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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 Joins Health Organizations’ FY 2020 Funding Recommendation Letters

April 19, 2019

The AAMC April 8 joined a community letter to Senate and House Labor, Health and Human Services, Education, and Related Agencies Appropriations Subcommittee leaders, advocating a fiscal year (FY) 2020 appropriation of $400 million for Children’s Hospital Graduate Medical Education (CHGME).

Over 65 Organizations Sign Letter in Support of GME Expansion

April 12, 2019

The AAMC April 10, along with 66 supporting organizations, sent a letter to members of Congress in support of the Resident Physician Shortage Reduction Act of 2019 (S. 348/ H.R. 1763). The letter reflects a diverse number of stakeholders, including physician, hospital, and specialty organizations.

President Trump Releases FY 2020 Budget Proposal

March 15, 2019

The White House March 11 released portions of A Budget for A Better America, the president’s fiscal year (FY) 2020 budget proposal, with additional details expected the week of March 18.

AAMC Submits Comments to HRSA on Bureau of Health Workforce Performance Data Collection

December 20, 2018

The AAMC Dec. 17 submitted a letter to the Health Resources and Services Administration (HRSA) on the agency’s request for information regarding the Bureau of Health Workforce Performance Data Collection. The purpose of the proposed data collection is to continue the analysis and reporting of awardee training activities and educational programs, identify intended practice locations, and report outcomes of funded initiatives.

Health Equity and Accountability Act Introduced in the Senate

December 7, 2018

Senator Mazie Hirono (D-Hawaii) Nov. 27 introduced the Health Equity and Accountability Act (HEAA, S. 3660). The HEAA addresses health care disparities experienced by communities of color, rural communities, and other underserved populations by improving culturally appropriate care and data collection and reporting.

Understanding GME

Federal Funding for Health Workforce Training

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Responding to the Opioid Epidemic

Opioid Workforce Act of 2018 Ad

While all doctors are trained to treat pain and addiction, specialists in particular fields are critical to address the opioid epidemic in rural and urban communities alike. The Opioid Workforce Act of 2018 would provide federal support to train those specialists.

On Government Affairs

Testimony and Correspondence