What can Congress do to improve the current graduate medical education (GME) system in the United States?
Greater flexibility in the laws and regulations governing graduate medical education is essential to increasing the primary care workforce. Our nation’s GME system is burdened by a Medicare payment system that fails to recognize the value of didactic experiences, the provision of training opportunities in non-hospital settings, and voluntary physician supervision of medical residents. While medical residency programs are characterized by simultaneous educational and clinical training, Medicare Direct Graduate Medical Education (DGME) and Indirect Medical Education (IME) payments do not account presently for the resources expended by institutions on voluntary or didactic instruction. We urge Congress to enact legislation that would permit GME and IME reimbursement for educational activities that occur in the hospital as well as non-hospital clinical settings. Congress should also adopt policies that would allow hospitals to count the time residents spend training and providing patient c
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