Graduate medical education funding mechanisms, challenges, and solutions: A narrative review.
Funding
Graduate medical education
Resident compensation
Journal
American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
07
05
2020
revised:
30
05
2020
accepted:
06
06
2020
pubmed:
19
7
2020
medline:
12
2
2021
entrez:
19
7
2020
Statut:
ppublish
Résumé
With increased attention on the federal budget deficit, graduate medical education (GME) funding has in particular been targeted as a potential source of cost reduction. Reduced GME funding can further deteriorate the compensation of physicians during their residency training. In order to understand the GME funding mechanisms and current challenges, as well as the value of the work accomplished by residents, we searched peer-reviewed, English language studies published between 2000 and 2019. Direct and indirect GME funding is intended to support resident reimbursement and the higher costs associated with supporting a teaching program. However, policy efforts have aimed to reduce federal funding for GME. Furthermore, evidence suggests that residents are inadequately compensated because their salaries do not reflect the number of hours worked and are not comparable to those of other medical staff. Our review suggests that creative solutions are needed to diversify GME funding and improve resident compensation.
Sections du résumé
BACKGROUND
With increased attention on the federal budget deficit, graduate medical education (GME) funding has in particular been targeted as a potential source of cost reduction. Reduced GME funding can further deteriorate the compensation of physicians during their residency training.
METHODS
In order to understand the GME funding mechanisms and current challenges, as well as the value of the work accomplished by residents, we searched peer-reviewed, English language studies published between 2000 and 2019.
RESULTS
Direct and indirect GME funding is intended to support resident reimbursement and the higher costs associated with supporting a teaching program. However, policy efforts have aimed to reduce federal funding for GME. Furthermore, evidence suggests that residents are inadequately compensated because their salaries do not reflect the number of hours worked and are not comparable to those of other medical staff.
CONCLUSIONS
Our review suggests that creative solutions are needed to diversify GME funding and improve resident compensation.
Identifiants
pubmed: 32680622
pii: S0002-9610(20)30359-7
doi: 10.1016/j.amjsurg.2020.06.007
pmc: PMC7308777
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
65-71Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
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