The document discusses healthcare workforce trends in Texas including: 1) The changing demographics of physicians in Texas and projections for physician supply ratios. 2) Rates of Texas medical school graduates leaving the state for graduate medical education, with over 70% of otolaryngology and general surgery residents leaving. 3) Comparisons of physician-to-population ratios in Texas versus the US for various specialties, with psychiatry and vascular medicine having the lowest ratios in Texas.