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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. 


USCIS Resumes H-1B Premium Processing for Conrad 30 Physicians

June 30, 2017

—The United States Citizenship and Immigration Services (USCIS) June 26 resumed H-1B premium processing for physicians entering the Conrad 30 program.


GAO Releases Report on Physician Workforce

June 30, 2017

—The Government Accountability Office (GAO) June 26 released its report, “Physician Workforce: Locations and Types of Graduate Training Were Largely Unchanged, and Federal Efforts May Not Be Sufficient to Meet Needs.”


AAMC, Academic Medicine Caucus Host Hill Briefing on VA Affiliations

June 23, 2017

On behalf of the Congressional Academic Medicine Caucus (CAMC), the AAMC hosted a June 20 congressional briefing titled VA and Academic Medicine: Partnering for Veterans’ Health. The briefing highlighted the role of the Department of Veterans Affairs’ (VA) affiliated medical schools and teaching hospitals across their three shared missions of patient care, education, and research, as well as how these partnerships ultimately benefit veterans and all Americans.


AAMC Commends Reps. Roe and Castor for Re-launching the Congressional Academic Medicine Caucus

May 12, 2017

AAMC President and CEO Darrell G. Kirch, MD, May 11 applauded Reps. Phil Roe, MD, (R-Tenn.) and Kathy Castor (D-Fla.) for re-launching the Congressional Academic Medicine Caucus (CAMC) and serving as its co-chairs.


Bipartisan GME Expansion Legislation Reintroduced in House

May 5, 2017

Representatives Joseph Crowley (D-N.Y.) and Ryan Costello (R-Pa.) May 1 introduced the “Resident Physician Shortage Reduction Act of 2017” (H.R. 2267), legislation aimed at quelling the looming physician shortage by increasing the number of Medicare-supported graduate medical education (GME) residency positions.


Understanding GME

Federal Funding for Health Workforce Training

View the motion graphic videos:




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