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Health Resources and Services Administration
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Academic Year: 2025-2026
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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 - Entering Enrollment InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 1. 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 fellows who participated in as 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 fellows who participated in a fellowship during the current reporting period who were 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 fellows who participated in a fellowship during the current reporting period from disadvantaged backgrounds who were 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 (Block 3a) and 6 (Block 3b) are subsets of Column 4 (Block 3). ReferenceRefer to the glossary - https://bhw.hrsa.gov/glossary for the definition of underrepresented minority (URM) and 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 2. 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 (Block 8) is a subset of Column 4 (Block 3); Column 8 (Block 8a) is a subset of Column 7 (Block 8). Note Fellows who permanently left their fellowship before completion (i.e., attrition) will be counted separately in Column 9 (Block 9). 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 Dropout InformationWarning Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 3. PC-6 - Entering Dropout Information
Enter Total # Who left the Program Before Completion (whether funded by BHW or not): Total: In Column 9 (Block 9), enter the total number of fellows who permanently left their before completion during the current reporting period . Count all fellows who permanently left their fellowships regardless of whether or not the fellow directly received a BHW-funded financial award. Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: In Column 10 (Block 9a), enter the number of fellows who permanently left their fellowships before completion during the current reporting period and who were underrepresented minorities. Note Column 10 (Block 9a) is a subset of Column 9 (Block 9). The total entered in Column 9 (Block 9) is exclusive of the total number of enrollees Column 4 (Block 3). Example: The John Doe School of Medicine had 18 Family Medicine physicians participate in fellowship programs during the current annual reporting period. Among the Family Medicine physicians who participated in fellowship programs, 2 left the program before completion. Neither Family Medicine physician was an underrepresented minority. - In Column 9 (Block 9), the reporting official would enter 2.
- In Column 10 (Block 9a), the reporting official would enter 0.
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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