Addressing the Nation’s Physician Workforce Needs: The Society of General Internal Medicine (SGIM) Recommendations on Graduate Medical Education Reform

Angela Jackson, Robert B. Baron, Jeffrey Jaeger, Mark Liebow, Margaret Plews-Ogan, Mark D. Schwartz

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

The Graduate Medical Education (GME) system in the United States (US) has garnered worldwide respect, graduating over 25,000 new physicians from over 8,000 residency and fellowship programs annually. GME is the portal of entry to medical practice and licensure in the US, and the pathway through which resident physicians develop the competence to practice independently and further develop their career plans. The number and specialty distribution of available GME positions shapes the overall composition of our national workforce; however, GME is failing to provide appropriate programs that support the delivery of our society’s system of healthcare. This paper, prepared by the Health Policy Education Subcommittee of the Society of General Internal Medicine (SGIM) and unanimously endorsed by SGIM’s Council, outlines a set of recommendations on how to reform the GME system to best prepare a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of our nation’s healthcare delivery system. These recommendations include: accurate workforce needs assessment, broadened GME funding sources, increased transparency of the use of GME dollars, and implementation of incentives to increase the accountability of GME-funded programs for the preparation and specialty selection of their program graduates.

Original languageEnglish (US)
Pages (from-to)1546-1551
Number of pages6
JournalJournal of general internal medicine
Volume29
Issue number11
DOIs
StatePublished - Jan 1 2014

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Keywords

  • graduate medical education
  • healthcare delivery system
  • training
  • workforce

ASJC Scopus subject areas

  • Internal Medicine

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