83_FR_42678 83 FR 42515 - Meeting of the Advisory Committee on Training in Primary Care Medicine and Dentistry

83 FR 42515 - Meeting of the Advisory Committee on Training in Primary Care Medicine and Dentistry

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Register Volume 83, Issue 163 (August 22, 2018)

Page Range42515-42516
FR Document2018-18074

In accordance with the Federal Advisory Committee Act, this notice announces that the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD) will hold a public meeting. Information about ACTPCMD and the agenda for this meeting can be found on the ACTPCMD website at: https://www.hrsa.gov/advisory-committees/ primarycare-dentist/index.html.

Federal Register, Volume 83 Issue 163 (Wednesday, August 22, 2018)
[Federal Register Volume 83, Number 163 (Wednesday, August 22, 2018)]
[Notices]
[Pages 42515-42516]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-18074]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES


Meeting of the Advisory Committee on Training in Primary Care 
Medicine and Dentistry

AGENCY: Health Resources and Service Administration (HRSA), Department 
of Health and Human Services (HHS).

ACTION: Notice of meeting.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Federal Advisory Committee Act, this 
notice announces that the Advisory Committee on Training in Primary 
Care Medicine and Dentistry (ACTPCMD) will hold a public meeting. 
Information about ACTPCMD and the agenda for this meeting can be found 
on the ACTPCMD website at: https://www.hrsa.gov/advisory-committees/primarycare-dentist/index.html.

DATES: September 10, 2018, 9:00 a.m.-5:00 p.m. ET, and September 11, 
2018, 8:30 a.m.-2:30 p.m. ET.

ADDRESSES: This meeting will be held in person and offer virtual access 
through teleconference and webinar. The address for the meeting is 5600 
Fishers Lane, Rockville, Maryland 20857.
     Conference call-in number: 1-800-238-9007; Passcode: 
532320.
     Webinar link: https://hrsa.connectsolutions.com/actpcmd.

FOR FURTHER INFORMATION CONTACT: Dr. Kennita Carter, Designated Federal 
Official (DFO), Division of Medicine and Dentistry, Bureau of Health 
Workforce, HRSA, 5600 Fishers Lane, 15N-116, Rockville, Maryland 20857; 
301-945-3505; or [email protected].

SUPPLEMENTARY INFORMATION: ACTPCMD provides advice and recommendations 
to the Secretary of HHS (Secretary) on policy, program development, and 
other matters of significance concerning the activities under section 
747 of Title VII of the Public Health Service (PHS) Act, as it existed 
upon the enactment of Section 749 of the PHS Act in 1998. ACTPCMD 
prepares an annual report describing the activities of the Committee, 
including findings and recommendations made by the Committee concerning 
the activities under section 747, as well as training programs in oral 
health and dentistry. The annual report is submitted to the Secretary 
and Chairman and ranking members of the Senate Committee on Health, 
Education, Labor and Pensions, and the House of Representatives 
Committee on Energy and Commerce. The Committee also develops, 
publishes, and implements performance measures and guidelines for 
longitudinal evaluations of programs authorized under Title VII, Part 
C, of the PHS Act, and recommends appropriation levels for programs 
under this Part.
    During the September 10-11, 2018, meeting, ACTPCMD will have 
follow-up discussions on PHS Act section 747 and oral health training 
programs, and finalize its recommendations on funding and appropriation 
levels to be included in its 16th report. In addition, the Committee 
will complete the 16th report and a pending report on promoting 
clinical trainee and faculty well-being and mitigating burnout. Agenda 
items are subject to change as priorities dictate.
    Members of the public will have the opportunity to provide 
comments. Public participants may submit written statements in advance 
of the scheduled meeting. Oral comments will be honored in the order 
they are requested

[[Page 42516]]

and may be limited as time allows. Requests to make oral comments or 
submit a written statement to ACTPCMD should be sent to Dr. Kennita R. 
Carter, DFO, using the contact information above at least 3 business 
days prior to the meeting.
    Individuals who plan to attend and need special assistance or 
another reasonable accommodation should notify Dr. Kennita R. Carter at 
the address and phone number listed above at least 10 business days 
prior to the meeting. Since this meeting occurs in a federal government 
building, attendees must go through a security check to enter the 
building. Non-U.S. Citizen attendees must notify HRSA of their planned 
attendance at least 10 business days prior to the meeting in order to 
facilitate their entry into the building. All attendees are required to 
present government-issued identification prior to entry.

Amy P. McNulty,
Acting Director, Division of the Executive Secretariat.
[FR Doc. 2018-18074 Filed 8-21-18; 8:45 am]
 BILLING CODE 4165-15-P



                                                                         Federal Register / Vol. 83, No. 163 / Wednesday, August 22, 2018 / Notices                                           42515

                                              measures (e.g., padded brassieres and                   treatment of fibrocystic breast disease,              DATES:  September 10, 2018, 9:00 a.m.–
                                              analgesics). In infrequent patients,                    the Agency concluded that the benefit-                5:00 p.m. ET, and September 11, 2018,
                                              symptoms of pain and tenderness may                     risk profile of the product is unfavorable            8:30 a.m.–2:30 p.m. ET.
                                              be severe enough to warrant treatment                   given the risk of potentially serious                 ADDRESSES: This meeting will be held in
                                              by suppression of ovarian function.                     adverse reactions and that the condition              person and offer virtual access through
                                              DANOCRINE is usually effective in                       is a benign, non-disease state. In                    teleconference and webinar. The
                                              decreasing nodularity, pain, and                        addition, many other treatment options                address for the meeting is 5600 Fishers
                                              tenderness. It should be stressed to the                exist for this condition, including                   Lane, Rockville, Maryland 20857.
                                              patient that this treatment is not                      dietary measures, use of supportive                      • Conference call-in number: 1–800–
                                              innocuous in that it involves                           undergarments and pain relievers such                 238–9007; Passcode: 532320.
                                              considerable alterations of hormone                     as acetaminophen or non-steroidal anti-                  • Webinar link: https://
                                              levels and that recurrence of symptoms                  inflammatory drug products. Many of                   hrsa.connectsolutions.com/actpcmd.
                                              is very common after cessation of                       these treatment options present a very                FOR FURTHER INFORMATION CONTACT: Dr.
                                              therapy.’’                                              low risk of adverse reactions. For the                Kennita Carter, Designated Federal
                                                 DANOCRINE (danazol) Capsules, 50                     indications of treatment of                           Official (DFO), Division of Medicine
                                              mg, 100 mg, and 200 mg, were                            endometriosis amenable to hormone                     and Dentistry, Bureau of Health
                                              discontinued from sale in December                      management and prevention of attacks                  Workforce, HRSA, 5600 Fishers Lane,
                                              2004. FDA moved the product to the                      of angioedema of all types (cutaneous,                15N–116, Rockville, Maryland 20857;
                                              ‘‘Discontinued Drug Product List’’                      abdominal, and laryngeal) in males and                301–945–3505; or KCarter@hrsa.gov.
                                              section of the Orange Book at that time.                females, the Agency has determined that               SUPPLEMENTARY INFORMATION:
                                              In a letter dated October 17, 2011,                     DANOCRINE (danazol) continues to
                                              Sanofi-Aventis requested the                                                                                  ACTPCMD provides advice and
                                                                                                      have a favorable benefit-risk profile.                recommendations to the Secretary of
                                              withdrawal of the DANOCRINE                                Accordingly, the Agency will
                                              application. On July 19, 2013, the                                                                            HHS (Secretary) on policy, program
                                                                                                      continue to list DANOCRINE (danazol)                  development, and other matters of
                                              Agency issued a Federal Register notice                 Capsules, 50 mg, 100 mg, and 200 mg,
                                              withdrawing NDA 017557, the                                                                                   significance concerning the activities
                                                                                                      in the ‘‘Discontinued Drug Product List’’             under section 747 of Title VII of the
                                              application for DANOCRINE, effective                    section of the Orange Book. All
                                              August 19, 2013.                                                                                              Public Health Service (PHS) Act, as it
                                                                                                      approved ANDAs have removed the                       existed upon the enactment of Section
                                                 After reviewing our records and based
                                                                                                      fibrocystic breast disease indication                 749 of the PHS Act in 1998. ACTPCMD
                                              on the information we have at this time,
                                                                                                      from their labeling. In addition, FDA                 prepares an annual report describing the
                                              FDA has determined that under
                                                                                                      will continue to approve ANDAs that                   activities of the Committee, including
                                              § 314.161 DANOCRINE (danazol)
                                                                                                      refer to DANOCRINE (danazol) Capsules                 findings and recommendations made by
                                              Capsules, 50 mg, 100 mg, and 200 mg,
                                              were not withdrawn from sale for                        as long as they meet relevant legal and               the Committee concerning the activities
                                              reasons of safety or effectiveness, except              regulatory requirements, but FDA will                 under section 747, as well as training
                                              with respect to the indication for                      not accept or approve ANDAs that refer                programs in oral health and dentistry.
                                              fibrocystic breast disease. Fibrocystic                 to this drug product and propose to                   The annual report is submitted to the
                                              breast disease refers to mastalgia or                   include the fibrocystic breast disease                Secretary and Chairman and ranking
                                              breast pain caused by benign                            indication.                                           members of the Senate Committee on
                                              proliferative breast tissue. The term                     Dated: August 16, 2018.                             Health, Education, Labor and Pensions,
                                              fibrocystic breast disease is no longer                 Leslie Kux,                                           and the House of Representatives
                                              used, in part because it is not accurate                Associate Commissioner for Policy.                    Committee on Energy and Commerce.
                                              to describe the condition as a disease                  [FR Doc. 2018–18081 Filed 8–21–18; 8:45 am]
                                                                                                                                                            The Committee also develops,
                                              when it is in fact the result of normal                                                                       publishes, and implements performance
                                                                                                      BILLING CODE 4164–01–P
                                              physiologic changes.                                                                                          measures and guidelines for
                                                 DANOCRINE (danazol) has been                                                                               longitudinal evaluations of programs
                                              associated with two serious adverse                     DEPARTMENT OF HEALTH AND                              authorized under Title VII, Part C, of the
                                              reactions: hepatocellular injury (i.e.,                 HUMAN SERVICES                                        PHS Act, and recommends
                                              hepatocellular injury, hepatocellular                                                                         appropriation levels for programs under
                                              jaundice, and hepatic failure) and an                   Meeting of the Advisory Committee on                  this Part.
                                              increased risk of rhabdomyolysis in                     Training in Primary Care Medicine and                    During the September 10–11, 2018,
                                              patients taking danazol and statins.                    Dentistry                                             meeting, ACTPCMD will have follow-up
                                              These two adverse reactions were not                                                                          discussions on PHS Act section 747 and
                                              yet recognized when DANOCRINE                           AGENCY: Health Resources and Service                  oral health training programs, and
                                              (danazol) was originally approved for                   Administration (HRSA), Department of                  finalize its recommendations on funding
                                              fibrocystic breast disease in 1980. Both                Health and Human Services (HHS).                      and appropriation levels to be included
                                              of these adverse reactions were added to                ACTION: Notice of meeting.                            in its 16th report. In addition, the
                                              the safety labeling for the product                                                                           Committee will complete the 16th
                                              several years after the product was                     SUMMARY:  In accordance with the                      report and a pending report on
                                              initially approved. In addition,                        Federal Advisory Committee Act, this                  promoting clinical trainee and faculty
                                              androgenic adverse effects and a                        notice announces that the Advisory                    well-being and mitigating burnout.
                                              contraindication for use in women who                   Committee on Training in Primary Care                 Agenda items are subject to change as
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                                              are pregnant or attempting to become                    Medicine and Dentistry (ACTPCMD)                      priorities dictate.
                                              pregnant limit the utility of                           will hold a public meeting. Information                  Members of the public will have the
                                              DANOCRINE (danazol) for the                             about ACTPCMD and the agenda for this                 opportunity to provide comments.
                                              fibrocystic breast disease indication.                  meeting can be found on the ACTPCMD                   Public participants may submit written
                                                 The Agency conducted a review of the                 website at: https://www.hrsa.gov/                     statements in advance of the scheduled
                                              benefit-risk profile for each indication of             advisory-committees/primarycare-                      meeting. Oral comments will be
                                              DANOCRINE (danazol). For the                            dentist/index.html.                                   honored in the order they are requested


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                                              42516                      Federal Register / Vol. 83, No. 163 / Wednesday, August 22, 2018 / Notices

                                              and may be limited as time allows.                      Rockville, MD 20857; (301) 443–6593,                  injury, condition, or death described in
                                              Requests to make oral comments or                       or visit our website at: http://                      the petition is due to factors unrelated
                                              submit a written statement to                           www.hrsa.gov/vaccinecompensation/                     to the administration of the vaccine
                                              ACTPCMD should be sent to Dr.                           index.html.                                           described in the petition,’’ and
                                              Kennita R. Carter, DFO, using the                       SUPPLEMENTARY INFORMATION:        The                   2. Any allegation in a petition that the
                                              contact information above at least 3                    Program provides a system of no-fault                 petitioner either:
                                              business days prior to the meeting.                     compensation for certain individuals                    a. ‘‘[S]ustained, or had significantly
                                                 Individuals who plan to attend and                                                                         aggravated, any illness, disability,
                                                                                                      who have been injured by specified
                                              need special assistance or another                                                                            injury, or condition not set forth in the
                                                                                                      childhood vaccines. Subtitle 2 of Title
                                              reasonable accommodation should                                                                               Vaccine Injury Table but which was
                                                                                                      XXI of the PHS Act, 42 U.S.C. 300aa–
                                              notify Dr. Kennita R. Carter at the                                                                           caused by’’ one of the vaccines referred
                                                                                                      10 et seq., provides that those seeking
                                              address and phone number listed above                                                                         to in the Table, or
                                                                                                      compensation are to file a petition with
                                              at least 10 business days prior to the
                                                                                                      the U.S. Court of Federal Claims and to                 b. ‘‘[S]ustained, or had significantly
                                              meeting. Since this meeting occurs in a
                                                                                                      serve a copy of the petition on the                   aggravated, any illness, disability,
                                              federal government building, attendees
                                                                                                      Secretary of Health and Human                         injury, or condition set forth in the
                                              must go through a security check to
                                                                                                      Services, who is named as the                         Vaccine Injury Table the first symptom
                                              enter the building. Non-U.S. Citizen
                                                                                                      respondent in each proceeding. The                    or manifestation of the onset or
                                              attendees must notify HRSA of their
                                                                                                      Secretary has delegated this                          significant aggravation of which did not
                                              planned attendance at least 10 business
                                                                                                      responsibility under the Program to                   occur within the time period set forth in
                                              days prior to the meeting in order to
                                                                                                      HRSA. The Court is directed by statute                the Table but which was caused by a
                                              facilitate their entry into the building.
                                                                                                      to appoint special masters who take                   vaccine’’ referred to in the Table.
                                              All attendees are required to present
                                              government-issued identification prior                  evidence, conduct hearings as                           In accordance with Section
                                              to entry.                                               appropriate, and make initial decisions               2112(b)(2), all interested persons may
                                                                                                      as to eligibility for, and amount of,                 submit written information relevant to
                                              Amy P. McNulty,                                         compensation.                                         the issues described above in the case of
                                              Acting Director, Division of the Executive                 A petition may be filed with respect               the petitions listed below. Any person
                                              Secretariat.                                            to injuries, disabilities, illnesses,                 choosing to do so should file an original
                                              [FR Doc. 2018–18074 Filed 8–21–18; 8:45 am]             conditions, and deaths resulting from                 and three (3) copies of the information
                                              BILLING CODE 4165–15–P                                  vaccines described in the Vaccine Injury              with the Clerk of the U.S. Court of
                                                                                                      Table (the Table) set forth at 42 CFR                 Federal Claims at the address listed
                                                                                                      100.3. This Table lists for each covered              above (under the heading FOR FURTHER
                                              DEPARTMENT OF HEALTH AND                                childhood vaccine the conditions that                 INFORMATION CONTACT), with a copy to
                                              HUMAN SERVICES                                          may lead to compensation and, for each                HRSA addressed to Director, Division of
                                                                                                      condition, the time period for                        Injury Compensation Programs,
                                              Health Resources and Services                           occurrence of the first symptom or                    Healthcare Systems Bureau, 5600
                                              Administration                                          manifestation of onset or of significant              Fishers Lane, 08N146B, Rockville, MD
                                                                                                      aggravation after vaccine                             20857. The Court’s caption (Petitioner’s
                                              National Vaccine Injury Compensation
                                                                                                      administration. Compensation may also                 Name v. Secretary of Health and Human
                                              Program; List of Petitions Received
                                                                                                      be awarded for conditions not listed in               Services) and the docket number
                                              AGENCY: Health Resources and Services                   the Table and for conditions that are                 assigned to the petition should be used
                                              Administration (HRSA), Department of                    manifested outside the time periods                   as the caption for the written
                                              Health and Human Services (HHS).                        specified in the Table, but only if the               submission. Chapter 35 of title 44,
                                              ACTION: Notice.                                         petitioner shows that the condition was               United States Code, related to
                                                                                                      caused by one of the listed vaccines.                 paperwork reduction, does not apply to
                                              SUMMARY:    HRSA is publishing this                        Section 2112(b)(2) of the PHS Act, 42              information required for purposes of
                                              notice of petitions received under the                  U.S.C. 300aa–12(b)(2), requires that                  carrying out the Program.
                                              National Vaccine Injury Compensation                    ‘‘[w]ithin 30 days after the Secretary                 Dated: August 16, 2018.
                                              Program (the Program), as required by                   receives service of any petition filed
                                              the Public Health Service (PHS) Act, as                                                                       George Sigounas,
                                                                                                      under section 2111 the Secretary shall
                                              amended. While the Secretary of HHS is                                                                        Administrator.
                                                                                                      publish notice of such petition in the
                                              named as the respondent in all                          Federal Register.’’ Set forth below is a              List of Petitions Filed
                                              proceedings brought by the filing of                    list of petitions received by HRSA on
                                              petitions for compensation under the                    July 1, 2018, through July 31, 2018. This             1. Gregory Jackson, Stevensville,
                                              Program, the United States Court of                     list provides the name of petitioner, city                Maryland, Court of Federal Claims
                                              Federal Claims is charged by statute                    and state of vaccination (if unknown                      No: 18–0949V
                                              with responsibility for considering and                 then city and state of person or attorney             2. Debra D. Nicholson, West Baden,
                                              acting upon the petitions.                              filing claim), and case number. In cases                  Indiana, Court of Federal Claims
                                              FOR FURTHER INFORMATION CONTACT: For                    where the Court has redacted the name                     No: 18–0953V
                                              information about requirements for                      of a petitioner and/or the case number,               3. Deborah Spivey, Carthage, Tennessee,
                                              filing petitions, and the Program in                    the list reflects such redaction.                         Court of Federal Claims No: 18–
                                              general, contact Lisa L. Reyes, Clerk of                   Section 2112(b)(2) also provides that                  0959V
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                                              Court, United States Court of Federal                   the special master ‘‘shall afford all                 4. Shauna Rhyne and Cody Rhyne on
                                              Claims, 717 Madison Place NW,                           interested persons an opportunity to                      behalf of C. R., Grand Junction,
                                              Washington, DC 20005, (202) 357–6400.                   submit relevant, written information’’                    Colorado, Court of Federal Claims
                                              For information on HRSA’s role in the                   relating to the following:                                No: 18–0961V
                                              Program, contact the Director, National                    1. The existence of evidence ‘‘that                5. Chris Skye and Lesley Skye on behalf
                                              Vaccine Injury Compensation Program,                    there is not a preponderance of the                       of D. S., Novato, California, Court of
                                              5600 Fishers Lane, Room 08N146B,                        evidence that the illness, disability,                    Federal Claims No: 18–0962V


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Document Created: 2018-08-22 00:38:27
Document Modified: 2018-08-22 00:38:27
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of meeting.
DatesSeptember 10, 2018, 9:00 a.m.-5:00 p.m. ET, and September 11, 2018, 8:30 a.m.-2:30 p.m. ET.
ContactDr. Kennita Carter, Designated Federal Official (DFO), Division of Medicine and Dentistry, Bureau of Health Workforce, HRSA, 5600 Fishers Lane, 15N-116, Rockville, Maryland 20857; 301-945-3505; or [email protected]
FR Citation83 FR 42515 

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