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  4. FAQ: Teaching Health Center Graduate Medical Education (THCGME) Program

FAQ: Teaching Health Center Graduate Medical Education (THCGME) Program

Funding Opportunity Number: HRSA-22-139


What types of community-based ambulatory patient care centers are eligible for THCGME funding?

Specific examples of eligible outpatient settings include, but are not limited to:

  • Federally Qualified Health Centers
  • Community Mental Health Centers
  • Rural Health Clinics
  • Health centers operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization
  • An entity receiving funds under Title X of the Public Health Service (PHS) Act

Note: The list of entities above is not exhaustive, but does reflect the intent of the program to provide training in community-based ambulatory patient care centers such as those listed.

What types of residency programs are eligible for THCGME funding?

The THCGME Notice of Funding Opportunity (NOFO) offers funding to support primary care residency programs in:

  • Family medicine
  • Internal medicine
  • Pediatrics
  • Internal medicine pediatrics
  • Psychiatry
  • Obstetrics and gynecology
  • General dentistry
  • Pediatric dentistry
  • Geriatrics

Note:No other specialties will be considered for THCGME funding.

Are existing THCGME award recipients eligible to apply?

Yes. Two award types are available through this announcement:

  • Expansion awards for an expanded number of resident Full Time Equivalent (FTE) positions at existing HRSA THCGME Programs.
  • New awards to support new resident FTE positions at new Teaching Health Centers (THCs), as funding permits. New THCs are those applicants that have never received payment under the HRSA THCGME Program for the applicable residency program in any previous fiscal year (FY).

Are teaching hospitals and academic institutions eligible for THCGME funding?

No. Entities that are not community-based ambulatory patient care centers, such as teaching hospitals, health care systems and/or networks, and academic institutions are not eligible to receive THCGME funding.

However, a community-based ambulatory patient care center may form a Graduate Medical Education (GME) consortium with community stakeholders (e.g., academic health centers, universities and/or medical schools, teaching hospitals) where the GME consortium serves as the Sponsoring Institution.

Within the consortium, the community-based ambulatory care center is expected to play an integral role in the academic, financial, and administrative operations of the residency.

Does my residency program need to be accredited in order to receive THCGME support?

Yes. You must provide documentation that the residency program is accredited at time of application.

Applicant residency programs must be prepared to begin training residents starting July 1, 2022.

How many resident full-time equivalents (FTE) may I apply for?

You must designate the number of resident FTEs you are requesting support for under this announcement. Resident FTE requests must be made according to the following requirements:

  • Expansion – Existing HRSA THCGME residency program recipients may request expansion of resident FTEs above the baseline, which is the number of resident FTEs trained by the program in Academic Year (AY) 2018-2019. Such expansion requests can only be made for resident FTEs currently not otherwise funded by HRSA if the requested resident FTEs are not supported by another Federal or State funding source by the project period start date (July 1, 2022). Training of newly supported THCGME residents must start in AY 2022-2023.
  • New THCs – New residency program applicants must demonstrate the need for the number of resident FTEs being requested and that the number of resident FTEs being requested is above the program’s baseline. The baseline is the number of resident FTEs trained by the program in AY 2018-2019. New applicants may request THCGME support for resident FTEs if the requested resident FTEs are not and were not funded by HRSA, including under HRSA-22-105 or supported by another Federal, State, non-profit or for-profit funding source by the project period start date (July 1, 2022). Training of newly supported THCGME residents must start in AY 2022-2023.

Expansion and New THC applicants that are currently training residents may request resident FTEs for THCGME support; however, all requests must be above the program’s resident FTE baseline and must not put the program above the number approved by the relevant accrediting body.

Can I apply for THCGME funding through this announcement if I submitted an application for the previous FY 2022 THCGME opportunity?

Yes. All applicants that meet eligibility criteria, including those that applied through the previous FY 2022 THCGME NOFO (HRSA-22-105), may apply through this announcement for resident FTE positions as the baseline requirements have changed and applicants may be eligible for additional resident FTEs.

New THCs under HRSA 22-105 may apply as new THCs under this NOFO:

  • If they would be eligible for more resident FTEs under the adjusted baseline definition and;
  • Only for the difference between the resident FTEs they have already been awarded under HRSA-22-105 and the number they are eligible for under this NOFO.

Applicants do not need to apply for resident FTEs for which they have already been notified they have received an award under HRSA 22-105.

Applicants that did not receive an award under announcement HRSA-22-105 may also apply through this announcement.

Can I apply for THCGME funding to support resident FTE positions at my program that are already supported by another federal funding source?

No. Funds from a THCGME award may not be used to replace or supplant funds that have been provided from a different source for the same purpose. THCGME funds must be used for program activities and may not replace or supplant any federal, state, local, tribal, non-profit or for-profit funding source for the same resident FTEs funds that have been appropriated or allocated for the same purpose.

Are there priorities available through this announcement?

Yes. The THCGME Program has three (3) funding priorities for making awards to new THCs:

  • Health Professional Shortage Area (HPSA)
  • Medically Underserved Community
  • Rural Community

Up to 15 points across the three (3) funding priorities are available for new THC applicants that qualify.

New THC applicants are permitted to apply for more than one priority. Applicants for new THC awards may also apply to this announcement without requesting a funding priority.

Are multiple THCGME applications allowable?

Yes. Multiple THCGME applications from an organization are allowable.

Entities seeking THCGME funding to support multiple residency programs MUST submit a separate application for each individual residency program.

You should include a unique name for each training program in the project abstract to differentiate between applications.

Each application will be scored separately.


How much is the per resident FTE award amount through this announcement?

The THCGME Program payment is formula-based and provides a payment inclusive of both direct medical education (DME) and indirect medical education (IME) support. The FY 2022 interim payment rate will be $160,000 per resident FTE. In subsequent fiscal years, the payment rate may change due to available appropriations and/or changes in payment methodology.

Can THCGME funding be used to support residency program start-up costs?

No. Awards made through this announcement may be utilized to support the costs associated with resident FTE training only.

If selected for funding, when will I receive my THCGME award?

HRSA will issue the Notice of Award (NOA) on or around the start date of July 1, 2022.

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