Featured Research

from universities, journals, and other organizations

Addressing physician shortage: Recommendations for medical education reform

Date:
May 27, 2014
Source:
Boston University Medical Center
Summary:
Recommendations outline how to reform the GME system to support the development of a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of America's healthcare delivery system.

Since it started more than 30 years ago, funding the graduate medical education (GME) system has not evolved even as there has been a revolution in GME. The United States contributes almost $10 billion a year from Medicare into funding the GME system. However this system fails to provide the workforce needed for the 21st century and lacks the necessary transparency and accountability.

Related Articles


With an aging population and millions of people newly registered for health insurance because of the Affordable Care Act, there is a pressing need to increase the number of primary care physicians. In the United States, it is estimated that only 20.9 percent of residents graduating from GME programs will practice primary care.

Recommendations recently published in the Journal of General Internal Medicine prepared by the Health Policy Education Subcommittee of the Society of General Internal Medicine (SGIM) outline how to reform the GME system to support the development of a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of America's healthcare delivery system.

Angela Jackson, MD, associate dean for student affairs at Boston University School of Medicine and a physician in general internal medicine at Boston Medical Center, is the article's first author and is Co-Chair of the SGIM's Health Policy Committee.

"SGIM hopes its policy and paper will invigorate the debate on GME funding, moving beyond discussions limited to funding levels to discussions on GME program accountability for public fund use and how to shape a GME system that will provide the nation with the physician workforce that we need," said the authors.

The recommendations address workforce analysis, funding mechanisms, transparency, competency-based curriculum accountability, distributions of physician specialties and educational innovation, and call for:

  • Fully funding the National Health Care Workforce Commission
  • Having all payers for care contribute toward GME
  • Rebasing direct and indirect medical education payments to reflect 21st century costs
  • Requiring transparency in spending GME funds
  • Using GME funding exclusively for trainee education and related costs
  • Requiring training programs demonstrate their graduates are competent to practice 21st century medicine
  • Developing incentives for training programs to align the practice patterns of their graduates with regional and national workforce needs
  • Funding to develop GME innovations designed to impact the physician workforce positively.

Story Source:

The above story is based on materials provided by Boston University Medical Center. Note: Materials may be edited for content and length.


Journal Reference:

  1. Angela Jackson, Robert B. Baron, Jeffrey Jaeger, Mark Liebow, Margaret Plews-Ogan, Mark D. Schwartz. Addressing the Nation’s Physician Workforce Needs: The Society of General Internal Medicine (SGIM) Recommendations on Graduate Medical Education Reform. Journal of General Internal Medicine, 2014; DOI: 10.1007/s11606-014-2847-4

Cite This Page:

Boston University Medical Center. "Addressing physician shortage: Recommendations for medical education reform." ScienceDaily. ScienceDaily, 27 May 2014. <www.sciencedaily.com/releases/2014/05/140527161838.htm>.
Boston University Medical Center. (2014, May 27). Addressing physician shortage: Recommendations for medical education reform. ScienceDaily. Retrieved April 24, 2015 from www.sciencedaily.com/releases/2014/05/140527161838.htm
Boston University Medical Center. "Addressing physician shortage: Recommendations for medical education reform." ScienceDaily. www.sciencedaily.com/releases/2014/05/140527161838.htm (accessed April 24, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Friday, April 24, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

85 Killed in Niger by Meningitis Since Start of Year

85 Killed in Niger by Meningitis Since Start of Year

AFP (Apr. 24, 2015) A meningitis outbreak in Niger has killed 85 people since the start of the year prompting authorities to close schools in the capital Niamey until Monday. Video provided by AFP
Powered by NewsLook.com
Anti-Malaria Jab Hope

Anti-Malaria Jab Hope

Reuters - News Video Online (Apr. 24, 2015) The world&apos;s first anti-malaria vaccine could get the go-ahead for use in Africa from October if approved by international regulators. Paul Chapman reports. Video provided by Reuters
Powered by NewsLook.com
3D Food Printing: The Meal of the Future?

3D Food Printing: The Meal of the Future?

AP (Apr. 23, 2015) Developers of 3D food printing hope the culinary technology will revolutionize the way we cook and eat. (April 23) Video provided by AP
Powered by NewsLook.com
Your Genes Could Influence How Much Mosquitoes Love You

Your Genes Could Influence How Much Mosquitoes Love You

Newsy (Apr. 23, 2015) New research suggests genetics play a big part in how appetizing you smell to mosquitoes. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins