The overarching purpose of the PCTE program is to strengthen the primary care workforce by supporting enhanced training for future primary care.

In FY 2015 and FY 2016, the PCTE program focused on training for transforming health care systems, particularly enhancing the clinical training experience

credit:

of trainees.

The focus of this grant is to produce primary care providers who will be well prepared to practice in and lead transforming health care systems aimed at improving access, quality of care, and cost effectiveness.

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, PCTE grantees were given the opportunity to request supplemental funding to be used in training related to Medication Assisted Treatment (MAT).

Recipients were required to meet one of the following program requirements: 1) Integration of opioid use disorder diagnosis, prevention and treatment, emphasizing MAT, into the core curriculum of the medical education program; 2) Faculty training in opioid use disorder diagnosis, prevention and treatment, emphasizing MAT (i.e., train the trainer model); or 3) Enhancement of community-based primary care training sites to provide and train in opioid use disorder diagnosis, prevention and treatment, emphasizing MAT.

This may include community preceptor training or technical assistance to initiate or expand MAT services at the primary care training site.for training physician, physician assistant and faculty in Medication-Assisted Treatment in Opioid Use Disorder

In FY 2016, the PCTE program also awarded the Academic Units for PCTE program to improve clinical teaching and research in the fields of family medicine, general internal medicine, and general pediatrics.

The program supports systems-level research, dissemination, and community of practice to advance primary care training.
Prior to FY 2015 grants were awarded for the following purposes: (1) Academic Administrative Units in Primary Care-- to establish, maintain, or improve academic administrative units (which may be departments, divisions, or other entities) to provide clinical instruction in family medicine, general internal medicine, general pediatrics, and/or combined internal medicine-pediatrics; (2) Predoctoral Training in Primary Care-- to plan, develop, and operate or participate in programs that teach medical students primary care skills through experiences in family medicine, general internal medicine, general pediatrics, and/or combined internal medicine-pediatrics; (3) Residency Training in Primary Care-- to plan, develop, and operate or participate in approved residency programs in family medicine, general internal medicine, general pediatrics, and/or combine internal medicine-pediatrics; (4) Physician Faculty Development in Primary Care-- to plan, develop, and operate programs (including provision of financial assistance to trainees) that prepare physicians who teach or plan to teach in family medicine, general internal medicine, general pediatrics, and/or combined internal medicine-pediatrics training programs; (5) Physician Assistant Training in Primary Care to plan, develop, and operate or maintain programs that teach physician assistant students and that train individuals who will teach physician assistant students; (6) Interdisciplinary and Interprofessional Joint Graduate Degree -- to plan, develop, and operate joint degree programs to provide interdisciplinary and interprofessional graduate training in public health and other health professions and that teach environmental health, infectious disease control, disease prevention and health promotion, epidemiological studies and/or injury control.

Selected Recipients for this Program

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: Fiscal Year 2017: No Current Data Available. Fiscal Year 2018: Fiscal Year 2018: No Current Data Available.

Uses and Use Restrictions

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. Funds may not be used for the following purposes: Stipends are not allowed for residents or medical students.

Student support through stipends, tuition, and fees is not eligible for support.

Grants may not be used for new construction or patient services.

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Eligibility Requirements

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. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

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 Procedures

Notification of award is made in writing (electronic) through a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Section 747 (a) (b) of the Public Health Service Act.

Range of Approval/Disapproval 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.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. This program has MOE requirements, see funding agency for further details. 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. See the following for information on how assistance is awarded/released: Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

.A final report is due within 90 days after the project period ends.

If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this Notice of Funding Opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

No expenditure reports are required.

No performance monitoring is required.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

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.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Cooperative Agreements) FY 16 $4,422,257; FY 17 est $4,426,038; and FY 18 est $0 - Academic Units for Primary Care Training and Enhancement Program. (Project Grants) FY 16 $3,482,325; FY 17 est $0; and FY 18 est $0 - Interdisciplinary and Interprofessional Joint Degree Program. (Project Grants) FY 16 $2,380,079; FY 17 est $0; and FY 18 est $0 - Physician Assistant Training in Primary Care. (Project Grants) FY 16 $25,281,274; FY 17 est $29,153,876; and FY 18 est $0 - Primary Care Training and Enhancement Program.

Range and Average of Financial Assistance

Primary Care Training and Enhancement Program: FY 2015 Range: $126,390 to $350,000; Average award: $288,145 FY 2016 Range: $110,000 to $500,000; Average award: $366,395 FY 2017 Range (est): $194,813 to $580,000; Average award (est): $428,733 Academic Units for Primary Care Training and Enhancement Program: FY 2015 Range: $0; Average award: $0 FY 2016 Range: $703,396 to $749,897; Average award: $737,043 FY 2017 Range (est): $703,396 to $749,897; Average award (est): $737,043 Physician Assistant Training in Primary Care: FY 2015 Range: $90,159 to $203,454; Average award: $145,530 FY 2016 Range: $150,695 to $218,694; Average award: $158,672 Interdisciplinary and Interprofessional Joint Degree Program: FY 2015 Range: $155,406 to $317,330; Average award: $277,912 FY 2016 Range: $184,635 to $317,890; Average award: $290,199.

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.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Irene Sandvold, Project Officer, Medical Training and Geriatrics Branch, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane, Room 15N152,, Rockville, Maryland 20857 Email: isandvold@hrsa.gov Phone: (301) 443-2295

Criteria for Selecting Proposals

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.