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Ms. Moller says just 36 of the current participants will have completed their four years of services by Aug. 31, 2013. Of the remaining participants, 103 will have completed three years of service and 43 will have completed two years by that date. According to the THECB website, the agency will use current biennium funds to make repayment awards in fiscal years 2012 and 2013. That is possible because lawmakers actually appropri- ated more money for the program for 2010–11 than was needed. The agency will continue to explore options for is- suing loan repayment awards for service periods ending after Aug. 31, 2013. “In the event that funds are not ap-


propriated for this purpose in the 2013 legislative session, current participants will be released from their service obli- gations,” the board stated.


No new applications for PELRP par- ticipation will be accepted during the next two years, Ms. Moller says. Under the loan repayment program, participating physicians can receive up to $25,000 for their first year of service in a health professional shortage area, $35,000 for the second year, $45,000 for the third year, and $55,000 for the fourth year.


One North Texas physician who be- gan participating in the program in 2010 says he would have to immediately stop seeing Medicaid patients if his loan re- payment awards cease and likely would phase himself out of Medicare, as well. In addition to the cuts to PELRP, the legislature also eliminated funding for a Medicaid physician education loan repayment program that was estab- lished just two years ago under the Frew v. Hawkins lawsuit settlement. Under that program, primary care physicians and specialists could receive loan repay- ments of as much as $140,000 over four years for treating children on Medicaid. Since 2009, 600 physicians and den- tists have received loan repayments un- der the program, including 241 primary care physicians, 145 specialists, and 214 dentists. According to the Texas Health and Human Services Commission, 595 participants remain in the program.


48 TEXAS MEDICINE September 2011


El Paso medical school to launch psychiatric fellowship


Patients along the Texas-Mexico border could see greater access to child and ad- olescent psychiatric services, thanks to a new fellowship program Texas Tech Uni- versity’s Paul L. Foster School of Medi- cine in El Paso announced. The Residency Review Committee of


the Accreditation Council for Graduate Medical Education recently approved the new fellowship in child and adoles- cent psychiatry. The program, which re- ceived an initial two-year accreditation, is actively recruiting applicants who are graduates of a psychiatry residency. The program will accept up to two fellows each year.


“The fellowship is important because it expands the range of training options offered to students and residents,” said Cecilia de Vargas, MD, assistant profes- sor in the Department of Psychiatry, who has been appointed director of the fel- lowship program. “The border region will benefit enormously from the fellow- ship training program, especially if the fellows stay in this area, because there is a great need for child and adolescent psychiatrists to serve a vast population with psychological, emotional, and psy- chiatric problems.”


“This is an important additional train- ing opportunity to hopefully allow our residents to alleviate the critical needs of these services in our community,” added Armando Meza, MD, associate dean for graduate medical education at the Paul L. Foster School of Medicine. The El Paso school also operates a


four-year psychiatric residency program that currently has 12 residents. n


Ken Ortolon is senior editor of Texas Medicine. You can reach him by telephone at (800) 880-1300, ext. 1392, or (512) 370-1392; by fax at (512) 370-1629; or by email at ken.ortolon@texmed.org.


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