Journal ArticleDOI
Graduate medical education in the era of health care reform.
Robert Ward,Martha B. Mainiero +1 more
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TLDR
The authors review the history of GME financing, the potential impact ofGME spending cuts and health care reform on radiology training, and the new skills residents will need to practice in the era of health reform.Abstract:
Medicare is the primary source of funding for graduate medical education (GME) in the United States. The growing deficit, a sluggish economy, and rising health care costs have focused attention on cutting spending, and GME reimbursement from Medicare is being considered among the entitlement programs for spending reduction. At the same time, health care reform will place new demands on residency training. The authors review the history of GME financing, the potential impact of GME spending cuts and health care reform on radiology training, and the new skills residents will need to practice in the era of health reform. As health care financing evolves, so must resident education.read more
Citations
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A Profile of Acute Care in an Aging America: Snowball Sample Identification and Characterization of United States Geriatric Emergency Departments in 2013
TL;DR: This is the first research to systematically identify and qualitatively characterize the existence, locations, and features of geriatric EDs across the United States and recommends external validation of self-identified geriatric eds to standardize the quality and type of care patients can expect from an institution with an identified geriatricED.
Journal ArticleDOI
Graduate medical education funding mechanisms, challenges, and solutions: A narrative review.
TL;DR: A review of peer-reviewed, English language studies published between 2000 and 2019 suggests that creative solutions are needed to diversify GME funding and improve resident compensation.
Journal ArticleDOI
The costs of training internal medicine residents in the United States.
TL;DR: AAIM is the largest academically focused specialty organization representing departments of internal medicine at medical schools and teaching hospitals in the United States and Canada as discussed by the authors, and is composed of five organizations.
Journal ArticleDOI
Perspectives of US General Surgery Program Directors on Cultural and Fiscal Barriers to Maternity Leave and Postpartum Support During Surgical Training.
TL;DR: In this paper, a qualitative study included 40 US general surgical program directors of US general surgery residency programs who were selected using purposive-stratified, criterion-based sampling, from audio-recorded and transcribed verbatim, from October 21, 2018, to June 1, 2019.
Journal ArticleDOI
Comparison of Plastic Surgery Residency Training in United States and China.
Jianmin Zheng,Boheng Zhang,Yiqing Yin,Taolin Fang,Ning Wei,William C. Lineaweaver,Feng Zhang +6 more
TL;DR: Not every resident has a chance to be an independent surgeon and would require much more training time in China than it does in the United States, which may complement each other to create training programs that will ultimately provide high-quality care.
References
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Journal ArticleDOI
Physician assistant and nurse practitioner utilization in academic medical centers.
TL;DR: Information was collected on the utilization of physician assistants (PAs) and nurse practitioners (NPs) in academic health centers from a national sample of University HealthSystem Consortium member academic medical centers (AMCs).
Journal ArticleDOI
National Health Spending In 2011: Overall Growth Remains Low, But Some Payers And Services Show Signs Of Acceleration
TL;DR: Overall, there was relatively slow growth in incomes, jobs, and GDP in 2011, which raises questions about whether US health care spending will rebound over the next few years as it typically has after past economic downturns.
Journal ArticleDOI
Medicare Financing of Graduate Medical Education: Intractable Problems, Elusive Solutions
Eugene C. Rich,Mark Liebow,Malathi Srinivasan,David C. Parish,James O. Wolliscroft,Oliver Fein,Robert Blaser +6 more
TL;DR: A re-analysis of the true direct costs of resident training will solve several long-standing, vexing problems in Medicare GME funding, but will also uncover the extent of undersupport of GME by most other health care payers.
Journal ArticleDOI
The Reform of Medical Education
Robert H. Ebert,Eli Ginzberg +1 more
TL;DR: In this lead essay, Robert Ebert and Eli Ginzberg discuss the evolution of medical education and offer a prescription for its reform.