Program Name: 
Review Prior Records (Ongoing and Complete):

• Column 1 (Block 1) will prepopulate with data from prior structured training programs used in previous reporting periods.
• Review the programs available. If no additional structured faculty/fellow development programs were supported through the grant during the current annual reporting period other than prior records, proceed to FD-1a, Step 1.

Add New Records (Ongoing and Complete):

1. Enter the name of each new structured faculty/fellow development program coordinated and/or supported through the grant during the current annual reporting period.
2. Select “Add Record”.
3. Repeat this process as necessary to enter each new structured faculty/fellow development program that was coordinated and/or supported through the grant during the current annual reporting period.

Select Program Status in the Current Reporting Period: For all records (New and Prior):select the status of each structured faculty/fellow development program at the end of the annual reporting period by clicking on the drop-down menu under Block 1a and choosing one of the following options:

Select Whether this was a Degree Bearing Program: Review Prior Records (Ongoing and Complete): Column 2 (Block 2) will prepopulate for prior records with data submitted in previous reporting periods.

Add New Records (Ongoing and Complete): Select whether each faculty development training program that was supported through the grant during the annual reporting period culminates in awarding participants with a professional certificate or academic degree by clicking on the drop-down menu and choosing one of the following options:

For Degree-bearing Programs: Select Type of Degree Offered: Review Prior Records (Ongoing and Complete): Column 3 (Block 2a) will prepopulate for prior records with data submitted in previous reporting periods.

Add New Records: If you selected “Yes” in Column 2 (Block 2), select the type of degree that participants will earn when completing each program by clicking on the drop-down menu in Column 3 (Block 2a) and choosing one of the options below:

If you selected “No” in Column 2 (Block 2), select “N/A” in Column 3 (Block 2a).


For Degree-bearing Programs: Select Primary Focus Area: Review Prior Records (Ongoing and Complete): Column 4 (Block 2b) will prepopulate for prior records with data submitted in previous reporting periods.

Add New Records (Ongoing and Complete):

• If you selected “No” in Column 2 (Block 2), select “N/A” in Column 4 (Block 2b).
• If you selected “Yes” in Column 2 (Block 2), select the primary focus area of the degree-bearing structured faculty development program by clicking on the drop-down menu in Column 4 (Block 2b) and choosing one of the options below:

For Non-Degree Bearing Program, Enter Length of Training Program in Clock Hours: Review Prior Records (Ongoing and Complete),Column 5 (Block 3) will prepopulate for prior records with data submitted in previous reporting periods.

Add New Records:
If you selected “Yes” in Column 2 (Block 2), enter a zero (“0”) in Column 5, (Block 3).

If you selected “No” in Column 2 (Block 2), enter the length of each non-degree bearing structured faculty development program in clock hours in the textbox in Column 5 (Block 3).

Enter the % of Time Spent Developing Competencies for the Following Roles: Clinician: 
Review Prior Records (Ongoing and Complete): Columns 6(Block 5) will prepopulate for prior records with data submitted in previous reporting periods.
Add New Records (Ongoing and Complete: Enter the percentage of time spent in each structured faculty/fellow development program developing competencies associated with Clinician in Column 6(Block 5).Enter the % of Time Spent Developing Competencies for the Following Roles: Administrator: 
Review Prior Records (Ongoing and Complete): Columns 6(Block 5) will prepopulate for prior records with data submitted in previous reporting periods.
Add New Records (Ongoing and Complete): Enter the percentage of time spent in each structured faculty/fellow development program developing competencies associated with administrator Column 7(Block 5).Enter the % of Time Spent Developing Competencies for the Following Roles: Educator: 
Review Prior Records (Ongoing and Complete): Columns 6(Block 5) will prepopulate for prior records with data submitted in previous reporting periods.
Add New Records (Ongoing and Complete): Enter the percentage of time spent in each structured faculty/fellow development program developing competencies associated with Educator Column 8(Block 5).Enter the % of Time Spent Developing Competencies for the Following Roles: Researcher: 
Review Prior Records (Ongoing and Complete): Columns 6(Block 5) will prepopulate for prior records with data submitted in previous reporting periods.
Add New Records (Ongoing and Complete: Enter the percentage of time spent in each structured faculty/fellow development program developing competencies associated with Researcher Column 9(Block 5).

Enter # of Faculty Who Completed the Program: All Records (New and Prior):

• If you marked a program as “Complete” in Column 1a, enter the number of faculty/fellows who completed each structured faculty/fellow development program during the current annual reporting period in the textbox in Column 10 (Block 6).
• If you selected “Ongoing” in Column 1a, enter a zero (“0”) in the textbox in Column 10 (Block 6).

Select whether any Faculty Received any type of BHW-Funded Financial Award during the Training Program: Review Prior Records (Ongoing and Complete): Column 11 (Block 7) will prepopulate for prior records with data submitted in previous reporting periods.

Add New Records (Ongoing and Complete) : Select whether any faculty/fellows who participated in a training program received any type of BHW-funded financial award during the current annual reporting period by clicking on the drop-down menu in Column 11 (Block 7) and choosing from the following options: