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Primary Care Training and Enhancement; PCTE
93.884
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.
This chart shows obligations for the program by fiscal year. All data for this chart was provided by the
administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.
For more information on each of these data sources, please see the
About the data page.
Fiscal Year 2016: In Academic Year 2015-2016, the Primary Care Training and Enhancement program supported the training of 1,037 medical residents, 798 medical students and 575 physician assistant students. The PCTE grantees partnered with 437 healthcare delivery sites to provide clinical training experiences for 2,232 students and advanced trainees from a variety of professions and disciplines incorporating interprofessional team-based approaches. Sixty-five percent of the clinical sites were located in medically underserved communities, 60.2% were in primary care settings and 42.3% were in rural areas. Funds were used to deliver 74 unique continuing education courses to 535 faculty members and practicing providers and to develop and implement 154 different courses, reaching 6,756 trainees. Faculty development was provided to 2,647 primary care faculty physicias through 132 structured and unstructured faculty-focused training programs and activities.
Fiscal Year 2016: The Academic Unit-Primary Care Training and Enhancement program funded six cooperative agreements. The awardees are completing 12 research proposals dealing with integration of primary care into behavioral health, integration of primary care into oral health, training in rural areas, training for the needs of vulnerable populations, training in the social determinants of health and diversity in health workforce. They have developed and implemented 6 individual websites and are developing communities of practice.
Faculty Development in Primary Care: no data available Pre-doctoral Training in Primary Care: no data available Physician Assistant Training in Primary Care: no data available Residency Training in Primary Care: no data available Interdisciplinary and Interprofessional Joint Graduate Degree: no data available
: In Academic Year 2016–2017, the Primary Care Training and Enhancement program supported the training of 2,098 primary care medicine residents and fellows, 3,109 medical students and 1,138 physician assistant students. Of the PCTE trainees, 23.4% were from underrepresented minority backgrounds and 34.2% were from disadvantaged backgrounds. During academic year 2016-2017 1,647 trainees graduated from HRSA supported PCTE projects (those funded in 2015 and 2016). The PCTE grantees partnered with 707 healthcare delivery sites to provide clinical training experiences for 7,344 students and advanced trainees from a variety of professions and disciplines incorporating interprofessional team-based approaches. Sixty-three.six percent of the clinical sites were located in medically underserved communities, 61.7% were in primary care settings and 29.7% were in rural areas. Funds were used to deliver 100 unique continuing education courses to 2,295 faculty members and practicing providers and to develop, enhance and implement 1592different curricular activities, reaching 16,138 trainees. Grantees supported 245 faculty-focused training programs and activities, reaching 4,217 primary care faculty physicians. About 25% of training sites offered interprofessional team-based care experiences. PCTE faculty delivered 212 courses, workshops and other trainings focused on primary care topics to 2,242 trainees, who were most commonly internal medicine residents and medical students.
The PCTE programs supported various types of primary care training programs for 9,481 health professions students, residents, and fellows including: 2,404 primary care medicine residents and fellows, 4,379 medical students, 1,190 physician assistant students, 161 primary care medicine faculty, and 1,347 students from collaborating interprofessional disciplines (includes pharmacy students, nursing students, dental students, psychology graduate students, and occupational therapy students). Approximately 29 percent of trainees were from disadvantaged backgrounds, and approximately 19 percent of trainees self-identified as underrepresented minorities in the health professions. Of the 619 individuals who received stipend support, approximately 44 percent of trainees received training in substance use treatment. Additionally, nearly half of funded trainees (46 percent) received specific training in medication-assisted treatment (MAT) for opioid use disorder. PCTE awardees collaborated with 903 health care delivery sites to provide clinical training experiences to trainees. The most frequently used types of clinical training sites included: Physician’s offices (16 percent), Hospitals (16 percent), Ambulatory practice sites (12 percent), Community Health Centers (6 percent), Federally Qualified Health Centers or look-alikes (2 percent), and Rural health clinics (3 percent). Among 903 health care delivery sites, 17 percent offered telehealth services, 37 percent offered substance use treatment services, 23 percent offered opioid use treatment services, and 21 percent offered MAT services for opioid use disorder. About 62 percent of training sites offered interprofessional team-based care experiences. PCTE awardees further developed or enhanced and implemented 955 different curricular activities, which reached 29,944 trainees. PCTE awardees delivered 173 unique continuing education courses that focused on emerging issues in the field of primary care to 5,263 faculty members and community providers. Awardees supported 360 faculty-focused training programs and activities, reaching 6,694 primary care faculty physicians.
In Academic Year, 2018-2109, the PCTE programs supported various types of primary care training programs for 13,094 health professions students, residents, and fellows including: 2,566 primary care medicine residents and fellows, 6,482 medical students, 1,922 physician assistant students, 107 primary care medicine faculty, and 2,017 students from collaborating interprofessional disciplines (includes pharmacy students, nursing students, dental students, psychology graduate students, and occupational therapy students). Approximately 29 percent of trainees were from disadvantaged backgrounds, and approximately 17 percent of trainees self-identified as underrepresented minorities in the health professions. Of the 469 individuals who received stipend support, approximately 60 percent of trainees received training in substance use treatment. Additionally, nearly half of funded trainees (51 percent) received specific training in medication-assisted treatment (MAT) for opioid use disorder. PCTE awardees collaborated with 997 health care delivery sites to provide clinical training experiences to trainees. The most frequently used types of clinical training sites included: Physician’s offices (12 percent), Hospitals (17 percent), Ambulatory practice sites (17 percent), Community Health Centers (6 percent), Federally Qualified Health Centers or look-alikes (12 percent), and Rural health clinics (4 percent). Among 997 health care delivery sites, 16 percent offered telehealth services, 35 percent offered substance use treatment services, 23 percent offered opioid use treatment services, and 22 percent offered MAT services for opioid use disorder. About 59 percent of training sites offered interprofessional team-based care experiences. PCTE awardees further developed or enhanced and implemented 1,220 different curricular activities, which reached 35,086 trainees. PCTE awardees delivered 197 unique continuing education courses that focused on emerging issues in the field of primary care to 7,177 faculty members and community providers. Awardees supported 404 faculty-focused training programs and activities, reaching 7,427 primary care faculty physicians.
Academic Year 2019-2020: No current data available.
In Academic Year, 2019-2020, the PCTE programs supported various types of primary care training programs for 14,194 health professions students, residents, and fellows. Out of this number of trainees, 4,137 were from disadvantaged background, 2,708 from underrepresented minorities, and 1,915 from rural background.
Also, in Academic Year 2019-2020 out of the 14,194 trainees supported by the PCTE program 3,796 graduated, including 613 from underrepresented minorities, 1,101 from disadvantaged backgrounds, and 551 from rural backgrounds. In Academic Year 2019-2020, the TPCC program supported 151 Champion fellows, of which 34 fellows self-identified as underrepresented minorities in health professions and 35 fellows from disadvantaged backgrounds. Of the 151 trained fellows, the TPCC programs graduated 52 fellows, approximately 13 identified as underrepresented minorities in health professions and 15 from disadvantaged backgrounds. Of the 151 individuals who received stipend support, approximately 45 percent of trainees received training in substance use treatment and 44 percent of trainees received training in opioid use treatment. Additionally, nearly half of funded trainees (49 percent) received specific training in integrated behavioral health in primary care.
In Academic Year, 2020-2021, PCTE awardees trained 1,937 primary care residents and fellows, 5,885 medical students, 1,323 students in physician assistant programs, 1,242 students from collaborating interprofessional disciplines (including pharmacy students, psychology students, dental students, and nursing students), and 64 faculty members, for a total of 10,451 trainees, 2,750 of whom completed their programs by the end of the academic year. PCTE awardees delivered 85 unique continuing education courses to 3,478 faculty members and current practicing providers. Primary Care Training and Enhancement (PCTE) Training Primary Care Champions (TPCC): In Academic Year 2020-2021, PCTE- TPCC provided fellowships to 161 physicians and 32 physician assistants. Among the physicians, 88 specialized in family medicine, 37 specialized in internal medicine, 27 specialized in pediatrics, and 9 specialized in internal medicine/pediatrics. In Academic Year 2020-2021, the PCTE-IBHPC program provided training to 1,849 individuals. Nearly 70% of individuals received training in opioid use treatment, and 23% received training in health equity/the social determinants of health. The PCTE-PA program trained 953 physician assistants (PAs), 52% of whom were underrepresented minorities or from disadvantaged backgrounds. PAs received training in integrated behavioral health in primary care (83%), substance use treatment (81%), health equity/the social determinants of health (80%), opioid use treatment (70%), and COVID-19 (49%). The PCTE-RTPC program trained 428 individuals, including residents in family medicine (85%), pediatrics (11%), and internal medicine/pediatrics (4%). Participants received training on priority topics such as substance use treatment COVID-19, integrated behavioral health in primary care, and health equity/the social determinants of health. The Primary Care Training and Enhancement (PCTE) (cohort 16) program issued awards to 33 applicants for a 5-year project period starting July 1, 2021. The Primary Care Training and Enhancement – Physician Assistant Rural Training Program (PCTE-PAR) issued awards to 11 applicants for a 5-year project period starting July 1, 2022.
In Academic Year, 2021-2022, PCTE programs trained 12,178 health professionals, residents, students, and faculty to strengthen the public health workforce. A total of 2,917 graduated or completed their training program. Trainees from other programs within the PCTE portfolio included over 2,500 clinicians integrating behavioral health and primary care. Forty percent of these clinicians were from disadvantaged backgrounds. Four hundred and ninety-six residents were learning to practice comprehensive, primary care medicine in medically underserved and/or rural areas. Three hundred and forty-five community prevention and maternal health residents and fellows reached over 376,000 patients. Twenty-three faculty expanded the capacity to train primary care providers.
Primary Care Training and Enhancement (PCTE): Training Primary Care Champions (TPCC): In Academic Year 2021-2022, PCTE- TPCC provided fellowships to 139 physicians and 24 physician assistants. Of the 139 trained fellows, 36 percent self-identified as underrepresented minorities, 18 percent were from disadvantaged backgrounds, and approximately 29 percent from a rural background. Of the 87 graduates, 31 percent self-identified as underrepresented minorities and 22 percent were from disadvantaged backgrounds. TPCC fellows received training in health equity and social determinants of health (76 percent), opioid use treatment (40 percent), substance use treatment (29 percent), integrated behavioral health in primary care (27 percent), and COVID-19 (18 percent). In addition, 40 percent trained in a setting that offered telehealth.
Primary Care Training and Enhancement (PCTE): Integrating Behavioral Health and Primary Care (IBHPC) Program: In Academic Year 2021-2022, PCTE-IBHPC developed courses that included behavioral health , cultural competencies and health disparities, leadership and management. Trainees served populations with mental illness, older adults, and individuals with disabilities.
Primary Care Training and Enhancement (PCTE) - Physician Assistant (PA) Program: In Academic Year 2021-2022, the PCTE-PA program trained 1,902 physician assistants (PAs), 50 percent of whom were underrepresented minorities and 43% were from disadvantaged backgrounds. There were 518 graduates. Three hundred and fifty-four received the SAMHSA waiver to prescribe medication assisted treatment. One thousand three hundred and fifty one PA students received MAT training for SUD/OUD.
Primary Care Training and Enhancement (PCTE) – Residency Training in Primary Care:
In Academic Year 2021-2022, the PCTE-RTPC program trained 496 individuals. Twenty percent of PCTE-RTPC residents were from disadvantaged and 24 percent from rural backgrounds. There were 157 residents who completed their residency training. Eighty five of the graduates report employed or practicing in a primary care setting. In addition, the residency programs developed or enhanced 614 courses.
Primary Care Training and Enhancement - Community Prevention and Maternal Health:
In Academic Year 2021-2022, the PCTE-CPMH program trained 345 individuals. Thirty-two percent of were from disadvantaged, 26 percent were from underrepresented minorities, and sent and 25 percent from rural backgrounds. There were 138 graduates.
Primary Care Training and Enhancement – Physician Assistant Rural Training Program (PCTE-PAR): The program will report performance data in future Congressional Justifications.
Primary Care Training and Enhancement – Mental and Behavioral Health (PCTE-RTMB): The program will report performance data in future Congressional Justifications.
Primary Care Training and Enhancement – Language and Disability Access Program (PCTE-LDA): The program will report performance data in future Congressional Justifications.
In Academic Year (AY) 2022-2023, the Primary Care Training and Enhancement Program trained 7,388 health professions students and practicing health care professionals. A total of 2,113 individuals completed a Primary Care Training and Enhancement Program, including 1,052 physician assistant students and 383 physicians in residency or fellowship programs. Select Primary Care Training and Enhancement Program outcomes include providing medical care and strengthening the health care system through the following: • 2.1 million patient encounters occurred through Primary Care Training and Enhancement residencies, fellowships, and training programs focused on primary care, rural health, community prevention, and maternal health.
• 420 students and practicing professionals with follow-up data were working/training in a primary care setting one year after completing their Primary Care Training and Enhancement Program, and 385 were in a medically underserved community and/or rural area.
HRSA conducted a four-year evaluation of the Training Primary Care Champions program, a single subprogram within the larger Primary Care Training and Enhancement program. The evaluation found that between AYs 2018 and 2022, 341 fellows participated in Training Primary Care Champions and 253 completed their fellowship. Fellows developed or enhanced 113courses, reaching 2,948 professionals and students, and conducted nearly 300 health care transformation projects at community-based primary care sites. As of January 2023, one to three years after program completion, 81% of Training Primary Care Champions alumni were employed in Health Professional Shortage Areas, 36% at a National Health Service Corps approved site, and 27% in rural areas.
PCTE: Integrating Behavioral Health and Primary Care In AY 2022-2023, (the most recent year with available data), there were 2,946 trainees and 640 graduates in the Integrating Behavioral Health and Primary Care program.
PCTE: Physician Assistant Training in Primary Care
In AY 2022-2023, (the most recent year with available data), there were 114 trainees and 21 graduates in the Physician Assistant Training in Primary Care Program.
PCTE: Residency Training in Primary Care
In AY 2022-2022, (the most recent year with available data), there were 568 residents trained and 195 graduates in the Residency Training in Primary Care Program.
PCTE: Community Prevention and Maternal Health
In AY 2022-2023, (the most recent year with available data), there were 403 trainees and 142 graduates in the Community Prevention and Maternal Health Program.
PCTE: Physician Assistant Rural Training
In AY 2022-2022, (the most recent year with available data), there were 1,050 trainees and 206 graduates in the Physician Assistant Rural Training Program.
PCTE: Residency Training in Mental and Behavioral Health Program No data available.
PCTE: Language and Disability Access Program No data available.
Single Audit Applies (2 CFR Part 200 Subpart F):
For additional information on single audit requirements for this program, review the current Compliance Supplement.
OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.
