Tim M. Henderson
Published: 1998-01-01
Total Pages: 19
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This document reviews programs and policy options for states concerned with methods of financing medical education. An introductory section considers the current climate for medical education and the health care workforce, noting the rapid movement to managed care and the need to increase the number of primary care physicians. The next section examines a variety of approaches by various states for financing graduate medical education (GME), including the following: Medicaid payments to teaching hospitals; line-item/state agency funding for family medicine departments and primary care residencies; and student/resident scholarships and loans with service obligations. This section also identifies emerging state strategies such as regulations requiring public medical schools and residencies to establish family practice clerkships and rural rotations in community settings, and monitoring the use of faculty clinical revenues in public medical schools. Model trends in state GME support are described for the following states: Tennessee, Michigan, Minnesota, West Virginia, and Texas. A policy issues checklist is attached to help states decide how they should support medical education. An appendix provides tables and figures showing number of graduates planning to practice in-state, number of physician residents and residency programs by state, and medical school revenues from states. (DB)