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Home Research Research Library The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training 2013 Author(s) Chen, Candice, Xierali, Imam M, Piwnica-Worms, K, and Phillips, Robert L Topic(s) Education & Training, and Role of Primary Care Keyword(s) Graduate Medical Education, Rural, and Shortage Areas Volume Health Affairs Source Health Affairs Graduate medical education (GME), the system to train graduates of medical schools in their chosen specialties, costs the government nearly $13 billion annually, yet there is little accountability in the system for addressing critical physician shortages in specific specialties and geographic areas. Medicare provides the bulk of GME funds, and the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 redistributed nearly 3,000 residency positions among the nation’s hospitals, largely in an effort to train more residents in primary care and in rural areas. However, when we analyzed the outcomes of this recent effort, we found that out of 304 hospitals receiving additional positions, only 12 were rural, and they received fewer than 3 percent of all positions redistributed. Although primary care training had net positive growth after redistribution, the relative growth of nonprimary care training was twice as large and diverted would-be primary care physicians to subspecialty training. Thus, the two legislative and regulatory priorities for the redistribution were not met. Future legislation should reevaluate the formulas that determine GME payments and potentially delink them from the hospital prospective payment system. Furthermore, better health care workforce data and analysis are needed to link GME payments to health care workforce needs. ABFM Research Read all 2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex 2019 Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training Go to Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training 2014 Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey Go to Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey 2024 Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy Go to Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy
Author(s) Chen, Candice, Xierali, Imam M, Piwnica-Worms, K, and Phillips, Robert L Topic(s) Education & Training, and Role of Primary Care Keyword(s) Graduate Medical Education, Rural, and Shortage Areas Volume Health Affairs Source Health Affairs
ABFM Research Read all 2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex 2019 Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training Go to Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training 2014 Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey Go to Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey 2024 Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy Go to Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy
2022 Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex Go to Relationship Between Physician Burnout And The Quality And Cost Of Care For Medicare Beneficiaries Is Complex
2019 Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training Go to Practice Intentions of Family Physicians Trained in Teaching Health Centers: The Value of Community-Based Training
2014 Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey Go to Family medicine residency program directors’ plans to incorporate maintenance of certification into residency training: a CERA survey
2024 Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy Go to Policy Briefs With Personality: How to Innovatively Disseminate Evidence for Advocacy