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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. 


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.


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.


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