Targeted Graduate Medical Education Expansion:
A Model to Meet U.S. Physician Workforce Needs Supplemental Digital Content Appendix 1
The Choice Act Approved GME Residency Positions by Specialty Cumulative 8-Year Total Number of Percentage of
Medical & Surgical Specialties* Approved Approved Positions Positions
Primary Care
Family Medicine 149.960 10.05%
Geriatrics 19.750 1.32%
Internal Medicine 445.770 29.89%
Mental Health
Addiction Medicine 23.750 1.59%
Addiction Psychiatry 13.250 0.89%
Child and Adolescent Psychiatry 2.000 0.13%
Forensic Psychiatry 4.900 0.33%
General Psychiatry 312.490 20.95%
Geriatric Psychiatry 6.300 0.42%
Psychosomatic Medicine-Psychiatry 5.300 0.36%
Critical Needs
Advanced Heart Failure & Transplant Cardiology 1.500 0.10%
Allergy and Immunology 0.500 0.03%
Anesthesiology 35.000 2.35%
Cardiovascular Disease 22.600 1.52%
Chief Resident - Internal Medicine 1.000 0.07%
Clinical Cardiac Electrophysiology 2.000 0.13%
Positions Positions
Clinical Neurophysiology 1.000 0.07%
Colon and Rectal Surgery 1.000 0.07%
Critical Care Medicine 0.500 0.03%
Dermatology 31.730 2.13%
Emergency Medicine 38.100 2.55%
Endocrinology, Diabetes and Metabolism 12.250 0.82%
Epilepsy 1.000 0.07%
Female Pelvic Medicine & Reconstructive Surgery 0.300 0.02%
Gastroenterology 24.500 1.64%
General Surgery 16.300 1.09%
Medical Genetics & Genomics 1.000 0.07%
Hematology & Oncology 17.510 1.17%
Hematology & Pathology 1.000 0.07%
Hospice & Palliative Medicine 12.960 0.87%
Infectious Disease 9.000 0.60%
Interventional Cardiology 3.800 0.25%
Interventional Radiology 6.000 0.40%
Medical Toxicology 0.500 0.03%
Micrographic Surgery & Dermatologic Oncology 0.500 0.03%
Nephrology 4.400 0.29%
Neurological Surgery 1.670 0.11%
Neurology 43.000 2.88%
Neuromuscular Medicine 1.000 0.07%
Neuroradiology 3.000 0.20%
Nuclear Medicine 2.000 0.13%
Obstetrics and Gynecology 6.650 0.45%
Ophthalmology 29.000 1.94%
Orthopedic Sports Medicine 1.000 0.07%
Orthopedic surgery 8.800 0.59%
Number of Percentage of Medical & Surgical Specialties* Approved Approved Positions Positions
Osteopathic Manipulative Medicine 1.000 0.07%
Otolaryngology 8.410 0.56%
Pain Medicine 11.100 0.74%
Pathology 5.500 0.37%
Physical Medicine and Rehabilitation 32.750 2.20%
Plastic Surgery 8.000 0.54%
Preventive Medicine 5.600 0.38%
Preventive Medicine Occupational Medicine 0.800 0.05%
Pulmonary Disease and Critical Care Medicine 33.500 2.25%
Radiation Oncology 1.000 0.07%
Radiology 14.000 0.94%
Rheumatology 7.200 0.48%
Sleep Medicine 11.050 0.74%
Spinal Cord Injury Medicine 4.000 0.27%
Sports Medicine 1.000 0.07%
Thoracic Surgery 1.000 0.07%
Transitional Year 3.650 0.24%
Transplant Hepatology 1.000 0.07%
Urology 7.000 0.47%
Vascular and Interventional Radiology 1.000 0.07%
Vascular Surgery 5.950 0.40%
Vascular Surgery - integrated 1.500 0.10%
Total Approved Positions 1491.550** 100.00%
**The difference of 1.0 position between the Table 1 in the article and this appendix is believed to be due to rounding factors.
Supplemental Digital Content Appendix 2
The Choice Act GME Residency Positions by State (and Puerto Rico),
VA Medical Facility, and Academic Affiliation, Cumulative 7-Year Total Approved Positions
State VA Facility Academic Affiliate Positions
Awarded
AL Birmingham VAMC University of Alabama Hospital 1
AR Fayetteville (AR) VAMC University of Arkansas College of Medicine 9 AR Fayetteville (AR) VAMC Kansas City University of Medicine and Biosciences 2 AR Little Rock VAMC University of Arkansas College of Medicine 4
AZ Phoenix VAMC Banner Good Samaritan Medical Center 20
AZ Phoenix VAMC HonorHealth 1
AZ Phoenix VAMC Kansas City University of Medicine & Biosciences 3
AZ Phoenix VAMC Mayo Clinic College of Medicine 16
AZ Phoenix VAMC St. Joseph's Hospital and Medical Center 3
AZ Phoenix VAMC Maricopa Medical Center 2
AZ Phoenix VAMC University of Arizona College of Medicine (Phoenix) 27
AZ Phoenix VAMC Creighton University School of Medicine 2
AZ Prescott VAMC University of Arizona College of Medicine (Phoenix) 7
AZ Prescott VAMC Midwestern University/Arizona College of Osteopathic
Medicine 3
AZ Prescott VAMC North County Health System 4
AZ Tucson VAMC University of Arizona College of Medicine - Tucson 13 CA Fresno VAMC University of California, San Francisco; Fresno
Medical Education Program 17.21
CA Loma Linda VAMC Loma Linda University Health Education Consortium
(LLUHEC). 14.8
CA Loma Linda VAMC Loma Linda University Medical Center 11
CA Loma Linda VAMC University of California - Riverside School of
Medicine 11.76
CA Long Beach VAMC University of California, Irvine School of Medicine 13 CA Long Beach VAMC Charles R. Drew University of Medicine and Science 23 CA Northern California VA HCS
VAMC University of California, Davis School of Medicine 25.35 CA Northern California VA HCS
VAMC Adventist Health Ukiah Valley 2.5
CA Northern California VA HCS
VAMC Sutter Health 0.5
State VA Facility Academic Affiliate Positions Awarded
CA Palo Alto VAMC Stanford Health Care 1
CA San Diego VAMC University of California (San Diego) Medical Center 25.3 CA San Francisco VAMC University of California (San Francisco) School of
Medicine 16
CA San Francisco VAMC Adventist Health Ukiah Valley 1
CA Sepulveda ACC VAMC West Los Angeles VAMC 2
CA West Los Angeles VAMC UCLA David Geffen School of Medicine 13
CA West Los Angeles VAMC West Los Angeles VAMC 3
CO Denver VAMC University of Colorado School of Medicine (Denver) 11.41 CO Grand Junction VAMC St. Joseph's Hospital and Medical Center 2 CO Grand Junction VAMC St. Mary’s Hospital and Medical Center 1
CO Grand Junction VAMC Larkin Community Hospital 4
CT West Haven VAMC Yale-New Haven Hospital 1
DC Washington VAMC A.T. Still University School of Osteopathic Medicine
in Arizona 1
DC Washington VAMC George Washington University School of Medicine 9
DC Washington VAMC Georgetown University Hospital 2
DC Washington VAMC St. Elizabeth’s Hospital 2 FL Bay Pines VAMC University of South Florida College of Medicine
(Tampa) 10
FL Bay Pines VAMC Citrus Health Network 4
FL Gainesville VAMC Florida State University College of Medicine 1
FL Gainesville VAMC Mayo Clinic College of Medicine 0.25
FL Gainesville VAMC University of Florida College of Medicine 40 FL Gainesville VAMC University of Florida College of Medicine Jacksonville 2
FL Miami VAMC Florida International University 13.5
FL Miami VAMC University of Miami/Jackson Health System 6.5
FL Miami VAMC Palm Beach Consortium for Graduate Medical
Education 5
FL Orlando VAMC Kansas City University of Medicine and Biosciences 0.6 FL Orlando VAMC Nova Southeastern University College of Osteopathic
Medicine 21.3
FL Orlando VAMC Advent Health Orlando 4
FL Orlando VAMC University of Central Florida College of Medicine 38.5
State VA Facility Academic Affiliate Positions Awarded FL Orlando VAMC University of Central Florida/HCA Healthcare GME 2.5 FL Tampa VAMC University of South Florida College of Medicine
(Tampa) 22.5
FL West Palm Beach VAMC University of Miami School of Medicine 4.8 FL West Palm Beach VAMC Charles E. Schmidt College of Medicine at Florida
Atlantic University 2
GA Atlanta VAMC Emory University School of Medicine 12
GA Atlanta VAMC Gwinnett Medical Center 3
GA Atlanta VAMC Redmond Regional Medical Center 1
GA Augusta VAMC Medical College of Georgia 6
GA Dublin VAMC Medical Center of Central Georgia 3
HI Honolulu VAMC University of Hawaii John A Burns School of
Medicine 1.95
HI Honolulu VAMC Tripler Army Medical Center 9
IA De Moines VAMC Broadlawns Medical Center 2
IA De Moines VAMC Unitypoint Broadlawns Psychiatry Education
Foundation 2
ID Boise VAMC University of Washington School of Medicine 18 IL Chicago (Westside) VAMC University of Illinois College of Medicine at Chicago 5.1 IL Danville VAMC University of Illinois College of Medicine 0.5
IL Hines VAMC Loyola University Medical Center 5
IN Fort Wayne VAMC Fort Wayne Medical Education Program 0.5
IN Fort Wayne VAMC Indiana University School of Medicine at Fort Wayne 0.5
IN Indianapolis VAMC Indiana University School of Medicine 13
KS Wichita VAMC University of Kansas School of Medicine 7
KY Lexington VAMC University of Kentucky College of Medicine 1.5 KY Louisville VAMC University of Louisville School of Medicine 4 LA New Orleans VAMC Louisiana State University School of Medicine 52.5
LA New Orleans VAMC Tulane University School of Medicine 48.5
MA Bedford VAMC Boston Medical Center 8.8
MA Bedford VAMC Lahey Hospital & Medical Center 1.5
MA Bedford VAMC Greater Lawrence Family Health Center Inc 1.4
MA Bedford VAMC St. Elizabeth Medical Center 1.4
State VA Facility Academic Affiliate Positions Awarded
MA Bedford VAMC Steward Carney Hospital Inc 0.8
MA Bedford VAMC Massachusetts General Hospital 0.5
MA Bedford VAMC Beth Israel Deaconess Medical Center 0.4
MA Northampton VAMC University of Massachusetts Medical School 3.6 MD Baltimore VAMC University of Maryland School of Medicine 1.85
ME Togus VAMC Eastern Maine Medical Center 1
ME Togus VAMC Maine-Dartmouth Family Medicine Residency 1
ME Togus VAMC Massachusetts Eye and Ear Infirmary 1
ME Togus VAMC University of New England College of Osteopathic
Medicine 1
ME Togus VAMC Maine Medical Center 1
MI Ann Arbor VAMC McLaren Health Care Corporation 1
MI Ann Arbor VAMC University of Michigan Hospitals and Health Centers 9 MI Battle Creek VAMC Pine Rest Christian Mental Health Services 1.6 MI Battle Creek VAMC Western Michigan University School of Medicine 7.2
MI Detroit VAMC Detroit Wayne County Health Authority GME 7.5
MI Detroit VAMC St Joseph Mercy-Oakland 0.5
MI Iron Mountain VAMC U P Health System- Marquette 1.5
MI Saginaw VAMC Central Michigan University College of Medicine 2
MN Minneapolis VAMC University of Minnesota Medical School 8.8
MN Minneapolis VAMC Hennepin Healthcare 1
MN St. Cloud VAMC University of Minnesota Medical School 1.5
MO Kansas City VAMC University of Kansas School of Medicine 6
MO Kansas City VAMC University of Missouri, Kansas City School of
Medicine 2
MO St. Louis VAMC St. Louis University School of Medicine 23.05
MO St. Louis VAMC Washington University/B-JH/SLCH Consortium 16.5
MS Jackson VAMC University of Mississippi School of Medicine 1
MT Fort Harrison VAMC Montana Family Medicine Residency 1.5
NC Durham VAMC Duke University Hospital 8.5
NC Durham VAMC Vidant Medical Center 3
NC Fayetteville VAMC Campbell University 6.44
State VA Facility Academic Affiliate Positions Awarded
NC Fayetteville VAMC Vidant Medical Center 4
NC Wilmington VAMC Rowan University School of Osteopathic Medicine 8
NE Omaha VAMC Creighton University School of Medicine 2
NE Omaha VAMC University of Nebraska Medical Center College of
Medicine 13
NH Manchester VAMC HCA Healthcare/Tufts University School of Medicine
Portsmouth Regional Hospital 2
NJ Lyons VAMC Rutgers New Jersey Medical School 4
NJ Lyons VAMC Jersey Shore University Medical Center 4
NM Albuquerque VAMC University of New Mexico School of Medicine 4.8 NV Las Vegas VAMC University of Nevada Las Vegan School of Medicine 5 NV Las Vegas VAMC HCA Healthcare Sunrise Health Graduate Medical
Education 11
NV Reno VAMC University of Nevada Reno School of Medicine (Las
Vegas) Program 9.5
NY Albany VAMC Albany Medical Center 1
NY Bronx VAMC New York Presbyterian Hospital 4
NY Bronx VAMC Institute for Family Health 1
NY Bronx VAMC Icahn School of Medicine at Mount Sinai 1
NY Buffalo VAMC State University of New York at Buffalo School of
Medicine 9
NY Canandaigua VAMC Strong Memorial Hospital of the University of
Rochester 1.6
NY Castle Point VAMC Health Quest Consortium (Nuvance Health) 5 NY Castle Point VAMC Touro College of Osteopathic Medicine 1.66
NY Montrose VAMC New York Medical College 5
NY Montrose VAMC Touro University College of Osteopathic Medicine
(California) 1.66
NY Northport VAMC University Hospital - SUNY at Stony Brook 16
NY Syracuse VAMC SUNY Upstate Medical University 18.8
OH Chillicothe VAMC Adena Regional Medical Center 1
OH Chillicothe VAMC Kettering Medical Center 1
OH Chillicothe VAMC Ohio University College of Osteopathic Medicine 2
OH Cincinnati VAMC University of Cincinnati Medical Center 1
State VA Facility Academic Affiliate Positions Awarded OH Cincinnati VAMC Cincinnati Children’s Hospital Medical Center 1
OH Columbus ACC HCC Ohio State University Hospital 1
OH Cleveland VAMC Case Western Reserve University 3
OH Columbus ACC HCC Mount Carmel Health System 1
OH Dayton VAMC Wright State University Boonshoft School of Medicine 3.5 OK Muskogee VAMC Oklahoma State University Center for Health Sciences 15 OK Muskogee VAMC University of Oklahoma College of Medicine - Tulsa 1 OK Oklahoma City VAMC University of Oklahoma College of Medicine 9 OR Portland VAMC A.T. Still University School of Osteopathic Medicine
in Arizona 0.2
OR Portland VAMC Oregon Health & Science University Hospital 12
OR Portland VAMC PeaceHealth Southwest Medical Center 0.7
OR Roseburg VAMC Samaritan Health Services 1.25
OR Roseburg VAMC OPTI West 2.27
OR White City Domiciliary VAMC Cascades East Family Practice Residency Program 1
PA Altoona VAMC Penn Highlands DuBois 2
PA Altoona VAMC Pennsylvania State University College of Medicine 2
PA Altoona VAMC Conemaugh Memorial Medical 1
PA Altoona VAMC University of Pittsburgh School of Medicine 1
PA Coatesville VAMC Drexel University College of Medicine/Hahnemann
University 2
PA Coatesville VAMC Delaware Psychiatric Center 3
PA Erie VAMC Allegheny Health Network Medical Education 1
PA Lebanon VAMC Milton S Hershey Medical Center 2.5
PA Philadelphia VAMC Cooper Hospital - University Medical Center 5 PA Philadelphia VAMC University of Pennsylvania Health Systems 8.5
PA Wilkes-Barre VAMC Arnot Ogden Medical Center 4.5
PA Wilkes-Barre VAMC Wright Center for Graduate Medical Education 9
PA Wilkes-Barre VAMC Geisinger Health System 2.5
PR San Juan VAMC Ponce School of Medicine 4
PR San Juan VAMC San Juan VAMC 8
RI Providence VAMC Memorial Hospital of Rhode Island 3
State VA Facility Academic Affiliate Positions Awarded RI Providence VAMC Brown University Rhode Island Hospital-Lifespan 7.5
RI Providence VAMC Kent Hospital 5
SC Charleston VAMC Medical University of South Carolina College of
Medicine 27
SC Columbia (SC) VAMC Prisma Health-Upstate, University of South Carolina 2.8 SC Columbia (SC) VAMC Prisma Health-Midlands, University of South Carolina 0.3
SC Columbia (SC) VAMC AnMed Health 1
SD Fort Meade VAMC Bluefield Regional Medical Center 1
SD Fort Meade VAMC Rapid City Regional Hospital 2
SD Fort Meade VAMC Samaritan Health Services 2
SD Sioux Falls VAMC University of South Dakota School of Medicine 4.2
TN Memphis VAMC Baptist Memorial Hospital 3
TN Memphis VAMC University of Tennessee College of Medicine 27.34
TN Nashville VAMC Meharry Medical College School of Medicine 2
TN Nashville VAMC Meharry Medical College School of Dentistry 1 TN Nashville VAMC University of Tennessee College of Medicine-
Chattanooga 2
TN Nashville VAMC Vanderbilt University Medical Center 12.75 TX Big Spring VAMC Texas Tech University Health Science Center School
of Medicine 15
TX Dallas VAMC Methodist Health Systems Dallas 14.5
TX Dallas VAMC University of Texas Southwestern Medical School
(Dallas) 9
TX Dallas VAMC Baylor University Medical Center 2
TX El Paso VA Health Care
System HCC Burrell College of Osteopathic Medicine (BCOM) 1 TX El Paso VA Health Care
System HCC Texas Tech University Health Sci Ctr Paul L. Foster
Sch of Med 9
TX Harlingen VAMC Univ. of North Texas Health Science Center at Fort
Worth Texas (UOMHSCOMS) 2
TX Harlingen VAMC University of Texas Rio Grande Valley School of
Medicine 6.5
TX Harlingen VAMC University of the Incarnate Word School of
Osteopathic Medicine 2
TX Houston VAMC Baylor College of Medicine 29.3
TX Houston VAMC University of Texas Health Sciences Center-Houston 9
State VA Facility Academic Affiliate Positions Awarded TX San Antonio VAMC Texas Institute for GME & Research (TIGMER) 14
TX San Antonio VAMC University of Texas Health Science Center San Antonio Joe and Teresa Lozano Long School of
Medicine 1
TX San Antonio VAMC University of Texas School of Medicine at San
Antonio 15.5
TX Temple VAMC Scott and White Memorial Hospital 7.47
TX Temple VAMC University of Texas Medical Branch at Austin - Dell
Medical School 8
TX Temple VAMC University of Texas Southwestern Medical School
(Dallas) 5
UT Salt Lake City VAMC University of Utah Medical Center 28.87
UT Salt Lake City VAMC University of Nevada Reno Medical School (Las
Vegas) Program 0.8
VT White River Jct VAMC Mary Hitchcock Memorial Hospital 5.3
VT White River Jct VAMC University of Vermont Medical Center 3.9
VA Hampton VAMC Eastern Virginia Medical School 2
VA Salem VAMC Carilion Clinic-Virginia Tech Carilion School of
Medicine 5
VA Salem VAMC HCA Healthcare Lewis Gale Medical Center 4.5
VA Salem VAMC Centra Health, Inc. 1.5
WA Seattle VAMC University of Washington School of Medicine 12.82
WA Spokane VAMC Spokane Teaching Health Center 0.92
WA Walla Walla Community Health of Central Washington 3
WI Madison VAMC University of Wisconsin Hospital and Clinics 31.5 WI Milwaukee VAMC Medical College of Wisconsin Affiliated Hospitals, Inc 30.3 WI Tomah VAMC Medical College of Wisconsin Affiliated Hospitals Inc 2.6 WI Tomah VAMC University of Wisconsin School of Medicine and
Public Health 0.45
WV Beckley VAMC Greenbrier Valley Medical Center 6
WV Huntington VAMC Marshall University School of Medicine 9.8
WY Sheridan VAMC University of Wyoming 1
Grand Total 1490.5