Health Resources and Services Administration
Academic Year: 2023-2024

Bureau of Health Workforce
OMB Number: 0906-0086

Annual Performance Report
OMB Expiration Date: 03/31/2027

PC-8: Program Characteristics – Residency Programs

PC-8 - 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)
(3a)	(3b)	(3c)

Figure 1. PC-8 - 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 3a 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 3a by clicking on the drop-down menu in column 3b 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 3c 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-8 - 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
(5) Block 3	(6) Block 3a	(7) Block 3b

Figure 2. PC-8 - Entering Enrollment Information

Enter Total # Enrolled (whether funded by BHW or not): Total: For Column 5 (Block 3), enter the total number of individuals in the profession/discipline identified under Block 1l who participated in a residency during the current reporting period. Count all individuals who participated in a residency—regardless of whether they received a BHW-funded financial award or not (this is a total enrollment count of residents in the program except those who permanently left the residency program).
Enter Total # Enrolled (whether funded by BHW or not): URM: For Column 6 (Block 3a), enter the number of individuals who participated in a residency during the current reporting period and are underrepresented minorities.
Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: For Column 7 (Block 3b), enter the number of individuals from disadvantaged backgrounds who participated in a residency during the current reporting period and are not underrepresented minorities.

Note
Residents who permanently left their residency program before completion (i.e. attrition) will be counted separately in Column 10.

Note
Columns 6 and 7 are subsets of Column 5.

Reference
Refer to the glossary (Appendix A) for a definition of underrepresented minority.

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

Example: The School of Medicine had a total of 12 Internal Medicine residents in the residency program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 Internal Medicine residents. During this period, 1 Internal Medicine resident left the program before completing all residency requirements.

In Block 3 of this form, the reporting official at the School of Medicine would enter 11.

Example: The School of Medicine had a total of 11 Internal Medicine residents maintain enrollment in the residency program during the current reporting period. Among the 11 Internal Medicine residents who were enrolled in the program, 2 are underrepresented minorities.

In Block 3a, the reporting official at the School of Medicine would enter 2.

Example: The School of Medicine had a total of 11 Internal Medicine residents maintain enrollment in the residency program during the current reporting period. Among the 11 Internal Medicine residents who were enrolled in the program, 5 are from disadvantaged backgrounds. One (1) out of the 5 Internal Medicine residents from a disadvantaged background is also an underrepresented minority.

In Block 3b, the reporting official at the School of Medicine would enter 4.

PC-8 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not)	Enter Total # Graduated/Completed (whether funded by BHW or not)
Total	URM
(8) Block 8	(9) Block 8a

Figure 3. PC-8 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not): Total: For Column 8 (Block 8), enter the total number of individuals who completed all residency requirements during the current reporting period. Count all residents who completed residency programs, regardless of whether the resident directly received a BHW-funded financial award.
Enter Total # Graduated/Completed (whether funded by BHW or not): URM: For Column 9 (Block 8a), enter the number individuals who completed all residency requirements during the current reporting period and are underrepresented minorities.

Note
Column 9 is a subset of Column 8.

Note
Residents who permanently left their residency program before completion (i.e., attrition) will be counted separately in Column 10 (Block 9).

Reference
Refer to the glossary (Appendix A) for a definition of disadvantaged background and underrepresented minority.

Example: The School of Medicine had a total of 11 Internal Medicine residents maintain enrollment in the residency program during the current reporting period. Among the 11 Internal Medicine residents who were enrolled in the program, a total of 3 residents completed all residency requirements during the reporting period.

In Block 8, the reporting official at the School of Medicine would enter 3.

Example: The School of Medicine had a total of 11 Internal Medicine residents maintain enrollment in the residency program during the current reporting period. Among the 11 Internal Medicine residents who were enrolled in the program, a total of 3 residents completed all residency requirements during the reporting period; none who completed the residency program are underrepresented minorities.

In Block 8a, the reporting official at the School of Medicine would enter 0.

PC-8 - Entering Attrition Information

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
(10) Block 9	(11) Block 9a

Figure 4. PC-8 - Entering Attrition Information

Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: For Column 10 (Block 9), enter the total number of individuals who permanently left their residency before completion during the current reporting period.
Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: For Column 11 (Block 9a), enter the number of individuals who permanently left their residency before completion during the current reporting period and are underrepresented minorities.

Note
Column 11 is a subset of Column 10.

Example: The School of Medicine had a total of 12 Internal Medicine residents in the residency program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 Internal Medicine residents. During this period, 1 Internal Medicine resident left the program before completing all residency requirements.
In Block 9 of this form, the reporting official at the School of Medicine would enter 1.

Example: The School of Medicine had a total of 12 Internal Medicine residents in the residency program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 Internal Medicine residents. During this period, 1 Internal Medicine resident left the program before completing all residency requirements; none who left were underrepresented minorities.
In Block 9a of this form, the reporting official at the School of Medicine would enter 0.

The completed PC-8 subform for the School of Medicine would appear identical to the image below

Figure 5. PC-8 - Entering Attrition Information

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 PC-9 subform.

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Program Manual

ANE - Nurse Practitioner Residency Program

PC-8: Program Characteristics – Residency Programs

PC-8 - Selecting Partnerships Developed Using BHW Funds

PC-8 - Selecting Partnerships Developed Using BHW Funds

PC-8 - Entering Enrollment Information

PC-8 - Entering Enrollment Information

PC-8 - Entering Graduate Information

PC-8 - Entering Graduate Information

PC-8 - Entering Attrition Information

PC-8 - Entering Attrition Information

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