[Federal Register Volume 59, Number 190 (Monday, October 3, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-24339]
[[Page Unknown]]
[Federal Register: October 3, 1994]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Funding Notice for Grants for Family Medicine Training for Fiscal
Year 1995
The Health Resources and Services Administration (HRSA) announces
that applications will be accepted for fiscal year (FY) 1995 Grants for
Family Medicine Training funded under the authority of section 747 (a)
and (b), title VII of the Public Health Service Act (the Act), as
amended by the Health Professions Education Extension Amendments of
1992, Public Law 102-408, dated October 13, 1992. These grant programs
include:
Grants for Predoctoral Training in Family Medicine
Grants for Graduate Training in Family Medicine
Grants for Faculty Development in Family Medicine
Grants for Establishment of Departments of Family Medicine
This program announcement is subject to the appropriation of funds.
The Administration's budget request for FY 1995 includes funding for
each of these programs. Applicants are advised that this program
announcement is a contingency action being taken to assure that should
authority and funds become available for these purposes, awards can be
made in a timely fashion consistent with the needs of the programs as
well as to provide for even distribution of funds throughout the fiscal
year. Please see Table 1 for specific budget estimates for each of the
grant programs.
Grants for Predoctoral Training in Family Medicine
Purpose: Section 747(a) of the Public Health Service Act authorizes
the award of grants to assist in meeting the cost of planning,
developing and operating or participating in approved predoctoral
training programs in the field of family medicine. Grants may include
support for the program only or support for both the program and the
trainees.
Eligibility: Eligible applicants are accredited public or nonprofit
private schools of medicine or osteopathic medicine.
To receive support, programs must meet the requirements of
regulations as set forth in 42 CFR part 57, subpart Q and section
791(b) of the PHS Act.
Grants for Graduate Training in Family Medicine
Purpose: Section 747(a) of the Public Health Service Act authorizes
the Secretary to award grants to assist in meeting the costs of
planning, developing and operating or participating in approved
graduate training programs in the field of family medicine. In
addition, section 747(a) authorizes assistance in meeting the cost of
supporting trainees, who are in need thereof, in such programs who plan
to specialize or work in the practice of family medicine.
Eligibility: Eligible applicants are accredited schools of medicine
or osteopathic medicine, public or nonprofit private hospitals, and
other public or private nonprofit entities.
To receive support, programs must meet the requirements of
regulations as set forth in 42 CFR part 57, subpart Q and section
791(b) of the PHS Act.
Grants for Faculty Development in Family Medicine
Purpose: Section 747(a)(3) of the PHS Act authorizes the award of
grants to assist in meeting the cost of planning, developing and
operating programs for the training of physicians who plan to teach in
family medicine training programs. In addition, section 747(a)(4)
authorizes assistance in meeting the cost of supporting physicians who
are trainees in such programs and who plan to teach in a family
medicine training program.
Eligibility: Eligible applicants are public or nonprofit private
hospitals, schools of medicine or osteopathic medicine, or other public
or private nonprofit entities.
To receive support, applicants must meet the requirements of
regulations as specified in 42 CFR part 57, subpart Q and section
791(b) of the PHS Act.
Grants for Establishment of Departments of Family Medicine
Purpose: Section 747(b) of the PHS Act authorizes support to meet
the costs of projects to establish, maintain, or improve family
medicine academic administrative units (which may be departments,
divisions, or other units) to provide clinical instruction in family
medicine. Funds awarded will be used to: (1) Plan and develop model
educational predoctoral, faculty development and graduate medical
education programs in family medicine which will meet the requirements
of section 747(a), by the end of the project period of section 747(b)
support; and (2) support academic and clinical activities relevant to
the field of family medicine.
The program may also assist schools to strengthen the
administrative base and structure that is responsible for the planning,
direction, organization, coordination, and evaluation of all
undergraduate and graduate family medicine activities. Funds are to
complement rather than duplicate programmatic activities for actual
operation of family medicine training programs under section 747(a).
Eligibility: To be eligible to receive support for this grant
program, the applicant must be a public, or nonprofit private,
accredited school of medicine or osteopathic medicine.
To receive support, programs must meet the requirements of
regulations as set forth in 42 CFR part 57, subpart R, and section
791(b) of the PHS Act.
National Health Objectives for the Year 2000
The Public Health Service urges applicants to submit work plans
that address specific objectives of Healthy People 2000. Potential
applicants may obtain a copy of Healthy People 2000 (Full Report; Stock
No. 017-001-00474-0) or Healthy People 2000 (Summary Report; Stock No.
017-001-00473-1) through the Superintendent of Documents, Government
Printing Office, Washington, D.C. 20402-9325 (Telephone 202-783-3238).
Education and Service Linkage
As part of its long-range planning, HRSA will be targeting its
efforts to strengthening linkages between U.S. Public Health Service
education programs and programs which provide comprehensive primary
care services to the underserved.
Smoke-Free Workplace
The Public Health Service strongly encourages all grant recipients
to provide a smoke-free workplace and promote the non-use of all
tobacco products. This is consistent with the PHS mission to protect
and advance the physical and mental health of the American people.
Other Considerations
In addition, funding factors may be applied in determining funding
of approved applications.
A funding preference is defined as the funding of a specific
category or group of approved applications ahead of other categories or
groups of approved applications in a discretionary program, or
favorable adjustment of the formula which determines the grant award in
a formula grant program.
It is not required that applicants request consideration for a
funding factor. Applications which do not request consideration for
funding factors will be reviewed and given full consideration for
funding.
Statutory General Preference
All of the Family Medicine Training grant programs are subject to
the statutory general preference. As provided in section 791(a) of the
PHS Act, statutory preference will be given to any qualified applicant
that--
(A) Has a high rate for placing graduates in practice settings
having the principal focus of serving residents of medically
underserved communities; or
(B) During the 2-year period preceding the fiscal year for which
such an award is sought, has achieved a significant increase in the
rate of placing graduates in such settings.
This statutory preference will only be applied to applications that
rank above the 20th percentile of proposals recommended for approval by
the peer review group.
For Grants for Predoctoral Training in Family Medicine, the
following definitions apply: High rate is defined as a minimum of 20
percent of graduates of the medical school in academic year 1989-90 or
1990-91.
Significant increase in the rate means that the rate of placing
academic year 1990-91 graduates in the specified settings is at least
50 percent higher than the rate of placing academic year 1989-90
graduates in such settings and that not less than 15 percent of
academic year 1990-91 graduates are working in these areas. Academic
years 1989-90 and 1990-91 are used because they are the two most recent
years that medical school graduates would have entered practice
following the completion of residency training.
For Grants for Graduate Training in Family Medicine, the following
definitions apply: High rate is defined as a minimum of 25 percent of
combined graduates of the residency training program in academic years
1991-92 through 1993-94.
Significant increase in the rate means that, between academic years
1992-93 and 1993-94, the rate of placing graduates in the specified
settings has increased by a minimum of 50 percent and not less than 15
percent of graduates from the most recent year are working in these
areas.
For Grants for Family Medicine Faculty Development, the following
definitions apply: High rate is defined as a minimum of 20 percent of
faculty development/fellowship program graduates in academic year 1992-
93 or academic year 1993-94, whichever is greater, who spend at least
50 percent of their worktime in the specified settings.
Significant increase in the rate means that, between academic years
1992-93 and 1993-94, the rate of placing faculty development/fellowship
program graduates in the specified settings has increased by a minimum
of 50 percent and that not less than 15 percent of the academic year
1993-1994 graduates are working in these areas.
For Grants for the Establishment of Departments of Family Medicine,
the following definitions apply: High rate means that 20 percent of all
graduates of the medical school in 1990 or 1991, whichever is greater,
are spending at least 50 percent of their work time in clinical
practice in the specified settings.
Significant increase in the rate means that, between academic years
1992-93 and 1993-94, the rate of placing 1990 or 1991 graduates in the
specified settings has increased by at least 50 percent and that not
less than 15 percent of graduates from the most recent year (1991) are
working in these settings.
Additional general information regarding the implementation of the
statutory general preference has been published in the Federal Register
at 59 FR 15741, dated 4/4/94.
Additional Statutory Funding Preference for Grants for the
Establishment of Departments of Family Medicine
An additional statutory funding preference applies only to Grants
for the Establishment of Departments of Family Medicine. Under section
747(b), a funding preference is provided for qualified applicants that
agree to expend the award for the purpose of: (1) Establishing an
academic administrative unit defined as a department, division, or
other unit, for programs in family medicine; or (2) substantially
expanding the programs of such a unit.
Information Requirements Provision
All of the Family Medicine Training grant programs are subject to
the information requirements provision. Under section 791(b) of the
Act, the Secretary may make an award under certain title VII grant
programs only if the applicant for the award submits to the Secretary
the following required information:
1. A description of rotations or preceptorships for students, or
clinical training programs for residents, that have the principal focus
of providing health care to medically underserved communities.
2. The number of faculty on admissions committees who have a
clinical practice in community-based ambulatory settings in medically
underserved communities.
3. With respect to individuals who are from disadvantaged
backgrounds or from medically underserved communities, the number of
such individuals who are recruited for academic programs of the
applicant, the number of such individuals who are admitted to such
programs, and the number of such individuals who graduate from such
programs.
4. If applicable, the number of recent graduates who have chosen
careers in primary health care.
5. The number of recent graduates whose practices are serving
medically underserved communities.
6. A description of whether and to what extent the applicant is
able to operate without Federal assistance under this title.
Additional details concerning the implementation of this
information requirement have been published in the Federal Register at
58 FR 43642, dated August 17, 1993, and will be provided in the
application materials.
Application Requests
Requests for application materials and questions regarding grants
policy and business management issues should be directed to Grants
Management Branch, Bureau of Health Professions, Health Resources and
Services Administration, Parklawn Building, Room 8C-26, 5600 Fishers
Lane, Rockville, Maryland 20857. Completed applications should be
returned to the Grants Management Branch at the above address. Please
see Table 1 for specific names and phone numbers for each grant
program.
If additional programmatic information is needed, please contact
the Division of Medicine, Bureau of Health Professions, Health
Resources and Services Administration, Parklawn Building, Room 9A-20,
5600 Fishers Lane, Rockville, Maryland 20857. Please see Table 1 for
specific names and phone numbers for each grant program.
Paperwork Reduction Act
The standard application form PHS 6025-1, HRSA Competing Training
Grant Application, General Instructions and supplement for these grant
programs have been approved by the Office of Management and Budget
under the Paperwork Reduction Act. The OMB Clearance Number is 0915-
0060.
Deadline Dates
The deadline date for receipt of applications for each of these
grant programs is shown in Table 1. Applications will be considered to
be ``on time'' if they are either:
(1) Received on or before the established deadline date, or
(2) Sent on or before the established deadline date and received in
time for orderly processing. (Applicants should request a legibly dated
U.S. Postal Service postmark or obtain a legibly dated receipt from a
commercial carrier or U.S. Postal Service. Private metered postmarks
shall not be acceptable as proof of timely mailing.)
Late applications not accepted for processing will be returned to
the applicant.
Table 1
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Anticipated budget (in thousands) Grants
------------------------------------------------ Number of new management Programmatic Deadline date
PHS title VII section No./program Total in Estimate for awards contact/phone contact/phone for competing
title/CFDA No./program regulations President's Estimate for competing anticipated No. (FAX: 443- No. (FAX 443- applications
budget\1\ continuations projects 6343) 8890)
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747--Graduate Training in FM-- .............. $9,979 $4,900 38\2\ Mrs. Mary Allen, Ms. Martha 12/2/94
93.379--42 CFR part 57, subpart Q. (301) 443-6002. Evans, (301)
443-1467.
747--Predoctoral Training in FM-- .............. 7,691 3,780 29 Mrs. Judy Bowen, Mrs. Betty Ball, 12/28/94
93.896--42 CFR part 57, subpart Q. (301) 443-6960. (301) 443-1467.
747--Faculty Development in FM-- .............. 5,210 1,960 15 Mrs. Judy Bowen, Mrs. Joan 11/28/94
93.985--42 CFR part 57, subpart Q. (301) 443-6960. Harrison, (301)
443-1467.
747--Departments of FM--93.984--42 .............. 7,079 3,360 26 Mrs. Judy Bowen, Mrs. Shelby 12/19/94
CFR part 57, subpart R. (301) 443-6960. Bieden-.
kapp, (301) 443-
1467.
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\1\$43,992.
\2\Approximately $130,000 each.
These Grants for Family Medicine Training are not subject to the
provisions of Executive Order 12372, Intergovernmental Review of
Federal Programs (as implemented through 45 CFR part 100). Also, these
grant programs are not subject to the Public Health System Reporting
Requirements.
Dated: August 31, 1994.
Ciro V. Sumaya,
Administrator.
[FR Doc. 94-24339 Filed 9-30-94; 8:45 am]
BILLING CODE 4160-15-P
