maintenance of filled positions at existing approved graduate medical residency training programs;

expansion of existing approved graduate medical residency training programs; and

establishment of new approved graduate medical residency training programs.

serve a health professional shortage area with a designation in effect under section 254e of this title or a medically underserved community (as defined in section 295p of this title); or

are located in a rural area (as defined in section 1395ww(d)(2)(D) of this title).

the updated national per resident amount for direct graduate medical education, as determined under paragraph (2); and

the average number of full-time equivalent residents in the teaching health center’s graduate approved medical residency training programs as determined under section 1395ww(h)(4) of this title (without regard to the limitation under subparagraph (F) of such section) during the fiscal year.

evaluate indirect training costs relative to supporting a primary care residency program in qualified teaching health centers; and

based on this evaluation, assure that the aggregate of the payments for indirect expenses under this section and the payments for direct graduate medical education as determined under subsection (c) in a fiscal year do not exceed the amount appropriated for such expenses as determined in subsection (g).

for the indirect costs of medical education under section 1395ww(d)(5)(B) of this title;

for direct graduate medical education costs under section 1395ww(h) of this title; and

for direct costs of medical education under section 1395ww(k) of this title;

The types of primary care resident approved training programs that the qualified teaching health center provided for residents.

The number of approved training positions for residents described in paragraph (4).

The number of residents described in paragraph (4) who completed their residency training at the end of such residency academic year and care for vulnerable populations living in underserved areas.

The number of patients treated by residents described in paragraph (4).

The number of visits by patients treated by residents described in paragraph (4).

Of the number of residents described in paragraph (4) who completed their residency training at the end of such residency academic year, the number and percentage of such residents entering primary care practice (meaning any of the areas of practice listed in the definition of a primary care residency program in section 293l–1 of this title).

Other information as deemed appropriate by the Secretary.

participation in which may be counted toward certification in a specialty or subspecialty and includes formal postgraduate training programs in geriatric medicine approved by the Secretary; and

that meets criteria for accreditation (as established by the Accreditation Council for Graduate Medical Education, the American Osteopathic Association, or the American Dental Association).