Primary Care Training and Enhancement

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Program Funding

Annual program obligations reported to SAM.gov.

Latest annual funding (estimated)

$11.6M FY2026

$59.3M

FY24

$57.4M

FY25

$11.6M

FY26*

* estimated

Funded Projects

Examples of what this program has supported.

FY2025 In AY 2023-2024 (the most recent year with available data), the PCTE-RTMB program had 24 grantees who trained 884 individuals across 179 sites. Most training occurred in Medically Underserved Communities (MUC) or Rural areas (86%), while 50% were in Primary Care Settings. Most sites offered interprofessional training (89%), and 36% were community-based. At graduation, 244 graduates (90%) were employed. Of these graduates, 64% were training or working in Primary Care, and 58% were in Underserved Areas. In AY 2023-2034, PCTE: LDA program nationally trained 955 trainees and had 134 graduates nationally. There were 349 trainees from disadvantaged backgrounds and 21 graduates. There were 153 trainees from rural backgrounds and 7 graduates. The key training settings are Medically Underserved Communities (MUC), Primary Care Settings and Rural areas. In AY 2023-2024, the PCTE-CPMH program trained 443 trainees nationally and graduated 165 trainees. Of the 443 trainees, 140 were from disadvantaged backgrounds (32%) and 95 from rural backgrounds (21%). Of the 443 trainees, 375 trained in a Medically Underserved Community (84%), 416 in a Primary Care Setting (94%) and182 in a Rural Area (41%). Of the 165 PCTE-CPMH graduates, 86 (52%) are employed in a Primary Care Setting and 75 (45%) in a Medically Underserved Area. In AY 2023-20224, (the most recent year with available data), there were 2166 trainees and 831 graduates in the Physician Assistant Training in Primary Care Program; 420 graduates reported employment data showing that 47 or 11% were employed in rural areas and 133 or 32% employed in primary care.

Program Objective

The overarching purpose of the PCTE Program is to strengthen the primary care workforce by supporting enhanced training for future primary care. Activities include: (1) plan, develop, and operate a program that provides training experiences in new competencies, such as providing training relevant to providing care through patient-centered medical homes, developing tools and curricula relevant to patient-centered medical homes, and providing continuing education to primary care providers relevant to patient-centered medical homes; (2) plan, develop and operate a program for the training of physicians who plan to teach in family medicine, general internal medicine, or general pediatrics; (3) plan, develop, and operate a program for the training of physicians or physician assistants teaching in community-based settings; (4) provide need-based financial assistance in the form of traineeships and fellowships to students, residents, practicing physicians or other medical personnel, who are participants in any such program, who plan to work in, teach, or conduct research in family medicine, general internal medicine, general pediatrics, or physician assistant education; and (5) plan, develop and operate joint degree programs to provide interdisciplinary and interprofessional graduate training in public health and other health professions to provide training in environmental health, infectious disease, disease prevention and health promotion, epidemiological studies and injury control.

Eligibility

Eligible Applicants

U.S. State Government
Local
Nonprofit Organization
Federally Recognized Tribal Government
U.S. Territory Government

Eligible entities include accredited public or nonprofit private hospitals, schools of allopathic or osteopathic medicine, academically affiliated physician assistant training programs, or a public or nonprofit private entity that the Secretary has determined is capable of carrying out such grants. Federally Recognized Indian Tribal Government and Native American Organizations may apply if they are otherwise eligible.

Beneficiaries

U.S. State Government
Federally Recognized Tribal Government
Local
Nonprofit Organization
U.S. Territory Government

Beneficiaries include physician and physician assistant training programs that train medical students, physician assistant students, medical residents, practicing physician and physician assistants, and physician and physician assistant faculty.

How to Apply

Award Procedure

Notification of award is made in writing (electronic) through a Notice of Award.

Decision Timeline

Approval: From 120 to 180 days

Approximately 120 - 180 days after receipt of applications.

Program details & compliance

Description

The Training Primary Care Champions (TPCC) Program (T13) strengthens primary care and the workforce by establishing fellowship programs to train community-based practicing primary care physician and/or physician assistant champions to lead health care transformation and enhance teaching in community-based settings. Awardees must develop academic-community partnerships to train and support primary care physician and or physician assistant champions to lead health care transformation in community-based settings and enhance teaching in community based settings. Applicants are encouraged to partner with National Health Service Corps-approved sites. The Integrating Behavioral Health and Primary Care (IBHPC) program (T0B) funds innovative training programs that integrate behavioral health care into primary care, particularly in rural and underserved settings with a special emphasis on the treatment of opioid use disorder. The Physician Assistant (PA) Program (D57) increases the number of primary care physician assistants, particularly in rural and underserved settings, and improve primary care training in order to strengthen access to and delivery of primary care services nationally. The PCTE Academic Units (AU) for Primary Care Training and Enhancement Program (UH1) provided the opportunity to request supplemental funding to continue to support collaborative activities that were intended to enable joint research, development of a common community of practice that assisted with dissemination and application of the research into education and practice, and developed plans for sustaining the scope of work of all six centers after federal funding. The PCTE-AU program ended in FY2021. The PCTE Residency Training in Primary Care (RTPC) Program (D58) supports the development of rural and/or underserved residency tracks within existing accredited residency programs for family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs. The PCTE-Community Prevention and Maternal Health (PCTE-CPMH) program (T34) program trains primary care physicians in maternal health care clinical services or population health in order to improve maternal health outcomes. The program will increase the number of primary care physicians trained in public health and general preventive medicine with maternal health care expertise and the number of primary care physicians trained in enhanced obstetrical care practicing in rural and/or underserved areas. The purpose of the PCTE-Physician Assistant Rural Training (PCTE-PAR) Program is to develop and implement longitudinal clinical rotations for physician assistant trainees in primary care in rural areas. The program also supports the training and development of preceptors in rural areas. The PCTE –Physician Assistant Rural Training in Behavioral Health (PCTE-PARB) Program (T8R) develops clinical rotations for primary care Physician Assistant students in rural areas. It addresses PA training for behavioral health conditions, including prevention, identification, diagnosis, treatment and referral services. The purpose of the PCTE – Language and Disability Access (PCTE-LDA) Program (T5C) is to improve health outcomes by developing curriculum and training medical students, physician assistant students, and primary care medical residents to provide high quality primary care services to individuals with limited English proficiency (LEP) and/or intellectual and developmental disabilities (IDD). The PCTE Residency Training in Street Medicine (RTSM) program (T35) provides training in care for the homeless, in accredited residency programs of family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds).

Mission Categories

Primary: General Health and Medical

Use of Funds

Allowed Uses

PCTE Residency Training in Primary Care program, stipends are allowable for medical residents while training in rural and/or underserved areas in settings outside of the awardee institution, who are in the following resident specialties: family medicine, general internal medicine, general pediatrics and combined internal medicine and pediatrics (med-peds) programs. Grants may not be used for new construction or patient services. Stipends are not allowed for residents or medical students, except for the RTPC program. Indirect costs under training awards will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment. For the PCTE-TPCC program, fringe benefits are not allowed for fellows receiving stipend support. Health insurance is allowable, but no other fringe benefits.

Required Documentation

Applicants should review the individual HRSA Notice of Funding Opportunity issued under this assistance listing for any required proof or certifications which must be submitted with an application package.

Reporting & Compliance

Audit Required

Yes — Annual

Records Retention

3 years

Applicable 2 CFR 200 Subparts

Subpart B — General Provisions
Subpart C — Pre-Federal Award Requirements
Subpart D — Post-Federal Award Requirements
Subpart E — Cost Principles
Subpart F — Audit Requirements