Printed from: http://www.stfm.org/Advocacy/KeyIssuesandLegislation/TitleVII
Title VII Primary Care Training

Recommendation

Provide $71 million for the health professions Primary Care Training & Enhancement program in FY2016.

Background

The Primary Care Training & Enhancement (PCTE) program administered by the Health Resources and Services Administration and authorized by Title VII, §747 of the Public Health Service Act of 1963 is the only federal program that specifically supports primary care training and the professional development of primary care faculty.  PCTE is essential to support the family physicians workforce.  

Primary Care Demand Expected to Continue

The total number of office visits to primary care physicians is projected to increase from 462 million in 2008 to 565 million in 2025 requiring nearly 52,000 additional primary care physicians by 2025.   Departments of family medicine and family medicine residency programs rely on PCTE grants to help develop curricula and research training methods for transforming practice delivery. The Advisory Committee on Training in Primary Care Medicine and Dentistry December 2014 report states that “[r]esources currently available through Title VII, Part C, sections 747 and 748 have decreased significantly over the past 10 years, and are currently inadequate to support the [needed] system changes.”

Demonstrated Value

A recent study of the effect of the PCTE funding opportunity announcement addressing faculty development needs found that targeted federal funding can bring about changes that contribute to an up-to-date, responsive primary care workforce.   In addition to the impact on faculty development, there are many examples of how PCTE grants have made lasting contributions:

"With funding from a Title VII Medical Student Education grant, we were able to expand our existing medical student family medicine clerkship clinic to include students from pharmacy, nursing, occupational and physical therapy, and law, who see patients together under the supervision of faculty from all disciplines. This has allowed us to create one of the few truly interprofessional clinical experiences.” —Joshua Freeman, MD, Chair, Department of Family Medicine, University of Kansas School of Medicine

“Our AAU HRSA Title VII Grant has allowed us to transform the education of medical students and residents at Brown University around the patient centered medical home, including new curricula and rotations, as well as the facilitation work to transform 10 family medicine teaching practices.  In addition, we have run 3 national "think tanks" to discuss practical and theoretical issues related to models for practice transformation, PCMH evaluation, and the Adolescent PCMH.  This grant has had huge impact and the work could not have been done without it."—Jeffrey Borkan, MD, PhD, Chair, Department of Family Medicine, Brown University

“Previous grants included starting a resident continuity clinic at an FQHC, and preparation for rural training (rural continuity clinic, curriculum, rural mentoring program, rural medicine interest group). More distant grants help set up rural training sites for medical students and residents in 1975 and 1980, both of which are still providing that important function.” —Steven C. Zweig, MD, MSPH, Chair, Department of Family Medicine, University of Missouri

Resources


Copyright 2015 by Society of Teachers of Family Medicine