185.014 Physician Workforce


185.014 Physician Workforce: TMA supports efforts to maintain a high-quality medical education system and prepare physicians to meet the state’s medical needs.

  1. Existing appropriations rider language that requires a minimum class size for Texas medical schools should be eliminated. 
  2. Texas medical schools should have greater flexibility in admitting non-Texas residents (as defined by state residency laws) each year, depending on the applicant pool. This would allow each medical school the discretion to admit an additional 1 percent to 5 percent highly qualified non-Texas residents each year above the current 10-percent limit. The requirement could be made that the additional non-Texas resident students should have a high probability of remaining in the state for residency training and entrance into practice.

    TMA supports the use of eligibility criteria, such as the following, by the medical schools in selecting the additional non-Texas residents: 
    1. Students who previously completed educational programs in Texas but lost Texas residency status prior to medical school, 
    2. Students who have immediate family members in Texas, 
    3. Qualified minority students who are underrepresented in medicine who could help increase diversity in Texas medical schools, and 
    4. Students willing to commit to a Texas rural practice program or to residency training in Texas.
  3. TMA should advocate for these changes to the Texas Legislature. If implemented, the impact of this special provision should be evaluated by TMA after five years for the purposes of determining whether this policy should be retained for an additional five years.

  4. Texas medical schools should continue to be funded at a level that would allow them to continue to provide excellence in medical education, research and patient care for Texans.
  5. Career counselors at undergraduate college and high school levels should be informed of any changes that may occur in class sizes and the applicant pools for Texas medical schools as well as the market demand for physicians.
  6. Career counselors at the undergraduate college level should be informed of any significant changes that may occur in the number of first-year positions, market opportunities, funding sources, or other factors that could negatively affect Texas GME programs, and subsequently reduce the opportunities for IMGs seeking to enroll in a US GME program.
  7. Texas GME programs are encouraged to assign a high priority to Texas medical school graduates and U.S. medical school graduates to fill training positions within their programs.
  8. Texas GME programs should continue to regularly adjust the number and mix of first-year positions based on the most current physician workforce and population health status data (Board of Trustees, p 39C, I-96; amended CME Rep. 4-A-01; amended CME Rep. 1-A-08; amended CME Rep. 2-A-18).

Last Updated On

August 16, 2018