Governance and Financing of Graduate Medical Education

In October 2010, the Josiah Macy Jr. Foundation and the Association of Academic Health Centers co-sponsored a conference on the regulation, financing, and size of graduate medical education (GME). In May 2011, the Macy Foundation sponsored a follow-up conference focusing on the content and format of GME. Conference participants made several recommendations for reforming GME to ensure an effective physician workforce for the U.S. These recommendations included an independent review of GME by the Institute of Medicine (IOM). A bipartisan membership of the U.S. Senate has also encouraged the IOM to undertake such a review.

To conduct this study, IOM will appoint an 18-member committee with expertise in health care systems; health economics; medical, nursing, and other health professions education; and GME/workforce associated health care financing and accreditation at all levels. The committee will assess current regulation, financing, content, governance, and organization of U.S. GME and recommend how to modify GME to produce a physician workforce for a 21st century U.S. health care system that provides high quality preventive, acute, and chronic care, and meets the needs of an aging and more diverse population.

The IOM will also gather the viewpoints of stakeholders via workshops or extended public sessions associated with committee meetings.

A final report will be delivered in Spring 2014. Learn More.