K.L. Tomei is associate professor of pediatric neurosurgery, Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, Ohio.
L.V. Selby is assistant professor of surgery, Department of Surgery, Division of Colorectal and Oncologic Surgery, University of Kansas Medical Center, Kansas City, Kansas; ORCID: https://orcid.org/0000-0002-0202-9646 .
Acad Med. 2022 Nov 1;97(11):1592-1596. doi: 10.1097/ACM.0000000000004792. Epub 2022 Jun 21.
Following medical school, most newly graduated physicians enter residency training. This period of graduate medical education (GME) is critical to creating a physician workforce with the specialized skills needed to care for the population. Completing GME training is also a requirement for obtaining medical licensure in all 50 states. Yet, crucial federal and state funding for GME is capped, creating a bottleneck in training an adequate physician workforce to meet future patient care needs. Thus, additional GME funding is needed to train more physicians. When considering this additional GME funding, it is imperative to take into account not only the future physician workforce but also the value added by residents to teaching hospitals and communities during their training. Residents positively affect patient care and health care delivery, providing intrinsic and often unmeasured value to patients, the hospital, the local community, the research enterprise, and undergraduate medical education. This added value is often overlooked in decisions regarding GME funding allocation. In this article, the authors underscore the value provided by residents to their training institutions and communities, with a focus on current and recent events, including the global COVID-19 pandemic and teaching hospital closures.
在医学院毕业后,大多数新毕业的医生进入住院医师培训阶段。这段研究生医学教育(GME)对于培养具有照顾人口所需专业技能的医生队伍至关重要。完成 GME 培训也是在全美 50 个州获得行医执照的要求。然而,GME 的关键联邦和州资金是有限的,这就造成了培训足够数量的医生以满足未来患者护理需求的瓶颈。因此,需要额外的 GME 资金来培训更多的医生。在考虑这笔额外的 GME 资金时,不仅必须考虑未来的医生队伍,还必须考虑住院医师在培训期间为教学医院和社区带来的附加值。住院医师对患者护理和医疗保健服务产生积极影响,为患者、医院、当地社区、研究企业和本科医学教育提供内在的、往往无法衡量的价值。在 GME 资金分配决策中,往往忽视了这种附加值。本文作者强调了住院医师为其培训机构和社区提供的价值,重点关注当前和最近发生的事件,包括全球 COVID-19 大流行和教学医院关闭。