Health Professions
Training in Primary Care Medicine
and Dentistry
Authorizing Legislation - Section 747
of the Public Health Service Act.
| |
FY 2005 Actual |
FY 2006
CR |
FY 2007 PB |
Increase or Decrease
|
| Budget Authority |
$40,823,000 |
$40,851,000 |
--- |
- $40,851,000 |
FY 2008 Authorization.........................................................................................................Expired
Statement of the Budget Request
- The FY 2008 Budget does not request
funding for this program. This is $40,851,000
below the FY 2007 Continuing Resolution
(CR).
Program Description
- The Training in Primary Care Medicine
and Dentistry Program is comprised of
four components: (1) Family Medicine (FM)
(2) General Internal Medicine (GIM) and
General Pediatrics (GP) (3) Physician
Assistant (PA) and (4) General and Pediatric
Dentistry (GPD).
The Primary Care Medicine, and Dentistry
Programs provide grants to public or nonprofit
private hospitals, schools of medicine,
osteopathic medicine, dentistry, physician
assistants and other public or private
nonprofit entities that prepare primary
care physicians through predoctoral education,
residency training, faculty development,
and establishment or substantial expansion
of academic administrative units; by providing
grants to public and private nonprofit
schools to plan, develop, and operate
or maintain programs for the training
of PAs or for individuals who teach in
programs of such training; and by providing
grants to dental schools, approved residency
and advanced education programs in general
or pediatric practice of dentistry for
planning, developing or operating programs,
and to provide financial assistance to
residents in such programs. Funds are
also provided for cooperative agreements
and contracts to develop, implement and
disseminate innovative curriculum.
Rationale for the Budget Request
- The FY 2008 Budget does not request
funding for the Training in Primary Care
Medicine and Dentistry Program. This is
$40,851,000 below the FY 2007 CR. The
number of physicians has grown significantly
over the past decade. In addition, salaries
for primary care providers have also increased.
Analyses found that 8 of every 10 providers
that benefited from the Health Profession
program's long-term training support did
not practice in shortage areas. The budget
focuses on activities that fund the placement
of more doctors, nurses, and other health
care professionals in regions and pockets
of the country that face shortages.
Funding levels for the Training in Primary
Care Medicine and Dentistry Program during
the last five years reflect this effort
and are as follows:
| FY |
$ |
| 2003 |
92,432,000 |
| 2004 |
81,917,000 |
| 2005 |
88,816,000 |
| 2006 |
40,823,000 |
| 2007 |
40,851,000 |
Performance Analysis
- Most of the Health Professions’
Title VII and Title VIII programs were
reviewed as a unit during the FY 2004
budget cycle using the Program Assessment
Rating Tool (PART). This program was included
in that assessment. These programs, in
the aggregate, received a rating of Ineffective.
New performance measures are being established
for the Health Professions program overall
Outputs:
| |
FY
2006 Actual |
FY
2006
CR |
FY
2007 PB |
| Number
in clinical training with health care
service delivery organizations serving
under served areas. [1] |
|
|
|
| Residents/Graduates
|
5,396 |
5,396 |
-- |
| Students/Trainees
|
12,164 |
12,164 |
-- |
| Faculty
|
310 |
310 |
-- |
| No. who
enter practice in underserved areas.
[2] |
|
|
|
| Residents/Graduates
|
659 |
659 |
-- |
| Students/Trainees
|
6,431 |
6,431 |
-- |
| Faculty
|
363 |
363 |
-- |
| Number
that provide and support primary care.
|
|
|
|
| Residents/Graduates
|
5,949 |
5,949 |
-- |
| Students/Trainees
|
36,486 |
36,486 |
-- |
| Faculty
|
90 |
90 |
-- |
| Number
of minority/disadvantaged individuals
who completed training. |
|
|
|
| Residents/Graduates
|
1,058 |
1,058 |
-- |
| Students/Trainees
|
2,676 |
2,676 |
-- |
| Faculty
|
133 |
133 |
-- |
| Number
of minority/disadvantaged individuals
in training. |
|
|
-- |
| Residents/Graduates
|
2,015 |
2,015 |
-- |
| Students/Trainees
|
8,126 |
8,126 |
-- |
| Faculty
|
90 |
90 |
-- |
1/ Data for underserved areas
are based on Medical Underserved Areas
or MUA’s
2/ Data for underserved areas are based
on Medically Underserved Communities or
MUC’s
This data does not include thousands of
more residents, graduates, students, trainees
and faculty impacted and or trained under
cooperative agreements and contracts. |
