Grants for 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; or (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. In FY 2017 and FY 2018, PCTE grantees were provided the opportunity to request supplemental funding for training related to Medication Assisted Treatment (MAT). The PCTE program also funded the following: 1. The Training Primary Care Champions Program, to strengthen primary care and the workforce by establishing fellowship programs to train community-based practicing primary care physician and/or physician assistant champions to lead health care transformation and enhance teaching in community-based settings. Awardees must develop academic-community partnerships to train and support primary care physician and or physician assistant champions to lead health care transformation in community-based settings and enhance teaching in community based settings. Applicants are encouraged to partner with National Health Service Corps-approved sites. 2. The Integrating Behavioral Health and Primary Care program, which funds innovative training programs that integrate behavioral health care into primary care, particularly in rural and underserved settings with a special emphasis on the treatment of opioid use disorder. 3. The Physician Assistant Program, which increases the number of primary care physician assistants, particularly in rural and underserved settings, and improve primary care training in order to strengthen access to and delivery of primary care services nationally. 4. PCTE Academic Units for Primary Care Training and Enhancement Program, which provided the opportunity to request supplemental funding to continue to support collaborative activities that are intended to enable joint research, development of a common community of practice that will assist with dissemination and application of the research into education and practice, and develop plans for sustaining the scope of work of all six centers after federal funding.

General information about this opportunity
Last Known Status
Active
Program Number
93.884
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 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.
Authorization
Section 747 (a) (b) of the Public Health Service Act
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
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.
Beneficiary Eligibility
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.
Credentials/Documentation
Applicants should review the individual HRSA Notice of Funding Opportunity issued under this CFDA program for any required proof or certifications which must be submitted with an application package.
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. 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.
Award Procedure
Notification of award is made in writing (electronic) through a Notice of Award.
Deadlines
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
Approximately 120 - 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 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.
How may assistance be used?
Grants may not be used for new construction or patient services. Stipends are not allowed for residents or medical students. Restricted Uses: 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. For the PCTE-Training Primary Care Champions program, fringe benefits are not allowed for fellows receiving stipend support. Health insurance is allowable, but no other fringe benefits. (Refer to pages 111-112 of the HHS Grants Policy Statement (HHS GPS). The HHS GPS is available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf.)
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 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
This 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. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
Anthony Anyanwu, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce, 5600 Fishers Lane, Room 15 N 186B, Rockville, Maryland 20857; e-mail aanyanwu@hrsa.gov; Phone: 301-443-8437 Nancy Douglas Kersellius, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce, 5600 Fishers Lane, Room 15 N 194B, Rockville, Maryland 20857; e-mail: ndouglas@hrsa.gov; Phone: 301-443-0907
Headquarters Office
Irene Sandvold, Special Assistant, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce
5600 Fishers Lane, Room 15N152,
Rockville, MD 20857 US
isandvold@hrsa.gov
Phone: (301) 443-2295
Website Address
http://bhpr.hrsa.gov
Financial Information
Account Identification
75-0350-0-1-550
Obligations
(Cooperative Agreements) FY 18$4,765,335.00; FY 19 est $4,466,667.00; FY 20 est $0.00; FY 17$4,536,029.00; FY 16$4,422,257.00; - Academic Units for Primary Care Training and Enhancement Program 2019- (additional supplement of $300,000 totaling $4,766,667)(Project Grants) FY 18 Estimate Not Available FY 19 est $1,610,000.00; FY 20 est $0.00; FY 17$0.00; FY 16$2,380,079.00; - Physician Assistant Training in Primary Care(Project Grants) FY 18$29,155,360.00; FY 19 est $24,982,846.00; FY 20 est $0.00; FY 17$29,155,360.00; FY 16$25,281,274.00; - Primary Care Training and Enhancement Program FY 18 actual $29,155,360 (includes additional MAT supplement totaling $4,221,859)(Project Grants) FY 18$7,155,419.00; FY 19 est $7,155,419.00; FY 20 est $0.00; FY 17 - PCTE Training Primary Care Champions(Project Grants) FY 18 Estimate Not Available FY 19 est $4,000,000.00; FY 20 est $0.00; - PCTE: IBHPC Program: Integrating Behavioral Health and Primary Care
Range and Average of Financial Assistance
Academic Units for Primary Care Training and Enhancement Program: FY 2018 Range actual: $703,396 to $749,897; Average award : $737,043 FY 2019 Range est $727,702 to $749,802; Average award $744,446 FY 2020 $0 Primary Care Training and Enhancement Program (PCTE): FY 2018 Range Actual: $169,995 to $580,000; Average Award $366,669 for PCTE Program; MAT supplement Range: $1,487 to $80,000; Average MAT supplement: $69,210 FY 2019 est Range $169,826 to $500,000; Average award est. $367,394 FY2020 $0 PCTE-Training Primary Care Champions FY 2018 Range Actual $284,090 to $400,000; Average Award $376,601 FY 2019 Range est $380,025 to $400,000; Average Award $393,579 FY 2020 $0 PCTE: IBHPC Program: Integrating Behavioral Health and Primary Care FY 2018 - N/A FY 2019 Range est $354,451 to $400,000; Average Award est $393,855 FY 2020 $0 Physician Assistant Training in Primary Care FY 2018 - N/A FY 2019 Range est $205,310 to $300,000; Average Award $268,333 FY 2020 $0
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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