研究生医学教育资助机制、挑战及解决方案：叙述性综述。
Graduate medical education funding mechanisms, challenges, and solutions: A narrative review.
机构信息
Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Department of Surgery, Veterans Affairs Boston Healthcare System, Boston, MA, USA; Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
出版信息
Am J Surg. 2021 Jan;221(1):65-71. doi: 10.1016/j.amjsurg.2020.06.007. Epub 2020 Jun 23.
BACKGROUND
With increased attention on the federal budget deficit, graduate medical education (GME) funding has in particular been targeted as a potential source of cost reduction. Reduced GME funding can further deteriorate the compensation of physicians during their residency training.
METHODS
In order to understand the GME funding mechanisms and current challenges, as well as the value of the work accomplished by residents, we searched peer-reviewed, English language studies published between 2000 and 2019.
RESULTS
Direct and indirect GME funding is intended to support resident reimbursement and the higher costs associated with supporting a teaching program. However, policy efforts have aimed to reduce federal funding for GME. Furthermore, evidence suggests that residents are inadequately compensated because their salaries do not reflect the number of hours worked and are not comparable to those of other medical staff.
CONCLUSIONS
Our review suggests that creative solutions are needed to diversify GME funding and improve resident compensation.
背景
随着对联邦预算赤字的关注度增加，研究生医学教育（GME）的资金特别被视为降低成本的潜在来源。减少 GME 资金可能会进一步恶化住院医师培训期间医生的薪酬。
方法
为了了解 GME 的资金机制和当前的挑战，以及住院医师完成的工作的价值，我们搜索了 2000 年至 2019 年期间发表的同行评审的英文研究。
结果
直接和间接的 GME 资金旨在支持住院医师的报销和支持教学计划相关的更高成本。然而，政策努力旨在减少联邦对 GME 的资助。此外，有证据表明，住院医师的薪酬过低，因为他们的工资没有反映工作时间的长短，也不能与其他医务人员的薪酬相比。
结论
我们的综述表明，需要创造性的解决方案来使 GME 资金多样化并提高住院医师的薪酬。
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