AGA: IOM report & GME reform: 5 recommendations

The Institute of Medicine released a report (Graduate Medical Education That Meets the Nation’s Needs) reviewing graduate medical education in the United States. The American Gastroenterological Association supports the effort to study the issue but expressed disappointment that the study did not broach the issue of physician shortage and lack of residency slots.

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Though the report does not specifically address physician workforce shortages, it does provide recommendations for reforming the GME payment system and creating a new infrastructure necessary to support future changes. Here are five recommendations from the report, according to the AGA.

•    Maintain Medicare GME and work to modernize GME payment based on performance and innovation
•    Build a two-part Medicare GME financing structure based on differences in funding for operational aspects and transformational purposes
•    Establish a GME Policy Council in HHS for strategic oversight
•    Establish a GME Center within CMS for the management operational aspects
•    Modernize payment methodology by changing GME funding streams, implementing performance-based payment and assigning funding based on a per-resident amount.

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