Teaching Health Center Graduate Medical Education (THCGME) Program | HRSA 25 091

Opportunity Information: Apply for HRSA 25 091

The Teaching Health Center Graduate Medical Education (THCGME) Program is a discretionary grant opportunity from the Health Resources and Services Administration (HRSA) designed to strengthen the primary care workforce by funding residency training that happens in community-based, ambulatory patient care settings rather than primarily in hospitals. The central aim is to expand and sustain high-quality training experiences that prepare residents to deliver comprehensive care, with a particular emphasis on meeting the needs of rural and underserved communities. By placing residency training in community settings where access gaps are most visible, the program seeks to build a pipeline of clinicians who are comfortable working in resource-limited environments, who understand local community health needs, and who develop the clinical and cultural competencies needed to serve diverse patient populations.

This funding is intended to help cover both direct and indirect costs tied to operating approved graduate medical education (GME) residency programs at teaching health centers. Direct costs generally relate to the core expenses of sponsoring and running residency programs, such as resident training costs and program operations associated with delivering accredited education. Indirect costs reflect the added operational burden of teaching in clinical environments, including the additional staffing, supervision, administrative infrastructure, and other overhead that often comes with integrating residents into busy community-based practices. In other words, the program recognizes that training residents in outpatient community clinics carries real costs beyond standard patient care, and it provides support to offset those costs so programs can maintain quality and expand capacity.

The opportunity offers two distinct award types. First, expansion awards are available to existing HRSA-supported THCGME programs that want to increase the number of resident full-time equivalent (FTE) positions beyond their current supported level. These are geared toward established teaching health centers that already have a THCGME-funded residency and can demonstrate readiness to add more resident training slots. Second, new awards are available to support new resident FTE positions at new Teaching Health Centers (THCs). For this program, a "new THC" refers to an applicant seeking funding for a residency program that has never previously received payment under the HRSA THCGME Program for that specific residency program in any prior fiscal year. This is meant to help expand the footprint of community-based residency training by bringing additional sites and programs into the THCGME model.

A key compliance point is that any resident FTEs requested under THCGME must be above the program's established resident FTE baseline, and the requested level of training cannot exceed the number of positions approved by, or actively awaiting approval by, the relevant accrediting body. Practically, that means applicants must show that the funding request supports growth beyond their baseline capacity while staying within accreditation limits. Programs are expected to align their expansion plans with accreditation requirements and HRSA program objectives, ensuring that growth does not compromise training quality, supervision, or educational resources.

Eligibility centers on community-based ambulatory patient care centers that operate an accredited primary care residency program, as well as entities that have formed a GME consortium that operates such a program. The eligible training specialties and disciplines are broad within primary care and closely related fields: Family Medicine, Internal Medicine, Pediatrics, Internal Medicine-Pediatrics, Obstetrics and Gynecology, Psychiatry, General Dentistry, Pediatric Dentistry, and Geriatrics. This mix reflects HRSA's workforce priorities, supporting medical and dental training pathways that commonly serve as frontline access points for underserved populations.

From the source details provided, the funding opportunity is titled "Teaching Health Center Graduate Medical Education (THCGME) Program" with Funding Opportunity Number HRSA-25-091 and Assistance Listing (CFDA) number 93.530. It is a grant mechanism under the health funding activity category. The listed eligible applicant types include public and state-controlled institutions of higher education, private institutions of higher education, federally recognized tribal governments, tribal organizations, and other eligible entities consistent with the community-based teaching health center model. The original application closing date is 2024-09-05. HRSA expects to make 6 awards under this notice, and the posting indicates an award ceiling of 0, which typically signals that applicants should rely on the full notice of funding opportunity for specific budget guidance, formulas, or limits rather than assuming a fixed maximum per award from the summary fields alone.

Overall, this THCGME opportunity is focused on building and expanding a community-based residency training infrastructure that can produce more primary care and community-oriented clinicians, with funding structured to support both the hands-on costs of residency education and the less visible but significant indirect costs that arise when clinics take on the teaching mission. The program is especially targeted toward increasing access and quality of care in rural and underserved areas by training residents in the exact settings where they are most needed and most likely to continue practicing after graduation.

• The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Teaching Health Center Graduate Medical Education (THCGME) Program" and is now available to receive applicants.
• Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.530.
• This funding opportunity was created on 2024-07-19.
• Applicants must submit their applications by 2024-09-05. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
• The number of recipients for this funding is limited to 6 candidate(s).
• Eligible applicants include: Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Private institutions of higher education, Others.

Apply for HRSA 25 091

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