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DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE

PUBLIC HEALTH SERVICE
HEALTH SERVICES AND MENTAL HEALTH ADMINISTRATION

September 4, 1970

National Advisory Council on Regional Medical Programs 3, Recommendations
for Federal Funding of Clinical Training Programs in Major Medical Centers

Assistant Secretary for Health and
Scientific Affairs
Through: Administrator, HSMHA

The National Advisory Council on Regional Medical Programs has asked

that the Administrator, Health Services and Mental Health Administration,
and the Assistant Secretary for Health and Scientific Affairs, Department
of Health, Education, and Welfare, be apprised of its recommendations
concerning the deperdience of the Nation's health effort on high quality
residency and post-residency clinical training programs for physicians in
the major medical centers and hospitals of the United States.

Both the National Advisory Council and the Review Committee on Regional
Medical Programs have recognized the increasing frequency of requests for
support of this type of activity as part of applications from Regional
Medical Programs. In their opinion, this reflects not only the growing
shortage of individuals trained in certain clinical fields, but the result
of recent drastic reductions in National Institutes of Health grants which
contribute to the support of such training.

The National Advisory Council has expressed concern thet the allocation. of
Regional Medical Program funds in amounts suffictent to help rectify this
situation, would create a serious and inappropriate imbalance in the
Regional Medical Program effort to meet its broader and more comprehensive
goals. However, the Council believes that grant support of this type of
training, made available through the Regional Medical Programs, would serve
to strengthen the essential role of the major medical centers and hospitals
as elements of the Regional Medical Programs of which thy are a part.

' The Council, therefore, reconmends.... oO .

. That arrangements be made to provide Federal assistance to
clinical departments in major teaching centers to help offset
the educational costs of maintaining their clinical residency
and post-residency programs; and :

. ‘That this support be provided through the mechanism of Regional

: Medical Programs, by additional grant funds appropriated for
this purpose, over and above. those already appropriated to
Regional Medical Programs.

/signed/ Harold Margulies, M.D.
Harold Margulies, M.D.

Acting Director
Regional Medical Programs Service

G&CP:MLPhillips: sbg