CHGME EHB-apr-2016-2017-reporting-manual

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Performance Report for Grants and Cooperative Agreements

ACADEMIC YEAR 2016-2017

Instruction Manual for Grantees of the
Children's Hospitals Graduate Medical Education
Annual Performance Report

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Welcome
Welcome to the Bureau of Health Workforce’s Performance Measures Handbook (BPMH)! This instruction manual has been carefully designed to
assist your organization in completing the required Performance Report for Grants and Cooperative Agreements (PRGCA). Please read through this
manual carefully, as it contains examples and a series of step-by-step instructions that will aid you in completing all required forms.
1. All required performance measures are linked to the following legislative purpose(s) of the CHGME grant program:
• Provide Graduate Medical Education in freestanding Children’s Teaching Hospitals.
2. Data submitted by grantees of the program must cover all activities that took place between July 01, 2016 - June 30, 2017 (Referred to as Annual
Performance Report).
3. The PRGCA is due no later than January 31, 2018. Failure to submit a PRGCA by this date may place your grant in a noncompliant status.
4. Officials at the Health Resources and Services Administration (HRSA) will review and approve all PRGCAs submitted by grantees. In the case
that revisions are needed, you will be granted the ability to re-enter the BPMH system, make corrections, and submit a revised PRGCA. All revisions
must be resubmitted within five (5) business days of the initial request. Failure to resubmit a revised PRGCA within five (5) business days may place
your grant in a noncompliant status.
5. We appreciate your feedback and assistance during this process. If you have any questions or require further assistance in completing your
PRGCA, please visit the grants homepage or contact the HRSA Contact Center. All requests for technical assistance will be coordinated through the
Call Center and responded to promptly: Call Center Phone Number: 877-GO4-HRSA (877-464-4772) or Call Center Online Assistance Form:
click here.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Getting Started
The Office of Management and Budget (OMB) has issued a 3-year approval for the annual collection of performance measures across all grants and
cooperative agreements funded through the Health Resources and Services Administration's Bureau of Health Workforces (BHW) (OMB # 09150061; Expiration Date: 06/30/2019). The BPMH system has been significantly enhanced to incorporate all approved subforms, as well as increase
system performance and functionality. Throughout the manual, there are several icons that identify tips and other important information that will
assist you in completing each subform accurately (see below).

Marks a warning statement. Please read information in bold carefully in order to complete each subform accurately.

Marks a tip or important note for completing a specific column or subform in the BPMH system.

Marks the end of a subform and provides instructions for initiating required validations checks.
Due to the nature of annual reporting, the BPMH system has been recently enhanced to prepopulate specific columns within certain subforms with
data submitted in a previous reporting period. In addition, a "View Prior Period Data" link has been added at the top of each subform in order to
provide you with easy access to data submitted by your organization in prior reporting periods.

Figure 1. Screenshot of View Prior Period Data Link
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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Getting Started - How Performance Measure Data Fields Are Identified in the Forms

Figure 2. Example of Performance Measures Data Table

There are two (2) types of data entry field identifiers. Each data entry field in a performance measure is identified with both types of numbers when
the measure appears like the example in the above Figure.
1. Column Numbers: The first is a Column number. It is contained in parentheses above the Block number. Column numbers are unique to the
field in a particular form and are used to identify error messages. If you receive an error message, it will refer to a Column Number. In that
circumstance, find the Column number in the form to locate the error. Data fields that are prepopulated may only be identified with a Column
number as shown in Column #1 in the above Figure.
2. Block Numbers: The second type of identifier is a Block number. Block numbers are also unique to a data entry field and correspond to the
paper version of the performance measures. If you print the performance measures or received paper copies, the data fields are identified with
a Block number. The Block numbers here in the EHB are the same as what appears in the paper copies of the performance measures. Nearly
all fields where you enter data will be identified with a Block number.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Getting Started: Browser Settings
Warning: Check your browser settings before beginning your PRGCA. Incompatible browsers or incorrect settings will cause forms to
display incorrectly.

1.

2.
3.

4.
5.

HRSA’s Electronic Handbook system (EHB) is compatible only with certain Internet browsers that have specific settings. Please check your
settings by logging into EHB and clicking the ‘Recommended Settings’ tab that appears in the yellow banner at the top left of your home
screen. The system will check your browser and its settings for compatibility.
There are multiple checks that are performed, and you must receive green check marks next to each setting in order to proceed. The following
link will direct you to a page that displays the list of the checks performed: Recommended Settings.
Opening this link in your browser will automatically perform the recommended settings checks. Alternatively, you can access the
recommended settings page in the EHBs system by clicking the ‘Recommended Settings’ tab on your EHBs home screen. It is highly
recommended to check your settings prior to entering data in the BPMH system.
Using different browsers or settings than what is described above may produce unpredictable results. If you find that you are unable to see
dropdown menus, cannot enter data into a field, or a form is not appearing, you most likely have a browser compatibility problem.
Please check these settings prior to calling the HRSA Call Center or your Government Project Officer. You may be asked to provide a
screenshot showing the results of the ‘Recommended Settings’ tab.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Getting Started: Helpful Resources and Recommendations
The following is a list of resources and tips you may find helpful in the event you need assistance:
1. Begin PRGCA data entry early and submit your report prior to the deadline.
2. Browser Settings: Check your Internet browser and its settings by using ‘Recommended Settings’ tab on the EHB home screen within the
yellow banner in the top left corner of the screen. Look for green check marks for all system requirements in order to meet system
requirements and proceed.
3. Reporting on Your Grant: Several resources are available through HRSA’s “Reporting on Your Grant” link
http://bhw.hrsa.gov/grants/reporting/index.html including general EHB guidance as well as links to the performance measures and program
manual.
4. Resource Links: Several resources are available via the ‘Resource’ tab on the EHB home screen including the following links:
1. View Prior Period Data- Previously submitted PRGCA data are available in read-only mode
2. Glossary- Current definitions of key terms
3. Instruction Manual- Electronic copy of this program manual (can also be found on the HRSA.gov website)
5. Video Recordings:
1. Form-specific Technical Assistance webinars are available at https://bhw.hrsa.gov/grants/reportonyourgrant/annual-performancereporting-training-webinars.
2. Videos with general information about how to enter data in the BPMH system are available at
https://help.hrsa.gov/display/public/EHBSKBFG/BPMH+Videos.
6. Grant Personnel: Review your grant personnel listed in EHB and update this list as necessary. Ensure that listed personnel have appropriate
authorizations (i.e., PRGCA submission, etc.). Make sure you have a backup person in place to submit your report!
7. Sequence of Forms: Complete PRGCA forms in the order they appear (i.e., complete EXP-1 prior to EXP-2)
8. Saving and Validating: You must click ‘Save and Validate’ in order to move to the next form. Save your work frequently (every 15-20
minutes) and print a hard copy of your report prior to submission.
9. Government Project Officers: Contact your Government Project Officer if you need further assistance on the content of your report.
10. HRSA Call Center: If you need additional assistance, contact the HRSA Call Center. If you have contacted the Call Center and are waiting
for a reply, you should follow-up with them 48 hours after the initial contact. Have your ticket number ready (the same ticket number will be
used at all tier levels now). Do not wait for the Call Center to return a phone call or email: Call Center Phone Number: 877-GO4HRSA/877-464-4772 or Call Center Online Assistance Form click here.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Order of Required Forms
The following table shows the order that subforms will appear throughout the BPMH system for your specific grant program. Please note that
clicking on the "Save and Validate" button at the end of each subform will cause the system to check all Blocks for errors and route you to the next
required subform on the list. If you need to go back to any subform for any reason, simply click on the Form ID on the left sidebar of the Electronic
Handbook (EHB). Please note that changing data that has already been saved will require you to click on the "Save and Validate" button and go
through the validation process once more.

Order

Type of Form

Parent Form

Form ID

1

Setup Form

Setup Forms

Training Program

2

Performance Data Form

Program Characteristics-PC Subforms

PC-6

3

Performance Data Form

Program Characteristics-PC Subforms

PC-8

4

Performance Data Form

Program Characteristics-PC Subforms

PC-9

5

Performance Data Form

Program Characteristics-PC Subforms

PC-10

6

Performance Data Form

Individual Characteristics-INDGEN Subforms

IND-GEN

7

Performance Data Form

Individual Characteristics-INDGEN Subforms

INDGEN-PY

8

Performance Data Form

Experiential Characteristics-EXP Subforms

EXP-1

9

Performance Data Form

Experiential Characteristics-EXP Subforms

EXP-2
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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education
Order
Type of Form

Annual Performance Report
Academic Year 2016-2017Children's Hospitals
Parent Form

Form ID

10

Performance Data Form

CHGME Hospital Data-CHD Subforms

CHD-1

11

Performance Data Form

CHGME Hospital Data-CHD Subforms

CHD-2

12

Performance Data Form

CHGME Hospital Data-CHD Subforms

CHD-3

13

Performance Data Form

Program Curriculum Changes

PCC

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Multi-User Forms
The BPMH system has recently been enhanced to allow multiple users to simultaneously enter and edit records on several forms. Please
review the section below for details on how to enter new records, edit prior records, and check-in completed data for consolidation by the
submitting official.
1. Entering and Editing New Records in a Multi-User Form (Individual Users)
a. Individual users who have been assigned editing privileges will be able to enter new records in multi-user forms.
b. All new records will be labeled with the creator’s credentials. These records will be visible only to the creating user and the submitting
official(s). Individual users will not be able to view or edit other users’ new records.
c. To enter data on each form, follow the steps detailed in the program manual.
d. When data entry for each record is complete, click on the ‘Edit Prior Records’ button to begin editing prior records.
2. Editing Prior Records in a Multi-User Form (Individual Users)
a. To edit prior records click on the ‘Edit Prior Records’ button.
b. Prior records will be visible and editable for all users. Individual users should update their assigned prior records as appropriate. Refer
to the program manual for step-by-step data entry instructions for each form.
c. Multiple users can work on the prior records table, but two users cannot work on the same prior record at the same time.
d. Note- Individual users can return to the new records table by selecting the ‘Edit New Records’ button.

Figure 3. Screenshot of the Multi User Form
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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

3. Checking-In and Editing Completed Data (Individual Users)
a. When an individual user has completed data entry for new and prior records, select the “Check-in” button. This indicates that this
user’s portion of the data entry is complete and ready for consolidation and review by the submitting official.
b. If an individual user needs to make additional changes to data that have been checked-in, select the “Edit” button. This will allow
individual users to revise the data.
c. Note- Editing ‘Checked-in’ records will reset the consolidation status to ‘In Progress’. Users will need to ‘Check-in’ revised data once
again, and the submitting official will have to perform the consolidation again with the updated data.
d. Note- The Edit function will not be available when the submitting official is actively logged in.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Figure 4. Screenshot of the Multi User Form

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Figure 5. Screenshot of the Multi User Form
4. Reviewing and Consolidating Records (Submitting Official)
a. When all individual users have completed data entry for their new and prior records, the submitting official will select the
‘Consolidate’ button to combine all records for review.
Following consolidation, the submitting official will select the ‘Save and Validate’ button. If errors are present, follow the directions
provided to resolve them.
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Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Figure 6. Screenshot of the Multi User Form

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Figure 7. Screenshot of the Multi User Form

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program - Setup
Training Program Setup - Selecting Type of Training Program
The Training Program Setup form will configure all subsequent subforms specific to fellowship, residency, and major participating sites/rotation sites
(depending on your grant).

*Add Training Program
Select Type of Training Program Offered
Load Program Details
(Click the ‘Load Program Details' button after selecting your training program)
Add Record
Figure 8. Training Program Setup - Selecting Type of Training Program
Select Type of Training Program Offered: Select the type of training program supported through the grant during the current reporting period by
clicking on the drop-down menu next to “Select Type of Training Program Offered” and choosing one of the following options:
• Fellowship program
• Major Participating Site/Rotation Site
• Residency program

Note: Previously reported training programs (i.e., prior records) will prepopulate in the “Saved Records” table. If you have no NEW training
programs to add, proceed to the instructions in the final step of this form ("Selecting Training Activity Status").

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program Setup - Loading Program Details

Figure 9. Training Program Setup - Loading Program Details
Click on the “Load Program Details” button to activate the remaining drop-down menus in this setup form.

Note: Previously reported training programs (i.e., prior records) will prepopulate in the “Saved Records” table. If you have no NEW training
programs to add, proceed to the instructions in the final step of this form ("Selecting Training Activity Status").

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program Setup - Adding Fellowship Program
*Add Training Program
For a Fellowship, Residency, Practicum/Field Placement, Internship or 1-year Retraining Program,
Select the Primary Discipline of Individuals Trained
Add Record
Figure 10. Training Program Setup - Adding Fellowship Program

For a Fellowship, Residency, Practicum/Field Placement, Internship or 1-year Retraining Program, Select the Primary Discipline of
Individuals Trained:
o Select the profession and discipline of fellows in each fellowship program supported with grant funds by clicking on the drop-down
menu and choosing one of options below.
o Next, click on the "Add Record" button to save your entry.
o Repeat this process as necessary to capture the primary profession and discipline of each fellowship program supported with grant
funds during the current reporting period.
• Critical Care Medicine
Subspecialties - Anesthesiology
CCM
• Critical Care Medicine
Subspecialties - Infectious Disease
CCM
• Critical Care Medicine
Subspecialties - Pediatrics CCM
• Medical Subspecialties - Allergy &
Immunology
• Medical Subspecialties - Cardiology
- Clinical Cardiac Electrophysiology

• Critical Care Medicine Subspecialties Cardiology CCM
• Critical Care Medicine Subspecialties Internal Medicine CCM
• Critical Care Medicine Subspecialties Pulmonary CCM
• Medical Subspecialties - Cardiology
• Medical Subspecialties - Cardiology Interventional Cardiology
• Medical Subspecialties - Endocrinology
• Medical Subspecialties Gastroenterology

• Critical Care Medicine Subspecialties Emergency Medicine CCM
• Critical Care Medicine Subspecialties Nephrology CCM
• Critical Care Medicine Subspecialties Surgery CCM
• Medical Subspecialties - Cardiology Adult Congenital Heart Disease
• Medical Subspecialties - Cardiology Nuclear Cardiology
• Medical Subspecialties - Endocrinology Reproductive Endocrinology
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• Medical Subspecialties - Critical
Care Medicine
• Medical Subspecialties Endocrinology Diabetes and
Metabolism
• Medical Subspecialties Gastroenterology - Hepatology
• Medical Subspecialties Hematology - Hematologic
Pathology
• Medical Subspecialties - Infectious
Diseases
• Medical Subspecialties - Medical
Genetics (Adult Molecular Genetic
Pathology)
• Medical Subspecialties - Pulmonary
and Sleep Medicine
• Medical Subspecialties - Sleep
Medicine
• Oral Health Specialties and
Subspecialties - Dental
Medicine/General Dentistry
• Oral Health Specialties and
Subspecialties - Endodontics
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
(Pedodontics)
• Oral Health Specialties and
Subspecialties - Prosthodontics
• Other Medical Subspecialties Anesthesiology - Adult
Cardiothoracic Anesthesiology
• Other Medical Subspecialties Dermatology - Dermatopathology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Medical Subspecialties - Hematology &
Oncology
• Medical Subspecialties - Hospice and
Palliative Medicine
• Medical Subspecialties - Medical
Genetics (Adult Biochemical Genetics)
• Medical Subspecialties - Nephrology
• Medical Subspecialties - Pulmonary
Medicine
• Medical Subspecialties - Sports
Medicine
• Oral Health Specialties and
Subspecialties - Dentistry - Craniofacial
Surgery
• Oral Health Specialties and
Subspecialties - Pathology Dentistry
• Oral Health Specialties and
Subspecialties - Pediatric Orthodontics
• Oral Health Specialties and
Subspecialties - Public Health Dentistry
• Other Medical Subspecialties Anesthesiology - Pain Medicine
• Other Medical Subspecialties Dermatology - Procedural Dermatology
General
• Other Medical Subspecialties - Medical
Genetics - Molecular Genetic Medicine
• Other Medical Subspecialties Neurology - Epilepsy
• Other Medical Subspecialties Neurology - Neurodevelopmental
Disabilities
• Other Medical Subspecialties Neurology - Pediatric Neurology

• Medical Subspecialties - Gastroenterology
- Adult Transplant Hepatology
• Medical Subspecialties - Hematology Blood & Marrow Transplantation
• Medical Subspecialties - Hospital
Medicine
• Medical Subspecialties - Medical
Genetics (Adult Clinical Genetics)
• Medical Subspecialties - Nephrology and
Hypertension
• Medical Subspecialties - Rheumatology
• Oral Health Specialties and Subspecialties
- Advanced General Dentistry
• Oral Health Specialties and Subspecialties
- Dentistry - Oral and Maxillofacial
Surgery
• Oral Health Specialties and Subspecialties
- Pediatric Dentistry
• Oral Health Specialties and Subspecialties
- Periodontics
• Oral Health Specialties and Subspecialties
- Radiology Dentistry
• Other Medical Subspecialties Dermatology - Dermatologic Surgery
• Other Medical Subspecialties Emergency Medicine - Clinical
Pharmacology & Toxicology
• Other Medical Subspecialties - Medical
Genetics - Molecular Genetic Pathology
• Other Medical Subspecialties - Neurology
- Headache Medicine
• Other Medical Subspecialties - Neurology
- Neuromuscular Medicine
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Health Resources and Services Administration
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Graduate Medical Education

• Other Medical Subspecialties Emergency Medicine - Medical
Toxicology
• Other Medical Subspecialties Neurology - Clinical
Neurophysiology
• Other Medical Subspecialties Neurology - Movement Disorders
• Other Medical Subspecialties Neurology - Pediatric Epilepsy
• Other Medical Subspecialties Neurology - Spinal Cord Medicine
• Other Medical Subspecialties - OBGYN - Gynecological Oncology
• Other Medical Subspecialties Occupational Medicine - Clinical
Pharmacology & Toxicology
• Other Medical Subspecialties Pathology - Anatomic and Clinical Dermatopathology
• Other Medical Subspecialties Pathology - Medical Microbiology
• Other Medical Subspecialties Psychiatry - Child & Adolescent
Psychiatry
• Other Medical Subspecialties Radiology - Musculoskeletal
Radiology
• Other Medical Subspecialties Radiology - Pediatric Body MRI
• Other Medical Subspecialties Radiology - Vascular and
Interventional Radiology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Other Medical Subspecialties Neurology - Vascular Neurology
• Other Medical Subspecialties - OB-GYN
- Maternal-Fetal Medicine (MFM)
• Other Medical Subspecialties Occupational Medicine - Medical
Toxicology
• Other Medical Subspecialties Pathology - Blood Banking/Transfusion
Medicine
• Other Medical Subspecialties Pathology - Neuropathology
• Other Medical Subspecialties Radiology - Body MRI
• Other Medical Subspecialties Radiology - Neuroradiology
• Other Medical Subspecialties Radiology - Pediatric Diagnostic
Radiology
• Pediatric Medical Subspecialties Clinical Pharmacology &Toxicology
• Pediatric Medical Subspecialties Medical Genetics (Molecular Genetic
Pathology)
• Pediatric Medical Subspecialties Neurodevelopmental Disabilities
• Pediatric Medical Subspecialties Pediatric Anesthesiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric Cardiac
Imaging
• Pediatric Medical Subspecialties Pediatric Clinical Cardiac
Electrophysiology

• Other Medical Subspecialties - Neurology
- Pediatric Neuromuscular Medicine
• Other Medical Subspecialties - OB-GYN
- Female Pelvic Medicine &
Reconstructive Surgery
• Other Medical Subspecialties - OB-GYN
- Pediatric & Adolescent Gynecology
• Other Medical Subspecialties - Pain
Medicine
• Other Medical Subspecialties - Pathology
- Hematologic Pathology
(Hematopathology)
• Other Medical Subspecialties - Psychiatry
- Addiction Psychiatry
• Other Medical Subspecialties - Radiology
- Endovascular Surgical Neuroradiology
• Other Medical Subspecialties - Radiology
- Nuclear Radiology
• Other Medical Subspecialties - Radiology
- Pediatric Neuroradiology
• Pediatric Medical Subspecialties Medical Genetics (Clinical Genetics)
• Pediatric Medical Subspecialties Medical Toxicology
• Pediatric Medical Subspecialties Pediatric Allergy & Immunology
• Pediatric Medical Subspecialties Pediatric Cardiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Inteventional Cardiac Catherization
• Pediatric Medical Subspecialties Pediatric Critical Care Medicine
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Health Resources and Services Administration
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Graduate Medical Education

• Pediatric Medical Subspecialties Medical Genetics (Medical
Biochemical Genetics)
• Pediatric Medical Subspecialties Neonatal-Perinatal Medicine
(Neonatology)
• Pediatric Medical Subspecialties Pediatric and Adolescent Medicine
• Pediatric Medical Subspecialties Pediatric Cardiology - Fetal
Cardiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Preventive Cardiology
• Pediatric Medical Subspecialties Pediatric Emergency Medicine
• Pediatric Medical Subspecialties Pediatric Heart Failure Transplant
• Pediatric Medical Subspecialties Pediatric Hospice and Palliative
Medicine
• Pediatric Medical Subspecialties Pediatric Nephrology
• Pediatric Medical Subspecialties Pediatric Oncology
• Pediatric Medical Subspecialties Pediatric Pulmonology
• Pediatric Medical Subspecialties Pediatric Rheumatology
• Pediatric Medical Subspecialties Pediatrics - Adolescent Medicine
• Pediatric Medical Subspecialties Pediatrics - Child & Adolescent
Psychiatry

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Medical Subspecialties Pediatric Endocrinology
• Pediatric Medical Subspecialties Pediatric Hematology
• Pediatric Medical Subspecialties Pediatric Hospital Medicine
• Pediatric Medical Subspecialties Pediatric Neurocritical Care
• Pediatric Medical Subspecialties Pediatric Palliative Care Medicine
• Pediatric Medical Subspecialties Pediatric Radiology
• Pediatric Medical Subspecialties Pediatric Sleep Medicine
• Pediatric Medical Subspecialties Pediatrics - Advanced Pediatric
Hematology-Oncology Neurooncology
• Pediatric Medical Subspecialties Pediatrics - Child Abuse Pediatrics
• Pediatric Medical Subspecialties Pediatrics - Medical Toxicology
• Pediatric Surgical Specialties and
Subspecialties - Congenital Cardiac
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Neurosurgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Otolaryngology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Transplantation Surgery

• Pediatric Medical Subspecialties Pediatric Gastroenterology
• Pediatric Medical Subspecialties Pediatric Hematology-Oncology
• Pediatric Medical Subspecialties Pediatric Infectious Disease
• Pediatric Medical Subspecialties Pediatric Neurology (Child Neurology)
• Pediatric Medical Subspecialties Pediatric Pathology
• Pediatric Medical Subspecialties Pediatric Rehabilitation Medicine
• Pediatric Medical Subspecialties Pediatric Sports Medicine
• Pediatric Medical Subspecialties Pediatrics - Advanced Pediatric
Hematology-Oncology Stem Cell
Transplantation
• Pediatric Medical Subspecialties Pediatrics - Clinical Immunodeficiency
• Pediatric Medical Subspecialties Pediatrics - Transplant Hepatology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Cardiothoracic
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Ophthalmology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Plastic Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Trauma Surgery
• Surgical Subspecialties - Cardiac Surgery
• Surgical Subspecialties - Colon & Rectal
Surgery (Colorectal Surgery)
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Graduate Medical Education

• Pediatric Medical Subspecialties Pediatrics - Developmental
Behavioral Pediatrics
• Pediatric Surgical Specialties and
Subspecialties - Adolescent
Bariatric Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Colorectal
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Orthopedics
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Surgical
Critical Care
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Urology
• Surgical Subspecialties Cardiothoracic Surgery
• Surgical Subspecialties - General
Surgery - Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Foot and Ankle Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Spine Surgery
• Surgical Subspecialties - Pediatric
Surgery - Fetal Surgery
• Surgical Subspecialties - Surgery Oral and Maxillofacial Surgery
• Surgical Subspecialties - Transplant
Surgery
• Surgical Subspecialties - Vascular
Surgery

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Surgical Specialties and
Subspecialties - Vascular Anomalies
Surgery
• Surgical Subspecialties - Cardiothoracic
Surgery - Adult Congenital Heart
Disease
• Surgical Subspecialties - Neurosurgery Spinal Cord Medicine
• Surgical Subspecialties - Orthopedic
Surgery - Hand Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Sports Medicine
• Surgical Subspecialties - Plastic Surgery
- Craniofacial Surgery
• Surgical Subspecialties - Surgical
Critical Care
• Surgical Subspecialties - Transplant
Surgery - Lung

• Surgical Subspecialties - OB - GYN Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Musculoskeletal Oncology
• Surgical Subspecialties - Pediatric
Surgery
• Surgical Subspecialties - Plastic Surgery Hand Surgery
• Surgical Subspecialties - Thoracic
Surgery
• Surgical Subspecialties - Trauma Surgery

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Note: Previously reported training programs (i.e., prior records) will prepopulate in the “Saved Records” table. If you have no NEW training
programs to add, proceed to the instructions in the final step of this form ("Selecting Training Activity Status").

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Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program Setup - Adding Residency Program
*Add Training Program
For a Fellowship, Residency, Practicum/Field Placement, Internship or 1-year Retraining Program,
Select the Primary Discipline of Individuals Trained
Add Record
Figure 11. Training Program Setup - Adding Residency Program

For a Fellowship, Residency, Practicum/Field Placement, Internship or 1-year Retraining Program, Select the Primary Discipline of
Individuals Trained:
o Select the profession and discipline of residents in each residency program supported with grant funds by clicking on the drop-down
menu and choosing one of options below.
o Next,click on the "Add Record" button to save your entry.
o Repeat this process as necessary to capture the primary profession and discipline of each residency program supported with grant
funds during the current reporting period.
• Combined Programs - Family
Medicine/Emergency Medicine
• Combined Programs - Family
Medicine/Sports Medicine
• Combined Programs - Internal
Medicine/Medical Genetics
• Combined Programs - Internal
Medicine/Preventive Medicine
• Combined Programs Pediatrics/Anesthesiology
• Combined Programs Pediatrics/Emergency Medicine

• Combined Programs - Family
Medicine/Preventive Medicine
• Combined Programs - Internal
Medicine/Emergency Medicine
• Combined Programs - Internal
Medicine/Neurology
• Combined Programs - Internal
Medicine/Psychiatry
• Combined Programs - Pediatrics/Child
Neurology
• Combined Programs Pediatrics/Medical Genetics

• Combined Programs - Family
Medicine/Psychiatry
• Combined Programs - Internal
Medicine/Family Medicine
• Combined Programs - Internal
Medicine/Pediatrics
• Combined Programs Obstetrics/Anesthesiology
• Combined Programs Pediatrics/Dermatology
• Combined Programs Pediatrics/Medical Toxicology
23

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Combined Programs Pediatrics/Physical Medicine and
Rehabilitation
• Medical Specialties (non-Primary
Care) - Anesthesiology
• Medical Specialties (non-Primary
Care) - Medical Genetics (Clinical
Genetics)
• Medical Specialties (non-Primary
Care) - Obstetrics & Gynecology
• Medical Specialties (non-Primary
Care) - Physical Medicine &
Rehabilitation
• Medical Specialties (non-Primary
Care) - Radiation Oncology
• Medical Specialties (Primary Care) Geriatric Medicine
• Oral Health Specialties and
Subspecialties - Advanced General
Dentistry
• Oral Health Specialties and
Subspecialties - Dentistry - Oral and
Maxillofacial Surgery
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
• Oral Health Specialties and
Subspecialties - Periodontics
• Oral Health Specialties and
Subspecialties - Radiology Dentistry
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Cardiothoracic Surgery

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Combined Programs Pediatrics/Psychiatry/Child &
Adolescent Psychiatry
• Medical Specialties (non-Primary Care)
- Dermatology
• Medical Specialties (non-Primary Care)
- Neurology
• Medical Specialties (non-Primary Care)
- Occupational Medicine
• Medical Specialties (non-Primary Care)
- Preventive Medicine
• Medical Specialties (non-Primary Care)
- Radiology (Diagnostic Radiology)
• Medical Specialties (Primary Care) Internal Medicine
• Oral Health Specialties and
Subspecialties - Dental
Medicine/General Dentistry
• Oral Health Specialties and
Subspecialties - Endodontics
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
(Pedodontics)
• Oral Health Specialties and
Subspecialties - Prosthodontics
• Pediatric Surgical Specialties and
Subspecialties - Adolescent Bariatric
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Colorectal
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Orthopedics

• Combined Programs - Preventative
Medicine/Medical Toxicology
• Medical Specialties (non-Primary Care)
- Emergency Medicine
• Medical Specialties (non-Primary Care)
- Nuclear Medicine
• Medical Specialties (non-Primary Care)
- Pathology (Anatomic and Clinical
Pathology)
• Medical Specialties (non-Primary Care)
- Psychiatry
• Medical Specialties (Primary Care) Family Medicine
• Medical Specialties (Primary Care) Pediatrics (General Pediatrics)
• Oral Health Specialties and
Subspecialties - Dentistry - Craniofacial
Surgery
• Oral Health Specialties and
Subspecialties - Pathology Dentistry
• Oral Health Specialties and
Subspecialties - Pediatric Orthodontics
• Oral Health Specialties and
Subspecialties - Public Health Dentistry
• Pediatric Surgical Specialties and
Subspecialties - Congenital Cardiac
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Neurosurgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Otolaryngology

24

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Ophthalmology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Plastic
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Trauma
Surgery
• Prelim Transitional Training Preliminary Medicine
• Prelim Transitional Training Traditional Rotating Internship Osteopathic
• Rotations - Coursework - Other - Fetal
Surgery
• Rotations - Coursework - Other - GI
Motility
• Rotations - Coursework - Other Pediatric Cardiac Intensive Care Unit
• Rotations - Coursework - Other Pediatric Environmental Health
• Rotations - Coursework - Other Pediatric Nutrition
• Rotations - Coursework - Other Psychosomatic Medicine
• Rotations - Coursework - Other Surgery - Surgical Scholar
• Surgical Specialties - Orthopedic
Surgery
• Surgical Specialties - Surgery General Surgery

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Surgical Specialties and
Subspecialties - Pediatric Surgical
Critical Care
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Urology
• Prelim Transitional Training Preliminary Medicine (General
Internship) - Osteopathic
• Prelim Transitional Training Transitional Year
• Rotations - Coursework - Other General and Community Medicine
• Rotations - Coursework - Other International Pediatric Neurosurgery
• Rotations - Coursework - Other Pediatric Clinical Pharmacology
• Rotations - Coursework - Other Pediatric Hospital Medicine
• Rotations - Coursework - Other Pediatric Optometry
• Rotations - Coursework - Other Quality Scholars in Transforming
Health Care
• Surgical Specialties - Neurosurgery
(Neurological Surgery)
• Surgical Specialties - Otolaryngology
(ENT Surgery)
• Surgical Specialties - Urology

• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Transplantation Surgery
• Pediatric Surgical Specialties and
Subspecialties - Vascular Anomalies
Surgery
• Prelim Transitional Training Preliminary Surgery
• Rotations - Coursework - Other Advanced General Dentistry
• Rotations - Coursework - Other General and Community Pediatrics
• Rotations - Coursework - Other Osteopathy
• Rotations - Coursework - Other Pediatric Clinical Pharmacy
• Rotations - Coursework - Other Pediatric International Surgery
• Rotations - Coursework - Other Podiatric Medicine and Surgery
• Rotations - Coursework - Other - Spinal
Cord Injury Medicine
• Surgical Specialties - Ophthalmology
• Surgical Specialties - Plastic Surgery

25

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Note: Previously reported training programs (i.e., prior records) will prepopulate in the “Saved Records” table. If you have no NEW training
programs to add, proceed to the instructions in the final step of this form ("Selecting Training Activity Status").

26

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program Setup - Adding Major Participating Site/Rotation Site
*Add Training Program
For a Major Participating Site/Rotation Site, Select the Program Name
Add Record
Figure 12. Training Program Setup - Adding Major Participating Site/Rotation Site

For a Major Participating Site/Rotation Site, Select the Program Name:
o Select the Program Name by clicking on the drop-down menu and choosing one of options below.
o Next, click on the "Add Record" button to save your entry.
o Repeat this process as necessary to capture the program name for each of the major participating sites/training sites supported with
grant funds during the current reporting period.
• Combined Programs - Family
Medicine/Emergency Medicine
• Combined Programs - Family
Medicine/Sports Medicine
• Combined Programs - Internal
Medicine/Medical Genetics
• Combined Programs - Internal
Medicine/Preventive Medicine
• Combined Programs Pediatrics/Anesthesiology
• Combined Programs Pediatrics/Emergency Medicine
• Combined Programs Pediatrics/Physical Medicine and
Rehabilitation

• Combined Programs - Family
Medicine/Preventive Medicine
• Combined Programs - Internal
Medicine/Emergency Medicine
• Combined Programs - Internal
Medicine/Neurology
• Combined Programs - Internal
Medicine/Psychiatry
• Combined Programs Pediatrics/Child Neurology
• Combined Programs Pediatrics/Medical Genetics
• Combined Programs Pediatrics/Psychiatry/Child &
Adolescent Psychiatry

• Combined Programs - Family
Medicine/Psychiatry
• Combined Programs - Internal
Medicine/Family Medicine
• Combined Programs - Internal
Medicine/Pediatrics
• Combined Programs Obstetrics/Anesthesiology
• Combined Programs Pediatrics/Dermatology
• Combined Programs - Pediatrics/Medical
Toxicology
• Combined Programs - Preventative
Medicine/Medical Toxicology
27

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Critical Care Medicine
Subspecialties - Anesthesiology
CCM
• Critical Care Medicine
Subspecialties - Emergency
Medicine CCM
• Critical Care Medicine
Subspecialties - Nephrology CCM
• Critical Care Medicine
Subspecialties - Surgery CCM
• Medical Specialties (non-Primary
Care) - Emergency Medicine
• Medical Specialties (non-Primary
Care) - Nuclear Medicine
• Medical Specialties (non-Primary
Care) - Pathology (Anatomic and
Clinical Pathology)
• Medical Specialties (non-Primary
Care) - Psychiatry
• Medical Specialties (Primary Care) Family Medicine
• Medical Specialties (Primary Care) Pediatrics (General Pediatrics)
• Medical Subspecialties - Cardiology
- Adult Congenital Heart Disease
• Medical Subspecialties - Cardiology
- Nuclear Cardiology
• Medical Subspecialties - Critical
Care Medicine
• Medical Subspecialties Endocrinology Diabetes and
Metabolism
• Medical Subspecialties Gastroenterology - Hepatology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Critical Care Medicine Subspecialties
- Cardiology CCM
• Critical Care Medicine Subspecialties
- Infectious Disease CCM
• Critical Care Medicine Subspecialties
- Pediatrics CCM
• Medical Specialties (non-Primary
Care) - Anesthesiology
• Medical Specialties (non-Primary
Care) - Medical Genetics (Clinical
Genetics)
• Medical Specialties (non-Primary
Care) - Obstetrics & Gynecology
• Medical Specialties (non-Primary
Care) - Physical Medicine &
Rehabilitation
• Medical Specialties (non-Primary
Care) - Radiation Oncology
• Medical Specialties (Primary Care) Geriatric Medicine
• Medical Subspecialties - Allergy &
Immunology
• Medical Subspecialties - Cardiology Clinical Cardiac Electrophysiology
• Medical Subspecialties - Clinical
Informatics
• Medical Subspecialties Endocrinology
• Medical Subspecialties Gastroenterology
• Medical Subspecialties - Hematology
& Oncology
• Medical Subspecialties - Hospice and
Palliative Medicine

• Critical Care Medicine Subspecialties Cardiology CCM - Anesthesiology
• Critical Care Medicine Subspecialties Internal Medicine CCM
• Critical Care Medicine Subspecialties Pulmonary CCM
• Medical Specialties (non-Primary Care) Dermatology
• Medical Specialties (non-Primary Care) Neurology
• Medical Specialties (non-Primary Care) Occupational Medicine
• Medical Specialties (non-Primary Care) Preventive Medicine
• Medical Specialties (non-Primary Care) Radiology (Diagnostic Radiology)
• Medical Specialties (Primary Care) Internal Medicine
• Medical Subspecialties - Cardiology
• Medical Subspecialties - Cardiology Interventional Cardiology
• Medical Subspecialties - Clinical
Neurophysiology
• Medical Subspecialties - Endocrinology Reproductive Endocrinology
• Medical Subspecialties - Gastroenterology Adult Transplant Hepatology
• Medical Subspecialties - Hematology Blood & Marrow Transplantation
• Medical Subspecialties - Hospital Medicine
• Medical Subspecialties - Medical Genetics
(Adult Clinical Genetics)
• Medical Subspecialties - Nephrology and
Hypertension
28

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Medical Subspecialties Hematology - Hematologic
Pathology
• Medical Subspecialties - Infectious
Diseases
• Medical Subspecialties - Medical
Genetics (Adult Molecular Genetic
Pathology)
• Medical Subspecialties - Pulmonary
and Sleep Medicine
• Medical Subspecialties - Sleep
Medicine
• Oral Health Specialties and
Subspecialties - Dental
Medicine/General Dentistry
• Oral Health Specialties and
Subspecialties - Endodontics
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
(Pedodontics)
• Oral Health Specialties and
Subspecialties - Prosthodontics
• Other Medical Subspecialties Anesthesiology - Adult
Cardiothoracic Anesthesiology
• Other Medical Subspecialties Dermatology - Dermatopathology
• Other Medical Subspecialties Emergency Medicine - Medical
Toxicology
• Other Medical Subspecialties Neurology - Clinical
Neurophysiology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Medical Subspecialties - Medical
Genetics (Adult Biochemical
Genetics)
• Medical Subspecialties - Nephrology
• Medical Subspecialties - Pulmonary
Medicine
• Medical Subspecialties - Sports
Medicine
• Oral Health Specialties and
Subspecialties - Dentistry Craniofacial Surgery
• Oral Health Specialties and
Subspecialties - Pathology Dentistry
• Oral Health Specialties and
Subspecialties - Pediatric
Orthodontics
• Oral Health Specialties and
Subspecialties - Public Health
Dentistry
• Other Medical Subspecialties Anesthesiology - Pain Medicine
• Other Medical Subspecialties Dermatology - Procedural
Dermatology General
• Other Medical Subspecialties Medical Genetics - Molecular Genetic
Medicine
• Other Medical Subspecialties Neurology - Epilepsy
• Other Medical Subspecialties Neurology - Neurodevelopmental
Disabilities
• Other Medical Subspecialties Neurology - Pediatric Neurology

• Medical Subspecialties - Rheumatology
• Oral Health Specialties and Subspecialties Advanced General Dentistry
• Oral Health Specialties and Subspecialties Dentistry - Oral and Maxillofacial Surgery
• Oral Health Specialties and Subspecialties Pediatric Dentistry
• Oral Health Specialties and Subspecialties Periodontics
• Oral Health Specialties and Subspecialties Radiology Dentistry
• Other Medical Subspecialties - Dermatology
- Dermatologic Surgery
• Other Medical Subspecialties - Emergency
Medicine - Clinical Pharmacology &
Toxicology
• Other Medical Subspecialties - Medical
Genetics - Molecular Genetic Pathology
• Other Medical Subspecialties - Neurology Headache Medicine
• Other Medical Subspecialties - Neurology Neuromuscular Medicine
• Other Medical Subspecialties - Neurology Pediatric Neuromuscular Medicine
• Other Medical Subspecialties - OB-GYN Female Pelvic Medicine & Reconstructive
Surgery
• Other Medical Subspecialties - OB-GYN Pediatric & Adolescent Gynecology
• Other Medical Subspecialties - Pain
Medicine
• Other Medical Subspecialties - Pathology Hematologic Pathology (Hematopathology)
29

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Other Medical Subspecialties Neurology - Movement Disorders
• Other Medical Subspecialties Neurology - Pediatric Epilepsy
• Other Medical Subspecialties Neurology - Spinal Cord Medicine
• Other Medical Subspecialties - OBGYN - Gynecological Oncology
• Other Medical Subspecialties Occupational Medicine - Clinical
Pharmacology & Toxicology
• Other Medical Subspecialties Pathology - Anatomic and Clinical Dermatopathology
• Other Medical Subspecialties Pathology - Medical Microbiology
• Other Medical Subspecialties Psychiatry - Child & Adolescent
Psychiatry
• Other Medical Subspecialties Radiology - Musculoskeletal
Radiology
• Other Medical Subspecialties Radiology - Pediatric Body MRI
• Other Medical Subspecialties Radiology - Vascular and
Interventional Radiology
• Pediatric Medical Subspecialties Medical Genetics (Clinical
Genetics)
• Pediatric Medical Subspecialties Medical Genetics (Molecular
Genetics)

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Other Medical Subspecialties Neurology - Vascular Neurology
• Other Medical Subspecialties - OBGYN - Maternal-Fetal Medicine
(MFM)
• Other Medical Subspecialties Occupational Medicine - Medical
Toxicology
• Other Medical Subspecialties Pathology - Blood
Banking/Transfusion Medicine
• Other Medical Subspecialties Pathology - Neuropathology
• Other Medical Subspecialties Radiology - Body MRI
• Other Medical Subspecialties Radiology - Neuroradiology
• Other Medical Subspecialties Radiology - Pediatric Diagnostic
Radiology
• Pediatric Medical Subspecialties Clinical Pharmacology &Toxicology
• Pediatric Medical Subspecialties Medical Genetics (Medical
Biochemical Genetics)
• Pediatric Medical Subspecialties Medical Toxicology
• Pediatric Medical Subspecialties Neurodevelopmental Disabilities
• Pediatric Medical Subspecialties Pediatric Anesthesiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Fetal
Cardiology

• Other Medical Subspecialties - Psychiatry Addiction Psychiatry
• Other Medical Subspecialties - Radiology Endovascular Surgical Neuroradiology
• Other Medical Subspecialties - Radiology Nuclear Radiology
• Other Medical Subspecialties - Radiology Pediatric Neuroradiology
• Pediatric Medical Subspecialties - Medical
Genetics (Clinical Cytogenetics)
• Pediatric Medical Subspecialties - Medical
Genetics (Molecular Genetic Pathology)
• Pediatric Medical Subspecialties - Neonatal
- Neurology Cerebral Palsy
• Pediatric Medical Subspecialties - Pediatric
Allergy & Immunology
• Pediatric Medical Subspecialties - Pediatric
Cardiology
• Pediatric Medical Subspecialties - Pediatric
Cardiology - Pediatric Cardiac Imaging
• Pediatric Medical Subspecialties - Pediatric
Clinical Cardiac Electrophysiology
• Pediatric Medical Subspecialties - Pediatric
Endocrinology
• Pediatric Medical Subspecialties - Pediatric
Hematology
• Pediatric Medical Subspecialties - Pediatric
Infectious Disease
• Pediatric Medical Subspecialties - Pediatric
Neurology (Child Neurology)
• Pediatric Medical Subspecialties - Pediatric
Pathology
• Pediatric Medical Subspecialties - Pediatric
Rehabilitation Medicine
30

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Pediatric Medical Subspecialties Neonatal-Perinatal Medicine
(Neonatology)
• Pediatric Medical Subspecialties Pediatric and Adolescent Medicine
• Pediatric Medical Subspecialties Pediatric Cardiology Echocardiogram
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Inteventional Cardiac Catherization
• Pediatric Medical Subspecialties Pediatric Critical Care Medicine
• Pediatric Medical Subspecialties Pediatric Gastroenterology
• Pediatric Medical Subspecialties Pediatric Hematology-Oncology
• Pediatric Medical Subspecialties Pediatric Nephrology
• Pediatric Medical Subspecialties Pediatric Oncology
• Pediatric Medical Subspecialties Pediatric Pulmonology
• Pediatric Medical Subspecialties Pediatric Rheumatology
• Pediatric Medical Subspecialties Pediatrics - Adolescent Medicine
• Pediatric Medical Subspecialties Pediatrics - Child & Adolescent
Psychiatry
• Pediatric Medical Subspecialties Pediatrics - Developmental
Behavioral Pediatrics

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Preventive Cardiology
• Pediatric Medical Subspecialties Pediatric Emergency Medicine
• Pediatric Medical Subspecialties Pediatric Heart Failure Transplant
• Pediatric Medical Subspecialties Pediatric Hospice and Palliative
Medicine
• Pediatric Medical Subspecialties Pediatric Neurocritical Care
• Pediatric Medical Subspecialties Pediatric Palliative Care Medicine
• Pediatric Medical Subspecialties Pediatric Radiology
• Pediatric Medical Subspecialties Pediatric Sleep Medicine
• Pediatric Medical Subspecialties Pediatrics - Advanced Pediatric
Hematology-Oncology
Neurooncology
• Pediatric Medical Subspecialties Pediatrics - Child Abuse Pediatrics
• Pediatric Medical Subspecialties Pediatrics - Medical Toxicology
• Pediatric Surgical Specialties and
Subspecialties - Congenital Cardiac
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Neurosurgery

• Pediatric Medical Subspecialties - Pediatric
Sports Medicine
• Pediatric Medical Subspecialties - Pediatrics
- Advanced Pediatric Hematology-Oncology
Stem Cell Transplantation
• Pediatric Medical Subspecialties - Pediatrics
- Clinical Immunodeficiency
• Pediatric Medical Subspecialties - Pediatrics
- Transplant Hepatology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Cardiothoracic
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Ophthalmology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Plastic Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Transplantation
Surgery - Bone Marrow
• Pediatric Surgical Specialties and
Subspecialties - Vascular Anomalies
Surgery
• Prelim Transitional Training - Preliminary
Surgery
• Rotations - Coursework - Other - Advanced
General Dentistry
• Rotations - Coursework - Other - FM
Integrated/Neuromusculoskeletal Medicine
• Rotations - Coursework - Other - GI
Motility
• Rotations - Coursework - Other - Pediatric
Cardiac Intensive Care Unit
• Rotations - Coursework - Other - Pediatric
Environmental Health
31

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Pediatric Surgical Specialties and
Subspecialties - Adolescent Bariatric
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Colorectal
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Orthopedics
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Surgical
Critical Care
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Trauma
Surgery
• Prelim Transitional Training Preliminary Medicine
• Prelim Transitional Training Traditional Rotating Internship Osteopathic
• Rotations - Coursework - Other Fetal Surgery
• Rotations - Coursework - Other General and Community Medicine
• Rotations - Coursework - Other International Pediatric Neurosurgery
• Rotations - Coursework - Other Pediatric Clinical Pharmacology
• Rotations - Coursework - Other Pediatric Hospital Medicine
• Rotations - Coursework - Other Pediatric Optometry

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Otolaryngology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Transplantation Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Urology
• Prelim Transitional Training Preliminary Medicine (General
Internship) - Osteopathic
• Prelim Transitional Training Transitional Year
• Rotations - Coursework - Other - FM
and Osteopathic Manipulative
Treatment
• Rotations - Coursework - Other General and Community Pediatrics
• Rotations - Coursework - Other Osteopathy
• Rotations - Coursework - Other Pediatric Clinical Pharmacy
• Rotations - Coursework - Other Pediatric International Surgery
• Rotations - Coursework - Other Podiatric Medicine and Surgery
• Rotations - Coursework - Other Spinal Cord Injury Medicine
• Surgical Specialties - Ophthalmology
• Surgical Specialties - Plastic Surgery
• Surgical Subspecialties - Cardiac
Surgery
• Surgical Subspecialties - Colon &
Rectal Surgery (Colorectal Surgery)

• Rotations - Coursework - Other - Pediatric
Nutrition
• Rotations - Coursework - Other Psychosomatic Medicine
• Rotations - Coursework - Other - Surgery Surgical Scholar
• Surgical Specialties - Orthopedic Surgery
• Surgical Specialties - Surgery - General
Surgery
• Surgical Subspecialties - Cardiothoracic
Surgery
• Surgical Subspecialties - General Surgery Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Foot and Ankle Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Spine Surgery
• Surgical Subspecialties - Pediatric Surgery Fetal Surgery
• Surgical Subspecialties - Surgery - Oral and
Maxillofacial Surgery
• Surgical Subspecialties - Transplant Surgery
• Surgical Subspecialties - Vascular Surgery

32

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Rotations - Coursework - Other Quality Scholars in Transforming
Health Care
• Surgical Specialties - Neurosurgery
(Neurological Surgery)
• Surgical Specialties Otolaryngology (ENT Surgery)
• Surgical Specialties - Urology
• Surgical Subspecialties Cardiothoracic Surgery - Adult
Congenital Heart Disease
• Surgical Subspecialties Neurosurgery - Spinal Cord
Medicine
• Surgical Subspecialties - Orthopedic
Surgery - Hand Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Sports Medicine
• Surgical Subspecialties - Plastic
Surgery - Craniofacial Surgery
• Surgical Subspecialties - Surgical
Critical Care
• Surgical Subspecialties - Transplant
Surgery - Lung

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Surgical Subspecialties - OB-GYN Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Musculoskeletal Oncology
• Surgical Subspecialties - Pediatric
Surgery
• Surgical Subspecialties - Plastic
Surgery - Hand Surgery
• Surgical Subspecialties - Thoracic
Surgery
• Surgical Subspecialties - Trauma
Surgery

Note: Previously reported training programs (i.e., prior records) will prepopulate in the “Saved Records” table. If you have no NEW training
programs to add, proceed to the instructions in the final step of this form ("Selecting Training Activity Status").

33

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Training Program Setup - Selecting Training Activity Status
Select Training Activity Status in the Current Reporting Period
(2)
Figure 13. Training Program Setup - Selecting Training Activity Status
Select Training Activity Status in the Current Reporting Period: Select the status of each program at the end of the current reporting period (i.e.,
June 30, 2017) by choosing one of the options below:
• Active
• Inactive

Warning: All NEW training programs must be marked “Active” during the reporting period in which they were created.
Note: Select "Active" for a program that was offered during the current reporting period. If you are reporting any activity for a program, please
select active.
Note: Select "Inactive" for a program that was NOT offered during the current reporting period. Selecting ‘Inactive’ indicates that the training
program is completed, you are no longer administering it, and you have no active INDGEN records. You will not report on any aspect of an inactive
program, and all records associated with the program (i.e., EXP, CHD, PDD records) will be made inactive.
To Complete the Form: Click on "Save and Validate" on the bottom right corner of your screen. If no errors are found, the BPMH
system will automatically route you to the next required subform.

34

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-6: Program Characteristics – Fellowship Programs
PC-6 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer this Training
(3)
Block 2
Figure 14. PC-6 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer this Training: Complete Column 3 (Block 2) by selecting all of the type(s) of partnerships or
consortia used or established for the purpose of offering each fellowship program during the reporting period.
• Academic department - outside the
institution
• Alzheimer’s Disease Resource Centers
• Community - based health center (e.g.;
free clinic)
• Day and home care programs (i.e. Home
Health)
• Federal Government - ACL
• Federal Government - Department of
Defense/Military
• Federal Government - NIH
• Federal Government - SAMHSA
• Geriatric ambulatory care and
comprehensive units
• Health department - Local
• Health disparities research center
• Hospice
• Long-term care facility

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Academic department - within the institution
Ambulatory practice sites
Community Health Center (CHC)
Educational institution (Grades K - 12)
Federal Government - AHRQ
Federal Government - FDA
Federal Government - Other HHS
Agency/Office
Federal Government -Other
Geriatric Behavioral or Mental Health Units
Health department - State
Health insurance/Healthcare Provider Group
(e.g.; PPO/HMO)
Hospital
No partners/consortia used
Nurse managed health clinic
Physical therapy/Rehabilitation center
Quality improvement organization

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Alzheimer’s Association/Chapters
Area Agencies on Aging
Community Mental Health Center
Federal Government - Veterans
Affairs
Federal Government - CDC
Federal Government - IHS
Federal Government - Other HRSA
Program
FQHC or look-alike
Geriatric consultation services
Health department - Tribal
Health policy center
Local Government
Nonprofit organization (faith based)
Nursing home
Private/For - profit organization
35

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Nonprofit organization (non - faith
based)
• Other
• Professional Associations
• State Government

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Tribal Government

• Senior Center
• Tribal Organization

Warning: You may not select "No partners/consortia used" in combination with any other option.
To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

36

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-8: Program Characteristics – Residency Programs
PC-8 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer this Training
(4)
Block 2
Figure 15. PC-8 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer this Training: Complete Column 4 (Block 2) by selecting all of the type(s) of partnerships or
consortia used or established for the purpose of offering each residency program during the current reporting period.
• Academic department - outside the
institution
• Alzheimer’s Disease Resource Centers
• Community - based health center (e.g.;
free clinic)
• Day and home care programs (i.e. Home
Health)
• Federal Government - ACL
• Federal Government - Department of
Defense/Military
• Federal Government - NIH
• Federal Government - SAMHSA
• Geriatric ambulatory care and
comprehensive units
• Health department - Local
• Health disparities research center
• Hospice
• Long-term care facility

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Academic department - within the institution
Ambulatory practice sites
Community Health Center (CHC)
Educational institution (Grades K - 12)
Federal Government - AHRQ
Federal Government - FDA
Federal Government - Other HHS
Agency/Office
Federal Government -Other
Geriatric Behavioral or Mental Health Units
Health department - State
Health insurance/Healthcare Provider Group
(e.g.; PPO/HMO)
Hospital
No partners/consortia used
Nurse managed health clinic
Physical therapy/Rehabilitation center
Quality improvement organization

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Alzheimer’s Association/Chapters
Area Agencies on Aging
Community Mental Health Center
Federal Government - Veterans
Affairs
Federal Government - CDC
Federal Government - IHS
Federal Government - Other HRSA
Program
FQHC or look-alike
Geriatric consultation services
Health department - Tribal
Health policy center
Local Government
Nonprofit organization (faith based)
Nursing home
Private/For - profit organization
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Health Resources and Services Administration
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Graduate Medical Education

• Nonprofit organization (non - faith
based)
• Other
• Professional Associations
• State Government

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Tribal Government

• Senior Center
• Tribal Organization

Warning: You may not select "No partners/consortia used" in combination with any other option.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-8 - Entering # of Core Physician Faculty as Reported to ACGME or AOA
Enter # of Core Physician Faculty as Reported to ACGME or AOA
(12)
Figure 16. PC-8 - Entering # of Core Physician Faculty as Reported to ACGME or AOA
Enter # of Core Physician Faculty as Reported to ACGME or AOA: For each training program, enter the total number of Core Physician Faculty
as reported to ACGME or AoA in Column 12.

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9: Program Characteristics –Positions Description
PC-9 - Selecting Type of Training Program
*Add Academic/Training Year
Select Training Program
Add Record
Figure 17. PC-9 - Selecting Type of Training Program
Type of Training Program: Select a training program by clicking on the drop-down menu next to "Select Training Program" and choosing one of
the available options. (The options available under "Type of Training Program" will prepopulate with information that was entered and saved in the
Training Program Setup Form.)

Note: The options available under "Type of Training Program" will prepopulate with information that was entered and saved in the Training
Program Setup Form.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9 - Selecting Training Year
*Add Academic/Training Year
Select Training Year
Add Record
Figure 18. PC-9 - Selecting Training Year
Training Year:
• Select the types of training years that apply to the training program supported through the grant by clicking on the drop-down menu next to
"Select Training Year" and choosing all that apply from the options listed below.
• Next, click on the "Add Record" button to save your entry.
• Repeat this process as necessary to capture training years associated with each residency program supported through the grant.
•
•
•
•
•

Fellowship Year 1
Fellowship Year 4
Fellowship Year 7
Residency Year 3
Residency Year 6

•
•
•
•
•

Fellowship Year 2
Fellowship Year 5
Residency Year 1
Residency Year 4
Residency Year 7

•
•
•
•

Fellowship Year 3
Fellowship Year 6
Residency Year 2
Residency Year 5

Warning: Fellowship Years should only be selected for Fellowships or Major Participating Sites/Rotation Site Programs.
Warning: Residency Years should only be selected for Residencies or Major Participating Sites/Rotation Site Programs.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9 - Entering Total # of Accredited Positions
Enter Total # of Accredited Positions
(3)
Block 4
Figure 19. PC-9 - Entering Total # of Accredited Positions
Enter Total # of Accredited Positions: For each training year, enter the total number of accredited positions in the textbox in Column 3 (Block 4).

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9 - Entering Total # of Positions Recruited For
Enter Total # of Positions Recruited For
(4)
Block 5
Figure 20. PC-9 - Entering Total # of Positions Recruited For
Enter Total # of Positions Recruited For: For each training year, enter the number of positions recruited for during the reporting period in the
textbox in Column 4 (Block 5).

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9 - Entering Total # of Positions Filled
Enter Total # of Positions Filled
(5)
Block 6
Figure 21. PC-9 - Entering Total # of Positions Filled
Enter Total # of Positions Filled: For each training year, enter the total number of positions filled in the textbox in Column 5 (Block 6).

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-9 - Entering # of Residents in FTE Positions
Enter # of Residents in FTE Positions
(7)
Figure 22. PC-9 - Entering # of Residents in FTE Positions
Enter # of Residents in FTE Positions : For each training year, enter the total number of trainees in FTE positions in the textbox in Column 7.

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-10: Program Characteristics – Major Participating Sites/Rotation Sites
PC-10 - Selecting Select Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer This Training
(3)
Block 2
Figure 23. PC-10 - Selecting Select Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia Used to Offer This Training: Complete Column 3 (Block 2) by selecting all of the type(s) of partnerships or
consortia used or established with each programs at each major participating site/ rotation site during the current reporting period.
• Academic department - outside the
institution
• Alzheimer’s Disease Resource Centers
• Community - based health center (e.g.;
free clinic)
• Day and home care programs (i.e. Home
Health)
• Federal Government - ACL
• Federal Government - Department of
Defense/Military
• Federal Government - NIH
• Federal Government - SAMHSA
• Geriatric ambulatory care and
comprehensive units
• Health department - Local
• Health disparities research center
• Hospice
• Long-term care facility

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Academic department - within the institution
Ambulatory Care Center
Community Health Center (CHC)
Educational institution (Grades K - 12)
Federal Government - AHRQ
Federal Government - FDA
Federal Government - Other HHS
Agency/Office
Federal Government -Other
Geriatric Behavioral or Mental Health Units
Health department - State
Health insurance/Healthcare Provider Group
(e.g.; PPO/HMO)
Hospital
No partners/consortia used
Nurse managed health clinic
Physical therapy/Rehabilitation center
Quality improvement organization

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Alzheimer’s Association/Chapters
Area Agencies on Aging
Community Mental Health Center
Federal Government - Veterans
Affairs
Federal Government - CDC
Federal Government - IHS
Federal Government - Other HRSA
Program
FQHC or look-alike
Geriatric consultation services
Health department - Tribal
Health policy center
Local Government
Nonprofit organization (faith based)
Nursing home
Private/For - profit organization
46

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Nonprofit organization (non - faith
based)
• Other
• Professional Associations
• State Government

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Tribal Government

• Senior Center
• Tribal Organization

Warning: You may not select "No partners/consortia used" in combination with any other option.

47

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

PC-10 - Entering Positions Information for Major Participating/Rotation Sites
Enter # of
Approved
Positions

Enter # of
Recruited
Positions

Enter # of
Approved
Positions Filled

Enter # of Residents
Rotating Through
Programs

Enter # of Trainees Spending
>= 75% under Children's
Hospital Supervision

Enter # of Core Physician
Faculty as Reported to
ACGME or AOA

(4)

(5)

(6)

(7)

(8)

(9)

Figure 24. PC-10 - Entering Positions Information for Major Participating/Rotation Sites
Enter # of Approved Positions: For each training year, enter the total number of approved positions in the textbox in Column 4.
Enter # of Recruited Positions: For each training year, enter the number of positions recruited for during the reporting period in the textbox in
Column 5.
Enter # of Approved Positions Filled: For each training year, enter the total number of approved positions filled in the textbox in Column 6.
Enter # of Residents Rotating Through Programs: For each training year, enter the total number of trainees rotating through the program in the
textbox in Column 7.
Enter # of Trainees Spending >= 75% under Children's Hospital Supervision: For each training year, enter the total number of trainees spending
more than 75 percent of their time under Children’s Hospital Supervision in the textbox in Column 8.
Enter # of Core Physician Faculty as Reported to ACGME or AOA: For each training year, enter the total number of core physician faculty as
reported to ACGME or AOA in Column 9.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

49

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

Individual Characteristics—INDGEN Subforms
INDGEN - Introduction
o You must complete an IND-GEN subform for each individual who received a BHW-funded financial award during the current
reporting period.
o You must have at least one IND-GEN record for every active training program.
o In addition to adding new records, updates are required for individuals who were previously reported on IND-GEN and were NOT
marked as having completed or attrited from a training program by June 30, 2017.
1. For prior records, the BPMH system will prepopulate certain blocks in the IND-GEN subform with data submitted in previous
reporting periods for each trainee.
1. These fields will appear shaded in gray and will not be editable.
2. All other fields must be updated on an annual basis until each trainee completes or permanently leaves their training
program.
2. The IND-GEN subform will automatically calculate and display read-only columns labeled “Academic Year Total” and
"Cumulative BHW Financial Award Total."
1. The Academic Year Total will reflect the amount entered for in a given academic year.
2. The Cumulative BHW Financial Award Total will sum all amounts entered for the individual in the BMPH system.
o Records of individuals who were reported as having completed their training programs in the previous reporting period will transfer
from the IND-GEN subform to the INDGEN-PY subform when one (1) full calendar year has passed since the period of program
completion. At that time, you will report on the individual’s current employment status (refer to the INDGEN-PY section of the
manual for specific instructions).

Figure 25. Example of records transferred between IND-GEN to INDGEN-PY

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN: Individual Characteristics
IND-GEN - Setup
Warning: If you have used the INDGEN form before, this answer is pre-selected ‘Yes’ for you. You do not need to answer this question again.
Please move ahead to the INDGEN form by using the form list located on the left side of your screen.
For all CHGME reports, the answer to this question will be pre-selected to say ‘Yes’ for you. You do not need to answer this question again.

Do you have either a) students, trainees or faculty who received direct
financial support (e.g., scholarships, stipends, loans, loan repayment)
Yes (complete IND-GEN) No (click Save and Validate button to proceed
from a HRSA-funded grant OR b) updates to provide for students or
to the next form)
trainees who received direct financial support in a previous reporting
period?
Figure 26. IND-GEN - Setup

Warning: If you are unable to enter data into the INDGEN form, edit prior records, or see drop-down menus despite the question above being
answered ‘Yes’, you may have a browser compatibility problem. Please refer to the Getting Started-Browser Settings page at the beginning of this
manual for instructions.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Type of Training Program
Type of Training Program
(1)
Figure 27. IND-GEN - Selecting Type of Training Program
Type of Training Program: Select each individual's training program by clicking on the drop-down menu under the column labeled "Type of
Training Program" and choosing one of the available options. The options available in this menu will prepopulate with programs entered and saved in
the Training Program Setup Form.

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

Note: The type of training program titled "Other" does not apply to the this program.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Trainee Unique ID
Trainee Unique ID
(2)
Block 1
Figure 28. IND-GEN - Entering Trainee Unique ID
Trainee Unique ID: Enter a seven (7) alphanumeric unique identifier for each individual in the textbox in Column 2 (Block 1).

Warning: It is the responsibility of each grantee to keep a log of all unique IDs used, as these will be required to provide updates for each
individual and one-year follow-up data for trainees.
Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

53

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering NPI Number
NPI Number
(2a)
Figure 29. IND-GEN - Entering NPI Number
NPI Number: Enter the 10-digit National Provider Identifier (NPI) number for each individual in the textbox in Column 2a.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Training or Awardee Category
Select Individual's Training or Awardee Category
(3)
Block 2
Figure 30. IND-GEN - Selecting Individual's Training or Awardee Category
Select Individual's Training or Awardee Category: Select each individual’s training category by clicking on the drop-down menu in Column 3
(Block 2) and choosing the following option:
• Fellow
• Resident

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN — Selecting whether Individual is an IMG
Select Whether Individual is an International Medical Graduate (IMG)
(3a)
Figure 31. IND-GEN — Selecting whether Individual is an IMG
Select Whether Individual is an International Medical Graduate (IMG): Select whether each individuals is an International Medical Graduate
(IMG) by clicking on the drop-down menu and choosing one of the following options:
• Yes
• No

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Enrollment/Employment Status
Select Individual's Enrollment / Employment Status
(4)
Block 3
Figure 32. IND-GEN - Selecting Individual's Enrollment/Employment Status
Select Individual's Enrollment / Employment Status: Select each individual’s current enrollment or employment status by clicking on the dropdown menu in Column 4 (Block 3) and choosing one of the following options:
•
•
•
•
•

Both Full-time and Part-time
Full-time
On leave of absence
Part-time
Inactive

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Gender
Select Individual's Gender
(5)
Block 4
Figure 33. IND-GEN - Selecting Individual's Gender
Select Individual's Gender: Select each individual’s gender by clicking on the drop-down menu in Column 5 (Block 4) and choosing one of the
following options:
• Female
• Male
• Not Reported

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Year of Birth
Enter Year of Birth
(6a)
Figure 34. IND-GEN - Entering Year of Birth
Enter Year of Birth: Select each individual’s year of birth at the end of the current reporting period (i.e., as of June 30, 2017) in the dropdown
menu under Column 6a.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

1917
1920
1923
1926
1929
1932
1935
1938
1941
1944
1947
1950
1953
1956
1959
1962
1965
1968
1971
1974
1977

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

1918
1921
1924
1927
1930
1933
1936
1939
1942
1945
1948
1951
1954
1957
1960
1963
1966
1969
1972
1975
1978

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

1919
1922
1925
1928
1931
1934
1937
1940
1943
1946
1949
1952
1955
1958
1961
1964
1967
1970
1973
1976
1979
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Health Resources and Services Administration
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Graduate Medical Education

•
•
•
•
•
•
•
•
•
•
•
•
•

1980
1983
1986
1989
1992
1995
1998
2001
2004
2007
2010
2013
2016

•
•
•
•
•
•
•
•
•
•
•
•
•

1981
1984
1987
1990
1993
1996
1999
2002
2005
2008
2011
2014
2017

•
•
•
•
•
•
•
•
•
•
•
•
•

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

1982
1985
1988
1991
1994
1997
2000
2003
2006
2009
2012
2015
Not Reported

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Ethnicity
Select Individual's Ethnicity
(7)
Block 6
Figure 35. IND-GEN - Selecting Individual's Ethnicity
Select Individual's Ethnicity: Select each individual’s ethnicity by clicking on the drop-down menu in Column 7 (Block 6) and choosing one of the
following options:
• Hispanic/Latino
• Non-Hispanic/Non-Latino
• Not Reported

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Race
Select Individual's Race
(8)
Block 7
Figure 36. IND-GEN - Selecting Individual's Race
Select Individual's Race: Select each individual’s race by clicking on the drop-down menu in Column 8 (Block 7) and choosing all that apply from
the following options. You may select more than one (1) option for individuals of multiple races:
• American Indian or Alaska Native
• Black or African-American
• White

• Asian
• Native Hawaiian or Other Pacific Islander
• Not Reported

Warning: You may not select "Not Reported" in combination with any other option.
Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting if Individual is from a Rural Residential Background
Select Whether Individual is from a Rural Residential Background
(9)
Block 8
Figure 37. IND-GEN - Selecting if Individual is from a Rural Residential Background
Select Whether Individual is from a Rural Residential Background: Select whether each individual is from a rural residential background by
clicking on the drop-down menu in Column 9 (Block 8) and choosing one of the following options:
• Yes
• No
• Not Reported

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.
Reference: Refer to the glossary for a definition of rural setting.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting if Individual is from a Disadvantaged Background
Select Whether Individual is from a Disadvantaged Background
(10)
Block 9
Figure 38. IND-GEN - Selecting if Individual is from a Disadvantaged Background
Select Whether Individual is from a Disadvantaged Background: Select whether each individual is from a disadvantaged background by clicking
on the drop-down menu in Column 10 (Block 9) and choosing one of the following options:
• Yes
• No
• Not Reported

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.
Reference: Refer to the glossary for a definition of disadvantaged background.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Veteran Status
Select Individual's Veteran Status
(11)
Block 10
Figure 39. IND-GEN - Selecting Individual's Veteran Status
Select Individual's Veteran Status: Select each individual's current veteran status by clicking on the drop-down menu in Column 11 (Block 10) and
choosing one of the following options:
• Active Duty Military
• Reservist
• Veteran - Retired

• Individual is not a Veteran
• Veteran - Prior Service
• Not Reported

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.
Reference: Refer to the glossary for a definition of the various types of veteran statuses.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering BHW-Funded Financial Award Information
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Select Whether Individual Received BHW Financial Award?
(12)
Block 11
Figure 40. IND-GEN - Entering BHW-Funded Financial Award Information
Select Whether Individual Received BHW Financial Award?: Select whether each individual received a BHW-funded financial award (i.e., salary
and benefits) during the current reporting period by clicking on the drop-down menu in Column 12 (Block 11) and choosing one of the following
options:
• Yes
• No

Warning: All NEW records should be for individuals who did receive direct financial support ("Yes" for Column 12). The NO response
should only be selected for prior records of trainees who did not receive support in the current reporting period.
Note: The amount reported under the column labeled "Salary and benefits" should be the total monies from the grant provided to an individual
during the current reporting period for the purposes of participating in the training program that was selected under the column labeled "Type of
Training Program." Do not include dollars that came from other sources of funding. If an individual participated in more than one (1) program and
received salary and benefits for each program, multiple entries on IND-GEN are required to capture participation and funding amounts for each
program separately.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering # of Academic Years the Individual has Received BHW Funding
Enter # of Academic Years the Individual has Received BHW Funding
(22)
Block 12
Figure 41. IND-GEN - Entering # of Academic Years the Individual has Received BHW Funding
Enter # of Academic Years the Individual has Received BHW Funding: Select the cumulative number of academic years that each individual has
received a BHW-funded financial award by clicking on the drop-down menu in Column 22 (Block 12) and choosing one of the following options:
• 0
• 2
• 4

• 1
• 3
• 5 or more

Warning: All new records should select at least one academic year of funding.
Note: The number of academic years receiving BHW-funded financial awards does not need to be consecutive; rather, the cumulative total
number of years should be reported.
Note: If an individual has received money for a partial academic year, please round up to the nearest whole number. For example, if an
individual has received direct financial support for 1 ½ years, please enter 2 in Column 22 (Block 12).
Note: If an individual received a BHW-funded financial award for the first time during the current reporting period, select "1" under Column 22
(Block 12).

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering % FTE paid for through BHW Financial Award
Enter % FTE paid for through BHW Financial Award
(25)
Block 14
Figure 42. IND-GEN - Entering % FTE paid for through BHW Financial Award
Enter % FTE paid for through BHW Financial Award: In Column 25 (Block 14), enter each resident or fellow’s percent (%) FTE paid for
through the BHW (HRSA) financial award. You must enter this information as a whole number value.

Note: For example, if half of this individual’s FTE is covered by the HRSA CHGME program grant, you would enter 50 under Block 14.
Note: .A validation displays if the value provided in column 25 is greater than 0 if “No” is provided in column 12

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Academic or Training Year
Select Individual's Academic or Training Year
(26)
Block 15
Figure 43. IND-GEN - Selecting Individual's Academic or Training Year
Select Individual's Academic or Training Year: Select each individual's current training year in the training program by clicking on the drop-down
menu under Column 26 (Block 15) and choosing one of the following options:
•
•
•
•
•

Fellowship Year 1
Fellowship Year 4
Fellowship Year 7
Residency Year 3
Residency Year 6

•
•
•
•
•

Fellowship Year 2
Fellowship Year 5
Residency Year 1
Residency Year 4
Residency Year 7

•
•
•
•

Fellowship Year 3
Fellowship Year 6
Residency Year 2
Residency Year 5

Warning: Fellowship Years may only be selected for individuals in Fellowship Programs or Major Participating Sites/Rotation Site Programs
Warning: Residency Years may only be selected for individuals in Residency Programs or Major Participating Sites/Rotation Site Programs

69

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Individual's Primary Discipline
Select Individual's Primary Discipline
(27)
Block 16
Figure 44. IND-GEN - Selecting Individual's Primary Discipline
Select Individual's Primary Discipline: Select individual's profession and discipline by clicking on the drop-down menu in Column 27 (Block 16)
and choosing the available options.
• Combined Programs - Family
Medicine/Emergency Medicine
• Combined Programs - Family Medicine/Sports
Medicine
• Combined Programs - Internal
Medicine/Medical Genetics
• Combined Programs - Internal
Medicine/Preventive Medicine
• Combined Programs Pediatrics/Anesthesiology
• Combined Programs - Pediatrics/Emergency
Medicine
• Combined Programs - Pediatrics/Physical
Medicine and Rehabilitation
• Critical Care Medicine Subspecialties Anesthesiology CCM
• Critical Care Medicine Subspecialties Emergency Medicine CCM
• Critical Care Medicine Subspecialties Nephrology CCM

• Combined Programs - Family
Medicine/Preventive Medicine
• Combined Programs - Internal
Medicine/Emergency Medicine
• Combined Programs - Internal
Medicine/Neurology
• Combined Programs - Internal
Medicine/Psychiatry
• Combined Programs Pediatrics/Child Neurology
• Combined Programs Pediatrics/Medical Genetics
• Combined Programs Pediatrics/Psychiatry/Child &
Adolescent Psychiatry
• Critical Care Medicine Subspecialties
- Cardiology CCM
• Critical Care Medicine Subspecialties
- Infectious Disease CCM

• Combined Programs - Family
Medicine/Psychiatry
• Combined Programs - Internal
Medicine/Family Medicine
• Combined Programs - Internal
Medicine/Pediatrics
• Combined Programs Obstetrics/Anesthesiology
• Combined Programs Pediatrics/Dermatology
• Combined Programs Pediatrics/Medical Toxicology
• Combined Programs - Preventative
Medicine/Medical Toxicology
• Critical Care Medicine Subspecialties Cardiology CCM - Anesthesiology
• Critical Care Medicine Subspecialties Internal Medicine CCM
• Critical Care Medicine Subspecialties Pulmonary CCM
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• Critical Care Medicine Subspecialties - Surgery
CCM
• Medical Specialties (non-Primary Care) Emergency Medicine
• Medical Specialties (non-Primary Care) Nuclear Medicine
• Medical Specialties (non-Primary Care) Pathology (Anatomic and Clinical Pathology)
• Medical Specialties (non-Primary Care) Psychiatry
• Medical Specialties (Primary Care) - Family
Medicine
• Medical Specialties (Primary Care) - Pediatrics
(General Pediatrics)
• Medical Subspecialties - Cardiology - Adult
Congenital Heart Disease
• Medical Subspecialties - Cardiology - Nuclear
Cardiology
• Medical Subspecialties - Critical Care
Medicine
• Medical Subspecialties - Endocrinology
Diabetes and Metabolism
• Medical Subspecialties - Gastroenterology Hepatology
• Medical Subspecialties - Hematology Hematologic Pathology
• Medical Subspecialties - Infectious Diseases
• Medical Subspecialties - Medical Genetics
(Adult Molecular Genetic Pathology)
• Medical Subspecialties - Pulmonary and Sleep
Medicine
• Medical Subspecialties - Sleep Medicine
• Oral Health Specialties and Subspecialties Dental Medicine/General Dentistry

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Critical Care Medicine Subspecialties
- Pediatrics CCM
• Medical Specialties (non-Primary
Care) - Anesthesiology
• Medical Specialties (non-Primary
Care) - Medical Genetics (Clinical
Genetics)
• Medical Specialties (non-Primary
Care) - Obstetrics & Gynecology
• Medical Specialties (non-Primary
Care) - Physical Medicine &
Rehabilitation
• Medical Specialties (non-Primary
Care) - Radiation Oncology
• Medical Specialties (Primary Care) Geriatric Medicine
• Medical Subspecialties - Allergy &
Immunology
• Medical Subspecialties - Cardiology Clinical Cardiac Electrophysiology
• Medical Subspecialties - Clinical
Informatics
• Medical Subspecialties Endocrinology
• Medical Subspecialties Gastroenterology
• Medical Subspecialties - Hematology
& Oncology
• Medical Subspecialties - Hospice and
Palliative Medicine
• Medical Subspecialties - Medical
Genetics (Adult Biochemical
Genetics)
• Medical Subspecialties - Nephrology

• Medical Specialties (non-Primary Care)
- Dermatology
• Medical Specialties (non-Primary Care)
- Neurology
• Medical Specialties (non-Primary Care)
- Occupational Medicine
• Medical Specialties (non-Primary Care)
- Preventive Medicine
• Medical Specialties (non-Primary Care)
- Radiology (Diagnostic Radiology)
• Medical Specialties (Primary Care) Internal Medicine
• Medical Subspecialties - Cardiology
• Medical Subspecialties - Cardiology Interventional Cardiology
• Medical Subspecialties - Clinical
Neurophysiology
• Medical Subspecialties - Endocrinology
- Reproductive Endocrinology
• Medical Subspecialties Gastroenterology - Adult Transplant
Hepatology
• Medical Subspecialties - Hematology Blood & Marrow Transplantation
• Medical Subspecialties - Hospital
Medicine
• Medical Subspecialties - Medical
Genetics (Adult Clinical Genetics)
• Medical Subspecialties - Nephrology
and Hypertension
• Medical Subspecialties - Rheumatology
• Oral Health Specialties and
Subspecialties - Advanced General
Dentistry
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• Oral Health Specialties and Subspecialties Endodontics
• Oral Health Specialties and Subspecialties Pediatric Dentistry (Pedodontics)
• Oral Health Specialties and Subspecialties Prosthodontics
• Other Medical Subspecialties - Anesthesiology
- Adult Cardiothoracic Anesthesiology
• Other Medical Subspecialties - Dermatology Dermatopathology
• Other Medical Subspecialties - Emergency
Medicine - Medical Toxicology
• Other Medical Subspecialties - Neurology Clinical Neurophysiology
• Other Medical Subspecialties - Neurology Movement Disorders
• Other Medical Subspecialties - Neurology Pediatric Epilepsy
• Other Medical Subspecialties - Neurology Spinal Cord Medicine
• Other Medical Subspecialties - OB-GYN Gynecological Oncology
• Other Medical Subspecialties - Occupational
Medicine - Clinical Pharmacology &
Toxicology
• Other Medical Subspecialties - Pathology Anatomic and Clinical - Dermatopathology
• Other Medical Subspecialties - Pathology Medical Microbiology
• Other Medical Subspecialties - Psychiatry Child & Adolescent Psychiatry
• Other Medical Subspecialties - Radiology Musculoskeletal Radiology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Medical Subspecialties - Pulmonary
Medicine
• Medical Subspecialties - Sports
Medicine
• Oral Health Specialties and
Subspecialties - Dentistry Craniofacial Surgery
• Oral Health Specialties and
Subspecialties - Pathology Dentistry
• Oral Health Specialties and
Subspecialties - Pediatric
Orthodontics
• Oral Health Specialties and
Subspecialties - Public Health
Dentistry
• Other Medical Subspecialties Anesthesiology - Pain Medicine
• Other Medical Subspecialties Dermatology - Procedural
Dermatology General
• Other Medical Subspecialties Medical Genetics - Molecular
Genetic Medicine
• Other Medical Subspecialties Neurology - Epilepsy
• Other Medical Subspecialties Neurology - Neurodevelopmental
Disabilities
• Other Medical Subspecialties Neurology - Pediatric Neurology
• Other Medical Subspecialties Neurology - Vascular Neurology

• Oral Health Specialties and
Subspecialties - Dentistry - Oral and
Maxillofacial Surgery
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
• Oral Health Specialties and
Subspecialties - Periodontics
• Oral Health Specialties and
Subspecialties - Radiology Dentistry
• Other Medical Subspecialties Dermatology - Dermatologic Surgery
• Other Medical Subspecialties Emergency Medicine - Clinical
Pharmacology & Toxicology
• Other Medical Subspecialties - Medical
Genetics - Molecular Genetic Pathology
• Other Medical Subspecialties Neurology - Headache Medicine
• Other Medical Subspecialties Neurology - Neuromuscular Medicine
• Other Medical Subspecialties Neurology - Pediatric Neuromuscular
Medicine
• Other Medical Subspecialties - OBGYN - Female Pelvic Medicine &
Reconstructive Surgery
• Other Medical Subspecialties - OBGYN - Pediatric & Adolescent
Gynecology
• Other Medical Subspecialties - Pain
Medicine
• Other Medical Subspecialties Pathology - Hematologic Pathology
(Hematopathology)
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• Other Medical Subspecialties - Radiology Pediatric Body MRI
• Other Medical Subspecialties - Radiology Vascular and Interventional Radiology
• Pediatric Medical Subspecialties - Medical
Genetics (Clinical Genetics)
• Pediatric Medical Subspecialties - Medical
Genetics (Molecular Genetics)
• Pediatric Medical Subspecialties - NeonatalPerinatal Medicine (Neonatology)
• Pediatric Medical Subspecialties - Pediatric and
Adolescent Medicine
• Pediatric Medical Subspecialties - Pediatric
Cardiology - Echocardiogram
• Pediatric Medical Subspecialties - Pediatric
Cardiology - Pediatric Inteventional Cardiac
Catherization
• Pediatric Medical Subspecialties - Pediatric
Critical Care Medicine
• Pediatric Medical Subspecialties - Pediatric
Gastroenterology
• Pediatric Medical Subspecialties - Pediatric
Hematology-Oncology
• Pediatric Medical Subspecialties - Pediatric
Infectious Disease
• Pediatric Medical Subspecialties - Pediatric
Neurology (Child Neurology)
• Pediatric Medical Subspecialties - Pediatric
Pathology
• Pediatric Medical Subspecialties - Pediatric
Rehabilitation Medicine
• Pediatric Medical Subspecialties - Pediatric
Sports Medicine

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Other Medical Subspecialties - OBGYN - Maternal-Fetal Medicine
(MFM)
• Other Medical Subspecialties Occupational Medicine - Medical
Toxicology
• Other Medical Subspecialties Pathology - Blood
Banking/Transfusion Medicine
• Other Medical Subspecialties Pathology - Neuropathology
• Other Medical Subspecialties Radiology - Body MRI
• Other Medical Subspecialties Radiology - Neuroradiology
• Other Medical Subspecialties Radiology - Pediatric Diagnostic
Radiology
• Pediatric Medical Subspecialties Clinical Pharmacology &Toxicology
• Pediatric Medical Subspecialties Medical Genetics (Medical
Biochemical Genetics)
• Pediatric Medical Subspecialties Medical Toxicology
• Pediatric Medical Subspecialties Neurodevelopmental Disabilities
• Pediatric Medical Subspecialties Pediatric Anesthesiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Fetal
Cardiology

• Other Medical Subspecialties Psychiatry - Addiction Psychiatry
• Other Medical Subspecialties Radiology - Endovascular Surgical
Neuroradiology
• Other Medical Subspecialties Radiology - Nuclear Radiology
• Other Medical Subspecialties Radiology - Pediatric Neuroradiology
• Pediatric Medical Subspecialties Medical Genetics (Clinical
Cytogenetics)
• Pediatric Medical Subspecialties Medical Genetics (Molecular Genetic
Pathology)
• Pediatric Medical Subspecialties Neonatal - Neurology Cerebral Palsy
• Pediatric Medical Subspecialties Pediatric Allergy & Immunology
• Pediatric Medical Subspecialties Pediatric Cardiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric Cardiac
Imaging
• Pediatric Medical Subspecialties Pediatric Clinical Cardiac
Electrophysiology
• Pediatric Medical Subspecialties Pediatric Endocrinology
• Pediatric Medical Subspecialties Pediatric Hematology
• Pediatric Medical Subspecialties Pediatric Hospital Medicine
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• Pediatric Medical Subspecialties - Pediatrics Advanced Pediatric Hematology-Oncology
Stem Cell Transplantation
• Pediatric Medical Subspecialties - Pediatrics Clinical Immunodeficiency
• Pediatric Medical Subspecialties - Pediatrics Transplant Hepatology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Cardiothoracic
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Ophthalmology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Plastic Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Transplantation
Surgery - Bone Marrow
• Pediatric Surgical Specialties and
Subspecialties - Vascular Anomalies Surgery
• Prelim Transitional Training - Preliminary
Surgery
• Rotations - Coursework - Other - Advanced
General Dentistry
• Rotations - Coursework - Other - FM
Integrated/Neuromusculoskeletal Medicine
• Rotations - Coursework - Other - GI Motility
• Rotations - Coursework - Other - Pediatric
Cardiac Intensive Care Unit
• Rotations - Coursework - Other - Pediatric
Environmental Health
• Rotations - Coursework - Other - Pediatric
Nutrition
• Rotations - Coursework - Other Psychosomatic Medicine

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Preventive Cardiology
• Pediatric Medical Subspecialties Pediatric Emergency Medicine
• Pediatric Medical Subspecialties Pediatric Heart Failure Transplant
• Pediatric Medical Subspecialties Pediatric Hospice and Palliative
Medicine
• Pediatric Medical Subspecialties Pediatric Nephrology
• Pediatric Medical Subspecialties Pediatric Oncology
• Pediatric Medical Subspecialties Pediatric Pulmonology
• Pediatric Medical Subspecialties Pediatric Rheumatology
• Pediatric Medical Subspecialties Pediatrics - Adolescent Medicine
• Pediatric Medical Subspecialties Pediatrics - Child & Adolescent
Psychiatry
• Pediatric Medical Subspecialties Pediatrics - Developmental
Behavioral Pediatrics
• Pediatric Surgical Specialties and
Subspecialties - Adolescent Bariatric
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Colorectal
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Orthopedics

• Pediatric Medical Subspecialties Pediatric Neurocritical Care
• Pediatric Medical Subspecialties Pediatric Palliative Care Medicine
• Pediatric Medical Subspecialties Pediatric Radiology
• Pediatric Medical Subspecialties Pediatric Sleep Medicine
• Pediatric Medical Subspecialties Pediatrics - Advanced Pediatric
Hematology-Oncology Neurooncology
• Pediatric Medical Subspecialties Pediatrics - Child Abuse Pediatrics
• Pediatric Medical Subspecialties Pediatrics - Medical Toxicology
• Pediatric Surgical Specialties and
Subspecialties - Congenital Cardiac
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Neurosurgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Otolaryngology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Transplantation Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Urology
• Prelim Transitional Training Preliminary Medicine (General
Internship) - Osteopathic
• Prelim Transitional Training Transitional Year
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Health Resources and Services Administration
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• Rotations - Coursework - Other - Surgery Surgical Scholar
• Surgical Specialties - Orthopedic Surgery
• Surgical Specialties - Surgery - General
Surgery
• Surgical Subspecialties - Cardiothoracic
Surgery
• Surgical Subspecialties - General Surgery Fetal Surgery
• Surgical Subspecialties - Orthopedic Surgery Foot and Ankle Surgery
• Surgical Subspecialties - Orthopedic Surgery Spine Surgery
• Surgical Subspecialties - Pediatric Surgery Fetal Surgery
• Surgical Subspecialties - Surgery - Oral and
Maxillofacial Surgery
• Surgical Subspecialties - Transplant Surgery
• Surgical Subspecialties - Vascular Surgery

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Surgical Specialties and
Subspecialties - Pediatric Surgical
Critical Care
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Trauma
Surgery
• Prelim Transitional Training Preliminary Medicine
• Prelim Transitional Training Traditional Rotating Internship Osteopathic
• Rotations - Coursework - Other Fetal Surgery
• Rotations - Coursework - Other General and Community Medicine
• Rotations - Coursework - Other International Pediatric Neurosurgery
• Rotations - Coursework - Other Pediatric Clinical Pharmacology
• Rotations - Coursework - Other Pediatric Hospital Medicine
• Rotations - Coursework - Other Pediatric Optometry
• Rotations - Coursework - Other Quality Scholars in Transforming
Health Care
• Surgical Specialties - Neurosurgery
(Neurological Surgery)
• Surgical Specialties - Otolaryngology
(ENT Surgery)
• Surgical Specialties - Urology
• Surgical Subspecialties Cardiothoracic Surgery - Adult
Congenital Heart Disease

• Rotations - Coursework - Other - FM
and Osteopathic Manipulative
Treatment
• Rotations - Coursework - Other General and Community Pediatrics
• Rotations - Coursework - Other Osteopathy
• Rotations - Coursework - Other Pediatric Clinical Pharmacy
• Rotations - Coursework - Other Pediatric International Surgery
• Rotations - Coursework - Other Podiatric Medicine and Surgery
• Rotations - Coursework - Other - Spinal
Cord Injury Medicine
• Surgical Specialties - Ophthalmology
• Surgical Specialties - Plastic Surgery
• Surgical Subspecialties - Cardiac
Surgery
• Surgical Subspecialties - Colon &
Rectal Surgery (Colorectal Surgery)
• Surgical Subspecialties - OB-GYN Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Musculoskeletal Oncology
• Surgical Subspecialties - Pediatric
Surgery
• Surgical Subspecialties - Plastic
Surgery - Hand Surgery
• Surgical Subspecialties - Thoracic
Surgery
• Surgical Subspecialties - Trauma
Surgery
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Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Surgical Subspecialties Neurosurgery - Spinal Cord Medicine
• Surgical Subspecialties - Orthopedic
Surgery - Hand Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Sports Medicine
• Surgical Subspecialties - Plastic
Surgery - Craniofacial Surgery
• Surgical Subspecialties - Surgical
Critical Care
• Surgical Subspecialties - Transplant
Surgery - Lung

Note: This column will prepopulate for prior records with data submitted in the previous reporting period. Prior data cannot be altered or
deleted.

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Health Resources and Services Administration
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Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Training Information in a Primary Care Setting
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Training in a Primary Care Setting
Select Whether Individual Received Training Enter # of Contact Hours
(28)
Block 17

(29)
Block 17a

Enter # of Patient Encounters
(30)
Block 17b

Figure 45. IND-GEN - Entering Training Information in a Primary Care Setting
Training in a Primary Care Setting: Select Whether Individual Received Training: Select whether each individual received clinical or
experiential training in a primary care setting during the current reporting period by clicking on the drop-down menu in Column 28 (Block 17) and
choosing one of the following options:
• Yes
• No

Training in a Primary Care Setting: Enter # of Contact Hours:
• If the individual received clinical or experiential training in a primary care setting, enter the total number of hours spent in this type of setting
during the reporting period in the textbox under Column 29 (Block 17a).
• If the individual did NOT receive clinical or experiential training in a primary care setting, leave the textbox blank under Column 29 (Block
17a).
Training in a Primary Care Setting: Enter # of Patient Encounters:
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Academic Year 2016-2017Children's Hospitals

• If the individual received clinical or experiential training in a primary care setting, enter the total number of patient encounters in this type of
setting during the reporting period in the textbox under Column 30 (Block 17b).
• If the individual did NOT receive clinical or experiential training in a primary care setting, leave the textbox blank under Column 30 (Block
17b).

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Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Training Information in a Medically Underserved Community
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Training in a Medically Underserved Community
Select Whether Individual Received Training Enter # of Contact Hours
(31)
Block 18

(32)
Block 18a

Figure 46. IND-GEN - Entering Training Information in a Medically Underserved Community
Training in a Medically Underserved Community: Select Whether Individual Received Training: Select whether each individual received
clinical or experiential training in a medically-underserved community (MUC) during the current reporting period by clicking on the drop-down
menu in Column 31 (Block 18) and choosing one of the following options:
• Yes
• No

Training in a Medically Underserved Community: Enter # of Contact Hours:
• If the individual did receive clinical or experiential training in a medically-underserved community, enter the total number of hours spent in
this type of setting during the reporting period in the textbox under Column 32 (Block 18a).
• If the individual did NOT receive clinical or experiential training in a medically-underserved community, leave the textbox blank under
Column 32 (Block 18a).

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Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Training Information in a Rural Area
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Training in a Rural Area
Select Whether Individual Received Training Enter # of Contact Hours
(33)
Block 19

(34)
Block 19a

Figure 47. IND-GEN - Entering Training Information in a Rural Area
Training in a Rural Area: Select Whether Individual Received Training: Select whether each individual received clinical or experiential training
in a rural area during the current reporting period by clicking on the drop-down menu in Column 33 (Block 19) and choosing one of the following
options:
• Yes
• No

Training in a Rural Area: Enter # of Contact Hours:
• If the individual did receive clinical or experiential training in a rural area, enter the total number of hours spent in this type of setting during
the reporting period in the textbox under Column 34 (Block 19a).
• If the individual did NOT receive clinical or experiential training in a rural area, leave the textbox blank under Column 34 (Block 19a).

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Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Selecting Whether Individual Left the Program Before Completion
Select Whether Individual Left the Program Before Completion
(36)
Block 21
Figure 48. IND-GEN - Selecting Whether Individual Left the Program Before Completion
Select Whether Individual Left the Program Before Completion: Select whether each individual permanently left their training program before
completion during the current reporting period by clicking on the drop-down menu in Column 36 (Block 21) and choosing one of the following
options:
• Yes
• No

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Health Resources and Services Administration
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Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Graduation/Completion Information
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Select Whether Individual Graduated/Completed the Program Select Individual's Post-Graduation/Completion Intentions
(37)
Block 22

(39)
Block 22b

Figure 49. IND-GEN - Entering Graduation/Completion Information
Select Whether Individual Graduated/Completed the Program: Select whether each individual completed from their training program during the
current reporting period by clicking on the drop-down menu in Column 37 (Block 22) and choosing one of the following options:
• Yes
• No

Select Individual's Post-Graduation/Completion Intentions: Select the trainee’s training or employment intentions by clicking on the drop-down
menu in Column 39 (Block 22b) and choosing all that apply from the options listed below.
If a trainee did not complete from their training program during the current reporting period, select “N/A” in Columns 37 and 39 (Block 22b).
•
•
•
•
•

Individual intends to conduct research
Individual intends to practice in a primary care setting
Individual intends to seek further training (fellowship etc.)
Individual is receiving advanced training (fellowship etc.)
Not Reported

•
•
•
•
•

Individual intends to practice in a medically underserved area
Individual intends to practice in a rural area
Individual intends to teach
None of the above
N/A

Warning: For Block 22b, None of the above, not reported, and N/A cannot be selected in combination with any other option.
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Annual Performance Report
Academic Year 2016-2017Children's Hospitals

IND-GEN - Entering Individual's Employment Data
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Select whether Employment Data is available?
(56)

Enter Zip Code

City

State

Select Type of Employment

(57)

(58)

(59)

(60)

Figure 50. IND-GEN - Entering Individual's Employment Data
Select whether Employment Data is available?: Select whether employment data are available by clicking on the drop-down menu in Column 56
and choosing one of the following options:
•
•
•
•

Yes
Yes (outside U.S.)
No
N/A

Enter Zip Code:
• If ‘Yes’ was selected in Column 56, enter the zip code (5 digits) of the employment site.
• If ‘No’ or ‘Yes (outside U.S.)' was selected, leave Column 59 blank.

Note: .If a valid ZIP code is entered in column 57, columns 58 and 59 populate with the correct corresponding city and state when the page is
saved.
Warning: A validation displays if column 56 = No or N/A and a ZIP code has been provided in column 57.
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Academic Year 2016-2017Children's Hospitals

Warning: A validation displays if an invalid ZIP code is provided in column 57.
Warning: A validation displays if a 5 digit number is not provided in column 57.
Select Type of Employment:
• If ‘Yes’ was selected in Column 56, identify the individual’s type of employment by clicking on the drop-down menu and choosing all that
apply from the options listed below.
• If ‘No’ or ‘Yes (outside U.S.)' was selected, select 'N/A' in Column 60.
•
•
•
•
•
•

Academic medical center - Hospitalist
Academic medical center - Other Academia
Government - Federal (CDC FDA NIH etc.)
Government - Military
Other
Academic medical center - Additional training
(fellowship etc.)
• Non - academic medical center - hospitalist

• Academic medical center - Staff Physician
• Public setting - community/rural/migrant
health center
• Government - State government
• Private Industry - Pharmaceutical/Biotech
• Not currently employed
• Private Practice
• Non - academic medical center - outpatient
clinic

• Academic medical center Faculty Physician
• Public setting - health department
• Government - National Health
Service Corps
• Private Industry - Other
• N/A
• Non - academic medical center

Warning: For Column 60, None of the above, not reported, and N/A cannot be selected in combination with any other option.
To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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Graduate Medical Education

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Academic Year 2016-2017Children's Hospitals

INDGEN-PY: Individual Prior Year
INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion
Select whether status/employment
data are available for the individual 1year post graduation/completion
(13)
Block 23

Select Individual's Current
Training/Employment
Status
(14)
Block 23a

Select Whether Your
Organization Hired
this Individual

Select Whether a
Partner Organization
Hired this Individual

Select
Employment
Location

(16)

(17)

(18)

Figure 51. INDGEN-PY - Entering Employment Data 1-year Post Graduation/Completion

Select whether status/employment data are available for the individual 1-year post graduation/completion: Select whether current employment
data are available for each resident or fellow who received a BHW-funded financial award and completed their training program one year prior to
this report by clicking on the drop-down menu under Block 23 and choosing one of the following options.
• Yes
• No

Select Individual's Current Training/Employment Status:
Select the current employment status of the individual by clicking on the drop-down menu under Column 14 and choosing all that apply. If you
selected No for Column 13, select N/A in Column 14. None of the above and N/A cannot be selected in combination with any other options.
• Individual currently practices in a medically underserved area

• Individual currently practices in a primary care setting
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• Individual currently practices in a rural area
• Individual is currently teaching
• None of the above

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Individual is currently conducting research
• Individual is receiving advanced training (fellowship etc.)
• N/A

Select Whether Your Organization Hired this Individual: Select whether your organization hired this individual following training program
completion by clicking on the drop-down menu under Column 16 and choosing one of options below. If you selected No for Column 13, select N/A
in Column 16.
• No
• Yes
• N/A

Select Whether a Partner Organization Hired this Individual: description
• Yes
• No
• N/A

Select Employment Location: description
• Academic Institution
• Area Health Education Center
• Critical Access Hospital
• FQHC or Look-Alike
• Rural Health Clinic
• Other Clinical Training Site
• N/A

Note: Only full-time residency and full-time fellowship programs will be displayed on INDGEN-PY. One year follow-up data will not be
required for Major Participating Site/Rotation Site Programs.

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Academic Year 2016-2017Children's Hospitals

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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Academic Year 2016-2017Children's Hospitals

Experiential Characteristics—EXP Subforms
EXP - Introduction
1. Purpose: The EXP subforms are used to characterize experiential or clinical training characteristics, including training sites and the number and
profession/discipline of trainees.
• The EXP-1 Setup form captures information about the sites used by grantees to provide trainees with clinical or experiential training
• The EXP-2 subform collects information about the profession and discipline of individuals trained at each site that was entered in the EXP-1
Setup form.
2. Order of Subforms:
• EXP subforms MUST be completed in order, otherwise drop-down menus will not prepopulate correctly.
• You must complete and ‘Save and Validate’ EXP-1 first before proceeding to EXP-2.
3. Pre-population of Prior Records (training sites) reported previously:
• The BPMH system will prepopulate the names each site previously reported in the Saved Records Table within the EXP-1 subform.
• You must indicate whether each previously-reported site was used during the current annual reporting period.
o If "Yes" was selected, the BPMH system will prepopulate certain blocks in the EXP-2 subform.
If "'No" was selected, the BPMH system will not include the site as an option in the EXP-2 subform.

Warning: Complete the EXP-1 and EXP-2 subforms only for sites used to train individuals who appear on the INDGEN subform.

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Academic Year 2016-2017Children's Hospitals

EXP-1: Training Site Setup
EXP-1 - Entering Site Name
*Add Site
Enter the Site's Name
Add Record
Figure 52. EXP-1 - Entering Site Name
Site Name:
• Previously used training sites will prepopulate on the saved records table. They do not need to be re-entered.
• Enter the name of the site used to train residents during the current reporting period in the textbox next to the row labeled, “Enter the Site’s
Name.”
• Next, click the “Add Record” button.
• Repeat this process as necessary to capture the names of each new site used during the current reporting period.

Warning: Complete the EXP-1, EXP-2 subform only for sites used to train fellows and residents who appear on the INDGEN subform.
Note: EXP subforms MUST be completed in order, otherwise drop-down menus will not prepopulate correctly.

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Health Resources and Services Administration
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Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Whether the Site was Used in the Current Period
Select Whether the Site was Used in the Current Reporting Period
(2)
Figure 53. EXP-1 - Selecting Whether the Site was Used in the Current Period
Select Whether the Site was Used in the Current Reporting Period: Select whether each site was used during the current reporting period by
clicking on the drop-down menu located in Column 2 and choosing one of the following options:
• Yes
• No

Warning: For new sites, you must select "Yes" in Column 2.

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Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Type of Site Used
Select Type of Site Used
(3)
Block 1a
Figure 54. EXP-1 - Selecting Type of Site Used
Select Type of Site Used: Select the type of sites used to train residents or fellows during the annual reporting period by clicking on the drop-down
menu under Block 1a and choosing from one of the following options.
• Academic institution
• Aerospace operations setting
• Community - based care programs for
elderly mentally challenged individuals
• Community care programs for elderly
mentally challenged individuals
• Critical Access Hospital
• Dentist Office
• Federal and State Bureau of Prisons
• Geriatric ambulatory care and
comprehensive units
• Hospice
• Indian Health Service (IHS) site
• Local health department
• National health association
• Nursing Home
• Other Oral Health Facility
• Residential Living Facility
• Senior Centers
• State Health Department

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Acute Care for the Elderly (ACE) Units
Ambulatory practice sites
Community - based organization
Community Health Center (CHC)
Day and home care programs (e.g. Home Health)
Emergency Room
Federal Government Office or Agency
Geriatric Behavioral or Mental Health Units
Hospital
International nonprofit/nongovernmental
organization
Long - term Care Facility
National health association or affiliate
Other
Physician Office
Rural Health Clinic
Specialty clinics (e.g. mental health practice
rehabilitation substance abuse clinic)
Surgery Clinic

• Acute care services
• Assisted Living Community
• Community Behavioral Health
Center
• Community Mental Health
Center
• Dental Services
• Extended care facilities
• FQHC or look - alike
• Geriatric consultation services
• Independent Living Facility
• Local Government Office or
Agency
• Mobile Clinic/Site
• Nurse Managed Health Clinics
• Other community health center
(e.g.; free clinic)
• Program of All Inclusive Care
for the Elderly
• School - based clinic
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Health Resources and Services Administration
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• Tribal Health Department
• Veterans Affairs Hospital or clinic

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Tribal Organization

• State Government Office or
Agency
• Tribal Government
• Veterans Affairs Healthcare
(e.g. VA Hospital or clinic)

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Type of Setting Where the Site was Located
Select Type of Setting Where the Site was Located
(4)
Block 2
Figure 55. EXP-1 - Selecting Type of Setting Where the Site was Located
Select Type of Setting Where the Site was Located: Select whether each site used to train residents and fellows during the annual reporting period
was located in designated settings by clicking on the drop-down menu under Block 2 and choosing all that apply from the following options.
•
•
•
•

Medically underserved community
Primary Care Setting
Rural area
None of the above

Warning: None of the Above cannot be selected in conjunction with any other option.
Warning: Verify that three validations display indicating that there must be at least 1 record in EXP-1 where “Primary Care Setting”,
“Medically Underserved Community”, and “Rural Area” I provided in column 4 if “Yes” has been provided in IND-GEN column 28, 31, or 33

Note: To determine whether a site is located in a medically underserved community, please visit HRSA’s Office of Shortage Designation at
http://datawarehouse.hrsa.gov/GeoAdvisor/ShortageDesignationAdvisor.aspx
Note: To determine whether a site is located in a rural area, please visit HRSA’s Office of Rural Health Policy at
http://datawarehouse.hrsa.gov/RuralAdvisor/ruralhealthadvisor.aspx
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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia used to Offer Training at this Site
(5)
Figure 56. EXP-1 - Selecting Type(s) of Partners/Consortia
Select Type(s) of Partners/Consortia used to Offer Training at this Site: Select the type(s) of partnerships or consortia used or established for the
purpose of training residents at each site during the current reporting period by clicking on the drop-down menu in Column 5 (Block 5) and choosing
all that apply from the following options:
• Academic department - outside
the institution
• Alzheimer’s Disease Resource
Centers
• Community Health Center (CHC)
• Educational institution (Grades K
- 12)
• Federal Government - Other
HRSA Program
• Federal Government - CDC
• Federal Government - NIH
• Federal Government - SAMHSA
• Geriatric Behavioral or Mental
Health Units
• Health department - Local
• Health disparities research center
• Hospice
• Long-term care facility

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Academic department - within the institution
Ambulatory practice sites
Community Mental Health Center
Federal Government - Veterans Affairs
Federal Government - ACL
Federal Government - FDA
Federal Government - Other
Federally - qualified health center or look alikes
Geriatric consultation services
Health department - State
Health insurance/Healthcare Provider Group
(e.g.; PPO/HMO)
Hospital
No partners/consortia used
Nurse managed health clinic
Physical therapy/Rehabilitation center
Quality improvement organization

• Alzheimer’s Association/Chapters
• Area Agencies on Aging
• Day and home care programs (i.e. Home
Health)
• Federal Government - Department of
Defense/Military
• Federal Government - AHRQ
• Federal Government - IHS
• Federal Government - Other HHS
Agency/Office
• Geriatric ambulatory care and
comprehensive units
• Health center (e.g.; free clinic)
• Health department - Tribal
• Health policy center
• Local Government
• Nonprofit organization (faith - based)
• Nursing home
• Private/For - profit organization
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Health Resources and Services Administration
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Graduate Medical Education

• Nonprofit organization (non faith based)
• Other
• Professional Associations
• State Governmental Programs

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Tribal Government

• Senior Center
• Tribal Organization

Warning: You may not select "No partners/consortia used" in combination with any other option.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Type(s) of Vulnerable Population
Select Type(s) of Vulnerable Population Served at this Site
(7)
Figure 57. EXP-1 - Selecting Type(s) of Vulnerable Population
Select Type(s) of Vulnerable Population Served at this Site: Select the type(s) of vulnerable populations served at each site used to train residents
during the current reporting period by clicking on the drop-down menu in Column 7 (Block 4) and choosing all that apply from the following
options:
•
•
•
•
•
•
•

Adolescents
College students
Homeless individuals
Lesbian/Gay/Bisexual/Transgender
Migrant workers
People with disabilities
Returning war veterans (Iraq or
Afghanistan)
• Undocumented Immigrants
• Veterans

•
•
•
•
•
•
•
•
•

Children
Financially underserved
Individuals with HIV/AIDS
Low income persons/families
Military and/or military
families
Pregnant women and infants
Socio-culturally underserved
Unemployed
Victims of abuse or trauma

• Chronically ill
• Geographically underserved
• Individuals with mental illness or substance use
disorders
• Medically underserved
• Older adults
• Refugee Adults
• Tribal Population
• Uninsured/Underinsured persons/families
• None of the above

Warning: You may not select "None of the above" in combination with any other option.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Entering Site's geographical Data
Enter Zip Code

City

State Four Digit Zip Code Extension

(8)

(9)

(10)

(11)

Figure 58. EXP-1 - Entering Site's geographical Data
Enter Zip Code: Enter the zip code (5 digits) where each training site is located by clicking on the textbox under Column 8.
Four Digit Zip Code Extension: Enter the four-digit zip code extension where each training site is located by clicking on the textbox under Column
11.

Note: .If a valid ZIP code is entered in column 8, columns 9 and 10 populate with the correct corresponding city and state when the page is
saved.
Warning: A validation displays if column 56 = No or N/A and a ZIP code has been provided in column 57.
Warning: A validation displays if an invalid ZIP code is provided in column 8..
Warning: A validation displays if a 5 digit number is not provided in column 8.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Entering Site's Payment Model
Payment Model
(12)
Figure 59. EXP-1 - Entering Site's Payment Model
Payment Model: Select the payment model used by each training site by clicking on the dropdown menu below Column 12 and selecting all that
apply from the following options:
•
•
•
•
•
•

ACO
CHIP
Medicare
Other Public
Self - Pay
VA

•
•
•
•
•
•

Bundled Payments
Dual Eligible (Medicaid & Medicare)
Military TRICARE
Patient Centered Medical Home
Sliding Scale
Workman’s Comp

•
•
•
•
•
•

Charity Care
Medicaid
Other Private Insurance
PPO
Uninsured
N/A

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-1 - Selecting Whether the Training Site Implements Interprofessional Education and/or Practice
Select whether the training site implements interprofessional education and/or practice
(13)
Figure 60. EXP-1 - Selecting Whether the Training Site Implements Interprofessional Education and/or Practice
Select whether the training site implements interprofessional education and/or practice: Select whether the training site implements
interprofessional education and/or practice
• Yes
• No

To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-2: Experiential Characteristics - Trainees by Profession/Discipline
EXP-2 - Selecting Training Program and Site Name
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

Type of Training Program Site Name
(1)

(2)
Block 1

Figure 61. EXP-2 - Selecting Training Program and Site Name
EXP-2 will initially appear blank.
Type of Training Program: Select a training program by clicking on the drop-down menu in Column 1 and choosing one of the available options
(programs that were marked on the Training Program Setup Form as “active” in the current reporting period).

Site Name: Pair the selected training program with a site name by clicking on the drop-down menu in Column 2 (Block 1) and choosing one of the
available options (sites that were marked in EXP-1 as “used” in the current reporting period).

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Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

EXP-2 - Selecting Profession and Discipline of Individuals Trained
Select Profession and Discipline of Individuals Trained
(3)
Block 3
Figure 62. EXP-2 - Selecting Profession and Discipline of Individuals Trained
Select Profession and Discipline of Individuals Trained: Select the profession(s) and discipline(s) of residents and fellows trained for each training
program/site during the current reporting period by clicking on the drop-down menu in Column 3 (Block 3) and choosing one of the options below.
• Combined Programs - Family
Medicine/Emergency Medicine
• Combined Programs - Family Medicine/Sports
Medicine
• Combined Programs - Internal
Medicine/Medical Genetics
• Combined Programs - Internal
Medicine/Preventive Medicine
• Combined Programs Pediatrics/Anesthesiology
• Combined Programs - Pediatrics/Emergency
Medicine
• Combined Programs - Pediatrics/Physical
Medicine and Rehabilitation
• Critical Care Medicine Subspecialties Anesthesiology CCM
• Critical Care Medicine Subspecialties Emergency Medicine CCM
• Critical Care Medicine Subspecialties Nephrology CCM

• Combined Programs - Family
Medicine/Preventive Medicine
• Combined Programs - Internal
Medicine/Emergency Medicine
• Combined Programs - Internal
Medicine/Neurology
• Combined Programs - Internal
Medicine/Psychiatry
• Combined Programs Pediatrics/Child Neurology
• Combined Programs Pediatrics/Medical Genetics
• Combined Programs Pediatrics/Psychiatry/Child &
Adolescent Psychiatry
• Critical Care Medicine Subspecialties
- Cardiology CCM
• Critical Care Medicine Subspecialties
- Infectious Disease CCM

• Combined Programs - Family
Medicine/Psychiatry
• Combined Programs - Internal
Medicine/Family Medicine
• Combined Programs - Internal
Medicine/Pediatrics
• Combined Programs Obstetrics/Anesthesiology
• Combined Programs Pediatrics/Dermatology
• Combined Programs Pediatrics/Medical Toxicology
• Combined Programs - Preventative
Medicine/Medical Toxicology
• Critical Care Medicine Subspecialties Cardiology CCM - Anesthesiology
• Critical Care Medicine Subspecialties Internal Medicine CCM
• Critical Care Medicine Subspecialties Pulmonary CCM
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Health Resources and Services Administration
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Graduate Medical Education

• Critical Care Medicine Subspecialties - Surgery
CCM
• Medical Specialties (non-Primary Care) Emergency Medicine
• Medical Specialties (non-Primary Care) Nuclear Medicine
• Medical Specialties (non-Primary Care) Pathology (Anatomic and Clinical Pathology)
• Medical Specialties (non-Primary Care) Psychiatry
• Medical Specialties (Primary Care) - Family
Medicine
• Medical Specialties (Primary Care) - Pediatrics
(General Pediatrics)
• Medical Subspecialties - Cardiology - Adult
Congenital Heart Disease
• Medical Subspecialties - Cardiology - Nuclear
Cardiology
• Medical Subspecialties - Critical Care
Medicine
• Medical Subspecialties - Endocrinology
Diabetes and Metabolism
• Medical Subspecialties - Gastroenterology Hepatology
• Medical Subspecialties - Hematology Hematologic Pathology
• Medical Subspecialties - Infectious Diseases
• Medical Subspecialties - Medical Genetics
(Adult Molecular Genetic Pathology)
• Medical Subspecialties - Pulmonary and Sleep
Medicine
• Medical Subspecialties - Sleep Medicine
• Oral Health Specialties and Subspecialties Dental Medicine/General Dentistry

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Critical Care Medicine Subspecialties
- Pediatrics CCM
• Medical Specialties (non-Primary
Care) - Anesthesiology
• Medical Specialties (non-Primary
Care) - Medical Genetics (Clinical
Genetics)
• Medical Specialties (non-Primary
Care) - Obstetrics & Gynecology
• Medical Specialties (non-Primary
Care) - Physical Medicine &
Rehabilitation
• Medical Specialties (non-Primary
Care) - Radiation Oncology
• Medical Specialties (Primary Care) Geriatric Medicine
• Medical Subspecialties - Allergy &
Immunology
• Medical Subspecialties - Cardiology Clinical Cardiac Electrophysiology
• Medical Subspecialties - Clinical
Informatics
• Medical Subspecialties Endocrinology
• Medical Subspecialties Gastroenterology
• Medical Subspecialties - Hematology
& Oncology
• Medical Subspecialties - Hospice and
Palliative Medicine
• Medical Subspecialties - Medical
Genetics (Adult Biochemical
Genetics)
• Medical Subspecialties - Nephrology

• Medical Specialties (non-Primary Care)
- Dermatology
• Medical Specialties (non-Primary Care)
- Neurology
• Medical Specialties (non-Primary Care)
- Occupational Medicine
• Medical Specialties (non-Primary Care)
- Preventive Medicine
• Medical Specialties (non-Primary Care)
- Radiology (Diagnostic Radiology)
• Medical Specialties (Primary Care) Internal Medicine
• Medical Subspecialties - Cardiology
• Medical Subspecialties - Cardiology Interventional Cardiology
• Medical Subspecialties - Clinical
Neurophysiology
• Medical Subspecialties - Endocrinology
- Reproductive Endocrinology
• Medical Subspecialties Gastroenterology - Adult Transplant
Hepatology
• Medical Subspecialties - Hematology Blood & Marrow Transplantation
• Medical Subspecialties - Hospital
Medicine
• Medical Subspecialties - Medical
Genetics (Adult Clinical Genetics)
• Medical Subspecialties - Nephrology
and Hypertension
• Medical Subspecialties - Rheumatology
• Oral Health Specialties and
Subspecialties - Advanced General
Dentistry
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Health Resources and Services Administration
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• Oral Health Specialties and Subspecialties Endodontics
• Oral Health Specialties and Subspecialties Pediatric Dentistry (Pedodontics)
• Oral Health Specialties and Subspecialties Prosthodontics
• Other Medical Subspecialties - Anesthesiology
- Adult Cardiothoracic Anesthesiology
• Other Medical Subspecialties - Dermatology Dermatopathology
• Other Medical Subspecialties - Emergency
Medicine - Medical Toxicology
• Other Medical Subspecialties - Neurology Clinical Neurophysiology
• Other Medical Subspecialties - Neurology Movement Disorders
• Other Medical Subspecialties - Neurology Pediatric Epilepsy
• Other Medical Subspecialties - Neurology Spinal Cord Medicine
• Other Medical Subspecialties - OB-GYN Gynecological Oncology
• Other Medical Subspecialties - Occupational
Medicine - Clinical Pharmacology &
Toxicology
• Other Medical Subspecialties - Pathology Anatomic and Clinical - Dermatopathology
• Other Medical Subspecialties - Pathology Medical Microbiology
• Other Medical Subspecialties - Psychiatry Child & Adolescent Psychiatry
• Other Medical Subspecialties - Radiology Musculoskeletal Radiology

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Medical Subspecialties - Pulmonary
Medicine
• Medical Subspecialties - Sports
Medicine
• Oral Health Specialties and
Subspecialties - Dentistry Craniofacial Surgery
• Oral Health Specialties and
Subspecialties - Pathology Dentistry
• Oral Health Specialties and
Subspecialties - Pediatric
Orthodontics
• Oral Health Specialties and
Subspecialties - Public Health
Dentistry
• Other Medical Subspecialties Anesthesiology - Pain Medicine
• Other Medical Subspecialties Dermatology - Procedural
Dermatology General
• Other Medical Subspecialties Medical Genetics - Molecular
Genetic Medicine
• Other Medical Subspecialties Neurology - Epilepsy
• Other Medical Subspecialties Neurology - Neurodevelopmental
Disabilities
• Other Medical Subspecialties Neurology - Pediatric Neurology
• Other Medical Subspecialties Neurology - Vascular Neurology

• Oral Health Specialties and
Subspecialties - Dentistry - Oral and
Maxillofacial Surgery
• Oral Health Specialties and
Subspecialties - Pediatric Dentistry
• Oral Health Specialties and
Subspecialties - Periodontics
• Oral Health Specialties and
Subspecialties - Radiology Dentistry
• Other Medical Subspecialties Dermatology - Dermatologic Surgery
• Other Medical Subspecialties Emergency Medicine - Clinical
Pharmacology & Toxicology
• Other Medical Subspecialties - Medical
Genetics - Molecular Genetic Pathology
• Other Medical Subspecialties Neurology - Headache Medicine
• Other Medical Subspecialties Neurology - Neuromuscular Medicine
• Other Medical Subspecialties Neurology - Pediatric Neuromuscular
Medicine
• Other Medical Subspecialties - OBGYN - Female Pelvic Medicine &
Reconstructive Surgery
• Other Medical Subspecialties - OBGYN - Pediatric & Adolescent
Gynecology
• Other Medical Subspecialties - Pain
Medicine
• Other Medical Subspecialties Pathology - Hematologic Pathology
(Hematopathology)
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Health Resources and Services Administration
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Graduate Medical Education

• Other Medical Subspecialties - Radiology Pediatric Body MRI
• Other Medical Subspecialties - Radiology Vascular and Interventional Radiology
• Pediatric Medical Subspecialties - Medical
Genetics (Clinical Genetics)
• Pediatric Medical Subspecialties - Medical
Genetics (Molecular Genetics)
• Pediatric Medical Subspecialties - NeonatalPerinatal Medicine (Neonatology)
• Pediatric Medical Subspecialties - Pediatric and
Adolescent Medicine
• Pediatric Medical Subspecialties - Pediatric
Cardiology - Echocardiogram
• Pediatric Medical Subspecialties - Pediatric
Cardiology - Pediatric Inteventional Cardiac
Catherization
• Pediatric Medical Subspecialties - Pediatric
Critical Care Medicine
• Pediatric Medical Subspecialties - Pediatric
Gastroenterology
• Pediatric Medical Subspecialties - Pediatric
Hematology-Oncology
• Pediatric Medical Subspecialties - Pediatric
Infectious Disease
• Pediatric Medical Subspecialties - Pediatric
Neurology (Child Neurology)
• Pediatric Medical Subspecialties - Pediatric
Pathology
• Pediatric Medical Subspecialties - Pediatric
Rehabilitation Medicine
• Pediatric Medical Subspecialties - Pediatric
Sports Medicine

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Other Medical Subspecialties - OBGYN - Maternal-Fetal Medicine
(MFM)
• Other Medical Subspecialties Occupational Medicine - Medical
Toxicology
• Other Medical Subspecialties Pathology - Blood
Banking/Transfusion Medicine
• Other Medical Subspecialties Pathology - Neuropathology
• Other Medical Subspecialties Radiology - Body MRI
• Other Medical Subspecialties Radiology - Neuroradiology
• Other Medical Subspecialties Radiology - Pediatric Diagnostic
Radiology
• Pediatric Medical Subspecialties Clinical Pharmacology &Toxicology
• Pediatric Medical Subspecialties Medical Genetics (Medical
Biochemical Genetics)
• Pediatric Medical Subspecialties Medical Toxicology
• Pediatric Medical Subspecialties Neurodevelopmental Disabilities
• Pediatric Medical Subspecialties Pediatric Anesthesiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Fetal
Cardiology

• Other Medical Subspecialties Psychiatry - Addiction Psychiatry
• Other Medical Subspecialties Radiology - Endovascular Surgical
Neuroradiology
• Other Medical Subspecialties Radiology - Nuclear Radiology
• Other Medical Subspecialties Radiology - Pediatric Neuroradiology
• Pediatric Medical Subspecialties Medical Genetics (Clinical
Cytogenetics)
• Pediatric Medical Subspecialties Medical Genetics (Molecular Genetic
Pathology)
• Pediatric Medical Subspecialties Neonatal - Neurology Cerebral Palsy
• Pediatric Medical Subspecialties Pediatric Allergy & Immunology
• Pediatric Medical Subspecialties Pediatric Cardiology
• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric Cardiac
Imaging
• Pediatric Medical Subspecialties Pediatric Clinical Cardiac
Electrophysiology
• Pediatric Medical Subspecialties Pediatric Endocrinology
• Pediatric Medical Subspecialties Pediatric Hematology
• Pediatric Medical Subspecialties Pediatric Hospital Medicine
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Health Resources and Services Administration
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Graduate Medical Education

• Pediatric Medical Subspecialties - Pediatrics Advanced Pediatric Hematology-Oncology
Stem Cell Transplantation
• Pediatric Medical Subspecialties - Pediatrics Clinical Immunodeficiency
• Pediatric Medical Subspecialties - Pediatrics Transplant Hepatology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Cardiothoracic
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Ophthalmology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Plastic Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Transplantation
Surgery - Bone Marrow
• Pediatric Surgical Specialties and
Subspecialties - Vascular Anomalies Surgery
• Prelim Transitional Training - Preliminary
Surgery
• Rotations - Coursework - Other - Advanced
General Dentistry
• Rotations - Coursework - Other - FM
Integrated/Neuromusculoskeletal Medicine
• Rotations - Coursework - Other - GI Motility
• Rotations - Coursework - Other - Pediatric
Cardiac Intensive Care Unit
• Rotations - Coursework - Other - Pediatric
Environmental Health
• Rotations - Coursework - Other - Pediatric
Nutrition
• Rotations - Coursework - Other Psychosomatic Medicine

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Medical Subspecialties Pediatric Cardiology - Pediatric
Preventive Cardiology
• Pediatric Medical Subspecialties Pediatric Emergency Medicine
• Pediatric Medical Subspecialties Pediatric Heart Failure Transplant
• Pediatric Medical Subspecialties Pediatric Hospice and Palliative
Medicine
• Pediatric Medical Subspecialties Pediatric Nephrology
• Pediatric Medical Subspecialties Pediatric Oncology
• Pediatric Medical Subspecialties Pediatric Pulmonology
• Pediatric Medical Subspecialties Pediatric Rheumatology
• Pediatric Medical Subspecialties Pediatrics - Adolescent Medicine
• Pediatric Medical Subspecialties Pediatrics - Child & Adolescent
Psychiatry
• Pediatric Medical Subspecialties Pediatrics - Developmental
Behavioral Pediatrics
• Pediatric Surgical Specialties and
Subspecialties - Adolescent Bariatric
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Colorectal
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Orthopedics

• Pediatric Medical Subspecialties Pediatric Neurocritical Care
• Pediatric Medical Subspecialties Pediatric Palliative Care Medicine
• Pediatric Medical Subspecialties Pediatric Radiology
• Pediatric Medical Subspecialties Pediatric Sleep Medicine
• Pediatric Medical Subspecialties Pediatrics - Advanced Pediatric
Hematology-Oncology Neurooncology
• Pediatric Medical Subspecialties Pediatrics - Child Abuse Pediatrics
• Pediatric Medical Subspecialties Pediatrics - Medical Toxicology
• Pediatric Surgical Specialties and
Subspecialties - Congenital Cardiac
Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Neurosurgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Otolaryngology
• Pediatric Surgical Specialties and
Subspecialties - Pediatric
Transplantation Surgery
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Urology
• Prelim Transitional Training Preliminary Medicine (General
Internship) - Osteopathic
• Prelim Transitional Training Transitional Year
105

Health Resources and Services Administration
Bureau of Health Workforce
Graduate Medical Education

• Rotations - Coursework - Other - Surgery Surgical Scholar
• Surgical Specialties - Orthopedic Surgery
• Surgical Specialties - Surgery - General
Surgery
• Surgical Subspecialties - Cardiothoracic
Surgery
• Surgical Subspecialties - General Surgery Fetal Surgery
• Surgical Subspecialties - Orthopedic Surgery Foot and Ankle Surgery
• Surgical Subspecialties - Orthopedic Surgery Spine Surgery
• Surgical Subspecialties - Pediatric Surgery Fetal Surgery
• Surgical Subspecialties - Surgery - Oral and
Maxillofacial Surgery
• Surgical Subspecialties - Transplant Surgery
• Surgical Subspecialties - Vascular Surgery

Annual Performance Report
Academic Year 2016-2017Children's Hospitals

• Pediatric Surgical Specialties and
Subspecialties - Pediatric Surgical
Critical Care
• Pediatric Surgical Specialties and
Subspecialties - Pediatric Trauma
Surgery
• Prelim Transitional Training Preliminary Medicine
• Prelim Transitional Training Traditional Rotating Internship Osteopathic
• Rotations - Coursework - Other Fetal Surgery
• Rotations - Coursework - Other General and Community Medicine
• Rotations - Coursework - Other International Pediatric Neurosurgery
• Rotations - Coursework - Other Pediatric Clinical Pharmacology
• Rotations - Coursework - Other Pediatric Hospital Medicine
• Rotations - Coursework - Other Pediatric Optometry
• Rotations - Coursework - Other Quality Scholars in Transforming
Health Care
• Surgical Specialties - Neurosurgery
(Neurological Surgery)
• Surgical Specialties - Otolaryngology
(ENT Surgery)
• Surgical Specialties - Urology
• Surgical Subspecialties Cardiothoracic Surgery - Adult
Congenital Heart Disease

• Rotations - Coursework - Other - FM
and Osteopathic Manipulative
Treatment
• Rotations - Coursework - Other General and Community Pediatrics
• Rotations - Coursework - Other Osteopathy
• Rotations - Coursework - Other Pediatric Clinical Pharmacy
• Rotations - Coursework - Other Pediatric International Surgery
• Rotations - Coursework - Other Podiatric Medicine and Surgery
• Rotations - Coursework - Other - Spinal
Cord Injury Medicine
• Surgical Specialties - Ophthalmology
• Surgical Specialties - Plastic Surgery
• Surgical Subspecialties - Cardiac
Surgery
• Surgical Subspecialties - Colon &
Rectal Surgery (Colorectal Surgery)
• Surgical Subspecialties - OB-GYN Fetal Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Musculoskeletal Oncology
• Surgical Subspecialties - Pediatric
Surgery
• Surgical Subspecialties - Plastic
Surgery - Hand Surgery
• Surgical Subspecialties - Thoracic
Surgery
• Surgical Subspecialties - Trauma
Surgery
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• Surgical Subspecialties Neurosurgery - Spinal Cord Medicine
• Surgical Subspecialties - Orthopedic
Surgery - Hand Surgery
• Surgical Subspecialties - Orthopedic
Surgery - Sports Medicine
• Surgical Subspecialties - Plastic
Surgery - Craniofacial Surgery
• Surgical Subspecialties - Surgical
Critical Care
• Surgical Subspecialties - Transplant
Surgery - Lung

Note: Repeat the above two steps until all used Training Program/Site/Discipline combinations are present. Each reported profession and
discipline must be reported on a separate line even if they trained at the same site under the same program.

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EXP-2 - Entering # Trained in the Profession and Discipline
Enter # Trained in this Profession and Discipline
(4)
Block 3
Figure 63. EXP-2 - Entering # Trained in the Profession and Discipline
Enter # Trained in this Profession and Discipline: In Column 4 (Block 3), enter the number of residents and fellows in the profession and
discipline selected in the previous step that were trained at each site during the current reporting period.

Note: Counts provided should be based on individuals reported on IND-GEN from HRSA-funded programs.
Warning: The value provided in column 4 must be greater than 0. Otherwise, a validation will display.

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EXP-2 - Selecting Type of Site Used
Select Type of Site Used
(6)
Figure 64. EXP-2 - Selecting Type of Site Used
Select Type of Site Used: Following the selection of a training site in EXP-1, the associated type of site, setting, and geographical information will
be automatically populated when the save and validate button is selected.

Warning: Gray fields are linked to the name of training sites in EXP-1. To change the associated site type with a particular site name, return to
EXP-1.

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EXP-2 - Selecting Type of Setting Where the Site was Located
Select Type of Setting Where the Site was Located
(7)
Figure 65. EXP-2 - Selecting Type of Setting Where the Site was Located
Select Type of Setting Where the Site was Located: Following the selection of a training site in EXP-1, the associated settings will be
automatically populated when the save and validate button is selected.

Warning: Site settings are linked to the name of training sites in EXP-1. To change the associated site settings with a particular site name,
return to EXP-1.
Note: This Block will prepopulate for prior records with data submitted in previous reporting periods.
To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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CHD-1: CHGME Hospital Data - Hospital Discharge Data
CHD Subforms - Introduction
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

General Information
Medicare Provider Number
Year hospital first received funding
How many outside institutions send residents to your hospital?
Figure 66. CHD Subforms - Introduction
Medicare Provider Number: This field will be prepopulated with your hospital’s information.
Year hospital first received funding: Enter the calendar year that your hospital first received CHGME funding in the textbox labeled ‘Year
hospital first received funding.’
How many outside institutions send residents to your hospital?: Enter the number of outside institutions that send residents to your hospital in
the textbox.

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CHD-1: CHGME Hospital Data - Hospital Discharge Data
CHD Subforms - Introduction
Warning: Multiple steps are required to complete this portion of the subform. Please read instructions carefully.

General Information
Medicare Provider Number
Year hospital first received funding
How many outside institutions send residents to your hospital?
Figure 67. CHD Subforms - Introduction
Medicare Provider Number: This field will be prepopulated with your hospital’s information.
Year hospital first received funding: Enter the calendar year that your hospital first received CHGME funding in the textbox labeled ‘Year
hospital first received funding.’
How many outside institutions send residents to your hospital?: Enter the number of outside institutions that send residents to your hospital in
the textbox.

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CHD-1 - Hospital Discharge Data By Payor Setup
Warning: If you have used the CHD-1 form before, this answer is pre-selected ‘Yes’ for you. You do not need to answer this question
again. Please move ahead to the CHD-1 form by using the form list located on the left side of your screen.

Did any of your residency programs have at least one resident spending
>= 75% under Children’s Hospital Supervision?

Yes (complete table below) No (Click Save and Validate to proceed to
the next form)
Figure 68. CHD-1 - Hospital Discharge Data By Payor Setup

To begin providing hospital-level data for institutions that who received a CHGME funding during the current reporting period, or to provide updates
for hospitals previously reported on CHD-1, click "Yes" to the initial setup question.
Note: Clicking "Yes" will activate the remaining forms that will allow you to begin data entry.

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CHD-1 - Entering Hospital Discharge Data By Payor
Payor

(1)

Enter # of Inpatient
Discharges

Enter # of Outpatient
Visits

Enter # of Emergency Department
Visits

(2)

(3)

(4)

Private Insurance
Medicaid and/or CHIP
Medicare
Other Public (TRICARE, Indian Health
Service)
Self-Pay
Uncompansated Care
Figure 69. CHD-1 - Entering Hospital Discharge Data By Payor
For each Payment Group, follow the instructions below to enter the required information:
Enter # of Inpatient Charges: In Column 2, enter the number of inpatient discharges.
Enter # of Outpatient Visits: In Column 3, enter the number of outpatient visits.
Enter # of Emergency Department Visits: In Column 4, enter the number of emergency department visits.

Warning: A number must be entered in each cell. If there were no inpatient discharges billed to a particular payment group, enter a
zero (0) in that cell.
Note: Report all Medicaid payments, including Medicaid managed care and any other Medicaid payments under the Medicaid and/or CHIP
category.
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Note: Self-pay refers to patients who have made out-of-pocket payments for services.
Note: Uncompensated care means care for which the hospital receives no payment.
To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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CHD-2: CHGME Hospital Data – Hospital Discharge and Safety Data
CHD-2 - Setup
Warning: If you have used the CHD-2 form before, this answer is pre-selected ‘Yes’ for you. You do not need to answer this question
again.

Did your children’s hospital have any patient safety initiatives in place in Yes (complete CHD-2) No (Click Save and Validate to proceed to the
the most recently completed academic year?
next form)
Figure 70. CHD-2 - Setup

• If your children’s hospital has any patient safety initiatives in place during the most recently completed academic year, answer ‘Yes’ and
proceed to complete this form. Clicking "Yes" will activate the remaining forms that will allow you to begin data entry.
• If not, please answer ‘No’ and click ‘Save and Validate’ to proceed to the next required form.

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CHD-2 - Adding Patient Safety Initiatives
*Add Patient Safety Initiative (add all that apply)
Patient Safety Initiative
Add Record
Figure 71. CHD-2 - Adding Patient Safety Initiatives
Patient Safety Initiative:
• Use the drop-down menu labeled ‘Patient Safety Inintiative’ to identify all patient safety initiatives your children’s hospital utilized during
the current reporting period. Choose ALL of the following that apply.
• You may add additional initiatives by selecting “Other” and typing the name of the safety initiative in the textbox provided.
• Click the “Add Record” button after each selection. Each selected initiative will form a row on the table below.
• Repeat this process as necessary to capture the names of all safety initiatives used during the current reporting period.
• Appropriate Use of prophylactic antibiotics in
surgery
• Catheter-related bloodstream infections
• Electronic Medical Records
• Formalized support mechanisms for residents
that err and harm patient
• Infection Prevention and Control
• Logs and literature reviews on error analysis
• Medication Reconciliation
• Other
• Reducing hand-offs
• Restructuring of Inpatient Ward Team
• Standardization of drug dosing
• Ventilator associated pneumonia

• Automatic drug dispensing linked to
CPOE
• Chart audits
• Elimination of look/sound alike
drugs
• Hand hygiene
• Institution of protocols/guidelines
• Mandatory error disclosure
• Mock codes/patient simulation for
residents
• Patient Safety Morning Report
• Required error reporting system
• Root cause/ error analysis
• Surgical site infections

• Availability of translators
• Computerized physician order entry
(CPOE)
• Error Prevention Training Simulation
• Handheld Computers
• Logic based forcing functions
• Medication Administration Bar
Coding
• Nursing Pediatric Early Warning
System
• Rapid response team (RRT)
• Resident participation in quality
assurance committees
• Simulation Lab
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• Voluntary and confidential error
reporting system

• Timely recognition and treatment of
shock
• None of the Above

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CHD-2 - Selecting Whether Initiative is Part of the Hospital’s Patient Safety Program
Select Whether Initiative is Part of the Hospital's Patient Safety Program in Most Recent Academic Year
(2)
Figure 72. CHD-2 - Selecting Whether Initiative is Part of the Hospital’s Patient Safety Program
Select Whether Initiative is Part of the Hospital's Patient Safety Program in Most Recent Academic Year: Report whether or not each patient
safety initiative was part of the hospital’s patient safety program in the current reporting period by clicking on the drop-down menu under Column 2
and selecting one of the following options:
• Yes
• No

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CHD-2 - Entering Changes made to the Initiative since the Previous Academic Year
Select Whether the Hospital has made Changes in Initiative since the Previous Academic Year Reasons for Change
(3)

(4)
Figure 73. CHD-2 - Entering Changes made to the Initiative since the Previous Academic Year

Select Whether the Hospital has made Changes in Initiative since the Previous Academic Year: Report whether or not the hospital made
changes to each patient safety initiative since the previous academic year by clicking on the drop-down menu under Column 3 and selecting one of
the following options:
• Yes
• No

Reasons for Change: Identify the reason(s) for the change by clicking on the drop-down menu under Column 4 and selecting all of the reasons
below that apply.
If “No”, was selected in Column 3, choose “No Change” in Column 4.
• Yes
• No

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CHD-2 - Entering Benefits of Initiative
Benefits of Initiative
(5)
Figure 74. CHD-2 - Entering Benefits of Initiative
Benefits of Initiative: Identify all of the benefits of each patient safety by clicking on the drop-down menu under Column 5 and selecting all of the
following options that apply:
•
•
•
•
•
•

Added faculty expertise
Improved clinical competence
Improved patient care outcomes
Improved reporting
Improvements in procedural technique
Increased awareness of psychosocial
conditions
• Increased medical knowledge
• Increased/improved research activities
• N/A

•
•
•
•
•
•

Benefits pending
Improved clinical management
Improved professional development
Improved supervision
Incorporated best practices
Increased awareness/exposure to underserved
populations
• Increased mentoring
• Other

•
•
•
•
•

Expanded clinical services
Improved monitoring/evaluation
Improved provider performance
Improved workflow
Increased awareness of community
resources
• Increased clinical coverage
• Increased/improved feedback
• None of the Above

Warning: "None of the Above" and "N/A" cannot be selected in combination with any other option
To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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CHD-3: CHGME Hospital Data – Hospital Discharge Data by Zip Code
CHD-3 - Uploading Hospital Discharge Data by Zip code

Figure 75. CHD-3 - Uploading Hospital Discharge Data by Zip code
Please complete the following steps to enter locality data identifying the number of hospital discharges by zip code.
1. Using the link provided, download the Excel data template to input data.
2. Using the template, complete each row of data entry by reporting (a) each zip code used by your program and (b) the corresponding number
of hospital discharges.
o If you are reporting an overseas zip code, use code “88888”.
o If the zip code is unknown, enter code “00000”.
3. When you have completed data entry using the template, save your work to a local folder.
4. Using the attach file button, upload your saved file into BPMH (e.g., using the browse function to select your file from your local folder).

Warning: The structure of the data entry template must not be altered (i.e., do not add/remove/edit/rearrange columns or column
headers). Doing so will lead to uploading errors.
Note: If you have difficulty downloading the template file, contact your Government Project Officer.
Note: Once uploaded into BMPH, template data cannot be downloaded back into an Excel format.
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CHD-3 - Processing Hospital Discharge Data by Zip code

Figure 76. CHD-3 - Processing Hospital Discharge Data by Zip code

• Once your file has been uploaded, select the “Process Data” button, which will populate the table below with the data you entered into the
excel template (i.e., zip codes and discharge counts).
• Next, select the “Save” button to automatically populate the city and state fields (based on the zip codes you have provided) and run the form
validations.
• After you have verified that all data are present and accurate, select the Save/Validate button to proceed to the next subform.

Note: Errors in editable fields will be identified with a “Row” number and can be corrected either (a) within the BMPH system or (b) corrected
in the original excel template and then re-uploaded.

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To Complete the Form: Click on the “Save and Validate” button located on the bottom right corner of your screen. If no errors are
found, the BPMH system will automatically route you to the next required subform.

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PCC: Program Curriculum Changes
PCC - Selecting Residency Program Name
Select Residency Program Name
(1)
Figure 77. PCC - Selecting Residency Program Name
Select Residency Program Name: Select a training program by clicking on the drop-down menu in Column 1 and choosing one of the available
options (programs that were marked on the Training Program Setup Form as “active” in the current reporting period).

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PCC - Entering the Course/Training Activity Name
Enter the Name of Course or Training Activity
(2)
Block 1
Figure 78. PCC - Entering the Course/Training Activity Name
Enter the Name of Course or Training Activity: Enter a name for the Course or Training Activity in in Column 2 (Block 1).

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PCC - Selecting Type of Course or Training Activity
Select Type of Course or Training Activity
(3)
Block 2
Figure 79. PCC - Selecting Type of Course or Training Activity
Select Type of Course or Training Activity: Select the type of course or training activity offered in the current reporting period by clicking on the
drop-down menu in Column 3 (Block 2) and choosing one of the following options:
• Academic course
• Faculty development programs or activities
• Grand rounds

• Clinical rotation
• Field placement/practicum
• Workshop

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PCC - Selecting whether Course was Newly Developed or Enhanced
Select whether Course or Training Activity was Newly Developed or Enhanced
(4)
Block 3
Figure 80. PCC - Selecting whether Course was Newly Developed or Enhanced
Select whether Course or Training Activity was Newly Developed or Enhanced: Select whether the course or training activity was newly
developed or enhanced in the current reporting period by clicking on the drop-down menu in Column 4 (Block 3) and choosing one of the following
options:
• Enhanced
• Newly developed
• No changes

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PCC - Selecting Primary Topic Area
Select Primary Topic Area
(5)
Figure 81. PCC - Selecting Primary Topic Area
Select Topic Area: Select the primary topic area of the course or training activity offered in the current reporting period by clicking on the dropdown menu in Column 5 and choosing one of the following options:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

360 evaluations
Americans with Disabilities Act
Area Health Education Center sites
Availability of allied health
providers
Bedside training
Care of internationally adopted
children
Center for Early Intervention for
Deaf Infants
Child protective teams
Community - level advocacy
Competency - based training
Counseling for oral hygiene diet and
fluoride use
Cultural competency
Day care
Domestic violence resources
Early Intervention Services
Family - centered pediatrics
Forensic Psychiatry

• Access to dental health services
• Amish Satellite Clinic
• Assist families with transition to child
care and educational settings
• Availability of community based
programs
• Care coordination with other health care
providers
• Case - based experiential learning
• Chart - stimulated recall
• College Health
• Community health centers
• Coordination of health care and
community resources
• County Hospital
• Cultural efficacy training
• Developmental biology
• Domestic violence/child abuse
• Effects of physical environment (e.g.
toxins)
• Fluoride guidelines

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Advocacy training
Anticipatory guidance
Autopsies
Availability of public sources of dental
services
Care of domestically adopted children
Case logs
Checklists of observed behaviors
Community - based medicine
Community longitudinal project
Coordination of mental health care services
Cultural Beliefs and attitudes
Cultural immersion experiences
Diabetes Camp
Drug rehabilitation program
Effects of social environment (e.g. crime)
Foreign language instruction
Genomics/ Proteomics
Health promotion/ illness prevention
Homeless shelters
Immigration/deportation issues
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Global ratings
Home care services
Homelessness
Indian Health Center sites
Interdisciplinary care
Interpretation of research
Juvenile detention facilities
Leadership training
Medicaid/CHIP/EPSDT related
programs
Migrant health center
National Health Service Corp sites
Observed structured clinical
examination (OSCE)
Other
Patient Centered Medical Home
Physician - patient communication
Private practice
Public education
Public sources of care in rural areas
Reflective exercises
Resident project
School health
Screening/referral for Maternal
depression
Social services
Substance abuse
Team - Based Care
Transition to adult care
Uninsured/underinsured

Annual Performance Report
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Foster care system
Head Start
Home visits to patients
Identify/mobilize medical home
Indian Health Service
Interdisciplinary patient care conferences
Intraoperative Consults
Laboratory Exams
Legislative/policy advocacy
Medical simulations
Migrant worker families and children
Neuroscience
Office Based Pediatrics
Outreach Clinic
Patient surveys
Poison Control Center
Procedure logs
Public health department
Record reviews
Research
Rural health centers
Schools
Screening/referral for parental substance
abuse
Standardized patients
Substance abuse treatment system
Telemedicine
Translational Research
Use of transformative learning techniques
(e.g. role play)

•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•

Individualized Education Plans (IEPs)
Interfacing with community organizations
Issues related to use of interpreter services
Language training
Local and state health departments
Mental/behavioral health care system
Mobile health van
Obesity - directed care
Oral health screening
Patient advocacy
Pediatric palliative care/Pediatric hospice
Poverty
Promoting positive health behaviors
Public sources of care (e.g. CHC public health
dept.)
Referral for dental care
Research Design
Scholarly activities (clinical translational or
health services research)
Screening/referral for domestic violence
Social service system
Statistics for Medicine
Tailoring therapy to the individual
Tobacco prevention and control
Transportation and travel barriers
Welfare system

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PCC - Selecting Topics in Quality Improvement and Measurement
Select Topics in Quality Improvement and Measurement
(6)
Figure 82. PCC - Selecting Topics in Quality Improvement and Measurement
Select Topics in Quality Improvement and Measurement: Select which quality improvement and measurement topics each course or training
activity addressed in the current reporting period by clicking on the drop-down menu in Column 6, and selecting all of the following options that
apply:
• AHRQ Clinical Performance Measures for
Ambulatory Care
• Audit and feedback approaches
• Evidence-based medicine
• Health care disparities
• Organizational changes
• Patient reminder systems
• Physician reminder systems
• Quality characteristics
• Small area variation
• Use of practice guidelines

• AHRQ Pediatric Quality Indicators
• Benchmarking
• Facilitated relay of clinical data to
providers
• Health Plan Employer Data and
Information Set (HEDIS)
• Other
• Performance measurement and indicators
• Practice guidelines
• Sentinel event
• Structure/Process/ Outcomes Measures
• Volume-outcomes

• Ambulatory care sensitive conditions
• Consumer Assessments of Health
Plans (CAHPS)
• Financial incentives (e.g. pay for
performance)
• Interdisciplinary care
• Patient education
• Physician education
• Promotion of disease selfmanagement
• Severity/risk adjustment
• Systematic literature reviews/metaanalysis
• None of the above

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PCC - Entering Curriculum
Enter the Curriculum the Course or Training Activity is Associated With
(7)
Block 5
Figure 83. PCC - Entering Curriculum
Enter the Curriculum the Course or Training Activity is Associated With: Type the name of the curriculum associated with each course or
training activity that was developed or enhanced through the grant in the textbox in
Column 7 (Block 5).

Note: If the course or training activity that was developed or enhanced is not associated with a specific curriculum, type "N/A".

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PCC - Selecting Delivery Mode
Select Delivery Mode Used to Offer this Course or Training Activity
(8)
Block 6
Figure 84. PCC - Selecting Delivery Mode
Select Delivery Mode Used to Offer this Course or Training Activity: Select the primary mode used to deliver each course or training activity
that was developed or enhanced through the grant by clicking on the drop-down menu in Column 8 (Block 6) and choosing one of the following
options:
• Classroom-based
• Distance learning (Online Webinar)
• Grand rounds

• Clinical Rotation
• Experiential/Field-based
• Hybrid

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Printing Your Performance Report
• To print the entire performance report, expand the left side menu of your report and click the ‘Review’ link under the ‘Review and submit’
section. You will be directed to the Review page.
• Next, click the ‘Print All Forms’ button below the Resources section of the Review Page.

Figure 85. Screenshot of Printing Your Performance Report

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Submitting Your Performance Report
1. To submit your performance report, expand the left side menu of your report and click the ‘Submit’ link under the ‘Review and submit’
section. You will be directed to the Submit Report. On the Submit Report page, ensure that the status of all forms is ‘Complete’ with a green
check mark. Click the ‘Submit’ button on the bottom right corner of this page.

Figure 86. Screenshot of the Submit Report Page

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2. After step 1, you will be directed to the Submit Report-Confirm page. On this page, check the box under the ‘Certification’ section and click
the ‘Confirm’ button on the bottom right corner of your screen to submit your report to HRSA. You will receive a confirmation message on
your next screen.

Figure 87. Screenshot of the Submit Report - Confirm Page

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Appendix B: FAQs
General FAQs
When is the due date for the performance report?
Performance reports are due by January 31, 2018 for all programs. No extensions will be granted beyond this date. Failure to submit a performance report by the due date may
place your grant in a non-compliant status.
What dates does the performance report cover?
The performance report submitted by grantees should cover all activities conducted through the grant during the current reporting period July 01, 2016 - June 30, 2017.
Is it possible to change data entered incorrectly in a prior reporting period?
No. Data entered in a previous reporting period cannot be edited. It is important that grantees provide accurate data during each reporting period.
Where will grantees be able to locate the instruction manuals for the performance reports?
Grantees will be able to access their program-specific instruction manual through the EHB. In addition, the manuals will be posted on the BHW grants website at
http://bhw.hrsa.gov/grants/reporting/index.html.
Is there a way to look at the data forms required for my program without logging into EHB?
Yes. Grantees will be able to view a program-specific overview of the required performance measure forms on the BHW grants website at
http://bhw.hrsa.gov/grants/reporting/index.html.
Are reports from prior years stored in the EHBs?
Yes. Grantees can locate reports from prior reporting periods in EHB by using any of the following methods:
a) Clicking the ‘view prior period data’ link within a form or under your Resources tab;
b) Going into your grant folder and searching for previously completed reports; or
c) Clicking on the "submissions" link in the left side navigation menu.
Will the information we are submitting in this reporting period be automatically used to populate the forms in the future?
Yes. Depending on the form, certain data fields will prepopulate for future reporting periods based on the data you enter when the record is initially created. For example,
information reported on the EXP-1 and EXP-2 forms for training sites used will carry over each reporting period. Similarly, much of the information reported on the INDGEN form
will also carry over each reporting period until the individual completes his/her specific training program or permanently leaves before completion.
Does this report allow us to submit any attachments?
No, you cannot add attachments to the performance report.
When specific data, such as "N/A" is required after completing a cell, can those cells populate automatically?
No, grantees are required to enter all data themselves due to Section 508 requirements.

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FAQs about Technical Support & Assistance
Who do we contact if we need technical assistance entering data in EHB?
Grantees should contact HRSA's Call Center for any questions related to the performance report. The Call Center can be reached via phone at 1-877-464-4772.
FAQs about the Training Program Setup forms
The wrong program name was entered last year. Going forward, should we list the correct name?
If the grantee changes the program name, all the previous years’ data will be reset (everything entered in the past will not reappear this year). The best course of action is to
make a note in the comments field and leave the program name as-is.
FAQs about the Program Characteristics (PC) forms
Do I need to set up my training program again if it is being reused in the current reporting period?
No. If you previously reported on a training program, you do not need to set up the program again. All of your previously used training programs will be displayed in your
training program setup menu with a record status of ‘Prior Record’ displayed.
What are the status options for the different types of programs?
Structured and Unstructured Training programs use program status options “Ongoing” or “Complete.” All other training programs (degree/certificate, internships, fellowships, 1year retraining, practica/field placements,
residencies) use the status options “Active” or “Inactive.”
In the PC forms, do we count all trainees in our program, regardless of the year of study; do we include full-time/part-time trainees, etc.?
Yes, as long as trainees are enrolled or participating in the training program identified in Column 1.
Are we required to report on trainees at our institution beyond those who are participating in HRSA-funded programs?
The PC tables capture information about the universe of trainees regardless of funding status at your school. This is the only form that collects this type of information in
aggregate.
FAQs about the LR-1 through DV-3 forms
In the LR and DV tables, are the counts for graduates and/or program completers a subset of the total trainee number, or are they to be reported separately?
On the LR and DV forms, graduates and program completers are not reported as a subset of the current trainee total. Please report aggregate counts of trainees (e.g., enrollees,
residents, and fellows) SEPARATELY from the aggregate counts of graduates or program completers.

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Which address should we use to determine whether an individual is from a rural residential background?
The definition of rural residential background is based on whether an individual has ever lived in a rural area. Grantees may choose to use the address prior to matriculation or
the institution's address.
FAQs about the INDGEN form
Where do we get the Trainee Unique ID?
Grantees are responsible for developing a unique ID for each individual for whom an INDGEN entry is required. Grantees must keep a log of these unique IDs in order to provide
follow-up data through the BPMH system.
What are the characters of the 7-digit unique ID?
Each unique ID must be made up of 7 alphanumeric characters. Do not include any personally identifiable information in the ID (name, birthdate, SSN, etc.).
Are INDGEN records from the last reporting period stored in the EHB?
Yes; they will appear in the INDGEN table as ‘Prior Records’ until (a) the individual is marked as a graduate/ program completer, or (b) the individual permanently discontinues
participation in the training program.
Last year we created unique IDs in the INDGEN table. If any of those participants attend a new training cycle this year, should we use the same code for that participant?
The purpose of the Unique ID is to track an individual’s training participation over time. If the same individual is simultaneously participating in multiple training programs, you
should use the same unique ID. Note that each training program must also have a unique name. The same “unique ID-training program” combination cannot be present more
than once.
What if an individual already listed on INDGEN did not receive a financial award during the reporting period?
If an individual from a prior record did not receive a financial award during the current reporting period, please indicate this under Column 12. The record will remain on INDGEN
until this individual is marked as a graduate/program completer or permanently leaves the training program prior to completion.
Is reporting the underrepresented Asian distinction no longer included?
The definition of an underrepresented minority (URM) included in the instruction manuals specifically states that a URM is "is an individual from a racial and/or ethnic group that
is considered inadequately represented in a specific profession relative to the numbers of that racial and/or ethnic group in the general population". While some professional or
accrediting organizations collect detailed information on Asian subpopulations, data sources for the general population (i.e., the Census) do not. Therefore, it is not possible to
determine that specific Asian subpopulations are underrepresented relative to the general population. Furthermore, federal agencies have been directed by the Office of
Management and Budget to collect race/ethnicity data in a manner consistent with that used for the Census. As a result, all race and ethnicity categories displayed in the
INDGEN sub-form are identical to those used in the Census.
Can we use our institution’s definitions/standards for disadvantaged background?

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The BHW definition of disadvantaged background is included in the glossary of each instruction manual. As long as an institution's definition or standard does not contradict the
federal definition of disadvantaged, then grantees may choose to count individuals who have been deemed disadvantaged by the institution. Otherwise, you must use the
definition for disadvantaged background located in your program manual glossary.
Do we report full time faculty who receive salary support for teaching or administrative responsibilities?
If the faculty member is already accounted for in the grant's personnel log, then do include this individual on the INDGEN table. If the faculty member who received financial
support is not listed in the grant personnel log, then he/she should be reported on INDGEN.
Do conference registration fees count as financial support?
Yes, but only for non-project staff.
How do we find out an individual's family income?
The institution's financial aid office should have that information, as part of the required application for financial aid.
For veteran status, are we asking only for the trainee’s status, or the trainee's family status (e.g. dependent of veteran, spouse of veteran, etc.)?
Only the trainee's status should be reported.
How is the academic year funding total calculated?
Once you have validated the form, the academic year total is automatically calculated in EHB as the sum of funding during the academic year.

How is the cumulative funding total calculated?
The cumulative funding total is automatically re-calculated each annual reporting period in EHB. This is the total of each annual amount that has been entered for the individual
record either (a) across the life of the grant or (b) since the BPMH system has been in use, starting with Academic Year 2012-2013.
Can I cut and paste rows in the INDGEN table?
The cut and paste capability is currently set up at the row level, rather than individual data elements. After a row of data has been copied and pasted, edits will need to be made
to individual cells using the dropdowns. Please note that the system does not accept data that has been cut and pasted from sources outside the report itself.
Do we include faculty or preceptors on this form?
If direct funds were given to the individuals AND the individuals were not already included in the grant application, then yes, include them on INDGEN. Otherwise, do not
include them.
In INDGEN Column 13, Stipend, should we include salaries?
The individual’s salary (unless it’s paid by the grant) should not be included. However, the BHW funding should be included.
On the prior report we indicated that a trainee graduated when he had not. Because of that, he is not showing up on the current report. Can he be moved back to the
INDGEN form?
If the individual moves to the INDGEN-PY form you can locate the record of the mislabeled graduate. Scroll all the way to the right, and use the link called “Move to INDGEN”,
which will allow you to reset that record back to the INDGEN table for continued reporting.

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I submitted a report last year using the 'not reported' option for trainee demographics. Why am I getting an error this year?
You may only select the 'not reported' option during the first reporting period for each trainee. Demographics are required information and grantees are expected to collect and
report the information in all subsequent reports.
FAQs about the INDGEN-PY form
How do I use the INDGEN-PY form?
One year after an INDGEN record is marked as a graduate/program completer, you will be asked to provide an update on the individual’s employment/enrollment status.
FAQs about the Experiential Training (EXP) forms
Which training sites do I need to report on this form? Is it all of the sites our program uses?
Grantees should report only on sites used to provide training to students, trainees, or faculty supported by the grant during the current reporting period.
Our hospital provides multiple training sites for our trainees. Do I list the hospital or the specific clinics and offices within the hospital?
You should list the specific clinics and offices within the hospital that provide training to supported trainees.
Do I need to list a site more than once on EXP-2?
For sites that provide training to students, trainees, and faculty from different training programs, the site should be listed on the form for each training program the grant
sponsors.
How can I report interprofessional team-based care at the training sites?
Interprofessional team-based care reporting is a three-step process on the EXP-2 form. After identifying the training program and site, the first step is to select ALL of the
professions and disciplines represented on the interprofessional team (including that of the principal HRSA-sponsored trainees). The second step is to provide the number of
trainees (by discipline) who were trained by the HRSA-sponsored program (principal trainees). The final step is to provide the number of other trainees (by discipline) who
participated at the site, alongside the principal trainees, but who were not enrolled in the HRSA-sponsored program.
What training sites do I report on EXP if I don't have directly-funded individuals in INDGEN?
You should report all training sites used to train individuals touched by your grant funding. If no individuals are reported in INDGEN, consider those you reported on the LR-1
form.
The values I added in EXP-1 aren't prepopulating in EXP-2. Why can I only see my active prior records?
You must select each program-site combination using the drop down menus in columns 1 and 2. The values you added in EXP-1 will load in the dropdown menu in EXP-2 column
2.
Why do I need to enter the zip code of my training sites?

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The zip codes allow HRSA to identify sites that are in rural areas, medically underserved communities, and health professions shortage areas. Because the designation of each
location may change over time, the zip code allows HRSA to adjust the way it labels a site.
Where can I find the 4-digit zip code extension?
You can locate your site's 4-digit zip code extension by visiting the US Postal Service website:
https://tools.usps.com/go/ZipLookupAction_input
FAQs about the Curriculum Development and Enhancement (CDE) forms
What if courses are created using a variety of funding sources?
Grantees should complete a CDE-1 entry for each course or training activity that was developed or enhanced using any amount of HRSA grant funds.
For CDE-2, do we report on all attendees or only those directly funded by a BHW-funded program for this reporting period?
For the purposes of the CDE-2 form, count all individuals trained (whether or not the individuals received direct financial support) through courses or training activities
developed or enhanced using any BHW funds during the current reporting period.

In the CDE-1 table, I have entered a course that has been implemented, but when I try to select the site where the course was taught, I receive an error message that based
on my responses for columns 2 and 4, this site is not allowed. Shall I use N/A as the site?
If it is an academic course or training/workshop for health professions students, fellows, or residents, then N/A will need to be used.
Can I delete a course from last year?
You will not be able to delete a previously used course. You may indicate that the course from last year was not used again this year.
FAQs about the Faculty Development (FD) forms
What is the difference between a structured faculty development program and an unstructured faculty development activity?
Structured and unstructured faculty development programs differ in a few ways. Generally, structured faculty development programs are administered over a longer period of
time and involve multiple meetings/sessions. Additionally, structured programs tend to be curriculum-driven, and may lead to the conferral of a degree or certificate. In
contrast, unstructured faculty development activities are shorter in duration and are single, stand-alone trainings. Faculty development activities include conferences,
workshops, and grand rounds.
What are the definitions for the roles of educator and administrator?
The educator role deals with instruction and training, course preparation, grading, and generally involves imparting knowledge or skills to others. Administrative responsibilities
are support functions, such as committee work.
FAQs about the Continuing Education (CE) forms
For CE-2, do we report on all attendees or only those directly funded by a BHW-funded program for this reporting period?

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Count all individuals trained (whether or not the individuals received direct financial support) through courses or training activities developed or enhanced using any BHW funds
during the current reporting period. Individuals attending CE trainings should be current providers, rather than students.
In creating and enhancing courses for continuing education, what should the site be?
Enter N/A for these courses.
When should I use the ‘Other’ option for type of continuing education?
The ‘Other’ option is available if there was a CE activity that the grantee does not identify as an unstructured training or structured CE course. We anticipate that few (if any)
grantees will need to use this option.

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