Proposed performance-based metrics for the future funding of graduate medical education: Starting the conversation

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)1002-1013
Number of pages12
JournalAcademic Medicine
Volume93
Issue number7
DOIs
StatePublished - Jul 1 2018

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conversation
funding
graduate
performance
education
transparency
finance
physician
medicine
governance
reform
society

ASJC Scopus subject areas

  • Education

Cite this

Proposed performance-based metrics for the future funding of graduate medical education : Starting the conversation. / 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.

In: Academic Medicine, Vol. 93, No. 7, 01.07.2018, p. 1002-1013.

Research output: Contribution to journalArticle

Caverzagie, KJ, Lane, SW, Sharma, N, Donnelly, J, Jaeger, JR, Laird-Fick, H, Moriarty, JP, Moyer, DV, Wallach, SL, Wardrop, RM & Steinmann, AF 2018, 'Proposed performance-based metrics for the future funding of graduate medical education: Starting the conversation', Academic Medicine, vol. 93, no. 7, pp. 1002-1013. https://doi.org/10.1097/ACM.0000000000002096
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. / Proposed performance-based metrics for the future funding of graduate medical education : Starting the conversation. In: Academic Medicine. 2018 ; Vol. 93, No. 7. pp. 1002-1013.
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