Type 7: Primary Care Training and Enhancement-Community Prevention and Maternal Health

The purpose of this program is to train primary care physicians in maternal health care clinical services or population health in order to improve maternal health outcomes. The program will increase the number of primary care physicians trained in public health and general preventive medicine, or trained in enhanced obstetrical care to increase maternal health care expertise and the number of primary care physicians trained in enhanced obstetric care in rural and/or underserved areas. There are two training tracks: Primary Care Community Prevention Track and Primary Care Obstetrics Track. Both tracks train primary care physicians in different aspects of maternal health care. Primary Care Community Prevention Track: The Primary Care Community Prevention Track supports training for either (1) primary care physicians (defined as physicians who have completed residency and are board-eligible or board-certified in family medicine, general internal medicine, general pediatrics, or combined internal medicine and pediatrics) and that are training in the second specialty of public health and general preventive medicine (hereafter referred to as “preventive medicine”), or (2) resident physicians in combined internal medicine-preventive medicine or family medicine-preventive medicine residency programs. The aim of this track is specifically to broaden residents’ scope of services in community prevention and maternal health care. The program will also contribute to the integration of public health into primary care in rural and/or underserved areas. Rotational experiences created by awardees for this track can be made available to other physicians in training as well, but non-primary care physicians may not be supported by this award. Primary Care Obstetrics Track: The Primary Care Obstetrics Track supports training for either (1) primary care physicians (defined as physicians who have completed residency and are board-eligible or board-certified in family medicine) that are training in an obstetrics fellowship program, or (2) resident physicians in family medicine residency programs with enhanced obstetrical training, including training which is provided by a co-located obstetrics-gynecology residency program. The aim of this track is specifically to broaden the training and scope of practice of these physicians to provide high quality, evidence-based maternity care services in rural and/or underserved areas, including physiologic vaginal birth and cesarean sections. Rotational experiences created by awardees for this track can be made available to other physicians in training as well, but non-primary care physicians may not be supported by this award. Applicants for both training tracks are encouraged to engage in partnerships with state Title V Maternal and Child Health Services Block Grant Programs. Title V programs are a key source of support for promoting and improving the health and well-being of the nation’s mothers, children, including children with special needs, and their families. These programs have the data to help target needs and monitor the maternal health workforce within their states.

Eligible entities for the PCTE-CPMH program are an accredited public or nonprofit private hospital, school of medicine or osteopathic medicine, academically affiliated physician assistant training program, or a public or private nonprofit entity which the Secretary has determined is capable of carrying out such a grant. Faith-based and community-based organizations are eligible to apply for these funds if otherwise eligible. Tribes and tribal organizations may apply for these funds, if otherwise eligible.