Physician graduate medical education (GME) provides the clinical education to practice medicine independently in the U.S. Agencies within the Department of Health and Human Services (HHS) fund GME, including over $15 billion from Medicare in 2018 (the latest year for which data were available). To be eligible for federal funding, GME programs…

Studies have shown the United States faces a shortage of physicians, making it increasingly difficult for people to access needed health care. Physicians need graduate medical education (GME) training before they can practice medicine independently and often practice in the same geographic area as their training. The vast majority of federal…

Access to health care is, in part, determined by the availability of physicians, a function of the physician supply. Policymakers have demonstrated a long-standing interest in access to care, both in general and for specific populations. Moreover, federal support for medical residency training (a.k.a., graduate medical education [GME]) is the…

This document includes a successful model for implementing educational teleconferencing, the Geriatric Live Interactive Teleconferencing program at Virginia Commonwealth University (VCU). As a vehicle for continuing professional education, teleconferencing can transmit the latest information to large numbers of health professionals in a variety of…

This report responds to a Congressional requirement to examine the Navy's advisory council recommendations for restructuring graduate medical education (GME) and to compare these with Army and Air Force GME closure activities. The report focuses on the specific recommendation of the Navy advisory council to drop GME at the Bethesda (Maryland)…

This study examined the relationship between graduate medical education (GME) and practice profiles in three specialties: family practice, psychiatry, and obstetrics/gynecology. Two analyses were performed, the first assessing the relationship between GME and current practice patterns and the second assessing the relationship between GME and…

Provided are appendices for a study which examined the relationship between graduate medical education (GME) and practice profiles in three specialties: family practice, psychiatry, and obstetrics/gynecology. Appendix A includes materials related to methodology of the study. Appendices B-D include supplementary materials for family practice,…

A national survey of 69 teaching hospitals (principally affiliated community teaching hospitals) found much variation in direct graduate medical education pass-through costs, supported by Medicare. Analysis suggested variations may be a result of the faculty expenses component, economies of scale, and the contribution of volunteers. Tables and…

This study, conducted for the Maryland legislature, evaluated the current method for financing graduate medical education in hospital rates, particularly whether the costs of graduate education at the state's two academic medical centers are too high. The study involved discussions with the Health Services Cost Review Commission (HSCRC),…

This hearing presents testimony on Medicare support for graduate medical education in light of Clinton Administration and other reform proposals to reduce the number of specialized residencies in teaching hospitals. The testimony includes opening statements by Senator William V. Roth, Jr., chair of the Senate Committee on Finance, and Senator Phil…

This report is the result of a study by a committee charged with developing strategies for financing graduate medical education (GME) for primary care (general internal medicine, general pediatrics, and family practice) practitioners in ambulatory settings. Historically, systems of financing for most physicians in GME have favored inpatient and…

Reports the results of a 1986 survey of physiology department chairmen in light of the criticisms and recommendations made in "Physicians for the Twenty-First Century: The GPEP Report." Shows that no substantive changes have occurred in the last two years in medical physiology courses at most medical schools surveyed. (CW)

This document reviews programs and policy options for states concerned with methods of financing medical education. An introductory section considers the current climate for medical education and the health care workforce, noting the rapid movement to managed care and the need to increase the number of primary care physicians. The next section…

An examination of the changes over a ten-year period (from 1972 to 1982) in the number, distribution, and characteristics of Ph.D. faculty of clinical departments of medical schools is provided in this report. Trends in the training and research involvements of this group are stated with special emphasis on an analysis of the factors associated…

Trends in the supply of physicians in the United States and in the South are reviewed, along with physician distribution, retention of medical school graduates, minority physicians, and migration of physicians into the South. During the 1970s and 1980s, the 14 states making up the Southern Regional Education Board (SREB) region experienced…