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Medical Student Education Program (MSE)
93.680
The MSE Program provides grants to public institutions of higher education to expand or support graduate education for medical students preparing to become physicians in the top quintile of states with a projected primary care provider shortage in 2036. The program is designed to prepare and encourage medical students training in the most underserved states to choose residencies and careers in primary care that serve tribal communities, rural communities, and/or medically underserved communities (MUCs) after they graduate. This will be accomplished by supporting the development of medical school curricula, clinical training site partnerships, and faculty training programs, with the goal of educating medical students who are likely to choose career paths in primary care, especially for tribal communities, rural communities, and/or MUCs.
This chart shows obligations for the program by fiscal year. All data for this chart was provided by the
administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.
For more information on each of these data sources, please see the
About the data page.
The Medical Student Education (MSE) program cohort 1 of 5 medical schools began in 2019, and cohort 2 of 5 additional medical schools began in 2020. In Academic Year 2019-2020, the Medical Student Education (MSE) program had 551 trainees. Approximately 22.7% of MSE trainees reported coming from financially and/or educationally disadvantaged backgrounds, and 16% were underrepresented minorities. Faculty developed or enhanced 32 courses and trained 1,146 individuals.
The Medical Student Education (MSE) program cohort 1 of 5 medical schools began in 2019, and cohort 2 of 5 additional medical schools began in 2020. In FY 2021, HRSA awarded supplements totaling nearly $50 million to each of the 10 MSE grantees, including the five awards from the FY 2019 cohort and the five awards from the FY 2020 cohort. These supplemental awards enabled HRSA to provide all 10 of the MSE grantees with the same level of award amount over the performance period of their respective grants. In Academic Year 2020-2021, MSE awardees trained 1,089 medical students. Thirty-eight percent of these students were from rural or disadvantaged backgrounds. MSE awardees developed or enhanced 96 medical school courses and trainings focused on the skills medical students need to practice primary care in rural, tribal, and other underserved communities. In addition, MSE awardees enhanced community-based partnerships with 246 sites to offer experiential training opportunities in primary care settings (97 percent), MUCs (56 percent), and rural areas (45 percent).
Awardees used telehealth modalities and telemedicine networks to connect clinicians to rural patients and provide care and education through telemedicine. Fifty-six percent of MSE trainees received training in telehealth and 53 percent of sites offered telehealth services. In response to the COVID-19 pandemic, 28 percent of medical students received COVID-19 related training and 38 percent of experiential training sites offered COVID-19 related services. Students also received training in integrated behavioral health in primary care (58 percent), opioid use treatment (51 percent), and health equity/the social determinants of health (28 percent). There were 26 graduates (completing medical school typically requires four years, and this was only the second year of the program), all of whom matched to a medical residency program. Twelve matched to Family Medicine residencies, six to Internal Medicine residencies, three to Emergency Medicine residencies, three to Internal Medicine/Pediatrics or General Pediatrics and two to other medical residency programs
Academic Year (AY) 2021-2022, the most recent year for which performance data is available, the MSE Program trained 2,553 medical students in medically underserved states. Thirty-seven percent of MSE students were underrepresented minorities and/or from disadvantaged backgrounds and 32 percent were from rural backgrounds. MSE trained 81 students who self-identified solely as American Indian or Alaskan Natives (AI/AN). This represented 47 percent of U.S. Doctor of Medicine (MD) program enrollees from AI/AN-only backgrounds and 28 percent of AI/AN-only matriculants/first-year students. By the end of the academic year, 372 trainees graduated from medical school. The MSE Program’s 23 AI/AN-only graduates accounted for 88 percent of all AI/AN-only MD program graduates in the U.S. from AY 2021-2022. A total of 354 medical students matched to residency programs, including 177 graduates who matched to primary care residency programs. Primary care specialties included family medicine (23 percent), internal medicine (15 percent), and pediatrics (12 percent). The 177 non-primary care graduates matched to general or specialty surgery (14 percent), emergency medicine (six percent), psychiatry (five percent), obstetrics and gynecology (three percent), and other specialties (22 percent). Of the 25 graduates from the prior academic year with one-year follow-up data, 24 percent are enrolled in residency programs located in medically underserved communities and/or rural areas. MSE awardees collaborated with 383 health care delivery sites to provide 4,875 clinical training experiences. Sixty-eight percent of these sites were in medically underserved communities and/or rural settings; 56 percent offered interprofessional, team-based training that involved 1,615 other trainees. Collectively, MSE students accumulated over 150,000 contact hours in primary care settings, over 120,000 contact hours in medically underserved communities, and over 70,000 contact hours in rural areas.
In Academic Year (AY) 2022-2023, the Medical Student Education Program trained 3,680 medical students and a total of 806 medical students graduated. Select program outcomes include encouraging medical students to pursue careers in primary care and supporting medical students who chose residency programs in high-need locations: • 99 percent of Medical Student Education Program graduates matched to a residency, higher than the 93 percent rate for all medical school graduates;33 • 45 percent of program graduates matched to primary care residencies;34 and • 44 percent of program graduates matched to residencies where they trained in Health Professional Shortage Areas.
Single Audit Applies (2 CFR Part 200 Subpart F):
For additional information on single audit requirements for this program, review the current Compliance Supplement.
OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.
