihs.gov/scholarship

41. Breach of Contract and Default Liability • Recipients who complete their degree and pursue an unapproved post-graduate clinical training program or fail to serve in their chosen health profession will be liable to: • Repay three times the amount of scholarship funding plus interest. • Repay the scholarship funds plus interest within one year of the default date. http://www.ihs.gov/scholarship

42. Additional Information http://www.ihs.gov/scholarship

43. Additional Information • For assistance contact:  • IHS Scholarship Program Analyst — (301) 443-6197 • Area Scholarship Coordinator — http://www.ihs.gov/scholarship • IHS Discipline Chiefs — http://www.ihs.gov/scholarship • IHS Recruitment Office — (301) 443-2443 • For additional information: • Visit http://www.ihs.gov/scholarship or consult the Recipient Handbook. http://www.ihs.gov/scholarship