@article{56b311e625294caba11add41fc79ce47,
title = "Facing the next millennium of managed health care: Can academic maternal-fetal medicine programs survive?",
author = "Devoe, {L. D.}",
note = "Funding Information: Federal support for direct and indirect medical education is expected to decrease progressively over the next few years. As of the next fiscal year, there will be no federal funds to support education in obstetrics and gynecology beyond the 4 years of residency. The shift to increasing emphasis on primary care training will inevitably divert limited resources away from a number of such programs. Furthermore, obstetrics and gynecology is not considered a primary care discipline in many settings. In 1995, there began a reinterpretation of rules and regulations (Intermediary Letter 372) defining the Health Care Financing Administration (HCFA)'s acceptance of teaching physician reimbursement for patients covered by Medicare. As a consequence, the financial support of post-residency fellows in ACGME-or ABMS-sanctioned training programs cannot be achieved in many programs through traditional methods of night-call, clinic coverage, or delivery of services which involve federally supported health care. Training grants for research fellowships are very limited in number. Potential fellows who receive support from the military service branches will probably be phased out in the very near future.",
year = "1997",
doi = "10.1016/S0146-0005(97)80047-X",
language = "English (US)",
volume = "21",
pages = "472--478",
journal = "Seminars in Perinatology",
issn = "0146-0005",
publisher = "W.B. Saunders Ltd",
number = "6",
}