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Related Experiment Video

Updated: Mar 26, 2026

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Costs Associated With Residency Training.

Lois L Bready, M Philip Luber

    Texas Medicine
    |February 10, 2016
    PubMed
    Summary

    Texas is expanding medical education to meet physician needs for its growing population. This includes increasing residency and fellowship positions, with legislative support and awareness of associated costs for accredited graduate medical education (GME) programs.

    Area of Science:

    • Medical Education
    • Healthcare Workforce Development
    • Public Health Policy

    Background:

    • Texas faces a growing demand for physicians due to its rapidly expanding population.
    • Physicians trained in Texas are more likely to practice within the state.
    • Existing medical schools are expanding, and new ones are developing, necessitating more graduate medical education (GME) positions.

    Purpose of the Study:

    • To address the need for increased residency and fellowship positions in Texas.
    • To inform Texas physicians about the costs and measures involved in expanding accredited GME positions.
    • To support the growth of the physician workforce in Texas.

    Main Methods:

    • Analysis of legislative funding for graduate medical education (GME) in Texas (2013 and 2015 sessions).

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  • Review of national GME funding models, including Centers for Medicare & Medicaid Services (CMS) caps.
  • Examination of institutional strategies for increasing GME positions beyond federal caps.

    • Main Results:

    • Texas legislative sessions in 2013 and 2015 provided funding to expand GME support.
    • National GME positions have been capped since 1997, prompting institutions to fund positions 'over the cap'.
    • Development of accredited GME positions involves specific costs that physicians must consider.

    Conclusions:

    • Expansion of medical schools in Texas requires a corresponding increase in GME positions.
    • Legislative support is crucial for funding GME expansion in Texas.
    • Awareness of costs and strategic planning are essential for developing accredited GME positions to bolster the Texas physician workforce.