Pediatrics. 2001 Apr;107(4):785-9. doi: 10.1542/peds.107.4.785.
This statement reviews the current system of funding for graduate medical education (GME) in the United States and evaluates the potential of alternative GME funding mechanisms, including a portable authorization system, to meet future pediatric workforce needs. It addresses key issues relating to the financing of GME: Medicare direct medical education (DME) and indirect medical education adjustment (IMEA) payments, an all-payer GME trust fund, and a market mechanism to distribute GME funds for both core pediatric and pediatric subspecialty education. In a concluding series of recommendations, the statement calls for changes to the current system of GME funding to ensure the production of a pediatrician workforce that will be able to meet the future needs of infants, children, adolescents, and young adults.
本声明回顾了美国目前的毕业后医学教育(GME)资助体系,并评估了包括便携式授权系统在内的替代性GME资助机制满足未来儿科劳动力需求的潜力。它阐述了与GME融资相关的关键问题:医疗保险直接医学教育(DME)和间接医学教育调整(IMEA)支付、全民GME信托基金,以及一种用于分配核心儿科和儿科亚专科教育GME资金的市场机制。在一系列最后的建议中,该声明呼吁对当前的GME资助体系进行改革,以确保培养出能够满足婴儿、儿童、青少年和青年未来需求的儿科医生队伍。