Texas Physician Workforce: The Texas Medical Association, in its continued study of state and national trends in physician supply and distribution, legislative initiatives at national and state levels, and trends in undergraduate and graduate medical education, came to the following conclusions: There are growing indications of a shortage of certain specialists in Texas and there continues to be an undersupply of primary care physicians in some rural and inner-city areas; minority groups continue to be underrepresented in the physician population; and the majority of physicians practicing in Texas are graduates of out-of-state and foreign medical schools. Therefore, TMA adopted the following:
(1) Continue to focus efforts on resolving the maldistribution of physicians by encouraging physicians to locate in underserved areas of the state.
(2) Recognize that, while state funding for the schools must be structured according to the resources of the state, the need for establishment of funding priorities to reflect special circumstances of individual schools to maintain education quality.
(3) Recommend that adequate financial support for graduate medical education programs in family medicine and other primary care specialties be a funding priority for the state, with emphasis given to residency programs with demonstrated success in preparing physicians for practice in underserved areas.
(4) Highly recommend that there be enough first-year graduate medical education positions in Texas to accommodate each cohort of Texas medical school graduates.
(5) Continue to support medical school efforts to recruit, enroll, and retain underrepresented groups.
(6) Support medical school efforts to increase exposure of students to primary care through family practice clerkships and other primary care rotations in medically underserved areas, and recommend that adequate state funding be provided for such programs.
(7) Ask the Texas Medical Board to continue to evaluate its licensure requirements to ensure high quality physicians to meet the special needs of the state.
(8) Maintain a structure within the organization to continue to analyze physician workforce data, trace practice location and patterns for Texas medical school graduates, provide workforce data to the TMA, assist medical students in making career choices, assist with placement of physicians in underserved areas of the state, serve as the information resource for appropriate bodies within the association as well as external organizations and institutions, and continue to work with related organizations in evaluation of physician workforce in Texas (Committee on Manpower, pp 98-99, I-90; amended CME Rep. 4-A-01; amended CME Rep. 6-A-03; amended CM-PDHCA Rep. 1-A-13).