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FROM :

SUBJECT:

MEMORANDUM

Members of National Advisory Council DATE: JUNE 20, 196€
on Regional Medical Programs

William D. Mayer, M.D.

Information in Guidelines Relating to Continuing Education

Page 31 - under "Eligible Activities"

Certain program elements deserve. special discussion. Applica-
tions for a Regional Medical Program grant, both planning and
operational, must include specific reference to program plans
for education and training of health personnel. Continuing
education should receive particular emphasis as an integral
part of the total Regional Medical Program. However, meri-
torious programs of continuing education presented in the
absence of, or unrelated to, plans for the fuller development
of a Regional Medical Program cannot be supported through
grants under this program. Therefore, the relationship of
continuing education to other aspects of the proposed planning
or operational activity must be indicated.

Page 32 - under "Planning grant"

Emphasis was given to continuing education in the history
of the legislation. Creative approaches in the development
and management of cooperative arrangements to achieve high
quality education programs as well as new ways of applying
educational research findings are vital.

Examples of activities for consideration in planning in the
area of continuing education are: identification of existing
educational and training programs within the region; identi-
fication of additional educational and training needs in the
region; projections of methods of meeting those needs includ-
ing specification of appropriate curriculum content, data
used to determine need, etc.; preliminary thoughts relative
to the mechanism of evaluating the effectiveness of future
programs in meeting the needs; the relationship of continuing
education and training programs to the overall objectives

of the Regional Medical Program including their anticipated
effectiveness in bringing about cooperative arrangements
between the various health institutions and personnel within
the region.
"Under an Operational Grant - Pilot projects for the establish-
ment and operation of a Regional Medical Program can cover a
great variety of activities.

Page 23 - under "Operational Grant"
"a. Continuing Education and Training - It is assumed that
before applying for an operational grant in this area, certain
activities will have been undertaken during the planning process
(see above). Operational grant funds can support costs of
programs including teaching staff, equipment, educational
materials, transportation, rental or renovation of space and
related demonstrations of patient care. However, the grant

may not supplant previous support for on-going activities in
this area. Documentation of the additive nature of the proposed
program should be made. Stipends for trainees and perticipants
in the program will be considered only when it is fully docu-
mented that such funds are not available from other sources

and their expenditure is absolutely necessary for the imple-
mentation of the program.

"In those instances where major expenditures for equipment

and supplies are requested special emphasis should be given

to measurement of the effectiveness of the program including
measurements in the change in performance of the participants,
numbers of participants, and degree to which the information
produced might be generalized to other programs. There should
also be acknowledgement of related efforts already accomplished
by others with indications of the manner by which the proposed
project will extend those efforts. It is anticipated that
such major investments for equipment and supplies will more
appropriately be in pilot projects or operational grants
rather than in feasibility studies or planning grants.

“Considerations under the Regional Medical Programs will be
given to continuing education and training programs for medical,
paramedical and associated professions. However, it should
be emphasized that the primary intent of the legislation in
this area is the support of those activities that are beyond
those normally accepted as basic preparation for work in the
health field. Thus, support of basic programs in medical
education, residency training, and basic education and train-
ing in paramedical areas is not normally anticipated. If,
however, the applicant can demonstrate that funds are not
available from other sources and the particular basic educa-
tional program is essential to the success of its Regional
Medical Program then consideration will be given to such a
request.

 
 

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“Applicants are encouraged to explore innovative training
approaches and the development of new types of health
personnel to meet the manpower needs of the region as
identified in the planning process."