Preventive Medicine Residency

 

Grants are intended to promote postgraduate medical education in the specialty of preventive medicine. Preventive Medicine is the specialty of medical practice which focuses on the health of individuals and defined populations in order to protect, promote, and maintain health and well-being and prevent disease, disability and premature death. Preventive medicine training includes direct patient care, biostatistics, epidemiology, social and behavioral sciences, health services administration, environmental health sciences, and practicing prevention in clinical medicine. It is one of the 40 medical specialties recognized by the American Board of Medical Specialties. Preventive Medicine encompasses three areas of specialization: (1) Public Health and General Preventive Medicine, (2) Occupational Medicine, and (3) Aerospace Medicine.

General information about this opportunity
Last Known Status
Active
Program Number
93.117
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2016 In Academic Year 2015-2016, the Preventive Medicine Residency program supported 115 residents, most of whom were completing residencies in either Preventive Medicine/Occupational Medicine or Preventive Medicine/Public Health. Grantees partnered with 214 sites (e.g., local and state health departments, community-based organizations) to provide clinical training experiences for residents of which over 41.6% were in medically underserved communities. Of the 37 residents who completed their residency training programs in the past academic year, 91.9% received clinical training in a primary care setting, 70.3% received training in medically underserved communities and 10.8% received training in a rural setting. Sixty-nine percent of those who completed their residency intend to pursue employment or further training in primary care. Follow-up employment status collected from residents who completed training programs in AY 2014-15, of the 17 residents who graduated the prior year, 41.2% entered practice in either medically-underserved communities and/or in primary care settings. Funds supported a variety of infrastructure activities including curriculum development and faculty development. A total of 128 unique courses and training activities were developed, enhanced, and implemented during the academic year, providing training on emerging topics in preventive medicine for 1,426 students and advanced trainees; and supported 67 different faculty development programs and activities reaching 648 faculty members during the academic year.
Fiscal Year 2017 the Preventive Medicine Residency program supported 130 residents, most of whom were completing residencies in either Preventive Medicine/Occupational Medicine or Preventive Medicine and Public Health. Grantees partnered with 232 sites (e.g., local and state health departments, community-based organizations) to provide clinical training experiences for residents of which over 44.4% were in medically underserved communities. These sites provided 671 clinical training experiences for residents. 63 residents completed their residency training programs in the 2016-2017 academic year.88% of PMR funded residents received training in primary care settings, and 82% received training in medically underserved communities. 2.2% of the clinical training settings were located in rural settings.. 32% of those who completed their residency intend to pursue employment or further training in primary care. 35 % of residents indicated the intention to pursue employment in medically underserved communities. Funds supported a variety of infrastructure activities including curriculum development and faculty development. A total of 200 unique courses and training activities were developed, enhanced, and implemented during the academic year, providing training on emerging topics in preventive medicine for 2,450 health professions students, residents, fellows, and practicing professionals.; and supporting 75 different faculty development programs and activities reaching 1080 faculty members during the academic year 2016-2017.
Fiscal Year 2018 Fiscal Year 2018: No Current Data Available
Fiscal Year 2019 In Academic Year 2018 - 2019, the Preventative Medicine Residency program supported approximately 130 residents, most of whom were completing residencies in either Preventive Medicine/Occupational Medicine or Preventive Medicine and Public Health. Grantees partnered with 293 sites (e.g., local and state health departments, community-based organizations) to provide clinical training experiences for residents, of which over 61% were in medically underserved communities. These sites provided 839 clinical training experiences for residents. Over 80% of PMR funded residents received training in primary care settings, and 82% received training in medically underserved communities. 30 percent of residents received training in telehealth, 27 percent received training in integrating behavioral health in primary care, and 45 percent received training in opioid use treatment and/or medication assisted treatment (MAT) for opioid use disorders. 32% those who completed their residency intend to pursue employment or further training in primary care and 30% of residents indicated the intention to pursue employment in medically underserved communities. Funds supported a variety of infrastructure activities including curriculum development and faculty development. Over 190 courses and training activities were developed and/or enhanced during the academic year, providing training on emerging topics in preventive medicine for more than 1,200 health professions students, residents, fellows, and practicing professionals; Awardees supported 56 faculty development programs and activities (e.g., workshops, professional conferences) reaching over 585 faculty members during the academic year.
Fiscal Year 2020 In academic year (AY) 2020-2021, the PMR Program awardees continued to provide assistance and learning experiences in state and local health departments and to address current public health issues. Each program focused on meeting the needs of underserved populations. In addition, all programs required their residents to have both academic and practicum experience focused on the proposed Healthy People 2030 Objectives, clinical preventive services, as well as clinical and population health practice. In AY 2019-2020 (the most recent year with available data), the National Center of Health Workforce Analysis reported that the PMR Program financially supported 85 residents, the majority of whom received clinical or experiential training in a primary care setting (81 percent) and/or a medically underserved community (71 percent). Approximately 79 percent of residents received COVID-19 related training in response to the COVID-19 pandemic. Of the 57 residents who completed their residency training programs during the academic year, 33 percent intended to pursue employment or further training in medically underserved communities. PMR awardees collaborated with 195 sites to provide 239 clinical training experiences for PMR residents (e.g., academic institutions, ambulatory care sites, state and local health departments, health centers and hospitals).
Fiscal Year 2021 In academic year (AY) 2021-2022, the PMR Program awardees continued to provide assistance and learning experiences in state and local health departments and to address current public health issues. Each program focused on meeting the needs of underserved populations. In addition, all programs required their residents to have both academic and practicum experience focused on the proposed Healthy People 2030 Objectives, clinical preventive services, as well as clinical and population health practice. In AY 2020-2021 (the most recent year with available data), the National Center of Health Workforce Analysis reported that the PMR Program financially supported 81 residents, the majority of whom received clinical or experiential training in a primary care setting (80 percent) and/or a medically underserved community (69 percent). Furthermore, 100 percent of residents received COVID-19 related training, and 69 percent received training in health equity/the soial determinants of health. Of the 58 residents who completed their residency training programs during the academic year, 31 percent intended to pursue employment or further training in medically underserved communities. PMR awardees collaborated with 162 sites (e.g., academic institutions, ambulatory care sites, state and local health departments, health centers and hospitals) to provide 492 clinical training experiences for PMR residents. In addition, 34 percent offered telehealth services, 30 percent offered substance use treatment services, and 28 percent offered integrated behavioral health services in a primary care setting.
Fiscal Year 2022 In Academic Year (AY) 2021-2022, the National Center of Health Workforce Analysis reported that the PMR Program provided financial support to 118 residents. Thirty-one percent of PMR residents were underrepresented minorities, and 28 percent came from disadvantaged and/or rural backgrounds. Residents engaged in 72,133 patient encounters during the academic year. A total of 55 residents completed their residency programs. Of the 49 AY 2021-2022 graduates who reported employment data at the end of the academic year, 57 percent were already working in primary care settings, 14 percent were already working in medically underserved communities, and ten percent were already working in Health Professional Shortage Areas (HPSAs). In addition, of the 57 prior year graduates with one-year follow-up data, 35 percent currently work in public health/prevention settings, 30 percent currently work in primary care settings, and 19 percent currently work in medically underserved communities
Authorization
Sections 768 of the Public Health Service Act (42 U.S.C. 295c).
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
Eligible Preventive Medicine Residency program grants are: (1) an accredited school of public health or school of medicine or osteopathic medicine; (2) an accredited public or private nonprofit hospital; (3) a State, local, or tribal health department; or (4) a consortium of 2 or more entities described in (1) through (3). Refer to the relevant Notice of Funding Opportunity for more specific information regarding eligibility. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible. Refer to the relevant Notice of Funding Opportunity for more specific information regarding eligibility. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.
Beneficiary Eligibility
For Preventive Medicine Residency program grants, each trainee receiving stipend support must: (a) be a citizen of the United States, a non-citizen U.S. national, or a foreign national having in his or her possession a visa permitting permanent residence in the United States; (b) be a physician who has graduated from an accredited school of medicine or osteopathic medicine in the United States; or if a graduate from a foreign school, meet the criteria of the Educational Commission for Foreign Medical Graduates, for entry into the program supported by this grant; and (c) plan to complete the grant-supported program and engage in the practice and/or teaching of preventive medicine, especially in positions which meet the needs of medically underserved populations.
Credentials/Documentation
Applicants should review the individual HRSA Notice of Funding Opportunity (NOFO) issued under this assistance listing for any required proof or certifications which must be submitted with an application package. The preventive medicine residency must provide documentation of current accreditation from ACGME or AOA or documentation from ACGME related to submission of an application for accreditation.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. 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.
Award Procedure
Notification is made in writing through a Notice of Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Approximately 120 to 180 days after receipt of applications.
Appeals
Not applicable.
Renewals
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.
How are proposals selected?
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 nonfederal 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.
How may assistance be used?
Awards are intended to assist in meeting the costs of planning and developing new preventive medicine programs; maintaining or improving existing residency training programs in preventive medicine, and providing financial assistance to medical residents enrolled in such programs. The applicants are required to propose a plan for evaluating any improvements in the educational program, such as the effect of the interventions on the knowledge, skills, and practices of the residents. Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. Funds may not be used for the following purposes: new construction or major renovation activities, international training or travel, or specialty board certification exam fees.
What are the requirements after being awarded this opportunity?
Reporting
Not applicable.
Auditing
Not applicable.
Records
Recipients are required to maintain grant accounting records 3 years from the date they submit the Federal Financial Report (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.
Other Assistance Considerations
Formula and Matching Requirements
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.
Length and Time Phasing of Assistance
The PMR funding opportunity provides support for a 5-year project period. A new funding cycle beginning AY 2023 provides support for a 4-year project period. Recipients drawdown funds, as necessary, from the Payment Management System (PMS). PMS is the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Anthony L. Schlaff, Medical Training and Geriatrics Branch
Division of Medicine and Dentistry
Bureau of Health Workforce
Rockville , MD 20857 US
aschlacc@hrsa.gov
Phone: 3012879815
Website Address
http://www.hrsa.gov
Financial Information
Account Identification
75-0353-0-1-552
Obligations
(Project Grants) FY 22$6,640,742.00; FY 23 est $6,996,148.00; FY 24 est $6,574,250.00; FY 21$6,647,012.00; FY 20$6,615,390.00; FY 19$4,469,058.00; FY 18$4,469,058.00; FY 17$4,469,058.00; FY 16$4,623,648.00; - Preventive Medicine Residency Grants (D33).
Range and Average of Financial Assistance
FY 2022 Range: $181,508 to $198,693; Average award: $194,6755 FY 2023 Range: $160,161 to $400,000; Average award: $368,218 FY 2024 est Range: $160,161 to $400,000; est Average award: $365,236
Regulations, Guidelines and Literature
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.
Examples of Funded Projects
Not applicable.

 



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