Physician Workforce - Primary Care and Specialty Training: The Texas Medical Association:
(1) Recognizes primary care specialties as family medicine, general internal medicine, general pediatrics, and obstetrics/gynecology.
(2) Supports the concept of primary care training in Texas medical schools.
(3) Supports the concept of individual freedom of choice of Texas graduates in choosing careers.
(4) Supports approval of appropriations and adequate funding of the family medicine clerkship.
(5) Supports continuing efforts to prepare primary care physicians to meet the state's needs, particularly in rural, border, and inner-city shortage areas. TMA also recognizes the growing specialty shortage and strongly supports efforts to increase access to specialty care in Texas through adequate training opportunities in shortage specialties. To recruit and retain physicians to provide for the state's health care needs and ensure access to care, TMA supports state efforts to sustain tort reform measures, retain affordable professional liability premiums, and obtain higher Medicaid, CHIP, and Medicare provider fees.
(6) TMA supports the efforts of Texas residency and fellowship training programs to recruit, enroll, and retain qualified underrepresented minorities, which is likely to increase the racial/ethnic representation of physicians practicing in Texas. TMA also encourages Texas residency training programs to provide opportunities for residents to train in small cities or rural communities during part of their graduate medical education. These opportunities include rural rotations for existing residency training programs, expansion of existing urban-based programs into small city or rural locations, and establishment of new programs in small city or rural locations.
(7) In defining the state's physician workforce needs, the Texas Medical Association recognizes that primary care physicians are an important and vital component of the healthcare delivery system for meeting the state's medical needs. Accordingly, the Texas Medical Association supports medical school efforts to recruit students with an interest in these specialties and to foster that interest on into residency. Further, the Texas Medical Association supports public funding of incentive programs with demonstrated effectiveness in recruiting and retaining physicians in areas with geographic and/or specialty maldistributions (Council on Medical Education, p 95, I-92; amended CME Rep. 6-A-03; amended CME Rep. 2-A-06; amended CME Rep. 2-A-16).