This document discusses aligning graduate medical education (GME) policies with physician workforce needs in Texas. It outlines some goals for GME, including increasing total positions, training in community and shortage specialties, and interdisciplinary training. Measuring workforce needs is challenging as needs vary based on population demographics, health, and access. Stakeholders to engage include medical students, schools, programs, hospitals, and health systems. Funding could be distributed through reimbursements, central funds, or competitive grants. Primary care needs applicants, while some specialties serving elderly have shortages. Establishing ongoing needs assessments and funding flexibility can help meet needs.