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Health Resources and Services Administration
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Academic Year: 2022-2023
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Bureau of Health Workforce
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OMB Number: 0915-0061
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Annual Performance Report
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OMB Expiration Date: 01/31/2025
PC-4: Program Characteristics – Internship Programs
PC-4 - Selecting Partnerships Developed Using BHW Funds Figure 1. PC-4 - Selecting Partnerships Developed Using BHW Funds Select the Primary Purpose of the Grant Partnership(s) Developed or Enhanced using BHW Funding: - 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
- 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
- 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-4 - Entering Enrollment InformationWarning
The PC-4 subform is displayed only if you have selected the "BHWET-1" purpose in the Grant Purpose - Setup form (Professional Track) and have at least one Active Internship program. Figure 2. PC-4 - Entering Enrollment Information Enter Total # Enrolled (whether funded by BHW or not): Total: In Column 4 (Block 3), enter the total number of students who participated in each internship program during the current reporting period. Count all students who participated in the internship program, regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Enrolled (whether funded by BHW or not): URM: In Column 5 (Block 3a), enter the number of students who participated in the internship 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 students from disadvantaged backgrounds who participated in the internship program during the current reporting period but were not underrepresented minorities. Note
Blocks 3a and 3b are subsets of Block 3.
Note
Students who permanently left their internship 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. |
PC-4 - Entering Graduate InformationWarning
The PC-4 subform is displayed only if you have selected the "BHWET-1" purpose in the Grant Purpose - Setup form (Professional Track) and have at least one Active Internship program. Figure 3. PC-4 - Entering Graduate Information Enter Total # Graduated/Completed (whether funded by BHW or not): Total: In Column 7 (Block 8), enter the total number of students who completed all internship requirements during the current reporting period. Count all students who completed the internship program, regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Graduated/Completed (whether funded by BHW or not): URM: In Column 8 (Block 8a), enter the number of students who completed all internship 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
Students who permanently left their internship 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. |
PC-4 - Entering Attrition InformationWarning
The PC-4 subform is displayed only if you have selected the "BHWET-1" purpose in the Grant Purpose - Setup form (Professional Track) and have at least one Active Internship program. Figure 4. PC-4 - 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 students who permanently left their internships before completion during the current reporting period. Count all students who permanently left their internship regardless of whether or not the student directly received a BHW-funded financial award (i.e., stipend).Enter Total # Who left the Program Before Completion (whether funded by BHW or not): URM: In Column 10 (Block 9a), enter the number of students who permanently left their internships 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. 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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