Training in General, Pediatric, and Public Health Dentistry

The purpose of the Training in General, Pediatric, and Public Health Dentistry and Dental Hygiene programs are to improve access to and the delivery of oral health care services for all individuals, particularly low income, underserved, uninsured, minority, health disparity, and rural populations by

credit: Healthy People 2020
increasing the supply of a qualified dental workforce and enhancing dental workforce education and training.



This is addressed through the implementation of the following programs:

1) Predoctoral Training in General, Pediatric or Public Health Dentistry and Dental Hygiene; 2) Post-doctoral Training in General, Pediatric and Public Health Dentistry; 3) Faculty Development Training in General, Pediatric and Public Health Dentistry and Dental Hygiene; the 4) Dental Faculty Development and Loan Repayment Program; and the 5) Dental Faculty Loan Repayment Program.
Examples of Funded Projects

Fiscal Year 2016: Fiscal Year 2016: Some examples of funded projects through this program include: 1) developing a delivery system that improves access to care of patients with special healthcare needs and provides lifetime care through inter-professional education and practice; 2) increasing the oral health workforce treating medically complex and developmentally disabled individuals in Dental HPSAs; 3) increasing training and competency through the use of telehealth technology; 4) expanding oral health services for at-risk school children; 5) developing a pediatric dental workforce that practices inter-professionally, especially with school nurses and public health personnel; 6) enhancing medical and dental home integration; 7) increasing the number of dentists practicing in urban, underserved areas; 8) developing curricula to support team-based practice; 9) developing partnerships with primary care pediatrics to assembly, train and deploy interprofessional teams; 10) improving access for dental care in rural communities; 11) recruiting and retaining qualified students from underrepresented minorities; and 12) providing support for dental and dental hygiene trainees to pursue an MPH degree or from dentists to pursue a DPH postdoctoral program.

Fiscal Year 2017: No Current Data Available.

Fiscal Year 2018: No Current Data Available.

Fiscal Year 2017: No Current Data Available Fiscal Year 2018: No Current Data Available


Agency - Department of Health and Human Services

The Department of Health and Human Services is the Federal government's principal agency for protecting the health of all Americans and providing essential human services, especially to those who are least able to help themselves.

Website Address

http://www.hrsa.gov


Relevant Nonprofit Program Categories





Program Accomplishments

Fiscal Year 2016: Fiscal Year 2016: 1) Predoctoral Training in General, Pediatric or Public Health Dentistry and Dental Hygiene: ? Grantees trained 3,835 dental and dental hygiene students, 28 percent were either from a disadvantaged background or from underrepresented minorities. ? Nearly 24 percent of individuals intended to practice in a primary care setting upon completion of training, while nearly 20 percent intended to practice in a medically underserved area. ? During the academic year, grantees partnered with 139 clinical training sites, of which 63 percent were located in medically underserved communities, 55 percent in a primary care setting, and 17 percent in a rural setting. 2) Postdoctoral Training in General, Pediatric and Public Health Dentistry: ? This program produced 279 newly specialized dentists who completed their dental residencies and entered the health care workforce. Of these new dentists, over 50 percent reported Pediatric Dentistry as their primary discipline, while 46 percent and 4 percent (respectively) reported General Dentistry and Public Health Dentistry as their primary discipline. ? Nearly 2,232 health care students and trainees participated in interprofessional team-based care alongside PDD residents. ? During the academic year, grantees partnered with 149 clinical training sites, 60 percent were located in a medically underserved community, 50 percent in a primary care setting, and seven percent in a rural setting. 3) Faculty Development Training in General, Pediatric and Public Health Dentistry and Dental Hygiene: ? Grantee supported 80 distinct faculty development activities, which trained 946 faculty members. ? Faculty who received direct grant support as instructors trained 929 dental students, general density residents, and pediatric dentistry residents. 4) Dental Faculty Development and Loan Repayment Program: as this was a new program for FY2016, there is currently no data available. 5) Dental Faculty Loan Repayment Program: as this is a new program for FY2017, there are no accomplishments to note. Fiscal Year 2017: Currently no data available. Fiscal Year 2018: No data available.

Uses and Use Restrictions

1) Predoctoral Training in General, Pediatric or Public Health Dentistry and Dental Hygiene: Grant funds may be used to support professional training programs: 1) to plan, develop, and operate or participate in approved professional training programs in the fields of general dentistry, pediatric dentistry, or public health dentistry for dental students, dental hygienists, and/or dental hygiene trainees that emphasize training for general, pediatric, or public health dentistry; 2) to meet the costs of projects to establish, maintain, or improve predoctoral training in primary care programs; and 3) to provide technical assistance to primary care training programs in developing and implementing instruction regarding the oral health status, dental care needs, and risk-based clinical disease management of all primary care populations with an emphasis on underserved children. 2) Postdoctoral Training in General, Pediatric and Public Health Dentistry: Grant funds may be used to support professional training programs: 1) to plan, develop, and operate, or participate in, an approved professional training program in the fields of general, pediatric, or public health dentistry for dental residents, or practicing dentists or other approved primary care dental trainees that emphasizes training for general, pediatric and public health dentistry; 2) to provide financial assistance to dental residents or practicing dentists who are in need thereof, and who are participants in any such training program, and who plan to work in the practice of general, pediatric or public heath dentistry; 3) to support an accredited master?s degree in public health program for dental residents in need of such support, support is limited to residents only. 3) Faculty Development Training in General, Pediatric and Public Health Dentistry and Dental Hygiene: Grant funds may be used to support professional training programs: 1) to plan, develop, and operate a program for the training of oral health care providers who plan to teach in general, pediatric, public health dentistry or dental hygiene; 2) to provide financial assistance in the form of traineeships and fellowships to dentists who plan to teach, or are teaching, in general, pediatric, or public health dentistry; and 3) to meet the costs of projects to establish, maintain, or improve dental faculty development programs. 4) Dental Faculty Development and Loan Repayment Program: Grant funds may be used to support professional training programs: 1) to plan, develop, and operate a dental faculty loan repayment program for faculty engaged in primary care dentistry to include general, pediatric, and public health dentistry and dental hygiene; 2) individual participants must agree to serve as full-time faculty members and perform at least 50 percent of their full-time faculty duties in a community-based primary care setting; 3) upon completion by an individual of each of the first, second, third, fourth, and fifth years of service, the program will pay an amount equal to 10, 15, 20, 25, and 30 percent, respectively, of the individual?s student loan balance owed at the initiation of the agreement.

Grant funds may also be used to support professional training program: to establish, maintain or improve a dental faculty development program in primary care: 1) to prepare and support faculty for successful academic careers focused on enhancing training for students and/or residents in general dentistry, pediatric dentistry, dental public health, or dental hygiene within community-based, interprofessional primary care settings; 2) faculty participating in the loan repayment program must be included as participants in the program?s faculty development program; and no more than $100,000 per year may be used for these Faculty Development activities. 5.

Dental Faculty Loan Repayment Program: Grant funds may be used to support professional training programs: 1) to plan, develop, and operate a dental faculty loan repayment program for faculty engaged in primary care dentistry to include general, pediatric, and public health dentistry and dental hygiene with preference given to pediatric dentistry faculty supervising residents at dental training program providing clinical services in dental clinics located in dental schools, hospitals, or community-based affiliated sites; 2) individual participants must agree to serve as full-time faculty members; and 3) upon completion by an individual of each of the first, second, third, fourth, and fifth years of service, the program will pay an amount equal to 10, 15, 20, 25, and 30 percent, respectively, of the individual?s student loan balance owed at the initiation of the agreement.

Restricted Uses: Indirect costs under training awards to organizations other than State, local or American Indian tribal governments will be budgeted and reimbursed at 8 percent of modified total direct costs rather than on the basis of a negotiated rate agreement, and are not subject to upward or downward adjustment.

Eligibility Requirements

Applicant Eligibility

Eligible applicants are accredited dental or dental hygiene schools, public or private not-for-profit hospitals, or other pubic or not for profit entities, which the Secretary has determined is capable of carrying out such a grant.

Eligible entities include entities that have programs in dental or dental hygiene schools, or approved residency or advanced education programs in the practice of general, pediatric, or public health dentistry.

Federally Recognized Indian Tribal Government and Native American Organizations may apply if otherwise eligible. Eligible entities may partner with schools of public health for the education of dental students, residents or dental hygiene students for a master?s in public health in an accredited program.

Training activities must be conducted by an accredited entity; therefore, either the applicant or a partner organization responsible for the dental or dental hygiene training must be accredited.

Beneficiary Eligibility

Beneficiaries include a full range of trainees: dental or dental hygiene students, dental hygienists, dental residents, practicing dentists, other approved primary care dental trainees and dental faculty.

Credentials/Documentation

Applicants should review the individual HRSA Notice of Funding Opportunities (NOFO) issued under this CFDA program for any required proof or certifications which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.

Aplication and Award Process

Preapplication Coordination

Preapplication coordination is not applicable.

Environmental impact information is not required for this program.

This program is excluded from coverage under E.O.

12372.

Application Procedures

2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through Grants.gov. All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing (electronic) by a Notice of Award.

Award Procedures

Notification is made in writing (electronic) by a Notice of Award.

Deadlines

Contact the headquarters or regional office, as appropriate, for application deadlines.

Authorization

Public Health Service Act, Section 748, 42 U.S.C. 293k-2.

Range of Approval/Disapproval Time

Approximately 120 to 180 days after receipt of applications.

Appeals

Not Applicable.

Renewals

Depending on Agency priorities and availability of funding, during the final budget year of the approved project period competing continuation applications may be solicited from interested applicants.

Assistance Considerations

Formula and Matching Requirements

Statutory formulas are not applicable to this program. Matching requirements are not applicable to this program. This program has MOE requirements, see funding agency for further details. The recipient must agree to maintain non-federal funding for grant activities at a level which is not less than expenditures for such activities during the fiscal year prior to receiving the award.

Length and Time Phasing of Assistance

This funding opportunity provides support for a 5-year project period. See the following for information on how assistance is awarded/released: Recipients drawdown funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.

Post Assistance Requirements

Reports

Both program and financial reports are required.

The recipient will be required to submit annual performance and progress reports.

Cash reports are not applicable.

A Federal Financial Report (SF-425) is required according to the schedule in HRSA?s Application Guide.

A final report is due within 90 days after the project period ends.

If applicable, the recipient must submit a Tangible Personal Property Report (SF-428) and any related forms within 90 days after the project period ends.

New awards (?Type 1?) issued under this notice of funding opportunity are subject to the reporting requirements of the Federal Funding Accountability and Transparency Act (FFATA) of 2006 (Pub.

L.

109?282), as amended by section 6202 of Public Law 110?252, and implemented by 2 CFR Part 170.

Grant and cooperative agreement recipients must report information for each first-tier subaward of $25,000 or more in federal funds and executive total compensation for the recipient?s and subrecipient?s five most highly compensated executives as outlined in Appendix A to 2 CFR Part 170 (The FFATA details are available online at http://www.hrsa.gov/grants/ffata.html).

Competing continuation recipients may be subject to this requirement and will be so notified in the Notice of Award.

Expenditure reports are not applicable.

Performance monitoring is not applicable.

Audits

In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, non-Federal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503.

Records

Recipients are required to maintain grant accounting records 3 years from the date they submit the FFR. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later.

Financial Information

Account Identification

75-0350-0-1-550.

Obigations

(Project Grants) FY 16 $0; FY 17 est $800,000; and FY 18 est $0 - Dental Faculty Loan Repayment Program. (Project Grants) FY 16 $10,719,553; FY 17 est $11,406,102; and FY 18 est $0 - Postdoctoral. (Project Grants) FY 16 $4,129,166; FY 17 est $7,811,707; and FY 18 est $0 - Predoctoral. (Project Grants) FY 16 $2,744,513; FY 17 est $0; and FY 18 est $0 - Faculty Development. (Project Grants) FY 16 $1,628,634; FY 17 est $2,125,583; and FY 18 est $0 - Dental Faculty Development and Loan Repayment Program.

Range and Average of Financial Assistance

Predoctoral Training in General, Pediatric or Public Health Dentistry and Dental Hygiene: FY 15: Range: $93,958 to $493,956; Average award: $323,990 FY 16.: Range: $315,311 to $350,000; Average award: $344,097 FY 17 est.: Range: $315,000 to $350,000; Average award: $344,000 Postdoctoral Training in General, Pediatric and Public Health Dentistry: FY 15: Range: $99,070 to $748,062; Average award: $516,485 FY 16: Range: $242,937 to $749,055; Average award: $549,392 FY 17 est.: Range: $242,000 to $749,000; Average award: $549,000 Faculty Development Training in General, Pediatric and Public Health Dentistry and Dental Hygiene: FY 15: Range: $412,806 to $500,000; Average award: $483,162 FY 16: Range: $343,887 to $500,000; Average award: $457,418 FY 17 est.: Program has ended. Dental Faculty Development and Loan Repayment Program: FY 15: Range: program did not exist FY 16: Range: $138,862 to $200,000; Average award: $180,959. FY 17 est.: Range: $208,293 to $300,000; Average award: $236,175 Dental Faculty Loan Repayment Program: FY 15: Range: program did not exist FY 16: Range: program did not exist. FY 17 est.: Range: competition still pending.

Regulations, Guidelines, and Literature

All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants/hhsgrantspolicy.pdf.

Information Contacts

Regional or Local Office

None.

Headquarters Office

Shane Rogers, Chief, Oral Health Training Branch, Division of Medicine and Dentistry, Bureau of Health Workforce 5600 Fishers Lane Room 15N-120, Rockville, MD 20857 , Rockville , Maryland 20857 Email: srogers@hrsa.gov Phone: 301-443-5260 Fax: 301-443-0162

Criteria for Selecting Proposals

Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by non-Federal expert consultant(s) for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed selection criteria.



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