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Health Resources and Services Administration
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Academic Year: 2023-2024
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Bureau of Health Workforce
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OMB Number: 0906-0086
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Annual Performance Report
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OMB Expiration Date: 03/31/2027
PC-6: Program Characteristics – Fellowship Programs
PC-6 - Selecting Partnerships Developed Using BHW Funds Figure 1. PC-6 - 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 2a 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 2a by clicking on the drop-down menu in column 2b 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 2c 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
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PC-6 - Selecting Primary Discipline of Collaborative Training Program |
PC-6 - Entering Enrollment InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 2. PC-6 - Entering Enrollment Information Enter Total # Enrolled (whether funded by BHW or not): Total: Enter the total number of fellows who participated in each fellowship program during the current reporting period in Column 4. Count all fellows who participated in the fellowship program, regardless of whether the individual directly received a BHW-funded financial award. Enter Total # Enrolled (whether funded by BHW or not): URM: Enter the number of fellows who participated in the fellowship program during the current reporting period and were underrepresented minorities in Column 5. Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: Enter the number of fellows from disadvantaged backgrounds who participated in the fellowship program during the current reporting period (but were not underrepresented minorities) in Column 6.
Note Columns 5 and 6 are subsets of Column 4.
Note Fellows who permanently left their fellowship before completion (i.e., attrition) will be counted separately in Column 9. Reference Refer to the glossary for definitions of "disadvantaged background" and "underrepresented minority." |
PC-6 - Entering Graduate InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 3. PC-6 - Entering Graduate Information Enter Total # Graduated/Completed (whether funded by BHW or not): Total: Enter the total number of fellows who completed all fellowship requirements during the current reporting period in Column 7. Count all fellows who completed the fellowship program, regardless of whether the individual directly received a BHW-funded financial award. Enter Total # Graduated/Completed (whether funded by BHW or not): URM: Enter the number of fellows who completed all fellowship requirements during the current reporting period and were underrepresented minorities in Column 8.
Note Column 8a is a subset of Column 4; Column 8 is a subset of Column 7.
Note Fellows who permanently left their fellowship before completion (i.e., attrition) will be counted separately in Column 9. Reference Refer to the glossary for definitions of "disadvantaged background" and "underrepresented minority." |
PC-6 - Entering Attrition InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 4. PC-6 - Entering Attrition Information Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: Enter the total number of fellows who permanently left their fellowship before completion during the current reporting period in Column 9. Count all fellows who permanently left their fellowships regardless of whether the individual directly received a BHW-funded financial award. Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: Enter the number of fellows who permanently left their fellowships before completion during the current reporting period and were underrepresented minorities in Column 10.
Note Column 10 is a subset of Column 9. The total entered in Column 9 is exclusive of the total number of enrollees (Column 4). Reference Refer to the glossary for definitions of "disadvantaged background" and "underrepresented minority." 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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