Teaching Health Center Graduate Medical Education (THCGME) Program | HRSA 25 077

Opportunity Information: Apply for HRSA 25 077

The Teaching Health Center Graduate Medical Education (THCGME) Program is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) designed to expand and strengthen primary care residency training that happens in community-based, ambulatory patient care settings rather than traditional hospital-centered environments. The core idea is to fund residency programs that train physicians and dentists in the kinds of clinics where many patients actually receive day-to-day care, with a strong emphasis on preparing clinicians who can deliver high-quality services in rural and medically underserved communities. In practice, the program aims to build a workforce that is comfortable treating diverse patient populations, understands community health needs, and has the clinical and cultural competencies to serve areas that historically struggle to recruit and retain providers.

The grant funds can be used to support both direct and indirect costs of training residents. Direct expenses generally relate to operating and sponsoring approved graduate medical education (GME) residency programs, while indirect expenses recognize that teaching sites take on additional costs when residents are embedded in clinical care settings. The funding is structured to help teaching health centers handle the real operational burden of training, including the added supervision, administrative support, and clinical workflow impacts that come with educating residents in busy outpatient environments.

This opportunity offers two distinct award types. The first is an expansion award, intended for existing HRSA-funded THCGME programs that want to increase the number of resident full-time equivalent (FTE) positions beyond their current supported level. The second is a new award, meant to establish support for new resident FTE positions at new Teaching Health Centers (THCs). In this context, "new THCs" refers to applicants seeking support for a residency program that has not previously received THCGME payments from HRSA for that specific residency program in any prior fiscal year. In other words, it is for programs entering the THCGME funding stream for the first time for the applicable program.

A key restriction is that THCGME support can only be requested for resident FTEs above the program's established baseline, and the request cannot push the program beyond the number of residents approved by, or currently awaiting approval by, the relevant accrediting body. This ensures the funding is tied to legitimate, accredited growth and does not subsidize resident positions that exceed accreditation limits or are not part of an approved training expansion plan.

Eligible applicants include community-based ambulatory patient care centers that operate an accredited primary care residency program, as well as entities that have formed a GME consortium that operates such an accredited program. The eligible training specialties and disciplines are focused on primary care and closely related fields: Family Medicine, Internal Medicine, Pediatrics, Internal Medicine-Pediatrics, Obstetrics and Gynecology, Psychiatry, General Dentistry, Pediatric Dentistry, and Geriatrics. The overall emphasis across these disciplines is workforce development that improves access to frontline care and strengthens community-based training pipelines.

From the opportunity listing details, this is a grant (not a contract) under HRSA, cataloged under CFDA number 93.530, with an expected 41 awards. The funding opportunity number is HRSA-25-077, and the original application closing date is September 20, 2024. The listing notes an award ceiling of 0, which typically indicates that the maximum award amount is not specified in the summary field and applicants need to refer to the full notice of funding opportunity for budget limits, formulas, or per-resident payment methodologies. Eligible applicant types listed include public and state-controlled institutions of higher education, private institutions of higher education, federally recognized tribal governments, tribal organizations, and other eligible entities consistent with the program rules, reflecting that THCGME-supported training programs may be sponsored or administered through a range of academic, community, and tribal-affiliated structures as long as the residency program is accredited and based in community ambulatory settings.

Overall, THCGME is about expanding accredited primary care training capacity in community clinics and similar outpatient sites, paying attention to the extra costs of teaching in those environments, and using that investment to grow a clinician pipeline that is more likely to practice in rural and underserved communities after graduation.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Teaching Health Center Graduate Medical Education (THCGME) Program" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530.
• This funding opportunity was created on 2024-07-19.
• Applicants must submit their applications by 2024-09-20. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 41 candidate(s).
• Eligible applicants include: Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Private institutions of higher education, Others.

Apply for HRSA 25 077

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