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 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 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 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 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 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 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 development program developing competencies associated witho 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 development program developing competencies associated with Researcher Column 9(Block 5).

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 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:

Was Supplement Funding Used?: If you received COVID-19 supplemental funding and it was used to support this activity, please select yes. If you did not receive COVID-19 supplemental funding or if the COVID-19 supplemental funding was not used in support of this activity, please select no.