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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 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.

HHS OIG Issues Report on CMS’s Policies and Procedures on Medicare GME Reimbursement Compliance

November 9, 2018

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) Nov. 1 issued a report on whether the Centers for Medicare and Medicaid Services (CMS) adequately ensures that hospitals comply with Medicare graduate medical education (GME) requirements.

HRSA Requests Comments on Burden of CHGME Quality Bonus System Documentation Requirements

October 26, 2018

The Health Resources and Services Administration (HRSA) Oct. 23 announced a request for public comment on its estimate of the annual burden on hospitals to comply with documentation submission requirements as part of the Children’s Hospitals Graduate Medical Education (CHGME) Quality Bonus System (QBS). 

MedPAC Discusses Tracking Opioid Use in the Hospital Setting, Non-Urgent Care and Upcoding in Hospital Emergency Departments, and Other Topics

October 5, 2018

The Medicare Payment Advisory Commission (MedPAC) met Oct. 4-5 to discuss several issues, including the use of opioids in the hospital setting and analysis regarding the care and coding practices for services delivered in hospital emergency departments (ED). The commission also held a discussion on how to address the primary care physician shortage [see related story].

Understanding GME

Federal Funding for Health Workforce Training

View the motion graphic videos:

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