Primary Care Training and Enhancement - Residency Training in Street Medicine (PCTE-RTSM)

Link

https://www.hrsa.gov/grants/find-funding/HRSA-25-078

Additional Links

Notice of Funding Opportunity (Grants.gov)

Deadline

Application Deadline: Mar 20, 2025

Sponsor

Bureau of Health Workforce (BHW)

Purpose

Offers funding to enhance training programs in street medicine for medical residents in primary care specialties, which include family medicine, internal medicine, pediatrics, and combined internal medicine-pediatrics. Aims to increase the number of primary care physicians prepared to practice street medicine to provide care outside of traditional clinical settings for people experiencing homelessness.

Objectives include:

• Develop or enhance trainings, clinical rotations, and didactic and clinical curricula content, with attention to mental health and substance use disorders (SUD), to train residents in street medicine to provide sensitive and quality care for people experiencing homelessness
• Increase residents' knowledge and skills to meet the unique needs of people experiencing homelessness and assist patients with navigation of the medical, behavioral health, legal, and social support systems
• Increase residents' knowledge and skills to work in interprofessional teams, including chronic disease management, mental health, substance use, and medical-legal interprofessional teams, to address social determinants of health (SDOH)

Recipients are expected to carry out the following activities:

• Build or expand a targeted curriculum that focuses on delivering primary care services to a population experiencing homelessness
• Establish training in the prevention, identification, diagnosis, treatment, and referral of services for behavioral health conditions, with a focus on SUD and medications for opioid use disorder (MOUD) as part of primary care training
• Provide experiential training in the use of an interprofessional team to provide treatment for health conditions experienced by homeless populations, with specific focusing on treatment of chronic conditions
• Develop partnerships between academic, community-based organizations (CBOs), and other service providers to develop clinical rotations, including at least 2 one-month rotations that focus on providing health care to the homeless
• Provide residents with a robust education in SDOH related to the causes, epidemiology, and treatment of health conditions experienced by homeless populations
• Offer didactic and experiential learning experiences about cultural and linguistic competency
• Provide training on how to interact with the legal systems that may impact patients' care through partnerships with legal-aid organizations or medical legal partnerships
• Ensure that residents have a National Provider Identifier (NPI) number
• Maintain ACGME accreditation of the qualifying residency program, and promptly report to HRSA any change in accreditation status
• Participate in evaluations to assess program effectiveness and efficiency upon request

Amount of Funding

Award ceiling: $500,000 per year
Project period: 5 years
Estimated number of awards: 19
Estimated total program funding: $9,500,000

Who Can Apply

Eligible applicants include organizations that are accredited public or nonprofit private hospitals, schools of medicine or osteopathic medicine, or public or private nonprofit entities that operate a primary care residency training program accredited by the Accreditation Council for Graduate Medical Education (ACGME).

Priority consideration is given to programs that train residents in rural areas, including tribes or tribal organizations in rural areas.

In addition to the rural funding priority listed above, applicants may also request a funding preference under qualifications for placing program graduates in medically underserved communities (MUCs):

1. Qualification 1 - High Rate: Must demonstrate that at least 50% of program graduates were placed in practice settings serving MUCs in academic years 2022-2023 and 2023-2024.
2. Qualification 2 - Significant Increase: Must demonstrate a 25% increase placing program graduates in MUCs from academic year 2022-2023 to academic year 2023-2024.
3. Qualification 3 - New Program: Must meet at least 4 of the criteria related to MUCs specified in Step 4 of the program guidance. New programs are defined as any program that has graduated/completed less than 3 classes.

Medically underserved communities are defined as Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), Medically Underserved Populations (MUPs), or a Governor Certified Shortage Areas for Rural Health Clinic (RHC) purposes HPSA. Applicants can document these designations using the HRSA Shortage Area Dashboard.

Geographic Coverage

Nationwide

What This Program Funds

Capacity Building • Operating Costs and Staffing • Training Providers

Application Process

Application instructions, requirements, and other information can be found in the funding announcement.

Applicant webinar
January 7, 2025
2:00 - 3:30 p.m. Eastern

Contact

For programmatic or technical questions:
Steve Coulter, MD
301-945-3336
pcte-rtsm@hrsa.gov

For grants management or budget questions:
Reginal Baker
301-945-3937
rbaker@hrsa.gov

Topics This Program Addresses

Healthcare Facilities • Healthcare Workforce • Housing and Homelessness • Mental Health • Substance Use Disorder • Treatment