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Public
Health Workforce Development:
Public
Health, Preventive Medicine, and Dental Public Health
Programs
| |
FY 2007
Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
| BA |
$7,920,000
|
$8,273,000
|
--- |
-$8,273,000 |
Authorizing
Legislation: Sections 766, 767 and 768 of the Public
Health Service (PHS) Act.
| FY
2009 Authorization |
Expired |
| Funding
Allocation |
Competitive
Grant/Formula Grant |
Program
Description and Accomplishments
Public
Health Training Center Program, Section 766 of the
PHS Act
The
Public Health Training Centers (PHTC) program focuses
on the technical, scientific, managerial and leadership
competencies and capabilities of the current and future
public health workforce with emphasis on the existing
public health workforce. Eligible applicants include
accredited schools of public health or other public
or nonprofit private institutions accredited for the
provision of graduate or specialized training in public
health.
A
total of 14 public health training centers cover 45
States and the District of Columbia. Since FY 2000,
the 14 PHTCs constituting the PHTC Network, have partnered
with over 133 academic institutions and over 380 public
health practice organizations, both formal public
health agencies and community-based organizations
providing public health services. To broaden reach
and impact, via their own website, the 14 PHTCs collaborate
to share best practices, training materials, marketing
the full network of 14 centers as a national resource,
and promote the use of the centers’ training
and organizational improvement capacities for pubic
health workforce organizations.
Several
factors impede the program’s success. Not all
accredited schools of public health participate in
network activities. Further, data collection (and
reporting) of participants in PHTC training efforts
is incomplete, making full reporting and evaluation
of activities incomplete.
Public
Health Traineeships, Section 767 of the PHS Act
Public
Health Traineeships (PHT) is a formula grant program
aimed to support the education and training of the
public health workforce that are pursuing a specific
course of study (epidemiology, environmental health,
biostatistics, toxicology, nutrition and maternal
child health).
Eligible entities for PHT grants include schools of
public health, and/or other public or nonprofit private
entities, including faith-based and community-based
organizations, accredited by the Council on Education
for Public Health, and other public or nonprofit private
institutions accredited by a body recognized for this
purpose by the Secretary of the Department of Education.
Traineeships provide for tuition, fees, stipends and
allowances (including travel and subsistence expenses
and dependency allowances that can be used to support
students that commit to serve in areas with severe
a shortage of public health professions).
Residency
Training Program in Dental Public Health, Section
768 of the PHS Act
The
HRSA’s Residency Training Program in Dental
Public Health provides support to assist accredited
DPH programs in developing new training programs,
maintaining or improving existing residency training
programs and providing financial assistance to trainees
enrolled in such programs. In FY 2007, five grantee
institutions shared $454,704 in grant funds and are
training 14 dental public health residents in their
graduate training. In the last reporting, 68 percent
of the graduates of these programs entered practice
in underserved areas; 50 percent of the residents
were from minority/disadvantaged backgrounds and 46
percent of the graduates completing the residencies
were from minority/disadvantaged backgrounds. In FY
2008, these grantees will complete the current 3-year
grant cycle for this program.
Preventive
Medicine Residency Program, Section 768 of the PHS
Act
The
Preventive Medicine Residency Program (PMRP) is authorized
to (1) plan and develop new residency training programs,
(2) maintain or improve existing residency programs,
and (3) provide financial support to residency trainees
in these programs. Public and nonprofit private accredited
schools of medicine, osteopathic medicine and public
health are eligible to apply.
From
1983 to 2006, PMRP supported 1,557 residents. In 2006
PMRP directly supported a total of 61 medical residents
(37 enrollees, 24 graduates/completers) through stipends,
tuition/fees, curricular enhancements, and/or faculty/staff.
More than 50 percent of the graduates/completers entered
practices in medically underserved communities (14/24).
Most
of the Health Professions’ Title VII and VIII
programs were reviewed as a unit in 2002 using the
Program Assessment Rating Tool (PART). This program
was included in that assessment. These programs, in
the aggregate, received a rating of Ineffective. See
Summary of Request.
Funding
includes costs associated with grant reviews, processing
of grants through the Grants Administration Tracking
and Evaluation System (GATES) and HRSA’s electronic
handbook, and follow-up performance reviews.
Funding History
| FY
2004 |
$9,170,000 |
| FY
2005 |
$9,097,000 |
| FY
2006 |
$7,915,000 |
| FY
2007 |
$7,920,000 |
| FY
2008 |
$8,273,000
|
Budget
Request
The
FY 2009 Request does not request funding for this
program. The budget focuses on activities that fund
the placement of more doctors, nurses, and other health
care professionals in regions of the country that
face shortages. In addition, evaluations have not
linked the Health Professions training grants to changes
in supply, distribution, and minority representation
of physicians and other health professionals.
| # |
Key
Outputs |
FY
2004 Actual |
FY
2005 Actual |
FY
2006
|
FY
2007 |
FY
2008 Enacted |
FY
2009 Est |
Out-Year
Target |
| Target |
Actual |
Target |
Actual |
| Public
Health Training Centers |
| |
Number
of Centers |
14 |
14 |
NA |
14 |
NA |
14 |
14 |
--
|
NA |
| |
Number
of existing public health workers retrained |
55,428 |
84,000 |
NA |
84,000 |
NA |
86,000 |
86,000 |
-- |
NA |
| |
No.
of existing URM public hlth workers retrained
|
8,130 |
15,960 |
NA |
15,960 |
NA |
8,000 |
8,000 |
-- |
NA |
| |
%
of existing URM public hlth workers retrained
|
15 |
19 |
NA |
19 |
NA |
10 |
10 |
-- |
NA |
| |
No.
of existing public health workers retrained practicing
in MUCs |
35,047 |
73,920 |
NA |
73,920 |
NA |
47,300 |
47,300 |
-- |
NA |
| Public
Health Traineeships |
| |
No. of students
supported with
traineeship funds |
INA |
INA |
NA |
INA |
NA |
3,012 |
3102 |
-- |
NA |
| |
No.
of grads supported with traineeship funds |
INA |
INA |
N/A |
INA |
NA |
862 |
862 |
-- |
NA |
| |
No.
of URM grads supported with traineeship funds |
INA |
INA |
N/A |
INA |
NA |
288 |
297 |
-- |
NA |
| # |
Key
Outputs |
FY
2004 Actual |
FY
2005 Actual |
FY
2006
|
FY
2007 |
FY
2008 Enacted |
FY
2009 Est |
Out-Year
Target |
| Target |
Actual |
Target |
Actual |
| |
Percent of URM graduates supported |
INA |
INA |
NA |
INA |
NA |
INA |
3 |
5 |
NA |
| |
Average Traineeship |
INA |
INA |
NA |
INA |
NA |
INA |
$58,615 |
$60,373 |
NA |
| Dental Public
Health |
| |
Number of residents/graduates
who enter practice in
underserved areas
|
7 |
7 |
NA |
5 |
NA |
5 |
|
-- |
NA |
| |
Number of residents/graduates
that provide and support
primary care
|
13 |
13 |
NA |
5 |
NA |
5 |
|
-- |
NA |
| |
Number
of minority/disadvantaged
residents/graduates who
completed training. |
4 |
4 |
NA |
3 |
N/A |
3 |
3 |
-- |
NA |
| |
Number
of minority/disadvantaged
residents/graduates in training. |
6 |
6 |
NA |
3 |
NA |
3 |
3 |
-- |
NA |
| Preventive
Medicine Residency Training |
| |
Number
of residents participating in residencies |
INA |
66 |
57 |
61 |
57 |
63 |
63 |
-- |
NA |
| |
Number
of residents
completing training
|
INA |
33 |
29 |
41 |
29 |
26 |
26 |
-- |
NA |
| |
Number
of URM residents completing training |
INA |
12 |
12 |
25 |
12 |
10 |
10 |
-- |
NA |
| |
Percent
of URM residents completing training |
INA |
35 |
35 |
41 |
35 |
38 |
38 |
-- |
NA |
| |
Number
of residents entering practice in MUCs |
INA |
12 |
12 |
22 |
12 |
21 |
21 |
-- |
NA |
| |
Percent
of residents entering practice in MUCs |
INA |
35 |
35 |
69 |
35 |
81 |
81 |
-- |
NA |
| |
Average
cost per resident |
INA |
$40,000
|
$40,000
|
INA |
$40,000
|
$40,000
|
$40,000
|
-- |
NA |
| |
Appropriated
Amount ($ Million) |
$9.17
|
$9.10
|
|
$7.92
|
|
$7.92
|
$8.27
|
|
|
INA
- Information not available
NA - Not applicable
|
