Mason Pamela K
University of Virginia, Box 800158, Charlottesville, VA, 22908, USA.
J Interv Card Electrophysiol. 2019 Nov;56(2):143-150. doi: 10.1007/s10840-018-0406-3. Epub 2018 Aug 16.
The system for graduate medical education (GME) in the USA is vital to maintaining a well-trained physician population to meet the needs of the nation. The funding of this system over the last several decades has been complicated, and the government's role in funding GME is controversial. In this paper, the current mechanisms for funding residency and fellowship training are outlined as well as proposed changes to system. The current system has made funding electrophysiology training difficult, and the proposed changes have profound implications. It is important for the electrophysiology community to be educated and advocate for electrophysiology fellowship training such that Americans continue to have appropriate access to arrhythmia care.
美国的毕业后医学教育（GME）系统对于维持训练有素的医生群体以满足国家需求至关重要。在过去几十年里，该系统的资金投入情况复杂，政府在GME资金投入方面的作用存在争议。本文概述了目前住院医师和专科培训的资金投入机制以及对该系统的拟议变革。现行系统使得电生理培训的资金投入变得困难，而拟议的变革具有深远影响。对电生理学界而言，接受相关教育并倡导电生理专科培训非常重要，这样美国人才能继续获得适当的心律失常护理。
