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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. 


Federal Court Grants Provisional Relief for Current DACA Awardees

January 12, 2018

In a case brought by the Regents of the University of California against the Department of Homeland Security challenging the Trump Administration’s decision to end the Deferred Action for Childhood Arrivals (DACA) program, the Northern District of California Jan. 9 granted Plaintiffs’ motion for provisional relief, ordering the federal government to maintain DACA on a nationwide basis as it operated on Sept. 5, 2017 (the date of its rescission), with several exceptions.


AAMC Submits Comment Letter to HRSA on CHGME Quality Bonus System

December 15, 2017

he AAMC submitted a Dec.15 comment letter to the Health Resources and Services Administration (HRSA) in response to a request for comment on the proposed establishment of a quality bonus system within the Children’s Hospital GME Program (CHGME). 


Senate VA Committee Approves VA Choice Reform Bill, Preserves Academic Affiliations

December 7, 2017

The Senate Committee on Veterans Affairs Sept. 29 approved the Caring for Our Veterans Act of 2017 (S. 2193), sending the measure to the full Senate for consideration.


House VA Panel Examines Choice 2.0, VA GME Expansion

October 27, 2017

The House Committee on Veterans Affairs held an Oct. 24 hearing on pending draft legislation to reform how veterans access care at non-Department of Veterans Affairs (VA) facilities. VA Secretary David Shulkin, MD, also testified regarding a VA proposal released Oct. 16, titled the “Veteran Coordinated Access and Rewarding Experiences (CARE) Act.”


HRSA Seeks Comments on CHGME Quality Bonus System

October 20, 2017

The Health Resources and Services Administration (HRSA) issued an Oct. 16 request for comments on how to implement a Quality Bonus System as part of the Children’s Hospitals Graduate Medical Education (CHGME) system, as authorized under the Children’s Hospitals GME Support Reauthorization Act of 2013 (S. 1557).


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