PC-6 | HRSA EHBs

PC-6 - 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)
(2a)	(2b)	(2c)

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

PC-6 - 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
(4) Block 3	(5) Block 3a	(6) Block 3b

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 3a), enter the number of individuals who participated in a fellowship 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 6 (Block 3b), enter the number of individuals from disadvantaged backgrounds who participated in a fellowship during the current reporting period and are not 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 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 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 Geriatrics fellows. During this period, 1 fellow left the program before completing all fellowship 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 Geriatrics fellows maintain enrollment in the fellowship program during the current reporting period. Among the 11 fellows 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 Geriatrics fellows maintain enrollment in the fellowship program during the current reporting period. Among the 11 Geriatrics fellows who were enrolled in the program, 5 are from disadvantaged backgrounds. One (1) out of the 5 fellows from a disadvantaged background is also an underrepresented minority.
In Block 3b, the reporting official at the School of Medicine would enter 4.

PC-6 - 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
(7) Block 8	(8) Block 8a

Figure 3. PC-6 - Entering Graduate Information

Enter Total # Graduated/Completed (whether funded by BHW or not): Total: For Column 7 (Block 8), enter the total number of individuals 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: For Column 8 (Block 8a), enter the number individuals who completed all fellowship requirements during the current reporting period and are underrepresented minorities.

Note
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).

Example: The School of Medicine had a total of 11 Geriatrics fellows maintain enrollment in the fellowship program during the current 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 Block 8, the reporting official at the School of Medicine would enter 3.

Example: The School of Medicine had a total of 11 Geriatrics fellows maintain enrollment in the fellowship program during the current 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; none who completed the fellowship program are underrepresented minorities.
In Block 8a, the reporting official at the School of Medicine would enter 0.

PC-6 - 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
(9) Block 9	(10) Block 9a

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.
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.

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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Program Manual

Teaching Health Center Graduate Medical Education Program

PC-6: Program Characteristics – Fellowship Programs

PC-6 - Selecting Partnerships Developed Using BHW Funds

PC-6 - Selecting Partnerships Developed Using BHW Funds

PC-6 - Entering Enrollment Information

PC-6 - Entering Enrollment Information

PC-6 - Entering Graduate Information

PC-6 - Entering Graduate Information

PC-6 - Entering Attrition Information

PC-6 - Entering Attrition Information

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