PC-1 | HRSA EHBs

PC-1 - Selecting Partnerships Developed Using BHW Funds

Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding	Select Types of Partner Organizations for the Primary Purpose	Select Secondary Purpose(s) of the Grant Partnership(s)
(5a)	(5b)	(5c)

Figure 1. PC-1 - Selecting Partnerships Developed Using BHW Funds

Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding: Select the primary purpose of the partnership used to develop or enhance the training program by clicking on the drop-down menu in column 5a and selecting the most applicable option.

Clinical/experiential training
Community outreach
Curriculum development
Didactic training
Establishing and maintaining apprenticeships
Field placements in medically underserved and/or rural areas
Interprofessional training
Job placement
Matriculation into health professions schools
Mentoring students/trainees
Providing faculty development
Providing faculty/clinical preceptors
Recruitment of trainees
Recruitment of URM/disadvantaged/rural trainees
Technical assistance
None of the above
No partnerships developed or expanded

Select Types of Partner Organizations for the Primary Purpose: Select the type(s) of organizations associated with the primary partnership purpose indicated in question 5a by clicking on the drop-down menu in column 5b and choosing all options that apply.

Academic Institution
Academic Medical Center
Area Health Education Center
Certified Community Behavioral Health Center (CCBHC)
Community Behavioral Health/Mental Health Center
Community Health Center (CHC)
Critical Access Hospital
Federal Government
FQHC or Look-Alike
Health Department (local/state/tribal)
Hospital (non-academic)
Indian Health Service (IHS)/Tribal/Urban Indian Health Center
Nursing Home
Other Clinical Health Setting
Other Community-Based Organization
Other Long-term Care Facility
Other Specialty Clinic
Private Industry
Private Practice
Residential Living Facility (including independent and assisted living)
Rural Health Clinic
School-based Clinic
State or Local Government
US Armed Forces
Veterans Affairs Healthcare (e.g. VA hospital or clinic)
N/A

Select Secondary Purpose(s) of the Grant Partnership(s): Select any additional purpose(s) of the partnerships used to develop or enhance the training program by clicking on the drop-down menu in column 5c and choosing all options that apply.

Clinical/experiential training
Community outreach
Curriculum development
Didactic training
Establishing and maintaining apprenticeships
Field placements in medically underserved and/or rural areas
Interprofessional training
Job placement
Matriculation into health professions schools
Mentoring students/trainees
Providing faculty development
Providing faculty/clinical preceptors
Recruitment of trainees
Recruitment of URM/disadvantaged/rural trainees
Technical assistance
N/A

PC-1 - Entering Enrollment Information

Warning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)	Enter Total # Enrolled (whether funded by BHW or not)
Total	URM	Disadvantaged Background and not URM
(7) Block 3	(8) Block 3a	(9) Block 3b

Figure 2. PC-1 - Entering Enrollment Information

Enter Total # Enrolled (whether funded by BHW or not): Total: For Block 3, enter the total number of students who were enrolled in each degree program during the annual reporting period. Count all students enrolled—regardless of whether they received a BHW-funded financial award or not. This number is a total enrollment headcount that does NOT include those students who permanently dropped out.
Enter Total # Enrolled (whether funded by BHW or not): URM: For Block 3a, enter the number of students enrolled in each degree program during the annual reporting period who were underrepresented minorities. Block 3a is a subset of Block 3.
Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: For Block 3b, enter the number of students enrolled in each degree program during the annual reporting period who are from disadvantaged backgrounds and are not underrepresented minorities. Block 3b is a subset of Block 3.

Note
Do not count students who permanently left the degree program before completion (i.e., attrition). These students will be captured separately in Block 9.

Reference
Refer to the glossary for a definition of underrepresented minority.

Reference
Refer to the glossary for a definition of disadvantaged background.

Example: The PA School had a total of 202 students enrolled in the MMS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the MMS degree program before completion.

In Block 3 of this form, the PA School would enter 200.

Example: The PA School had a total of 200 students maintain enrollment in the MMS program during the annual reporting period. Among the 200 students enrolled in this degree program, 35 are underrepresented minorities.

In Block 3a, the PA School would enter 35.

Example: The PA School had a total of 200 students maintain enrollment in the MMS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 45 students are from disadvantaged backgrounds. Twenty (20) out of the 45 students from a disadvantaged background are also underrepresented minorities.

In Block 3b, the PA School would enter 25.

PC-1 - Entering Graduate Information

Blocks 8 and 8a in the PC-1 subform apply to all records and capture graduates information in each degree program (regardless of funding source) during the annual reporting period.

Enter Total # Graduated/Completed (whether funded by BHW or not)	Enter Total # Graduated/Completed (whether funded by BHW or not)
Total	URM
(10) Block 8	(11) Block 8a

Figure 3. PC-1 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not): Total: For Block 8, enter the total number of students in each degree program who graduated during the annual reporting period. Block 8 is a subset of Block 3.
Enter Total # Graduated/Completed (whether funded by BHW or not): URM: For Block 8a, enter the number students in each degree program who graduated during the annual reporting period and are underrepresented minorities. Block 8a is a subset of Block 8.

Example: The PA School had a total of 200 students maintain enrollment in the MMS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 50 students completed all degree requirements and graduated during this reporting period.

In Block 8, the PA School would enter 50.

Example: The PA School had a total of 200 students maintain enrollment in the MMS program during the annual reporting period. Among the 200 students enrolled in this degree program, a total of 50 completed all degree requirements and graduated during this period. Ten (10) out of the 50 students who graduated are underrepresented minorities.

In Block 8a, the PA School would enter 10.

PC-1 - Entering Attrition Information

Blocks 9 and 9a in the PC-1 subform apply to all records and capture attrition information in each degree program (regardless of funding source) during the annual reporting period.

Enter Total # Who left the Program Before Completion (whether funded by BHW or not)	Enter Total # Who left the Program Before Completion (whether funded by BHW or not)
Total	URM
(12) Block 9	(13) Block 9a

Figure 4. PC-1 - Entering Attrition Information

Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: For Block 9, enter the total number of students who permanently left each degree program before completion during the annual reporting period.
Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: For Block 9a, enter the number of students who permanently left each degree program before completion during the annual reporting period and are underrepresented minorities. Block 9a is a subset of Block 9.

Example: The PA School had a total of 202 students enrolled in the MMS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the MMS degree program before completion.

In Block 9 of this form, the PA School would enter 2.

Example: The PA School had a total of 202 students enrolled in the MMS program. The school used BHW funds to provide funding to 25 students in the program during the annual reporting period. During this period, 2 students permanently left the MMS degree program before completion and none who left were underrepresented minorities.

In Block 9a of this form, the PA School would enter 0.

Figure 5. Completed PC-1 subform

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are found, the BPMH system will automatically route you to the next required subform.

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Physician Assistant Training in Primary Care

PC-1: Program Characteristics – Degree/Diploma/Certificate Training Programs

PC-1 - Selecting Partnerships Developed Using BHW Funds

PC-1 - Selecting Partnerships Developed Using BHW Funds

PC-1 - Entering Enrollment Information

PC-1 - Entering Enrollment Information

PC-1 - Entering Graduate Information

PC-1 - Entering Graduate Information

PC-1 - Entering Attrition Information

PC-1 - Entering Attrition Information

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