Funding of Graduate Medical Education in a Market-Based Healthcare System

Barbara L. Schuster

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)119-125
Number of pages7
JournalAmerican Journal of the Medical Sciences
Volume353
Issue number2
DOIs
StatePublished - 2017

Keywords

  • Children's Hospital Graduate Medical Education
  • Direct graduate medical education
  • Graduate medical education
  • Indirect medical education

ASJC Scopus subject areas

  • Medicine(all)

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