Expansion of Residency Training Programs at Federally Qualified Community Health Centers (FQHCs)

The AAFP supports expansion of residency training programs at FQHCs provided there is:

  • An identifiable and sustainable funding stream for medical education,
  • An equitable distribution of the funding between education and service delivery, and
  • A clear commitment of the organizational mission to education, including protected teaching time for clinical faculty.

Federal Residency Position Limitations

Residency "Cap" Expansion. The AAFP supports expansion of the cap on residency slots only if objective state or regional assessments of physician workforce needs indicate such expansion and the expansion supports the development of the network of patient centered medical homes.

Capture of "Lost" Residency Positions. When a hospital closes, the residency positions reimbursed under Medicare IME and DME (based on the hospital’s cap) are “lost” to the system in that they cannot be transferred (after the temporary transfer until graduation of the final residency class) to another institution. These positions should be allowed to be transferred to another institution in an area if objective state or regional assessments of physician workforce needs back up such expansion and the expansion supports the development of the network of patient centered medical homes.

Federal Redistribution of Residency Positions. If there is occasion for another effort similar to Section 422 of the Medicare Modernization Act of 2003 (MMA), which redistributed Medicare IME and DME reimbursed residency positions, the AAFP supports the redistribution of residency positions to another institution, in an area if objective state or regional assessments of physician workforce needs indicates such expansion and the expansion supports the development of the network of patient centered medical homes.

Teaching Health Center Legislation. The AAFP supports teaching health center legislation as an incentive for increasing family medicine residency training in federally qualified health centers. (2007 COD) (2012 COD)