Carson City, Nevada - Governor Brian Sandoval today announced he had accepted the Graduate Medical Education (GME) Task Force recommendations for distribution of the $10 million approved in the Governor’s executive budget during the 2015 legislative session. Within four years, this funding is expected to create 304 new GME positions across Nevada which will help ensure more of Nevada’s medical students will remain in the Silver State to practice medicine.
“Currently Nevada is producing more undergraduate medical students than residencies available in our state. That means that highly educated students are forced to leave the Silver State at a time when they are beginning real-world application of their advanced education. Nevada needs more doctors now, and these positions will assist the state in attracting, educating and retaining the best new doctors in America,” said Governor Brian Sandoval.
GME training is required in all 50 states to obtain medical licensure to practice medicine and studies have shown the majority of doctors stay and practice in the vicinity of their GME training, not their undergraduate medical training. Many of Nevada’s undergraduate medical students do not return to the state to practice medicine after completing their residences in other states, and the Silver State is underserved in most areas of healthcare delivery in both urban and rural settings. The most direct contributing factor to Nevada’s poor rankings are the shortages of healthcare providers, specifically physicians.
On March 11, 2014, Governor Sandoval issued EO 2014-07 establishing a GME Task Force to develop recommendations for state funding of GME in the 2015 legislative session. The Governor accepted the recommendations and included $10 million for GME in his executive budget in the 2015 session, which was approved by the Legislature. In 2015, the Governor issued EO 2015-30, reestablishing the GME Task Force and charging it with providing recommendations on how to best distribute the $10 million allocated by the Legislature towards improving GME in Nevada. The Task Force developed a Request for Proposals and solicited applications from accreditor-approved GME programs or sponsoring institutions, evaluated the proposals and made recommendations to the Governor for funding. The first $5 million tranche was awarded in May and the second $5 million tranche was awarded in October
Summary of Award Recipients:
UNSOM (UNR) Geriatric Medicine: $500,000
Will expand the existing geriatrics fellowship program from 3 residents per year to 4.5 and will enhance trainee experiences by integrating community clinical training at sites such as the Sanford Center Geriatric Specialty Clinic.
Valley Health Hospital System in Las Vegas: $1,650,000
Valley Health System is establishing new GME programs in Family Medicine, Internal Medicine, OBGYN, and Psychiatry that will eventually train 70 residents per year. The grant will fund the development and construction of new teaching facilities for residents.
Mountain View Hospital in Las Vegas OBGYN: $850,000
The grant will fund infrastructure development for a new OBGYN residency program that will graduate four residents per year and the development of a continuity clinic for women.
Touro University in Las Vegas, Geriatric Medicine: $1,200,000
The grant will fund the development of a one year geriatric medicine fellowship program that will graduate four fellows per year. Aside from Touro University Nevada and its Health Center, training under supervision will also occur at affiliated institutions such as Veterans Administration Southern Nevada Healthcare System, Nevada Senior Services, Fundamental Healthcare, Las Ventanas, and Lou Ruvo Brain Center/Cleveland Clinic.
UNSOM (UNR) Family and Community Medicine: $1,400,000
The objective of this project is to improve the primary care physician workforce in rural Northern Nevada by having a robust, state-of-the-art training program based in Elko. The best way to encourage physicians to practice in a rural area is to train in a rural area. The program will graduate two residents per year and partner with Renown Regional Medical Center.
UNSOM (UNLV) Psych: $900,000
The Psychiatry Residency training program is a community-based program that currently includes partnerships with University Medical Center, Southern Nevada Adult Mental Health Services, and the Southern Nevada VA Healthcare System. Nevada ranks 50th nationwide for psychiatrists per capita. This grant will expand the existing program from six residents per year to ten residents per year.
UNSOM (UNR) Adult/Child Psych: 500,000
These funds will allow the UNR School of Medicine to partner with Renown, Northern Nevada Adult Mental Health Services, the VA, Carson Tahoe Regional Medical Center, and Mojave Mental Health Services to increase the number of locally trained psychiatrists and improve access to mental health care services throughout Northern Nevada via telemedicine.
UNSOM (UNLV) OBGYN: $1,300,000
This program will partner with University Medical Center, Sunrise Hospital, Nellis Air Force Base, and the VA and will graduate six OBGYN residents each year.
UNSOM (UNR) Internal Medicine: $1,700,000
These funds will assist in the training of five new residents per year through an intensified and diverse ambulatory care experience.