Graduate Medical Education

Create Rural Training Tracks for Texas Physicians - 05/02/2019

Rural medical practice is different. Often there is only one physician. He or she is not able to refer a patient with complex health issues to a specialist across town because the nearest specialist may be 150 miles away. To be prepared for that type of practice, a physician needs to receive the right kind of training. That is the purpose of rural training tracks. Right now, Texas does not have enough rural training tracks to meet the state’s needs for rural physicians. That is the purpose of HB 1065 – to fill that need.


Pushing the Envelope: Match Day, Medicine’s Rite of Passage - 04/17/2019

On March 15, more than 200 medical school seniors, as well as their friends and family, gathered outdoors in Webber Plaza behind the McGovern Medical School at UTHealth in Houston. The students were about to learn where they’d be doing their residency training.


Help Texas Train Rural Physicians - 04/11/2019

Texas is extremely fortunate to have a relatively large number of regional medical centers. They provide an excellent training ground for high-level medical care. Rural medical practice is different. Often you are the only physician. You are not able to refer a patient with complex health issues to a specialist across town because the nearest specialist may be 150 miles away.


Make Sure GME Capacity Mirrors Enrollment Growth - 03/26/2019

SB 1378 fixes an unintended weakness in an otherwise very good law. Last session, SB 1066 was passed to require new public medical schools to plan for the graduate medical education (GME) needs of their future graduates. This legislation provides an important link between medical school enrollments and GME capacity.


Rural Residencies: Texas Tech’s Rural Training Track Brings More Physicians to Small Towns - 03/26/2019

In all his dreams about becoming a doctor, Ivan Becerra, MD, never imagined he’d lead a cesarean section delivery during just his second year of residency. Yet last August, that’s exactly what he was doing at Pecos County Memorial


Section 8: Boost Access to Care - 03/07/2019

 In a rural Texas town where one-third of the patients admitted to the local hospital have no insurance, Athens family physician Douglas Curran, MD, does all he can to keep women like Rose (not her real name) out of the hospital.  


Is Psychiatry Cool Again? More Residents Choosing the Specialty Could Mean Good News for Statewide Shortage - 02/26/2019

More residents choosing psychiatry could mean good news for the statewide shortage.


Fully Fund GME So Texas-Educated Doctors Can Practice Here - 02/20/2019

I would like to start by thanking Chairwoman Jane Nelson and each of you for your leadership and your support of medical education and graduate medical education (GME)  in recent years and in Senate Bill 1. This is so important for our state.


On a Medical Mission: New Osteopathic Medical School Changes How Medicine is Taught While Helping San Antonio’s Poorest Communities - 02/05/2019

Incarnate Word’s osteopathic medical school is changing how medicine is taught while helping San Antonio’s poorest communities.


AMA Offers $15 Million for “Reimagining Residency” Program - 01/30/2019

The American Medical Association (AMA) is offering grants to transform residency training to better address the physician workforce needs of the health care system in the years to come.


Best of Both Worlds: Surgical Resident, Grey’s Anatomy Consultant Blends the Arts and Medicine - 11/14/2018

San Antonio surgical resident Michael Metzner, MD, blends his passions for the arts and medicine as a Grey’s Anatomy consultant.


New Law Means More Pediatricians for Texas - 10/12/2018

Children's health got a big boost recently when the U.S. Congress passed House Resolution 5385, which extends the Children's Hospitals Graduate Medical Education Program for five years.


Unmatched Talent - 07/10/2018

TMA's physician leaders aren't ready for alternative licensing path for unmatched medical graduates. "The issue is not the need for a separate licensure path. The issue is residency spots, and we need to remain focused on this.”


House Not Ready for Plan for Unmatched Graduates - 05/23/2018

A proposal to allow medical school graduates who have not been matched to a residency to practice medicine received lots of debate but little traction at the Texas Medical Association House of Delegates last weekend.


Investing in Education - 07/19/2017

During the 85th legislative session, Texas lawmakers helped pave the way for two possible new medical schools, while ensuring that graduates have more options for residency positions.


Medicine's Bills Pick Up Speed - 07/06/2017

With roughly six weeks to go in the Texas Legislature, lawmakers near the finish line in drafting a state budget for the next two years with significant improvements.


Finding the Right Balance - 04/12/2017

Since the 1980s, concerns about resident fatigue have caused lawmakers and medical policymakers to pull back on resident duty hours. In 2003 and again in 2011, the Accreditation Council for Graduate Medical Education (ACGME) shortened resident hours. In March, ACGME modified those hours again. The latest rule change has reignited a long-running debate among physicians.


Medical Student: Continue to Fund Graduate Medical Education to Keep Pace - 03/01/2017

TMA is aware of the progress that has been made in expanding the state’s GME capacity through the incentives offered by the state’s GME Expansion Grant program since 2014. Unless this investment by the state is continued, the newly created positions will lose the grant funding needed to sustain the new positions and those positions are then likely to be terminated and subsequently lost to the state. Gone with them are the related training opportunities for future medical school graduates but also the considerable time and expense of securing the initial state grant and accreditation status.


AMA Publishes Newly Updated Code of Medical Ethics - 01/31/2017

Completely updated after an eight-year modernization project, a revised edition of the Code of Medical Ethics is available from the American Medical Association in hardcover or e-book. The revised edition contains ethical guidance improved for relevance, clarity, and consistency to help physicians keep pace with emerging demands they face with new technologies, changing patient expectations, and shifting health care priorities.


Life After Residency - 12/05/2016

Many residents don't receive any formal business training. The University of Texas at Austin Dell Medical School created a crash course to teach residents some of the business and job-hunting basics they'll need.


GME Milestone - 11/21/2016

Thanks to years of TMA advocacy, the 2015 legislature more than tripled 2013 graduate medical education monies under an expansion initiative to help secure a pathway for doctors-in-training to enter the workforce.


TMA Letter: Improve GME Funding - 06/22/2016

Texas has been exceedingly successful in attracting new physicians to the state. In fact, over the past decade, 32,000 new physicians have been licensed. Despite this significant milestone, our state still has a significant amount of catching up to do, mostly as a result of the state’s robust population growth over the past two decades. Texas continues to rank close to the bottom in a state comparison of physicians per capita, despite the number of new physicians.


GME Expansion a Top Priority for Texas Specialty Societies - 06/22/2016

Winning greater investment in graduate medical education (GME) programs is a 2015 legislative priority for most of the Texas Family of Medicine.


Dr. Secrest Supports Improvements to Grow GME - 06/22/2016

Our capacity to train young doctors has not kept pace with our state’s population growth. This has put a squeeze on the resident training capacity in the state. We need to ensure all of our medical school graduates have a reasonable chance of staying in the state to complete their training as a doctor. Otherwise, we can expect to lose some great young doctors to other states.


Curtis Mirkes, DO Explains Why GME Funding is Critical - 06/22/2016

We continue to have a serious physician shortage. As you know, those shortages touch the majority of specialties and they impede access to care. The new expansion grant programs authorized by the last legislature are a big step toward expanding our GME capacity and we are grateful for the commitment you and our other legislative members made toward building our physician workforce. Having the additional $14.25 million is good for the state and these programs have several important distinctions. The $65,000 per-resident amount authorized for these programs is significant. These programs also acknowledge the partnership between medical schools and teaching hospitals in training a resident.