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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 - 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: For Column 4 (Block 3), enter the total number of individuals in the profession and discipline identified under Block 1l who participated in a fellowship during the current reporting period. Count all individuals who participated in a fellowship—regardless of whether they received a BHW-funded financial award or not (this is a total enrollment count of fellows in the program except those who permanently left the fellowship program).Enter Total # Enrolled (whether funded by BHW or not): URM: For Column 5 (Block 3b), enter the number of individuals who participated in a fellowship during the current reporting period who were not underrepresented minorities.Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: For Column 6 (Block 3b), enter the number of individuals from disadvantaged backgrounds who participated in a fellowship during the current reporting period who were underrepresented minorities. Note Fellows who permanently left their fellowship before completion (i.e. attrition) will be counted separately in Column 9 (Block 9). Note Columns 5 and 6 are subsets of Column 4. Reference Refer to the glossary for definitions of "disadvantaged background." Example: Example: The School of Dentistry had a total of 12 Pediatric Dentistry fellows in the fellowship program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 Pediatric Dentistry fellows. During this period, 1 fellow left the program before completing all fellowship requirements. In Column 4 (Block 3) of this form, the reporting official at the School of Dentistry would enter 11. |
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: In Column 7 (Block 8), enter the total number of fellows who completed all fellowship requirements during the current reporting period. Count all fellows who completed the fellowship program, regardless of whether the fellow directly received a BHW-funded financial award.Enter Total # Graduated/Completed (whether funded by BHW or not): URM: In Column 8 (Block 8a), enter the number of fellows who completed all fellowship requirements during the current reporting period who were underrepresented minorities. Note Column 7 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 (Block 9). Reference Refer to the glossary for definitions of disadvantaged background. Example: Example: The School of Dentistry had a total of 11 Pediatric Dentistry fellows maintain enrollment in the fellowship program during the annual reporting period. Among the 11 fellows who were enrolled in the program, a total of 3 fellows completed all fellowship requirements during the reporting period. In Column 7 (Block 8), the reporting official at the School of Dentistry would enter 3. |
PC-6 - Entering Attrition Information Figure 4. PC-6 - Entering Attrition Information
Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: For Column 9 (Block 9), enter the total number of individuals who permanently left their fellowship before completion during the current reporting period. This number does not include residents or fellows on a leave of absence who will be returning to the program.Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: For Column 10 (Block 9a), enter the number of individuals who permanently left their fellowship before completion during the current reporting period and are underrepresented minorities. This number does not include residents or fellows on a leave of absence who will be returning to the program. Note Column 10 is a subset of Column 9. The total entered in Column 9 is exclusive of the total number of enrollees previously entered. Example: The School of Medicine had a total of 12 Geriatrics fellows in the fellowship program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 fellows. During this period, 1 fellow left the program before completing all fellowship 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 Geriatrics fellows in the fellowship program during the current reporting period. The school used BHW funds to provide stipends to 5 out of the 12 fellows. During this period, 1 fellow left the program before completing all fellowship 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-6 subform for the School of Medicine would appear identical to the image below. Figure 5. PC-6 - 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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