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Primary Care Training and Enhancement: Residency Training in Primary Care (PCTE-RTPC) Program


Additional Links

Notice of Funding Opportunity (


Application Deadline: Jan 24, 2020

Sponsoring Organization

Bureau of Health Workforce (BHW)


Provides funding to improve existing and develop new accredited residency training programs in family medicine, general internal medicine, general pediatrics or combined internal medicine and pediatrics in rural and/or underserved areas. Works to increase the number of primary care physicians trained and interested in providing healthcare to rural and/or underserved communities to increase access to affordable and high quality healthcare.

Funds may be used to:

  • Improve residency training programs to expand the primary care physician workforce to meet the needs of rural and/or underserved communities
  • Provide training to residents on interprofessional, team-centered care
  • Develop or improve training to incorporate knowledge, skills, and abilities necessary to:
    • Meet the U.S. Department of Health and Human Services (HHS) and Health Resources and Services Administration (HRSA) priorities, which include combating the opioid crisis, mental health, transforming the workforce by targeting the need, and telehealth
    • Prepare residents to work and practice in rural and/or underserved areas to improve community health outcomes
  • Recruit, maintain, and support the graduation of residents from rural and/or underserved areas
  • Increase the number of residency graduates who choose to work in rural and/or underserved communities
  • Form connections with private sector and safety net healthcare providers to offer increased access to high quality care in rural and/or underserved regions
  • Establish partnerships with clinical ambulatory sites to offer longitudinal, interprofessional learning opportunities
  • Develop and provide support for faculty and preceptors development to plan, develop, and operate a training program for physicians teaching in community-based locations within rural and/or underserved areas

For this program, rural and/or underserved areas are identified by two sources:

  1. Clinical where rotation site is located in a state that has a projected shortage of primary care providers in 2025, using the National Center for Health Workforce Analysis (NCHWA) shortage projections for primary care shortage for fiscal year 2025.
  2. Clinical rotation site is located in an area considered rural as determined by the Federal Office of Rural Health Policy (FORHP). Applicants can use the Rural Health Grants Eligibility Analyzer to determine whether a county or specific address is designated as rural for this funding opportunity.

Amount of Funding

Award ceiling: $500,000 per year
Project period: 5 years
Estimated number of awards: Up to 20
Estimated total annual program funding: $10,000,000

Who Can Apply

Eligible applicants include:

  • Public or nonprofit private hospitals
  • Schools of allopathic medicine or osteopathic medicine
  • A public or private non-profit entity which the Secretary has determined is capable of carrying out a residency training program in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics

Applicants must provide documentation of accreditation by the Accreditation Council for Graduate Medical Education (ACGME).

Applicants can request a funding preference. Funding preferences will be granted to any qualified applicant that justifies their qualification for the funding preference by demonstrating that they meet the criteria for preference(s) as follows:

  • Qualification 1: High rate must demonstrate that at least 50% of all graduates are placed in practice settings providing care to medically underserved communities for academic years 2017-2018 and 2018-2019. Under this funding opportunity, medically underserved communities are defined as Health Professional Shortage Areas (HPSAs), Medically Underserved Areas (MUAs), Medically Underserved Populations (MUPs), or Governor's Certified Shortage Areas for Rural Health Clinic (RHC) Purposes.
  • Qualification 2: Significant increase by demonstrating a 25% increase from academic year 2017-2018 to academic year 2018-2019 for placing graduates in medically underserved communities.
  • Qualification 3: New program defined as residency programs that have graduated/completed less than three classes. New residency programs can qualify for funding preference if they have completed training for less than 3 consecutive classes and meet four or more of the following criteria:
    • Preparing health professionals to serve underserved populations must be included as a specific purpose of the training organization's mission statement.
    • The program curriculum contains content designed to help practitioners prepare to serve underserved populations.
    • The program requires substantial clinical training in medically underserved communities.
    • 20% or more of the clinical program faculty spend a minimum of 50% of their time serving or supervising care in medically underserved communities.
    • A substantial portion or the entirety of the program physically resides in a medically underserved community.
    • Residents can obtain resident assistance, which is linked to service in medically underserved communities, through the program. Federal and state resident assistance programs do not qualify.
    • The residency program offers a placement mechanism for assisting graduates with finding positions in medically underserved communities.

Geographic Coverage


What This Program Funds

Capacity Building • Training Providers

Application Process

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

Applicant frequently asked questions


For additional information or technical assistance regarding business, administrative, or fiscal issues:
Kim Ross, CPA

For programmatic or technical questions:
Anthony Anyanwu, MD, MHA, MSc

Rural Awards

Past awards communities have received can be found on the program website by searching the program name "Residency Training in Primary Care."

Communities who have received funding to address the healthcare needs in rural areas include:

  • Idaho State University Family Medicine Residency in Pocatello, Idaho received funding to expand their base residency program and establish rural training tracks to help meet the need for family medicine physicians in rural and frontier regions of eastern Idaho.
  • Iowa Medical Education Collaborative in Des Moines, Iowa was awarded funding to develop the first family medicine rural track in Iowa, increasing accredited family medicine residency training in rural areas of the state through the MercyOne Family Medicine Residency Program.
  • Lester E. Cox Medical Centers in Springfield, Missouri received grant funds to establish the Primary Care in the Ozarks Program (PCORP), which will place eight physician residents into rural, underserved areas in southwest Missouri, while encouraging residents to practice in these areas after graduation.
  • Mountain Area Health Education Center, Inc. in Asheville, North Carolina received funding to recruit family medicine residents in the rural western North Carolina region, create a faculty network across the region, and establish a rural practice innovation fellowship.
  • University of New Mexico in Albuquerque was awarded grant funds to develop, in collaboration with the Indian Health Service (IHS), an innovative, sustainable rural training track residency program focused on serving Native American patients and communities on the Navajo reservation.

Topics This Program Addresses

Colleges and Universities • Education and Training • Healthcare Facilities • Healthcare Workforce • Mental Health • Opioids • Prevention • Substance Use Disorder • Teleservices and Technology • Treatment