TY - JOUR
T1 - Funding of Graduate Medical Education in a Market-Based Healthcare System
AU - Schuster, Barbara L.
N1 - Publisher Copyright:
© 2017 Southern Society for Clinical Investigation
PY - 2017
Y1 - 2017
N2 - The graduate medical education (GME) process in the United States is considered the most respected model for high-quality education of graduate physicians in the world. With substantial funding through government and private insurers and through structured educational accreditation standards, the American Board of Medical Specialists–certified physicians are recognized for their expertise in delivering high-quality medical care. However, under fiscal constraints and changing social expectations, questions are continually posed about the process of funding and whether the “physician outcomes” are sufficient to continue with the investment. This article reviews the history of postgraduate physician education, the multiple funding pathways, disruptions to a placid educational system and changing social expectations. The ultimate issues involve the core goals of GME and how much GME should shoulder responsibility for changing the healthcare system.
AB - The graduate medical education (GME) process in the United States is considered the most respected model for high-quality education of graduate physicians in the world. With substantial funding through government and private insurers and through structured educational accreditation standards, the American Board of Medical Specialists–certified physicians are recognized for their expertise in delivering high-quality medical care. However, under fiscal constraints and changing social expectations, questions are continually posed about the process of funding and whether the “physician outcomes” are sufficient to continue with the investment. This article reviews the history of postgraduate physician education, the multiple funding pathways, disruptions to a placid educational system and changing social expectations. The ultimate issues involve the core goals of GME and how much GME should shoulder responsibility for changing the healthcare system.
KW - Children's Hospital Graduate Medical Education
KW - Direct graduate medical education
KW - Graduate medical education
KW - Indirect medical education
UR - http://www.scopus.com/inward/record.url?scp=85016210610&partnerID=8YFLogxK
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U2 - 10.1016/j.amjms.2016.11.027
DO - 10.1016/j.amjms.2016.11.027
M3 - Article
C2 - 28183411
AN - SCOPUS:85016210610
SN - 0002-9629
VL - 353
SP - 119
EP - 125
JO - American Journal of the Medical Sciences
JF - American Journal of the Medical Sciences
IS - 2
ER -