MMCGME Clinical Trainees Troy Taubenheim January 2017

MMCGME Organizations Sponsors UMN Medical School HCMC Regions Allina Hospitals UMN Dental School Fairview TRIA Augsburg Hospitals Fairview Hospitals HCMC Regions Allina Hospitals HealthEast Hospitals Essentia St. Mary’s St. Luke’s -Duluth Mayo-Mankato Children’s Hospitals Gillette VAMC North Memorial

Clinical Trainees MMCGME Services is tracking 1,779 learners Provider Types:

Clinical Sponsor/Host Hospital Allina 52 Augsburg 26 Duluth DGMEC 25 Fairview 8 HCMC 264 Methodist Hospital 18 North Memorial 5 Regions 63 Regions Allied Health 102 St. Cloud Hospital 15 TRIA 3 UMN Medical School 969 UMN Pharmacy School UMN School of Dentistry 41 VAMC 100 Visiting Resident 62 Grand Total 1,779

Nearly 150 immigrant physicians working toward health licensure in Minnesota Minnesota’s first-in-the-nation International Medical Graduate Assistance program made significant strides toward a more diverse medical workforce in 2016, according to a Minnesota Department of Health (MDH) report issued to the Minnesota Legislature this week. According to the report, this progress offers important benefits for the program participants and the communities they aspire to serve. The full report is available online at International Medical Graduate Assistance Program: Report to the Minnesota Legislature, February 2017 (PDF). Established through bipartisan legislation in 2015, the International Medical Graduate Assistance program supports pathways to licensure for immigrant and refugee physicians. MDH estimates there are nearly 400 immigrant medical graduates from three dozen countries living in Minnesota and interested in entering Minnesota’s health care workforce. According to the report, the program is helping 148 immigrant physicians seek medical residency positions or consider alternative health careers. The report also recommends that licensing options be established for immigrant physicians. Licensing options would create additional pathways into practice for more experienced practitioners. The report also indicates the program is positioned to help expand the use of primary care, eliminate health care disparities through diversifying the health care workforce with culturally and linguistically appropriate care, and increase the number of physicians in rural and underserved areas of the state. In response to growing demands for care and persistent health disparities, Minnesota is trying to increase its workforce of physicians by utilizing the skills of those who have immigrated here after receiving advanced medical training in other countries. Many of these medical graduates did not plan to leave their countries of origin but ultimately fell victim to political persecution, civil unrest or war in their countries. Faced with the upheaval, they uprooted their families and relocated to Minnesota where they now hope to contribute in their new communities. According to the MDH report, about 20 percent of Minnesota physicians graduated from medical schools outside the U.S. Most arrived on “J1 student visas” to do medical residency in Minnesota and are legally allowed to remain, working in underserved areas. It is unclear whether changes in federal immigration policy will impact the program. “The International Medical Graduate Assistance program is a great example of health equity in action,” said Health Commissioner Dr. Ed Ehlinger, “However, major immigration policy changes at the federal level could harm this program and other physician recruitment efforts that directly affect Minnesotans’ access to culturally appropriate health care and public health services. We will work with those in the program to do whatever we can to minimize disruption and continue their progress so they can help all Minnesotans and Minnesota communities be as healthy as possible.” Trainee Type Trainee Type Sponsor/Host Hospital Accredited Res /Fellow Advanced Practice Clinician Allied Health Medical Student Non-Accredited Nurse Student Pharmacy Resident Grand Total Allina 52   Augsburg 26 Duluth DGMEC 25 Fairview 1 7 8 HCMC 252 11 264 Methodist Hospital 18 North Memorial 5 Regions 55 4 63 Regions Allied Health 102 St. Cloud Hospital 15 TRIA 3 UMN Medical School 877 77 969 UMN Pharmacy School UMN School of Dentistry 41 VAMC 37 100 Visiting Resident 62 1,401 132 45 46 1,779

MMCGME Accredited FTEs 7.1.2015 to 6.30.2016 Sponsor Allina CHC Duluth Fairview Gillette HCMC Health East Mayo-Mankato Methodist NMMC RGHP VAMC Minor Sites Grand Total Abbott Northwestern 30.0   0.1 30.2 Hennepin County MC 6.4 1.5 3.0 196.2 0.9 2.4 14.8 0.4 0.8 226.6 Mercy Hospital - Allina - Regions Hospital 9.6 0.2 1.7 0.3 42.8 0.5 56.1 TRIA Orthopaedic 2.2 2.8 United Hospital - Allina 16.3 1.9 18.2 University of Minnesota 11.7 37.8 27.4 383.1 11.0 97.7 40.1 14.3 34.6 32.0 95.4 139.7 1.6 926.3 School of Dentistry 0.0 18.3 5.1 0.6 26.6 1.0 X-Rotator 1.1 67.6 52.8 407.2 11.5 301.1 40.5 35.9 153.9 141.9 1,293.8

Trainee Disposition MMCGME Services tracks the disposition of the accredited residents and fellows For the academic year 2015/16:

Medical Practice Results 6 yrs From 7-1-10 to 6-30-16 (1,794) trainees reported their medical practice plans 887 out of the 1,791 going into medical practice joined our local health systems Resident graduates going to fellowships outside of our data base are not reflected.

MMCGME Retention MMCGME Retention 2010 to 2016 Location Allina Fairview HCMC Regions Tria UMMC UMMS UMSOD Grand Total Greater Minnesota 15 2 41 14   192 5 269 Illinois 4 Iowa 6 1 23 North Dakota 3 13 20 Other-Foreign Other-United States 11 62 350 29 479 Out of Country 10 22 35 South Dakota 12 17 Twin Cities Metro 48 129 57 575 33 851 Wisconsin 16 60 87 80 272 101 1,245 75 1,791 MN % 79% 64% 63% 70% 33% 75% 62% 51% Greater MN % 24% 29% 20% 0% 25% 13% Regional % 86% 73% 71% 76% 67% 69% 57%

Retention by Health system Retention by Health System 2010 to 2016 Sponsor Health System Allina Fairview HCMC Regions UMMC UMMS UMSOD Grand Total % of 1,791 32   31 12 70 1 146 8% CentraCare 2 4 18 24 1% Children's 8 13 22 Essentia 3 5 36 46 3% 10 158 198 11% Gillette 6 0% 69 4% Health Partners 16 21 84 123 7% HealthEast 20 27 2% Mayo 29 North Memorial Park Nicollet 56 Sanford St. Luke's 17 VAMC 26 28 51 140 68 608 11 887

Greater MN Placements 2011 to 2016 Aikin 2 Grand Rapids 4 Ortonville 1 Albany Hawley Park Rapids Alexandria Hermantown 3 Perham Ashby Hibbing Pine City Austin Hutchinson 9 Red Wing Baxter Int Falls Richmond Bemiji 5 Lake Crystal Rochester 13 Big Lake Le Sueur Roseau Brainerd 7 Litchfield Sartell Buffalo 8 Long Prarie Sauk Center Byron Mankato Sleepy Eye Cambridge Marshall Springfield Cloquet McGregor St. Cloud 21 Cook Melrose St. Peter Crosby Monticello Staples Deer River Montivideo Tracy Delano Moorhead Virginia Detroit Lakes Moose Lake Wabasha Duluth 45 Mora Wadena Elk River Morris Waseca Fairmont New London Willmar Fergus Falls New Ulm Winona Fosston Northfield Wyoming 11 Glencoe Onamia