The MAPP project functions within the context of the national Partnerships for Training (PFT) initiative, supported, in part, by the Robert Wood Johnson (RWJF) Foundation. The RWJF/PFT initiative requires that the following definitions be used by all PFT projects funded for the six-year Implementation Phase (1992-2002).

PFT/MAPP Definitions (July 1996)
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A PFT/MAPP student is a full-time or part-time student who matriculates in a partner education program .....who meets at least one of the following criteria:

1. Lives, at the time of enrollment and/or during the education program, in a state or federally designated Medically Underserved Area (MUA) or a Health Professional Shortage Area (HPSA);
2. Works, at the time of enrollment and/or during the education program, in a health care position for an organization that is located in, or primarily serves clients in a state or federally designated MUA or HPSA;
3. Lives, at the time of enrollment and/or during the education program, in a county which the federal government has designated as rural or frontier;
4. Works, at the time of enrollment and/or during the education program, in a health care position for an organization that is located in, or primarily serves clients in a county which the federal government has designated as rural or frontier;
5. Is a member of a federally defined minority* or lives or works in an historically disadvantaged** area.

 A PFT/MAPP graduate is a person who completed her/his professional education as an NP, CNM, or PA as a student in a PFT/MAPP partner education program, passed the profession's national examination, became licensed to practice, and meets at least one of the following criteria:

1. (During the year(s) surveyed) practices in a state or federally designated MUA; or
2. (During the year(s) surveyed) practices in a county which the federal government has designated as rural or frontier; or,
3. (During the year(s) surveyed) practices in a setting where most of the clients belong to a federally defined minority* or in an historically disadvantaged area.**

A PFT/MAPP course is a course that meets at least one of the following criteria:

1. Is created to enable the partners to meet their PFT/MAPP goals; or;
2. Contains substantive content which has been significantly changed to meet the PFT/MAPP goals, i.e. at least 15 percent of the learning objectives have changed (as compared with the pre-project course content); or
3. Employs a significantly changed mode of teaching to meet the PFT/MAPP goals (as compared with the pre-project mode of teaching); or
4. Opens up to students in one or more of the three PFT/MAPP disciplines who in prior years had not been eligible to take the course because it was previously deemed not appropriate for those disciplines.

A PFT/MAPP faculty person is a person who, during the years(s) surveyed, meets at least one of the following criteria:

1. Carries responsibilities for teaching at least 33% of a PFT/MAPP-designated course; or
2. Carries faculty-level responsibility for organizing and supervising student placements in clinical experiences; or
3. As an employee, i.e. paid full or paid part-time faculty member (i.e. not an uncompensated adjunct status faculty) of the educational program, spends at least 20% of her/his FTE time precepting one or more PFT/MAPP students in a clinical area.

A PFT/MAPP clinical preceptor is a person who, during the year(s) surveyed, meets the following criterion:

1. Is employed by the clinical site and precepts or teaches PFT/MAPP students, on site, at least one day (8 hours) a week, as part of her/his regular job responsibilities in that site.

A PFT/MAPP clinical site is a site that, during the year(s) surveyed, meets the following criterion:

1. At least one PFT/MAPP student obtains clinical precepting experiences at the site at least four hours per week; these experiences must involve precepted clinical practice by the student, as observation-only experiences would not be considered a precepted clinical experience.

Medically Underserved Areas (MUA):

MUA's are areas and population groups that have inadequate access to health care, as measured by an index of four weighted indicators of health need:

1. Infant mortality rate;

2. The percent of population 65 or older;

3. The percent of population living in poverty; and

4. The population-to-primary care physician ratio.

Health Professional Shortage Area (HPSA):

HPSA designates areas, population groups, and facilities that lack sufficient primary care health personnel, as measured by population-to-primary care physician ratios.

Rural: Counties located outside of a Metropolitan Statistical Area.

Frontier: Population density of under six per square mile.

* The federal categories for minority are: Black, Hispanic, Asian and Pacific Islander, American Indian, Eskimo, and Aleut.

** The definition of "historically disadvantaged" adopted by the Foundation for this project is: an area documented to have a poverty rate twice that of the federally defined poverty rate.

Taken, in part, from the Robert Wood Johnson Foundation Implementation Phase Application Instructions, Appendix H (7/96).