The THCGME program is a $230 million, five-year initiative which began in 2011 to support an increased number of primary care residents and dentists trained in community-based ambulatory patient care settings. Payments are made for direct expenses associated with sponsoring an approved graduate medical or dental residency training program and indirect expenses associated with the additional costs relating to training residents in such programs.
Eligible entities include community-based ambulatory patient care settings that operate a primary care medical or dental (general or pediatric) residency program. Specific examples of eligible community-based ambulatory patient care settings include, but are not limited to: federally-qualified health centers; community mental health centers; rural health clinics; health centers operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization; and entities receiving funds under title X of the Public Health Service Act.
The eligible entity must be listed as an institutional sponsor by the relevant accrediting body. Corporate entities such as a Graduate Medical Education (GME) consortium collaborating with a health center and hospital in operating one or more primary care GME programs may also be eligible THCs. The corporate entity may be listed as the institutional sponsor but must ensure that the community-based ambulatory training site is an essential central partner in the consortium. The goals of the consortium must include high-quality training in teaching health centers and demonstration of new models for community-based GME.
The Health Resources and Services Administration’s Division of Medicine and Dentistry hosted a Teaching Health Center Graduate Medical Education (THCGME) Program technical assistance webinar on July 18, 2011.
Teaching health centers are community-based, ambulatory patient care centers that operate primary care residency programs.
Primary care residencies include family medicine, internal medicine, pediatrics, obstetrics-gynecology, psychiatry, geriatrics, and general and pediatric dentistry.
Physicians trained in health centers are more than 3 times as likely to work in a health center and more than twice as likely to work in an underserved area than those not trained at health centers.