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Second Opinion

Learn about policy issues important to medical schools and teaching hospitals, with Executive Vice President Atul Grover, M.D., Ph.D.

Graduate Medical Education (GME)

DGME | IME | CHGME | Resident Caps | Workforce

Resident physicians have graduated from medical school and typically spend three to seven years in graduate medical education (GME) training at teaching hospitals and their associated ambulatory settings.  AAMC member teaching hospitals educate the next generation of physicians through excellent and essential clinical training.  

The Medicare program is committed to paying its share of the costs of educating residents and provides special payments, called direct graduate medical education (DGME) payments, to hospitals to cover costs directly related to educating residents. 

The Medicare program also provides special patient care payments to teaching hospitals, referred to as indirect medical education (IME) payments, to account for the higher costs of the complex patients teaching hospitals treat and the highly specialized care they provide. 

Cuts to GME funding would jeopardize the ability of medical schools and teaching hospitals to train physicians, nurses, and other health care providers, as well as limit critical services to the community. 


House Committees Explore VA Legislative and Budget Proposals

April 20, 2018

Two House Committees April 17 held hearings on Department of Veterans Affairs (VA) issues. The House VA Committee convened to hear testimony on pending legislation, while the Appropriations Subcommittee on Military, Construction, and VA (MilCon-VA) held a Member Day hearing on the President’s Budget for FY 2019.


House Panel Examines HRSA Workforce and Rural Health Programs

April 13, 2018

The House Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies April. 12 held a fiscal year (FY) 2019 budget hearing titled “Investments in our Health Workforce and Rural Communities.”


House and Senate Lawmakers Propose Solutions to the Opioid Epidemic

April 13, 2018

House and Senate committees continued their focus on the opioid epidemic this week.


House Passes ‘Right to Try’ Legislation

March 23, 2018

The House March 21 passed the Trickett Wendler, Frank Mongiello, Jordan McLinn, and Matthew Bellina Right to Try Act (H.R. 5247), on a largely party-line vote of 267-149.


House Health Subcommittee Examines President’s FY 2019 Budget Request

March 16, 2018

The Health Subcommittee of the House Veterans Affairs (VA) Committee March 15 held a hearing on the President’s FY 2019 budget request for the Veterans Health Administration (VHA). Testifying were representatives from four veterans service organizations (VSOs) and Dr. Carolyn Clancy of the Veterans Health Administration.


Understanding GME

Federal Funding for Health Workforce Training

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Preserving GME Funding

GME ad for right rail

Whether it’s an emergency or a serious illness requiring complex care, when life is on the line you can count on America’s teaching hospitals. But can they count on the funding they need from Congress?


On Government Affairs


Testimony and Correspondence