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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 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 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: In Column 4 (Block 3), enter the total number of fellows who participated in each program during the current reporting period. Count all fellows who participated, regardless of whether or not the fellow directly received a BHW-funded financial award.
Enter Total # Enrolled (whether funded by BHW or not): URM: In Column 5 (Block 3a), enter the number of fellows who participated in the program during the current reporting period and were underrepresented minorities.
Enter Total # Enrolled (whether funded by BHW or not): Disadvantaged Background and not URM: In Column 6 (Block 3b), enter the number of fellows from disadvantaged backgrounds who participated in the program during the current reporting period but were not underrepresented minorities.
Note
Blocks 3a and 3b are subsets of Block 3.
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 and underrepresented minority. The John Doe School of Medicine had 18 Family Medicine physicians participate in a fellowship program during the current annual reporting period. Among the 18 Family Medicine physicians who participated, 9 were underrepresented minorities. In addition, 3 Family Medicine physicians were from disadvantaged backgrounds, but were not underrepresented minorities.
- In Column 4 (Block 3), the reporting official would enter 18.
- In Column 5 (Block 3a), the reporting official would enter 9.
- In Column 6 (Block 3b), the reporting official would enter 3.
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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 program, regardless of whether or not 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 and were underrepresented minorities.
Note
Block 8 is a subset of Block 3; Block 8a is a subset of Block 8.
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 and underrepresented minority. 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, 3 completed all program requirements. Of those who completed, none were underrepresented minorities.
- In Column 7 (Block 8), the reporting official would enter 3.
- In Column 8 (Block 8a), the reporting official would enter 0.
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PC-6 - Entering Attrition InformationWarning
Multiple steps are required to complete this portion of the subform. Please read instructions carefully. Figure 4. PC-6 - Entering Attrition 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 were underrepresented minorities.
Note
Block 9a is a subset of Block 9. The total entered in Block 9 is exclusive of the total number of enrollees (Block 3). Reference
Refer to the glossary for definitions of disadvantaged background and underrepresented minority. 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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