Graduate Medical Education: Who Will Pay How Much for What?
Authors: David B. Nash, Sankey V. Williams
Journal: Annals of Internal Medicine (1987)

Editorials1 February 1987Graduate Medical Education: Who Will Pay How Much for What?DAVID B. NASH, M.D., SANKEY V. WILLIAMS, M.D.DAVID B. NASH, M.D.Search for more papers by this author, SANKEY V. WILLIAMS, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-2-323 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptCongressional committees responsible for legislation implementing health policy are challenging medical educators who believe that funding for graduate medical education serves the public good and thus should continue unchanged. Two forces have produced this challenge, the growing surplus of physicians and a need for restraint in medical expenditures. Critics of Congress are asking, "How much should we pay? Who should pay? What should we pay for?"What are the costs of graduate medical education? Although housestaff salaries and benefits are less than 2% of the nation's health care bill, they total almost $3 billion annually, $1 billion of which is...References1. . Prescription for Change to Preserve the Functions of Academic Health Centers for the Future: Report of the Task Force on Academic Health Centers. New York: The Commonwealth Fund; 1985. Google Scholar2. ANDERSON G and LAVE J. Financing graduate medical education using multiple regression to set payment rates. Inquiry. 1986;23(2):191-9. MedlineGoogle Scholar3. . Medicare Prospective Payment: Probable Effects on Academic Health Center Hospitals—Short-Term and Long-Term Options. Washington, D.C.: Association of Academic Health Centers; 1983. Google Scholar4. . Medicare Indirect Medical Education Payments to Teaching Hospitals. Washington, D.C.: Department of Health and Human Services 1986: (Audit control no. 09-62003.) Google Scholar5. . Study of the Financing of Graduate Medical Education: Report I. Study Objectives, Design and Data. 1986. (Available from Project Officer, GME Study, Office of Health Policy, Room 432E, Humphrey Building, 200 Independence Avenue; Washington, DC, 20201.) Google Scholar6. . Study of the Financing of Graduate Medical Education: Report II. Hospital Cost Analysis. 1986. (Available from Project Officer, GME Study, Office of Health Policy, Room 432E, Humphrey Building, 200 Independence Avenue, Washington, DC, 20201.) Google Scholar7. . Statement on Financing Graduate Medical Education before the Committee on Finance, United States Senate. Philadelphia: American College of Physicians; 1985. Google Scholar8. . Financing Graduate Medical Education: Final Report of the AAMC Committee on Financing Graduate Medical Education. Washington, D.C.: Association of American Medical Colleges; 1986. Google Scholar9. PETERSDORF R. A proposal for financing graduate medical education. N Engl J Med. 1985;312:1322-4. CrossrefMedlineGoogle Scholar10. . Comparison of the Association of Academic Health Centers (AAHC) Principles on Graduate Medical Education with the Consolidated Omnibus Budget Reconciliation Act of 1986. Washington, D.C.: Association of Academic Health Centers; 1986. Google Scholar11. CALKINS D. Health policy update: reconciliation bill alters GME payments. SREPCIM Newslett. 1986;8(3):5. Google Scholar12. LEVEY G. Organizing to begin physician manpower planning. N Engl J Med. 1986;315:1344-7. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: DAVID B. NASH, M.D.; SANKEY V. WILLIAMS, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byThe Downsizing of Internal Medicine Residency ProgramsDavid A. Asch, MD, MBA, Jack Ende, MDCentres médicaux académiques et formation des spécialistesThe Role of Physician-Assistants in Critical Care UnitsNational Study of Internal Medicine Manpower: XIII. The Financing of Internal Medicine Residency and Fellowship Training, 1985 to 1986Ronald M. Andersen, PhD, Gerald S. Levey, MD, Llewellyn J. Cornelius, MA, Christopher S. Lyttle, MA, Lu Ann Aday, PhDTask force V: The Impact of current health policy trends on adult cardiology 1 February 1987Volume 106, Issue 2 Page: 323-324 Keywords Graduate medical education Health care Legislation Public policy ePublished: 1 December 2008 Issue Published: 1 February 1987 PDF downloadLoading ...