Department of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Department of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Am J Surg. 2018 Jul;216(1):147-154. doi: 10.1016/j.amjsurg.2017.07.010. Epub 2017 Jul 19.
Funding for graduate medical education (GME) is becoming scarce and is likely to worsen. There is a higher degree of accountability and return on investment demanded from public funds dedicated to GME. Academic centers (AC) partnered with clinical enterprises (CE) are finding it increasingly difficult to retain sustainable funding streams for GME activities.
To develop and implement a novel algorithmic funding model at one AC in symbiotic partnership with the CE for all 50 GME programs with nearly 500 residents.
A new GME Finance and Workforce Committee was convened which was tasked with developing the novel algorithmic financial model to prioritize GME funding. Early outcomes measures that were monitored consisted of: satisfaction of all stakeholders and financial savings.
The model was presented to all the stakeholders and was well received and approved. Early signs, demonstrated AC and CE satisfaction with the model, financial savings and increased efficiency. This GME funding model may serve as a template for other academic centers with tailored modifications to suit their local needs, demands and constraints.
研究生医学教育(GME)的资金越来越紧张,情况可能会恶化。用于 GME 的公共资金需要更高的问责制和投资回报。与临床企业(CE)合作的学术中心(AC)发现,为 GME 活动保留可持续的资金来源越来越困难。
在与 CE 共生合作的一个 AC 中,为 50 个 GME 项目中的近 500 名居民制定并实施一种新颖的算法资金模型。
成立了一个新的 GME 财务和劳动力委员会,负责制定新的算法财务模型来优先考虑 GME 资金。早期监测的结果包括:所有利益相关者的满意度和财务节省。
该模型已提交给所有利益相关者,并获得了好评和批准。早期迹象表明,AC 和 CE 对该模型、财务节省和提高效率表示满意。这种 GME 资金模式可以作为其他学术中心的模板,根据当地的需求、要求和限制进行定制修改。