B. There are 13 medical schools in New York; six are located in New York City and two located in nearby suburbs are affiliated with hospitals in the City for their clinical programs. New York has 11% of the country's medical students, 15% of all residents and fellows in training, and 11% of all physicians in active practice.
Every other hospital in New York State (and most of them in New York City) are involved in undergraduate or graduate medical education, yet under one third of practicing physicians work in primary care, in spite of the shortage in these areas. Although New York has a ratio of one physician per 300 population, or over 66,200 practicing physicians, it has 109 designated health professions shortage areas (HPSA's).
Support for graduate medical education in New York for FY 1994 included $953 million (31%) from Medicare, 2.0 billion (69%) from NYPHRM which included Medicaid and other state payers. In 1995, the average cost per resident in training was $200,000. With 79 physicians in training per 100,000 population, New York has the highest rate of those physicians in the country. About one half of residents leave the state to practice elsewhere. About 45% of physicians in training are international medical graduates.
Residents have been the main source of medical of care in teaching hospitals, and New York hospitals have increasingly depended on international medical graduates who comprise 46% of all residents.
Minority group members are underrepresented in medicine. While 26% of the population of the state are minority group
members, in 1993-94, these were 12% of students entering medical schools, 10% of graduates from medical schools 14% in
residency training programs, and 8% were licensed physicians.
Source: Council on Graduate Medical Education, Annual Reuort, 1993; 1994 (p. 2 ).