Teaching Health Center Graduate Medical Education Program: Two Year Update American Association of Medical Colleges 2013 9 th Annual Physician Workforce Research Conference Songhai Barclift, MD, FACOG Branch Chief Bureau of Health Professions/Medicine and Dentistry Health Resources and Services Administration Department of Health and Human Services
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Teaching Health Center Graduate Medical Education Program: Two Year Update American Association of Medical Colleges 2013 9 th Annual Physician Workforce.
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Teaching Health Center Graduate Medical Education Program: Two Year Update
American Association of Medical Colleges2013 9th Annual Physician Workforce
Research ConferenceSonghai Barclift, MD, FACOG
Branch ChiefBureau of Health Professions/Medicine and Dentistry
Health Resources and Services AdministrationDepartment of Health and Human Services
Objective
• Summary of the THCGME program• Major Growth Areas and Characteristics of
Current THCs• Highlight Innovations• Next Steps
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• THC model has a long history with several successful THCs dating back to the 1980s (Engebretsen 1989, Zweifler 1993)
• Increased likelihood of THC graduates choosing to practice in HCs/other underserved settings (Morris 2008, Reiselbach 2010)
• June 2010 MedPAC report
• Increase GME time spent in non-hospital settings
• Community-based care• Increase diversity
Sec. 5508 Affordable Care Act“Increasing Teaching Capacity”directed 230 million dollars over
5 years for the THCGME program
Components:• Section 338C(a), “National
Health Service Corps Teaching Capacity”
• Section 340H (Title III), “Payments to Qualified Teaching Health Centers”
Background THCGME Legislation
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Eligibility Criteria for THCGME
1• Community-based entity
2• Primary care residency
3• Institutional sponsor
4• New or expanded residency
5• Eligible residents
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What is a Community- Based Entity?
1. “Community-based ambulatory patient care center” that:
Operates a primary care residency program-FQHCs/FQHC Look-Alikes-Community mental health clinics-Rural health clinics-IHS or tribal health centers-Title X clinics
OR
Has collaborated to form an accredited GME consortium that operates a primary care residency program
1• Community-based entity
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Institutional Sponsor
3. Institutional sponsorshipMust be listed as institutional sponsor by relevant accrediting
body (e.g. ACGME, AOA, or CODA)Must be accredited or provisionally accredited at time of