BHPr Performance Measures Forms

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Predoctoral Training in General Dentistry,
Pediatric Dentistry, and Dental Public Health
and Dental Hygiene Grant Program
(PD)

Grant Purpose Form
Training Program Setup
PC-1
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2

Column
1
2
6-13
5
2,5,7-8
3,6,8,11
3,6,8,11
2,2a,3,8,8a,9
2,5
1-15,20,22,26-34,31-34,36-39
13, 14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3

*Grant Purposes
PD-1: Plan, develop and operate or participate in an approved professional training program
PD-2: Support of an accredited master’s in public health for dental and dental hygiene students
PD-3: Meet the costs of projects to establish, maintain, or improve pre-doctoral training in primary care
PD-4: Provide financial assistance to dental or dental hygiene students

Grant Purpose(s)*
----

1-3

4

1-3

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Postdoctoral Training in General, Pediatric,
and Public Health Dentistry
(PDD)

Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-6
PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
CE-1
CE-2

Column
1
2
n/a
3-10
3-11
4-6
3,4,6-8
4,5,7,9,10,12
4,5,7,9,10,12
1,4-7,10-12
1,3,4,6
1-15,20,22,26-34,31-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3
1-6,8-12
1-3

*Grant Purposes
PDD-1: Plan, develop and operate or participate in an approved professional training program
PDD-2: Support of an accredited master’s in public health for dental residents
PDD-3: Meet the costs of projects to establish, maintain, or improve post-doctoral training in primary care
PDD-4: Provide financial assistance to dental residents or practicing dentists

Grant Purpose(s)*
----

1-3

4

1-3

1-4

1-3

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Dental Faculty Loan Program (DFLP)

Predoctoral Training
in Primary Care

Form Name
Faculty Development Setup
IND-GEN
INDGEN-PY
FD-4a
FD-4b
FD-5
Training Program Setup
Faculty Development Setup
PC-1
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column
n/a
2-12,18,22-24,27,36,37,50
13,14
1,1a,2-5
1-3
23a-c
2
n/a
6-13
5
2,5-8
3,6-8,11-12
3,6-8,11-12
2,3,8-11
2,5,6
1-15,20,22,26,28-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Faculty Development in General,
Pediatric, and Public Health
Dentistry and Dental Hygiene
(FDD)

Physician Faculty
Development in Primary Care
(PFD)

Form Name
Faculty Development Setup
IND-GEN
INDGEN-PY
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
FD-4a
FD-4b
FD-5
Faculty Development Setup
IND-GEN
INDGEN-PY
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
FD-4a
FD-4b

Column
n/a
1-12,14-15,22,26,27,36-39
13,14
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3
23a-c
n/a
1-14,20,22,26-34,36-49
13,14
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Physician Assistant Training
in Primary Care
(PAT)

Form Name
Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-1
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column
1
2
n/a
6-13
3-5
2,5,7,8
3,6,8,11
3,6,8,11
2,3,8,9
2,5
1-15,20,22,26,28-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

*Grant Purposes
PAT-1: Plan, develop and operate an education program to train physician assistants to practice in primary care settings
PAT-2: Planning year only

Grant Purpose(s)*

1

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Academic Administrative
Units in Primary Care
(AAU)

Training Program Setup
Faculty Development Setup
PC-1
PC-6
PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column
2
n/a
6-13
3-10
4-11
3-5
2-8
3-12
3-12
2-11
2-6
1-15,22,26-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name
Grant Purpose Form

1

Training Program Setup

2

Faculty Development Setup

Residency Training
in Primary Care

PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column

Grant Purpose(s)*
---

n/a
4-11
3-5
4,6-8
5,7,10,12
5,7,10,12
6,7,10,11
4,6
1-14,20,22,26-34,36-37,39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

1,2

3

1,2

*Grant Purposes
RTPC-1: Plan, develop, and operate and participate in an accredited residency or internship program
RTPC-2: Plan, develop, and operate a program for the training of physicians teaching in community-based settings
RTPC-3: Provide need-based financial assistance in the form of traineeships and fellowships to medical students, interns, residents, and
practicing physicians

Medicine and Oral Health Programs’ Applicable Measures
Program Name

National Research Service
Award in Primary Care
(NRSA)

Expansion of Physician
Assistant Training
(EPAT)

Primary Care
Residency Expansion
(PCRE)

Form Name
Faculty Development Setup
IND-GEN
INDGEN-PY
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
FD-4a
FD-4b
Training Program Setup
Faculty Development Setup
PC-1
PC-9
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
Training Program Setup
PC-8
PC-9
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3

Column
n/a
1-14,20,22,26-34,36-49
13,14
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3
2
n/a
6-13
3-6
1-15,20,22,26,28-34,36-39
13,14
1-4,8-11
1,2,5,7
1-5
2
4-11
3-6
1-14,20,22,26-34,36-37,39
13,14
1-4,8-11
1,2,5,7
1-5

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Interdisciplinary and Interprofessional Joint
Graduate Degree

Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-1
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column
1
2
n/a
6-13
5
2,5,7,8
3,6,8,11
3,6,8,11
2,3,8,9
2,5
1-15, 22, 26, 27, 36-39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

Grant Purpose(s)*

1

*Grant Purposes
JDP-1: Development or enhancement of a program for students providing training in environmental health, infectious disease control,
disease prevention and health promotion, epidemiological studies, and injury control
JDP-2: Planning year only

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Preventive Medicine Residencies (PMR) and
Integrative Medicine Program

Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-8
PC-9
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

*Grant Purposes
PMR-1: Support resident costs
PMR-2: Infrastructure and curriculum design

Column
1
2
n/a
4-11
3,5
1-3, 3a, 4-13,22,26-29,31-34,36,37,39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

Grant Purpose(s)*
---1
2

1

2

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Teaching Health Center
Graduate Medical Education
(THCGME)

Training Program Setup
Faculty Development Setup
PC-6
PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b

Column
2
n/a
3-10
4-11
3-6
3,4,6-8
4,5,7,9,10,12
4,5,7,9,10,12
4,4a,5,6,6a,7,10,10a,11
3,4,6
1-3, 3a, 4-14, 20, 22, 25-34, 36,37,39
13,14
1-4,8-11
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Children's Hospital's
Graduate Medical Education
(CHGME)

Training Program Setup
PC-6
PC-8
PC-9
PC-10
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CHD-1
CHD-2
CHD-3
PCC

Column
2
3
4,12
3,4,5,7
3,4,5,6,7,8,9
1-12,12a,22,25-34,36,37,39,56-60
13,14
1-4
1,2,5,7
1-4
1-4
1-5
1,4
1-9

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Geriatrics Workforce
Enhancement Program
(GWEP)

Training Program Setup
PC-1
PC-6
PC-7
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
CE-1
CE-2

Column
2
6-13
3-10
3-10
1a,6-8
2a,7,7a,12
2a,7,7a,12
12,12a,13,10,10a,11
7,7a,6,6a
1-12,20a,22,26-29,31-34,36,37,39
13,14
1-4,8-13
1,2,5,7
1-5
1-9
9,10
1-3
1,1a,2-11
1-3
1-7
1-3
1-6,8-12,15
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

Primary Care Training Enhancement (PCTE)

Training Program Setup
PC-1
PC-2
PC-6
PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
CDE-1
CDE-1a
CDE-2
FD-1a
FD-1b
FD-2a
FD-2b
FD-4a
FD-4b
CE-1
CE-2

Column
2
6,6b,7-13
4-6, 6a
3,3a,4-10
4,4a,5-11
3,5
1a,6a,7,8
2a,6a,7a,11a
2a,6a,7a,11a
12,12a,13,14,14a,15
7,7a,8,8a
1-3, 3a, 4-12,20a,22,26-29,31-34,36-41
13,14
1-4,8-13
1,2,5,7
1-5
1-10
9-11
1-3
1,1a,2-11
1-3
1-7
1-3
1,1a,2-5
1-3
1-6,8-12
1-3

Grant Purpose(s)*

Medicine and Oral Health Programs’ Applicable Measures
Program Name

Form Name

State Oral Health
Workforce Program
(SOHWP)

Grant Purpose Form
Training Program Setup
Faculty Development Setup
PC-1
PC-6
PC-8
PC-9
LR-1a
LR-2
DV-1
DV-2
DV-3
IND-GEN
INDGEN-PY
EXP-1
EXP-2
EXP-3
RET
CDE-1
CDE-1a
CDE-2
FD-5
CE-1
CE-2
SOHWP-A
SOHWP-B
SOHWP-C
SOHWP-D
SOHWP-E
SOHWP-F
SOHWP-G

Column
1
2
n/a
5-13
3-10
3-11
4-6
4,6-8
5,7,10,12
5,7,10,12
6,7,10,11
4,6
1-15, 22-24,26-29, 31-34, 36-38, 50-55
13,14
1-4,8-11
1,2,5,7
1-4
5-7
1-9
9,10
1-3
23a-c
1-6,8-12
1-3
1-5
1-7
3-5
6-12
1-5
1-6
22

Grant Purpose(s)*
4,6
11
6
4,6

4

1,3,4,6,10,13

4,6
2
4
11
7,13
5
8
9,13
10
12
13

Medicine and Oral Health Programs’ Applicable Measures
*Grant Purposes
SOHWP-1: Loan forgiveness and repayment programs for dentists
SOHWP-2: Dental recruitment and retention efforts
SOHWP-3: Grants and low-interest or no-interest loans to help dentists who participate in the Medicaid program
SOHWP-4: The establishment or expansion of dental residency programs in coordination with accredited dental training institutions in
States without dental schools
SOHWP-5: Programs developed in consultation with State and local dental societies to expand or establish oral health services and facilities
in dental health professional shortage areas
SOHWP-6: Placement and support of dental students, dental residents, and advanced dentistry trainees
SOHWP-7: Continuing dental education, including distance-based education
SOHWP-8: Practice support through teledentistry in accordance with State laws
SOHWP-9: Community-based prevention services such as water fluoridation and dental sealant programs
SOHWP-10: Coordination with local
SOHWP-11: The establishment of faculty recruitment programs at accredited dental training institutions
SOHWP-12: The development of a State dental officer position or the augmentation of a State dental office to coordinate oral health and
access issues in the State
SOHWP-13: Policy
SOHWP-13: Grant Contracts
SOHWP-13: Strategic Efforts
SOHWP-13: Partnerships
SOHWP-13: Training
SOHWP-13: Prevention Activity
SOHWP-13: Workforce Development
SOHWP-13: Direct Financial Support
SOHWP-13: Other