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Training in Primary Care Medicine and Dentistry
|
FY
2007 Actual |
FY
2008
Enacted |
FY
2009
Estimate |
FY
2009 +/-
FY 2008 |
BA |
$48,851,000 |
$47,998,000 |
--- |
$47,998,000 |
Authorizing Legislation: Section 747 of the Public
Health Service Act
FY
2009 Authorization |
Expired
|
Allocation
Method |
Competitive
Grant/Contract |
Program Description and Accomplishments
The Training in Primary Care Medicine and Dentistry
Program (TPCMD) was authorized in 1963. The TPCMD
Program is comprised of six program areas (Residency
Training, Predoctoral Training, Faculty Development,
Academic Administrative Units, Physician Assistant,
and Residency Training in General and Pediatric Dentistry)
and five disciplines: (1) Family Medicine (2) General
Internal Medicine (3) General Pediatrics (4) Physician
Assistant and (5) General and Pediatric Dentistry.
The TPCMD Program provides grants or contracts to
public or nonprofit private hospitals, schools of
allopathic medicine or osteopathic medicine, dental
schools or approved residency programs in general
or pediatric dentistry, physician assistants programs
and other public or private nonprofit entities, including
faith-based and community-based organizations that
meet this criteria. The purpose of these programs
is to:
-
plan, develop, and operate or participate in physician
assistant training programs; approved residency
training programs in family medicine, general internal
medicine, or general pediatrics; medical student
training that emphasizes training for the practice
of family medicine; general internal medicine, or
general pediatrics;
-
train physicians who plan to teach in family medicine
(including geriatrics), general
internal medicine or general pediatrics training
programs;
-
plan, develop and operate residency programs of
general or pediatric dentistry programs; and
-
establish, maintain, or improve academic administrative
units (departments, divisions, or other units) to
provide clinical instruction in family medicine,
general internal medicine, or general pediatrics.
Most
of the Health Professions’ Title VII and VIII
programs were reviewed as a unit in 2002 using the
Program Assessment Rating Tool (PART). These programs,
in the aggregate, received a rating of Ineffective.
This program was included in that assessment. 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 |
$81,917,000 |
FY
2005 |
$88,816,000
|
FY
2006 |
$40,823,000 |
FY
2007 |
$48,851,000 |
FY
2008 |
$47,998,000
|
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, the program lacks performance
measures that demonstrate how it impacts the supply
and distribution of 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 |
RESIDENCY TRAINING IN PRIMARY
CARE, PHYSICIAN ASSISTANT TRAINING IN PRIMARY
CARE, AND RESIDENCY IN GENERAL AND PEDIATRIC DENTISTRY
IN PRIMARY CARE |
No.
in clinical training with health care service
delivery organizations serving underserved areas
|
|
Residents/Graduates |
3,029 |
5,544 |
NA |
5,396 |
NA |
5,464 |
5,464 |
-- |
NA |
|
Percent of Residents/Grads |
INA |
INA |
NA |
NA |
NA |
74 |
74 |
-- |
NA |
|
Total Residents/Graduates |
INA |
INA |
NA |
NA |
NA |
7,365 |
7,365 |
-- |
NA |
No. who enter practice
in underserved areas |
|
Residents/Graduates |
483 |
639 |
NA |
659 |
NA |
987 |
987 |
-- |
NA |
|
Percent of Residents/Grads |
INA |
INA |
NA |
INA |
NA |
38 |
38 |
-- |
NA |
|
Total Residents/Graduates |
INA |
INA |
NA |
INA |
NA |
2,609 |
2,609 |
-- |
INA |
No.
who provide and support primary care |
|
Residents/Graduates |
1,826 |
5,377 |
NA |
5,949 |
NA |
5,201 |
5,201 |
-- |
NA |
|
Percent of Residents/Grads |
INA |
INA |
NA |
INA |
NA |
100 |
100 |
|
NA |
|
Total Residents/Graduates |
INA |
INA |
NA |
INA |
NA |
5,201 |
5,201 |
- |
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 |
No. of minority/ disadvantaged
individuals who complete training |
|
Residents/Graduates |
818 |
1,293 |
NA |
1,058 |
NA |
1,297 |
1,297 |
|
NA |
|
Percent of Residents/Grads |
INA |
INA |
NA |
INA |
NA |
50 |
50 |
-- |
NA |
|
Total Residents/Graduates |
INA |
INA |
NA |
INA |
NA |
2,609 |
2,609 |
-- |
NA |
No. of minority/ disadvantaged
individuals in training |
|
Residents/Graduates |
856 |
1,936 |
NA |
2,015 |
NA |
2,516 |
2,516 |
-- |
NA |
|
Percent of Residents/Grads |
INA |
INA |
NA |
INA |
NA |
48 |
48 |
-- |
NA |
|
Total Residents/Graduates |
INA |
INA |
NA |
INA |
NA |
5,201 |
5,201 |
-- |
NA |
FACULTY DEVELOPMENT TRAINING
IN PRIMARY CARE |
No. in clinical training
with health service delivery organizations serving
underserved areas |
|
Faculty |
1,827 |
1,539 |
NA |
310 |
NA |
2,280 |
2,280 |
-- |
NA |
|
Percent of Faculty |
INA |
INA |
NA |
INA |
INA |
73 |
73 |
-- |
NA |
|
Total Faculty |
INA |
INA |
NA |
INA |
NA |
3,114 |
3,114 |
-- |
NA |
No. who enter practice
in underserved areas |
|
Faculty |
722 |
716 |
NA |
363 |
NA |
1,069 |
1,069 |
-- |
NA |
|
Percent of Faculty |
INA |
INA |
NA |
INA |
NA |
60 |
60 |
-- |
NA |
|
Total Faculty |
INA |
INA |
NA |
INA |
NA |
1,786 |
1,786 |
-- |
NA |
No. who provide and support
primary care |
|
Faculty |
3,137 |
1,347 |
NA |
90 |
NA |
586 |
586 |
|
NA |
|
Percent of Faculty |
INA |
INA |
NA |
INA |
NA |
100 |
100 |
-- |
NA |
|
Total Faculty |
INA |
INA |
NA |
INA |
NA |
586 |
586 |
-- |
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 |
No. of minority/ disadvantaged
individuals who complete training |
|
Faculty |
554 |
385 |
NA |
133 |
NA |
562 |
562 |
-- |
NA |
|
Percent of Faculty |
INA |
INA |
NA |
INA |
NA |
31 |
31 |
-- |
NA |
|
Total Faculty |
INA |
INA |
|
INA |
NA |
1,786 |
1,786 |
-- |
NA |
No. of minority/ disadvantaged
individuals in training |
|
Faculty |
856 |
327 |
NA |
90 |
NA |
213 |
213 |
-- |
NA |
|
Percent of Faculty |
INA |
INA |
NA |
INA |
NA |
36 |
36 |
-- |
NA |
|
Total Faculty |
INA |
INA |
NA |
INA |
NA |
586 |
586 |
-- |
NA |
ACADEMIC
ADMINISTRATIVE UNITS IN PRIMARY CARE, PREDOCTORAL
TRAINING IN PRIMARY CARE |
No. in clinical training
with health care service delivery organizations
serving underserved areas |
|
Students/Trainees |
19,231 |
24,070 |
NA |
12,164 |
NA |
18,646 |
18,646 |
-- |
NA |
|
Percent of Students / Trainees |
INA |
INA |
NA |
INA |
NA |
47 |
47 |
-- |
NA |
|
Total Students/Trainees |
INA |
INA |
NA |
INA |
NA |
39,647 |
39,647 |
-- |
NA |
No. who enter practice
in underserved areas |
|
Students/Trainees |
1,144 |
8,484 |
NA |
6,431 |
NA |
1,226 |
1,226 |
-- |
NA |
|
Percent of Students /Trainees |
INA |
INA |
INA |
INA |
NA |
11 |
11 |
-- |
NA |
|
Total Students/Trainees |
INA |
INA |
INA |
INA |
NA |
11,349 |
11,349 |
-- |
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 |
No. who provide and support
primary care |
|
Students/Trainees |
23,694 |
43,959 |
INA |
36,486 |
NA |
29,338 |
29,338 |
-- |
NA |
|
Percent of Students / Trainees |
INA |
INA |
INA |
INA |
NA |
100 |
100 |
-- |
NA |
|
Total Students/Trainees |
INA |
INA |
INA |
INA |
NA |
29,338 |
29,338 |
-- |
NA |
No. of minority/ disadvantaged
individuals who complete training |
|
Students/Trainees |
4,476 |
3,757 |
NA |
2,676 |
NA |
4,113 |
4,113 |
-- |
NA |
|
Percent of Students / Trainees |
INA |
INA |
NA |
INA |
NA |
36 |
36 |
-- |
NA |
|
Total Students/Trainees |
INA |
INA |
NA |
INA |
NA |
11,349 |
11,349 |
-- |
NA |
No.
of minority/ disadvantaged individuals in training |
|
Students/Trainees |
9,652 |
10,719 |
NA |
8,126 |
NA |
10,720 |
10,720 |
-- |
NA |
|
Percent of Students / Trainees |
INA |
INA |
NA |
INA |
NA |
37 |
37 |
-- |
NA |
|
Total Students/Trainees |
INA |
INA |
NA |
INA |
NA |
29,338 |
29,338 |
-- |
NA |
|
Appropriated Amount ($ Million) |
$81.92 |
$88.82 |
|
$40.82 |
|
$48.85 |
$48.00 |
|
|
NA – Not Applicable
INA – Information Not Available
|