Journal article
Proposed Performance-Based Metrics for the Future Funding of Graduate Medical Education: Starting the Conversation
Academic medicine, v 93(7), pp 1002-1013
01 Jul 2018
PMID: 29239903
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Graduate medical education (GME) in the United States is financed by contributions from both federal and state entities that total over $15 billion annually. Within institutions, these funds are distributed with limited transparency to achieve ill-defined outcomes. To address this, the Institute of Medicine convened a committee on the governance and financing of GME to recommend finance reform that would promote a physician training system that meets society's current and future needs. The resulting report provided several recommendations regarding the oversight and mechanisms of GME funding, including implementation of performance-based GME payments, but did not provide specific details about the content and development of metrics for these payments. To initiate a national conversation about performance-based GME funding, the authors asked: What should GME be held accountable for in exchange for public funding? In answer to this question, the authors propose 17 potential performance-based metrics for GME funding that could inform future funding decisions. Eight of the metrics are described as exemplars to add context and to help readers obtain a deeper understanding of the inherent complexities of performance-based GME funding. The authors also describe considerations and precautions for metric implementation.
Metrics
Details
- Title
- Proposed Performance-Based Metrics for the Future Funding of Graduate Medical Education: Starting the Conversation
- Creators
- Kelly J. Caverzagie - University of Nebraska at OmahaSusan W. Lane - Stony Brook MedicineNiraj Sharma - Brigham and Women's HospitalJohn Donnelly - Christiana Care Health SystemJeffrey R. Jaeger - University of PennsylvaniaHeather Laird-Fick - Michigan State UniversityJohn P. Moriarty - Yale UniversityDarilyn V. Moyer - American College of PhysiciansSara L. Wallach - St. Francis Medical CenterRichard M. Wardrop - University of North Carolina at Chapel HillAlwin F. Steinmann - Saint Joseph Hospital
- Publication Details
- Academic medicine, v 93(7), pp 1002-1013
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 12
- Grant note
- AAIM
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Web of Science ID
- WOS:000437245700020
- Scopus ID
- 2-s2.0-85052058056
- Other Identifier
- 991021962197104721
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Scientific Disciplines
- Health Care Sciences & Services