4. There are 13 medical schools in New York; six are located in New York City and two located in
nearby suburbs are aff iliated 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 Report, 1993; 1994.