IOM Report Calls for Reforming Physician Education Funding

Medicare provides much of the public financing for graduate medical education -- an estimated $9.7 billion in 2012. The report calls for more oversight and accountability.

The Institute of Medicine on July 29 released a report titled "Graduate Medical Education That Meets the Nation's Health Needs." Prepared by a 21-member IOM committee, the report recommends significant changes to optimize the public's investment in GME -- the system of residency and fellowships that are provided for physicians after the obtain a medical degree.

The scale of government support for physician training far exceeds that for any other profession, but transparency and accountability are lacking in the GME financing system, the report notes.

The estimated sources of $15 billion in public funding for GME in 2012 included Medicare ($9.7 billion), Medicaid ($3.9 billion), the U.S. Department of Veterans Affairs ($1.437 billion), and the Health Resources and Services Administration ($464 million), according to the report. Additional sources included the Department of Defense, state sources, private insurers, and other private sources.

The recommendations were made because the Medicare GME payment rules date to 1965, and the payment system discourages physician training outside the hospital, even though most health care is now delivered outside of hospitals in the United States. The committee recommended a 10-year transition from the status quo to full implementation of its recommendations.

Download Center

HTML - No Current Item Deck
  • Green Quadrant EHS Software 2021

    Reserve your copy of the new report by independent analyst firm, Verdantix, to get a detailed, fact-based comparison of the 22 most prominent EHS software vendors in the industry.

  • Best Practices to Navigate ISO 45001

    Learn helpful tips and tricks to navigate your transition to ISO 45001 certification and ensure an effective health and safety management system.

  • Improve Your Safety Culture

    Learn the 3 fundamental areas to focus on to achieve safety culture excellence and what you can do to boost employee engagement in your EHS programs.

  • Chemical Safety: 5 Questions Answered by Experts

    Get answers to 5 of the most frequently asked questions about how to effectively mitigate chemical risk, get the most value out of your chemical data, and gain buy-in for a chemical management technology program.

  • How Has COVID-19 Changed Safety Culture?

    The COVID-19 pandemic has provided unique opportunities for health and safety professionals to rethink how they manage risk and develop stronger safety cultures. Read this eBook to learn actionable steps you can implement today to improve your programs.

  • Industry Safe

OH&S Digital Edition

  • OHS Magazine Digital Edition - January February 2021

    January February 2021

    Featuring:

    • TRAINING: SOFTWARE
      Tips for Choosing the Best Training Software
    • COMBUSTIBLE DUST
      Assessing the Dangers of Dust Explosions
    • HAND PROTECTION
      Pushing the Boundaries of Hand Protection
    • FOOT PROTECTION
      Getting a Grip on Slip Resistance
    View This Issue