The Projected Responses of Residency-Sponsoring Institutions to a Reduction in Medicare Support for Graduate Medical Education: A National Survey

Academic Medicine : Journal of the Association of American Medical Colleges
Mahrukh RiazNorman H Edelman

Abstract

To assess the projected responses of residency-sponsoring institutions to the proposed reduction in Medicare's indirect medical education (IME) payments. In 2012, the authors surveyed directors of graduate medical education (GME) programs, examining (1) overall responses to a reduction in IME reimbursement and (2) the value of individual residencies to the institution from the economic/operational and educational/public service points of view, to determine which programs may be at risk for downsizing. Responses from 192 of 555 institutions (35% response rate) varied by the size of the institution's GME program. Of large programs (six or more residencies), 33 (33%) would downsize at a 10% reduction in IME reimbursement, focusing cuts on specific programs. Small programs (five or fewer residencies) were more likely to retain their existing residencies with modest IME payment reductions and to make across-the-board cuts. The economic/operational value of specialties varied widely, with hospital-intensive residencies valued highest. Family medicine was valued highly from an economic/operational point of view only by small programs. Educational/public service value scores varied less and were higher for all specialties. Preventive m...Continue Reading

References

Jul 13, 2012·The New England Journal of Medicine·Jeremiah D Schuur, Arjun K Venkatesh
Feb 22, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Paul JollyGwen Garrison
Jun 12, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Candice ChenSarah D O'Donnell
Aug 1, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Norman H EdelmanLaura Chiu

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Citations

May 10, 2019·Journal of General Internal Medicine·Haitham S Al AshryJeremy B Richards
Nov 18, 2020·Neurology·Abhimanyu MahajanUNKNOWN Graduate Education Subcommittee and Education Committee of the American Academy of Neurology
Feb 10, 2021·Neurology·David M GreerSteven Galetta

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