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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. 


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.


House VA Committee Examines Provider Recruitment

March 24, 2017

The House VA Health Subcommittee March 22 held a hearing titled Healthy Hiring: Enabling VA to Recruit and Retain Quality Providers.


House VA Committee Holds VA Community Care Hearing; Approves Health Bills

March 10, 2017

The House Committee on Veterans Affairs (VA) held a March 7 hearing titled, “Shaping the Future: Consolidating and Improving VA Community Care,” which focused on the VA Choice Program.


Academic Medicine Responds to Immigration Executive Order

February 3, 2017

President Trump Jan. 27 signed an executive order titled Protecting the Nation from Foreign Terrorist Entry into the United States. The executive order suspends for 90 days (i.e., until April 27, 2017) the “immigrant and nonimmigrant entry” of aliens “from” Iran, Iraq, Libya, Somalia, Sudan, Syria, and Yemen, or those who have traveled to such countries on or after March 1, 2011.


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