Details

Autor(en) / Beteiligte

• Caverzagie, Kelly J
• Lane, Susan W
• Sharma, Niraj
• Donnelly, John
• Jaeger, Jeffrey R
• Laird-Fick, Heather
• Moriarty, John P
• Moyer, Darilyn V
• Wallach, Sara L
• Wardrop, Richard M
• Steinmann, Alwin F

Titel

Proposed Performance-Based Metrics for the Future Funding of Graduate Medical Education: Starting the Conversation

Ist Teil von

• Academic medicine, 2018-07, Vol.93 (7), p.1002-1013

Ort / Verlag

United States: by the Association of American Medical Colleges

Erscheinungsjahr

2018

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• 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 askedWhat 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.