On July 29, 2014, the Institute of Medicine of the National Academies (IOM) released a report on Graduate Medical Education (GME), entitled Graduate Medical Education That Meets the Nation’s Health Needs. The 2001 IOM report, Crossing the Quality Chasm: A New Health System for the 21st Century, sparked debate and policy changes on health care quality that initiated changes in the law and payment structures relating to the health care system. There is every reason to believe that the GME report will have a similar impact on academic medical centers and teaching hospitals.
The report is the result of an independent review of the governance and financing of the graduate medical education system in the United States.
The 21 member IOM committee found that despite billions of public dollars being spent on GME since its inception in 1965 ($15 billion in 2012 alone, approximately $9.7 of which came from Medicare), there is minimal transparency or accountability in the GME financing system for producing the types of physicians that the nation needs. The committee calls for reforms in the way Medicare GME funds are allocated and increased oversight and accountability. Continue reading this entry