The AAFP supports expansion of residency training programs at FQHCs if there is an identifiable and sustainable funding stream, and this model includes shared governance between educational and service delivery entities.
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 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 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 patient centered medical homes. (2007)
