Graduate Medical Education

Graduate medical education (GME) funding provides financial support to teaching hospitals to help offset the costs of operating medical residency programs. Created in 1965, the GME funding stream was born out of the then newly-established Medicare program to ensure an adequate supply of physicians to meet the nation's health care needs. Today, it receives the vast majority of its funding from the Medicare and Medicaid programs.

Michigan's final Fiscal Year (FY) 2018 budget for the Department of Health and Human Services included level state funding for GME.

MiDOCS

Section 1870 of the Fiscal Year 2015 budget created the MiDocs GME consortium and appropriated $500,000 to legally create the consortium, obtain ACGME accreditation, develop new residency programs, and prepare a report on per-resident costs for medical training and clinical quality measures. Since then, the MiDOCS consortium has evolved into a formal effort spearheaded by Wayne State University and including four Michigan medical schools. MAFP will continue its role as a stakeholder as the consortium moves forward with its work. Click here to read more about the proposal.

GME Reform

Simply funding GME isn't enough. MAFP advocates for policies that effectively meet our state's workforce demands. As this 2013 peer-reviewed article in Academic Medicine, the journal of the Association of American Medical Colleges, suggests:

"The physician workforce is struggling to meet the nation’s health care needs, particularly in primary care and geographically underserved areas."

GME funding and reform consistently rank as a top advocacy priority for the MAFP. The MAFP Advocacy Committee and the GME Reform Workgroup monitor policy proposals and legislation, actively seeking opportunities to bring family medicine's voice to this important, ongoing debate.

Additional Resources