Medical Student Education


The MSE Program provides grants to public institutions of higher education to expand or support graduate education for medical students preparing to become physicians in the top quintile of states with a projected primary care provider shortage in 2025 (U.S. Department of Health and Human Services, Health Resources and Services Administration. HRSA, 2015. State-Level Projections of Supply and Demand for Primary Care Practitioners: 2013-2025. November 2016). The program is designed to prepare and encourage medical students training in the most underserved states to choose residencies and careers in primary care that serve tribal communities, rural communities, and/or medically underserved communities (MUCs) after they graduate. This will be accomplished by supporting the development of medical school curricula, clinical training site partnerships, and faculty training programs, with the goal of educating medical students who are likely to choose career paths in primary care, especially for tribal communities, rural communities, and/or MUCs.

General information about this opportunity
Last Known Status
Program Number
Federal Agency/Office
Health Resources and Services Administration, Department of Health and Human Services
Type(s) of Assistance Offered
B - Project Grants
Program Accomplishments
Fiscal Year 2020 The Medical Student Education (MSE) program cohort 1 of 5 medical schools began in 2019, and cohort 2 of 5 additional medical schools began in 2020. In Academic Year 2019-2020, the Medical Student Education (MSE) program had 551 trainees. Approximately 22.7% of MSE trainees reported coming from financially and/or educationally disadvantaged backgrounds, and 16% were underrepresented minorities. Faculty developed or enhanced 32 courses and trained 1,146 individuals.
Fiscal Year 2021 The Medical Student Education (MSE) program cohort 1 of 5 medical schools began in 2019, and cohort 2 of 5 additional medical schools began in 2020. In FY 2021, HRSA awarded supplements totaling nearly $50 million to each of the 10 MSE grantees, including the five awards from the FY 2019 cohort and the five awards from the FY 2020 cohort. These supplemental awards enabled HRSA to provide all 10 of the MSE grantees with the same level of award amount over the performance period of their respective grants. In Academic Year 2020-2021, MSE awardees trained 1,089 medical students. Thirty-eight percent of these students were from rural or disadvantaged backgrounds. MSE awardees developed or enhanced 96 medical school courses and trainings focused on the skills medical students need to practice primary care in rural, tribal, and other underserved communities. In addition, MSE awardees enhanced community-based partnerships with 246 sites to offer experiential training opportunities in primary care settings (97 percent), MUCs (56 percent), and rural areas (45 percent). Awardees used telehealth modalities and telemedicine networks to connect clinicians to rural patients and provide care and education through telemedicine. Fifty-six percent of MSE trainees received training in telehealth and 53 percent of sites offered telehealth services. In response to the COVID-19 pandemic, 28 percent of medical students received COVID-19 related training and 38 percent of experiential training sites offered COVID-19 related services. Students also received training in integrated behavioral health in primary care (58 percent), opioid use treatment (51 percent), and health equity/the social determinants of health (28 percent). There were 26 graduates (completing medical school typically requires four years, and this was only the second year of the program), all of whom matched to a medical residency program. Twelve matched to Family Medicine residencies, six to Internal Medicine residencies, three to Emergency Medicine residencies, three to Internal Medicine/Pediatrics or General Pediatrics and two to other medical residency programs
Fiscal Year 2022 Academic Year (AY) 2021-2022, the most recent year for which performance data is available, the MSE Program trained 2,553 medical students in medically underserved states. Thirty-seven percent of MSE students were underrepresented minorities and/or from disadvantaged backgrounds and 32 percent were from rural backgrounds. MSE trained 81 students who self-identified solely as American Indian or Alaskan Natives (AI/AN). This represented 47 percent of U.S. Doctor of Medicine (MD) program enrollees from AI/AN-only backgrounds and 28 percent of AI/AN-only matriculants/first-year students. By the end of the academic year, 372 trainees graduated from medical school. The MSE Program’s 23 AI/AN-only graduates accounted for 88 percent of all AI/AN-only MD program graduates in the U.S. from AY 2021-2022. A total of 354 medical students matched to residency programs, including 177 graduates who matched to primary care residency programs. Primary care specialties included family medicine (23 percent), internal medicine (15 percent), and pediatrics (12 percent). The 177 non-primary care graduates matched to general or specialty surgery (14 percent), emergency medicine (six percent), psychiatry (five percent), obstetrics and gynecology (three percent), and other specialties (22 percent). Of the 25 graduates from the prior academic year with one-year follow-up data, 24 percent are enrolled in residency programs located in medically underserved communities and/or rural areas. MSE awardees collaborated with 383 health care delivery sites to provide 4,875 clinical training experiences. Sixty-eight percent of these sites were in medically underserved communities and/or rural settings; 56 percent offered interprofessional, team-based training that involved 1,615 other trainees. Collectively, MSE students accumulated over 150,000 contact hours in primary care settings, over 120,000 contact hours in medically underserved communities, and over 70,000 contact hours in rural areas.
Division B, Title Division B, Title II of the Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (P.L. 115-245). Division A of the Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2020
Who is eligible to apply/benefit from this assistance?
Applicant Eligibility
The MSE program is limited to public institutions of higher education located in the top quintile of states with a projected primary care provider shortage in 2025, as determined by the Secretary. Public non-profit colleges of medicine in the states in the top quintile of states with projected shortage of primary care physicians in 2025.
Beneficiary Eligibility
Beneficiaries include physician training programs that train medical students. Public non-profit colleges of medicine in the states in the top quintile of states with projected shortage of primary care physicians in 2025.
Applicants should review the individual HRSA Notice of Funding Opportunity issued under this assistance listing for any required proof or certifications, which must be submitted with an application package. 2 CFR 200, Subpart E - Cost Principles applies to this program.
What is the process for applying and being award this assistance?
Pre-Application Procedure
Preapplication coordination is not applicable.
Application Procedure
2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. HRSA requires all applicants to apply electronically through All eligible, qualified applications will be forwarded to an objective review committee. Based on the advice of the objective review committee, the HRSA program official with delegated authority is responsible for final selection and funding decisions. Notification is made in writing by a Notice of Award.
Award Procedure
Notification is made in writing (electronic) by a Notice of Award.
Contact the headquarters or regional location, as appropriate for application deadlines
Approval/Disapproval Decision Time
From 120 to 180 days. Approximately 120 to 180 days after receipt of applications.
There is no appeal procedure for applications that are not approved.
No cost extension requests may be requested at the end of the initial project period.
How are proposals selected?
Procedures for assessing the technical merit of grant applications have been instituted to provide an objective review of applications and to assist the applicant in understanding the standards against which each application will be judged. Critical indicators have been developed for each review criterion to assist the applicant in presenting pertinent information related to that criterion and to provide the reviewer with a standard for evaluation. Competing applications are reviewed by nonfederal reviewers for technical merit recommendations. Applications will be reviewed and evaluated against the following criteria: (1) Purpose and Need; (2) Response to Program Purpose; (3) Impact; (4) Organizational Information, Resources and Capabilities; and (5) Support Requested. See the most recent Notice of Funding Opportunity for detailed review criteria.
How may assistance be used?
Education of medical students in the awardee schools.
What are the requirements after being awarded this opportunity?
Performance Reports: Performance reports are required annually to collect data on progress in meeting each objective.
In accordance with the provisions of 2 CFR 200, Subpart F - Audit Requirements, nonfederal entities that expend financial assistance of $750,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Non-Federal entities that expend less than $750,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in 2 CFR 200.503
Recipients are required to maintain grant accounting records 3 years from the date they submit the FFR. If any litigation, claim, negotiation, audit or other action involving the award has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues, which arise from it, or until the end of the regular 3-year period, whichever is later.
Other Assistance Considerations
Formula and Matching Requirements
Statutory Formula: Title Title II of the Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 (P.L. 115-245). Chapter Part Subpart Public Law Division B Division B

Matching is mandatory. 10%. Matching requirements are applicable to this program. The authorizing legislation requires not less than ten percent match in non-federal contributions for this grant each budget period. Applicant organizations must match at least 10 percent of federal funds provided under this grant either in cash or in-kind.

MOE requirements are not applicable to this assistance listing.
Length and Time Phasing of Assistance
This funding opportunity provides support for a 4-year project period. Recipients draw down funds, as necessary, from the Payment Management System (PMS), the centralized web based payment system for HHS awards.
Who do I contact about this opportunity?
Regional or Local Office
None/Not specified.
Headquarters Office
Anthony Anyanwu, MD, MHA, MSc
Medical Training and Geriatrics Branch
Division of Medicine and Dentistry
Bureau of Health Workforce
Health Resources and Services Administration
Rockville, MD 20857 US
Phone: 301-443-8437
Website Address
Financial Information
Account Identification
(Project Grants) FY 22$69,037,568.00; FY 23 est $56,559,438.00; FY 24 est $60,000,000.00; FY 21$64,313,566.00; FY 20$28,600,647.00; FY 19$5,744,830.00; - (Project Grants) Medical Student Education (MSE) Grants
Range and Average of Financial Assistance
FY 22 Actual. Range $6,553,174 - $7,200,869; Average $6,903,757 FY 23 Est Range $2,750,000 - $5,750,000; Average: $2,875,000 FY 24 Est. Range $1,000,000 -4,000,000; Average $2,500,000
Regulations, Guidelines and Literature
All administrative and audit requirements and the cost principles that govern Federal monies associated with this activity will be subject to the Uniform Guidance 2 CFR 200 as codified by HHS at 45 CFR 75. HRSA awards are also subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at
Examples of Funded Projects
Not applicable.


Federal Grants Resources