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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. 


AAMC Responds to Bipartisan Policy Center Rural Health Comment Solicitation

September 13, 2019

The AAMC commented on the Bipartisan Policy Center’s request for comment on rural workforce, GME, and opportunities for rural participation in new delivery models.


HRSA Awards $20 Million in Grants to Create New Rural Residency Programs

July 19, 2019

The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA) July 18 announced awardees for its Rural Residency Planning and Development Program (RRPD) grants. HRSA awarded up to $750,000 to 27 recipients across 21 states, totaling $20 million.


HRSA Releases Notice of Funding Opportunity for THCGME Program

June 21, 2019

The Health Resources and Services Administration (HRSA) June 13 announced a notice of funding opportunity for the fiscal year (FY) 2020 Teaching Health Center Graduate Medical Education (THCGME) Program.

The THCGME Program supports the education and training of residents and new or expanded primary care residency training programs in community-based ambulatory patient care centers, particularly in rural and underserved communities.


House Small Business Committee Holds Hearing on Medical Education Debt

June 14, 2019

The House Small Business Committee June 12 held a hearing, “The Doctor is Out. Rising Student Loan Debt and the Decline of the Small Medical Practice,” addressing the effect of medical student debt on small private practices.


HRSA Releases Notice of Funding Opportunity for CHGME Payment Program

June 7, 2019

The Health Resources and Services Administration (HRSA) May 24 announced a notice of funding opportunity for the fiscal year (FY) 2020 Children’s Hospitals Graduate Medical Education (CHGME) Payment Program.


Understanding GME

Federal Funding for Health Workforce Training

View the motion graphic videos:




America Needs More Doctors. Congress Can Help.

GME Day Ad For Right Rail

Our nation is aging and so are our doctors. By 2032, the U.S. could be short 122,000 physicians unless Congress acts soon to increase funding to train more doctors.



On Government Affairs


Testimony and Correspondence