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The Role of GME Funding in Addressing the Physician Shortage

The United States is facing a serious shortage of physicians, largely due to the growth and aging of the population and the impending retirements of older physicians. While medical schools continue to increase enrollment, the number of residency trainings effectively has not increased — thanks to the 1997 cap on Medicare support for graduate medical education (GME). 

Fixing the doctor shortage requires a multipronged approach, including innovations such as team-based care and better use of technology. It also needs to include lifting the cap on federally funded residency training positions. While not every residency training is funded through Medicare, cuts to it and other clinical reimbursements jeopardize the ability of teaching hospitals to cross-subsidize with clinical revenue. 

In addition, the AAMC supports non-GME incentives and programs, including Conrad 30, the National Health Service Corps and Public Service Loan Forgiveness, and Title VII/VIII, which are used to recruit a diverse workforce and encourage physicians to practice in shortage specialties and underserved communities. 

Doctor shortages pose a real risk to patients. A study conducted for the AAMC by IHS Inc., predicts that by 2030, the United States will face a shortage of between 42,600 and 121,300 physicians. This includes primary care, as well as specialty care — where the shortage is expected to be particularly large.

Legislation to Address the Physician Shortage

Addressing the doctor shortage requires a multi-pronged approach, including increasing federal support for GME, which has remained effectively frozen since 1997. The AAMC supports the Resident Physician Shortage Reduction Act of 2019 (S. 348, H.R. 1763), which would add 15,000 residency slots over five years.

Download the Senate version (PDF)

Download the House version (PDF)

The Opioid Workforce Act of 2019 (H.R. 3414, S. 2892) would provide Medicare support for an additional 1,000 GME positions over the next five years in hospitals that have, or are in the process of establishing, accredited residency programs in specialties needed to respond to the opioid epidemic.

Download the Opioid Workforce Act (PDF)

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Supporting the Next Generation as the Physician Shortage Becomes Reality

As the physician shortage looms, we must do everything we can to prepare medical students and residents for the future of practice.
April 24, 2018

State Physician Workforce Data Report

This report provides state-specific statistics on active physicians, MD and DO students, residents, and fellows.

Looming Doctor Shortage Could Impact Patient Care

A multipronged solution would include more residency positions, innovation in health care delivery, and greater use of technology, experts say.
April 3, 2018

Robust Health Professions Pipeline Leads to Improved Public Health, Patient Care

A shortage of up to 104,900 physicians by 2030 underscores the need for a diverse health care workforce. What is being done right now to address the issue.
December 7, 2017

Transition to Residency (T2R)

Learn more about the AAMC tools aimed at helping students transition to residency.

Myths and Facts: The Physician Shortage

Download a flyer (PDF) explaining some of the key points about the physician shortage. 

Understand the Issues and the Policies

Webinar: How GME payment works