SENATE COMMITTEE ON FINANCE 
           Interim Subcommittee on Graduate Medical Education (Charge #4) 
                             Thursday, January 13, 2000 
                                     9:00 a.m. 
                           Capitol Extension, Room E1.036 
         Pursuant to a notice posted in accordance with Senate Rule  
         11.18, a public hearing of the Senate  Finance Interim  
         Subcommittee on Graduate Medical Education was held on Thursday,  
         January 13, 2000, in the Capitol Extension, Room E1.036, at  
         Austin, Texas. 
         MEMBERS PRESENT:                        MEMBERS ABSENT: 
         Senator Mike Moncrief, Chair            None 
         Senator Carlos Truan                     
         Senator John Carona                      
         Senator Jon Lindsay                      
         Senator Royce West 
         The chair called the meeting to order at 9:02 a.m.  There being  
         a quorum present, the following business was transacted:   
         The chair made opening remarks regarding the committee's charge.   
         He explained to members that the present hearing would focus on  
         the basics of graduate medical education.  Members were reminded  
         that the next hearing, scheduled for February 11, 2000 at The  
         University of Texas Medical Branch at Galveston, will focus on  
         uncompensated medical care and financial issues facing teaching  
         hospitals.  Another hearing, which will likely be held in March,  
         will examine rural issues associated with graduate medical  
         education.  The chair then recognized members of the  
         subcommittee for remarks.  Senators West and Lindsay made brief  
         The chair recognized Senator Robert Duncan as a visiting member  
         of the subcommittee and invited him to participate in the  
         Invited witnesses were recognized as follows: 
         Dr. Lois Bready, representing the University of Texas Health  
         Science at Center at San Antonio provided an overview of  
         graduate medical education. 
         Trey Berndt, representing the Legislative Budget Board, provided  
         an overview of federal funding for graduate medical education. 
         The following panel of witnesses provided testimony on the  
         medical school perspectives on graduate medical education: 
              Dr. Roderick E. McCallum, representing Texas A&M University  
              System Health Science Center; 
              Dr. Deborah Blackwell, representing the University of North  
              Texas Health Science Center at Fort Worth; 
              Dr. James Guckian, representing the University of Texas  
              Dr. David Smith, representing Texas Tech University Health  
              Sciences Center; and 
              Dr.  Bobby Alford, representing Baylor College of Medicine. 
         John Guest, representing the University Hospital of San Antonio,  
         provided testimony on the teaching hospital perspectives on  
         graduate medical education. 
         The following witnesses provided public testimony: 
              George Farr, representing Children's Medical Center of  
              Dr. Robert Morrow, representing the Texas Medical  
              Association; and 
              Dr. Kern Wildenthal, representing the University of Texas  
              Southwestern Medical Center at Dallas. 
         There being no further business, at 12:15 p.m. Senator Truan  
         moved that the Committee stand recessed subject to the call of  
         the chair.  Without objection, it was so ordered.   
         Senator Mike Moncrief, Chair 
         Patricia Hicks, Clerk