Primary Care Training and Enhancement

 

The overarching purpose of the PCTE Program is to strengthen the primary care workforce by supporting enhanced training for future primary care. Activities include: (1) plan, develop, and operate a program that provides training experiences in new competencies, such as providing training relevant to providing care through patient-centered medical homes, developing tools and curricula relevant to patient-centered medical homes, and providing continuing education to primary care providers relevant to patient-centered medical homes; (2) plan, develop and operate a program for the training of physicians who plan to teach in family medicine, general internal medicine, or general pediatrics; (3) plan, develop, and operate a program for the training of physicians or physician assistants teaching in community-based settings; (4) provide need-based financial assistance in the form of traineeships and fellowships to students, residents, practicing physicians or other medical personnel, who are participants in any such program, who plan to work in, teach, or conduct research in family medicine, general internal medicine, general pediatrics, or physician assistant education; and (5) plan, develop and operate joint degree programs to provide interdisciplinary and interprofessional graduate training in public health and other health professions to provide training in environmental health, infectious disease, disease prevention and health promotion, epidemiological studies and injury control.

Active 93.884 Health Resources and Services Administration, Department of Health and Human Services B - Project Grants Fiscal Year 2016 Fiscal Year 2016: In Academic Year 2015-2016, the Primary Care Training and Enhancement program supported the training of 1,037 medical residents, 798 medical students and 575 physician assistant students. The PCTE grantees partnered with 437 healthcare delivery sites to provide clinical training experiences for 2,232 students and advanced trainees from a variety of professions and disciplines incorporating interprofessional team-based approaches. Sixty-five percent of the clinical sites were located in medically underserved communities, 60.2% were in primary care settings and 42.3% were in rural areas. Funds were used to deliver 74 unique continuing education courses to 535 faculty members and practicing providers and to develop and implement 154 different courses, reaching 6,756 trainees. Faculty development was provided to 2,647 primary care faculty physicias through 132 structured and unstructured faculty-focused training programs and activities. Fiscal Year 2016: The Academic Unit-Primary Care Training and Enhancement program funded six cooperative agreements. The awardees are completing 12 research proposals dealing with integration of primary care into behavioral health, integration of primary care into oral health, training in rural areas, training for the needs of vulnerable populations, training in the social determinants of health and diversity in health workforce. They have developed and implemented 6 individual websites and are developing communities of practice. Faculty Development in Primary Care: no data available Pre-doctoral Training in Primary Care: no data available Physician Assistant Training in Primary Care: no data available Residency Training in Primary Care: no data available Interdisciplinary and Interprofessional Joint Graduate Degree: no data available
Fiscal Year 2017 : In Academic Year 2016--2017, the Primary Care Training and Enhancement program supported the training of 2,098 primary care medicine residents and fellows, 3,109 medical students and 1,138 physician assistant students. Of the PCTE trainees, 23.4% were from underrepresented minority backgrounds and 34.2% were from disadvantaged backgrounds. During academic year 2016-2017 1,647 trainees graduated from HRSA supported PCTE projects (those funded in 2015 and 2016). The PCTE grantees partnered with 707 healthcare delivery sites to provide clinical training experiences for 7,344 students and advanced trainees from a variety of professions and disciplines incorporating interprofessional team-based approaches. Sixty-three.six percent of the clinical sites were located in medically underserved communities, 61.7% were in primary care settings and 29.7% were in rural areas. Funds were used to deliver 100 unique continuing education courses to 2,295 faculty members and practicing providers and to develop, enhance and implement 1592different curricular activities, reaching 16,138 trainees. Grantees supported 245 faculty-focused training programs and activities, reaching 4,217 primary care faculty physicians. About 25% of training sites offered interprofessional team-based care experiences. PCTE faculty delivered 212 courses, workshops and other trainings focused on primary care topics to 2,242 trainees, who were most commonly internal medicine residents and medical students.
Fiscal Year 2018 The PCTE programs supported various types of primary care training programs for 9,481 health professions students, residents, and fellows including: 2,404 primary care medicine residents and fellows, 4,379 medical students, 1,190 physician assistant students, 161 primary care medicine faculty, and 1,347 students from collaborating interprofessional disciplines (includes pharmacy students, nursing students, dental students, psychology graduate students, and occupational therapy students). Approximately 29 percent of trainees were from disadvantaged backgrounds, and approximately 19 percent of trainees self-identified as underrepresented minorities in the health professions. Of the 619 individuals who received stipend support, approximately 44 percent of trainees received training in substance use treatment. Additionally, nearly half of funded trainees (46 percent) received specific training in medication-assisted treatment (MAT) for opioid use disorder. PCTE awardees collaborated with 903 health care delivery sites to provide clinical training experiences to trainees. The most frequently used types of clinical training sites included: Physician’s offices (16 percent), Hospitals (16 percent), Ambulatory practice sites (12 percent), Community Health Centers (6 percent), Federally Qualified Health Centers or look-alikes (2 percent), and Rural health clinics (3 percent). Among 903 health care delivery sites, 17 percent offered telehealth services, 37 percent offered substance use treatment services, 23 percent offered opioid use treatment services, and 21 percent offered MAT services for opioid use disorder. About 62 percent of training sites offered interprofessional team-based care experiences. PCTE awardees further developed or enhanced and implemented 955 different curricular activities, which reached 29,944 trainees. PCTE awardees delivered 173 unique continuing education courses that focused on emerging issues in the field of primary care to 5,263 faculty members and community providers. Awardees supported 360 faculty-focused training programs and activities, reaching 6,694 primary care faculty physicians.
Fiscal Year 2019 In Academic Year, 2018-2109, the PCTE programs supported various types of primary care training programs for 13,094 health professions students, residents, and fellows including: 2,566 primary care medicine residents and fellows, 6,482 medical students, 1,922 physician assistant students, 107 primary care medicine faculty, and 2,017 students from collaborating interprofessional disciplines (includes pharmacy students, nursing students, dental students, psychology graduate students, and occupational therapy students). Approximately 29 percent of trainees were from disadvantaged backgrounds, and approximately 17 percent of trainees self-identified as underrepresented minorities in the health professions. Of the 469 individuals who received stipend support, approximately 60 percent of trainees received training in substance use treatment. Additionally, nearly half of funded trainees (51 percent) received specific training in medication-assisted treatment (MAT) for opioid use disorder. PCTE awardees collaborated with 997 health care delivery sites to provide clinical training experiences to trainees. The most frequently used types of clinical training sites included: Physician’s offices (12 percent), Hospitals (17 percent), Ambulatory practice sites (17 percent), Community Health Centers (6 percent), Federally Qualified Health Centers or look-alikes (12 percent), and Rural health clinics (4 percent). Among 997 health care delivery sites, 16 percent offered telehealth services, 35 percent offered substance use treatment services, 23 percent offered opioid use treatment services, and 22 percent offered MAT services for opioid use disorder. About 59 percent of training sites offered interprofessional team-based care experiences. PCTE awardees further developed or enhanced and implemented 1,220 different curricular activities, which reached 35,086 trainees. PCTE awardees delivered 197 unique continuing education courses that focused on emerging issues in the field of primary care to 7,177 faculty members and community providers. Awardees supported 404 faculty-focused training programs and activities, reaching 7,427 primary care faculty physicians. Academic Year 2019-2020: No current data available.
Fiscal Year 2020 In Academic Year, 2019-2020, the PCTE programs supported various types of primary care training programs for 14,194 health professions students, residents, and fellows. Out of this number of trainees, 4,137 were from disadvantaged background, 2,708 from underrepresented minorities, and 1,915 from rural background. Also, in Academic Year 2019-2020 out of the 14,194 trainees supported by the PCTE program 3,796 graduated, including 613 from underrepresented minorities, 1,101 from disadvantaged backgrounds, and 551 from rural backgrounds. In Academic Year 2019-2020, the TPCC program supported 151 Champion fellows, of which 34 fellows self-identified as underrepresented minorities in health professions and 35 fellows from disadvantaged backgrounds. Of the 151 trained fellows, the TPCC programs graduated 52 fellows, approximately 13 identified as underrepresented minorities in health professions and 15 from disadvantaged backgrounds. Of the 151 individuals who received stipend support, approximately 45 percent of trainees received training in substance use treatment and 44 percent of trainees received training in opioid use treatment. Additionally, nearly half of funded trainees (49 percent) received specific training in integrated behavioral health in primary care.
Fiscal Year 2021 In Academic Year, 2020-2021, PCTE awardees trained 1,937 primary care residents and fellows, 5,885 medical students, 1,323 students in physician assistant programs, 1,242 students from collaborating interprofessional disciplines (including pharmacy students, psychology students, dental students, and nursing students), and 64 faculty members, for a total of 10,451 trainees, 2,750 of whom completed their programs by the end of the academic year. PCTE awardees delivered 85 unique continuing education courses to 3,478 faculty members and current practicing providers. Primary Care Training and Enhancement (PCTE) Training Primary Care Champions (TPCC): In Academic Year 2020-2021, PCTE- TPCC provided fellowships to 161 physicians and 32 physician assistants. Among the physicians, 88 specialized in family medicine, 37 specialized in internal medicine, 27 specialized in pediatrics, and 9 specialized in internal medicine/pediatrics. In Academic Year 2020-2021, the PCTE-IBHPC program provided training to 1,849 individuals. Nearly 70% of individuals received training in opioid use treatment, and 23% received training in health equity/the social determinants of health. The PCTE-PA program trained 953 physician assistants (PAs), 52% of whom were underrepresented minorities or from disadvantaged backgrounds. PAs received training in integrated behavioral health in primary care (83%), substance use treatment (81%), health equity/the social determinants of health (80%), opioid use treatment (70%), and COVID-19 (49%). The PCTE-RTPC program trained 428 individuals, including residents in family medicine (85%), pediatrics (11%), and internal medicine/pediatrics (4%). Participants received training on priority topics such as substance use treatment COVID-19, integrated behavioral health in primary care, and health equity/the social determinants of health. The Primary Care Training and Enhancement (PCTE) (cohort 16) program issued awards to 33 applicants for a 5-year project period starting July 1, 2021. The Primary Care Training and Enhancement – Physician Assistant Rural Training Program (PCTE-PAR) issued awards to 11 applicants for a 5-year project period starting July 1, 2022.
Fiscal Year 2022 In Academic Year, 2021-2022, PCTE programs trained 12,178 health professionals, residents, students, and faculty to strengthen the public health workforce. A total of 2,917 graduated or completed their training program. Trainees from other programs within the PCTE portfolio included over 2,500 clinicians integrating behavioral health and primary care. Forty percent of these clinicians were from disadvantaged backgrounds. Four hundred and ninety-six residents were learning to practice comprehensive, primary care medicine in medically underserved and/or rural areas. Three hundred and forty-five community prevention and maternal health residents and fellows reached over 376,000 patients. Twenty-three faculty expanded the capacity to train primary care providers. Primary Care Training and Enhancement (PCTE): Training Primary Care Champions (TPCC): In Academic Year 2021-2022, PCTE- TPCC provided fellowships to 139 physicians and 24 physician assistants. Of the 139 trained fellows, 36 percent self-identified as underrepresented minorities, 18 percent were from disadvantaged backgrounds, and approximately 29 percent from a rural background. Of the 87 graduates, 31 percent self-identified as underrepresented minorities and 22 percent were from disadvantaged backgrounds. TPCC fellows received training in health equity and social determinants of health (76 percent), opioid use treatment (40 percent), substance use treatment (29 percent), integrated behavioral health in primary care (27 percent), and COVID-19 (18 percent). In addition, 40 percent trained in a setting that offered telehealth. Primary Care Training and Enhancement (PCTE): Integrating Behavioral Health and Primary Care (IBHPC) Program: In Academic Year 2021-2022, PCTE-IBHPC developed courses that included behavioral health , cultural competencies and health disparities, leadership and management. Trainees served populations with mental illness, older adults, and individuals with disabilities. Primary Care Training and Enhancement (PCTE) - Physician Assistant (PA) Program: In Academic Year 2021-2022, the PCTE-PA program trained 1,902 physician assistants (PAs), 50 percent of whom were underrepresented minorities and 43% were from disadvantaged backgrounds. There were 518 graduates. Three hundred and fifty-four received the SAMHSA waiver to prescribe medication assisted treatment. One thousand three hundred and fifty one PA students received MAT training for SUD/OUD. Primary Care Training and Enhancement (PCTE) – Residency Training in Primary Care: In Academic Year 2021-2022, the PCTE-RTPC program trained 496 individuals. Twenty percent of PCTE-RTPC residents were from disadvantaged and 24 percent from rural backgrounds. There were 157 residents who completed their residency training. Eighty five of the graduates report employed or practicing in a primary care setting. In addition, the residency programs developed or enhanced 614 courses. Primary Care Training and Enhancement - Community Prevention and Maternal Health: In Academic Year 2021-2022, the PCTE-CPMH program trained 345 individuals. Thirty-two percent of were from disadvantaged, 26 percent were from underrepresented minorities, and sent and 25 percent from rural backgrounds. There were 138 graduates. Primary Care Training and Enhancement – Physician Assistant Rural Training Program (PCTE-PAR): The program will report performance data in future Congressional Justifications. Primary Care Training and Enhancement – Mental and Behavioral Health (PCTE-RTMB): The program will report performance data in future Congressional Justifications. Primary Care Training and Enhancement – Language and Disability Access Program (PCTE-LDA): The program will report performance data in future Congressional Justifications. Section 747 of the Public Health Service Act (42 U.S.C. 293k) as amended by the CARES Act (P.L. 116-136). Eligible entities include accredited public or nonprofit private hospitals, schools of allopathic or osteopathic medicine, academically affiliated physician assistant training programs, or a public or nonprofit private entity that the Secretary has determined is capable of carrying out such grants. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible. Beneficiaries include physician and physician assistant training programs that train medical students, physician assistant students, medical residents, practicing physician and physician assistants, and physician and physician assistant faculty. Applicants should review the individual HRSA Notice of Funding Opportunity issued under this assistance listing for any required proof or certifications which must be submitted with an application package. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award. Notification of award is made in writing (electronic) through a Notice of Award. Contact the headquarters or regional location, as appropriate for application deadlines From 120 to 180 days. Approximately 120 - 180 days after receipt of applications. Not applicable. Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants. Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria. PCTE Residency Training in Primary Care program, stipends are allowable for medical residents while training in rural and/or underserved areas in settings outside of the awardee institution, who are in the following resident specialties: family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs. Not applicable. Not applicable. Recipients are required to maintain grant accounting records 3 years from the date they submit the FFR. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

This program has MOE requirements, see funding agency for further details. Additional Information: The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award. Each funding opportunity provides support for a 5-year project period. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards. Anthony Anyanwu, Supervisory Public Health Analyst, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, HRSA Bureau of Health Workforce, 5600 Fishers Lane, Room 15N-186B, Rockville, Maryland 20857; e-mail aanyanwu@hrsa.gov; Phone: 301-443-8437 Nancy Douglas Kersellius, Supervisory Public Health Analyst, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, HRSA Bureau of Health Workforce, 5600 Fishers Lane, Room 15N-194B, Rockville, Maryland 20857; e-mail: ndouglas@hrsa.gov; Phone: 301-443-0907 Cynthia Harne, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, HRSA Bureau of Health Workforce Health Resources and Services Administration, Department of Health and Human Services
5600 Fishers Lane, Room 15N-18
Rockville, MD 20857 USA
charne@hrsa.gov
Phone: 301-443-7661 http://www.hrsa.gov 75-0350-0-1-550 (Cooperative Agreements) FY 22$0.00; FY 23 est $0.00; FY 24 FY 21$41,516.00; FY 20$749,962.00; FY 19$4,765,335.00; - Academic Units for Primary Care Training and Enhancement Program(Project Grants) FY 22$0.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$0.00; FY 20$0.00; FY 19$29,155,360.00; - Primary Care Training and Enhancement Program (PCTE)(Project Grants) FY 22$7,400,991.00; FY 23 est $0.00; FY 24 est $0.00; FY 21$7,490,515.00; FY 20$525,658.00; FY 19$7,155,419.00; - PCTE-Training Primary Care Champions(Project Grants) FY 22$0.00; FY 23 est $3,583,160.00; FY 24 est $0.00; FY 21$0.00; FY 20$400,000.00; FY 19 Estimate Not Available - PCTE: IBHPC Program: Integrating Behavioral Health and Primary Care(Project Grants) FY 22$5,329,127.00; FY 23 est $5,342,030.00; FY 24 est $3,586,694.00; FY 21$5,366,873.00; FY 20$300,000.00; FY 19 Estimate Not Available - Physician Assistant Training in Primary Care(Project Grants) FY 22$2,811,730.00; FY 23 est $2,794,053.00; FY 24 est $2,820,118.00; FY 21$0.00; FY 20$500,000.00; - Physician Assistant Rural Training(Project Grants) FY 22$16,130,306.00; FY 23 est $16,143,998.00; FY 24 est $16,184,336.00; FY 21$16,189,101.00; - Community Prevention and Maternal Health(Project Grants) FY 22$9,552,169.00; FY 23 est $10,544,591.00; FY 24 est $9,586,778.00; - Residency Training in Primary Care(Project Grants) FY 22$0.00; FY 23 est $11,922,834.00; FY 24 est $11,500,000.00; - Residency Training in Mental and Behavioral Health Program(Project Grants) FY 22$0.00; FY 23 est $8,150,000.00; FY 24 est $8,150,000.00; - Language and Disability Access Program Academic Units for Primary Care Training and Enhancement Program: FY 22 NA FY 23 NA FY24 NA Primary Care Training and Enhancement Program (PCTE) FY 22 NA FY 23 NA FY24 NA PCTE Program; MAT supplement (Cohort 15 and 16 only) FY 22 NA FY 23 NA FY 24 NA PCTE-Training Primary Care Champions (TPCC) FY 22 Range $317,805 - $400,000; Average Award (Avr) $389,842 FY 23 NA FY 24 NA PCTE: IBHPC Program: Integrating Behavioral Health and Primary Care FY 22 $392,000 - $400,000; Avr $397,963 FY 23 $392,000 - $400,000; Avr est. $398,129 FY 24 NA Physician Assistant Training in Primary Care FY 22 $251,536 - $300,000; Avr $296,063 FY 23 $259,297 - $300,000; Avr $296,779 FY 24 est $295,768 - $300,000; Avr $298,891 Residency Training in Primary Care FY 22 $378,186 - $547,619; Avr $454,865 FY 23 $378,186 - $500,000; Avr $502,123 FY 24 est $344,499 - $500,000; Avr $456,513 Community Prevention and Maternal Health FY 22 $274,449 - $600,000; Avr $516,087 FY 23 $306,973 - $600,000; Avr $531,591 FY 24 est $316,963 - $600,000; Avr $539,477.87 Physician Assistant Rural Training FY 22 $ 158,918 - $299,527; Avr $248,216 FY 23 $103,670 - $299,745; Avr $254,005 FY 24 est $101,625 - $300,000; Avr $256,374 Residency Training in Mental and Behavioral Health Program FY 22N/A FY 23 est $ 704,775 - $1,000,000; Avr $967,997 FY 24 est $ 348,746 - $500,000; Avr $479,166 Language and Disability Access Program FY 22 N/A FY23/4 est $400,000 - $600,000; Avr $500,000 All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf. Not applicable.