ERIC Number: ED342328
Record Type: Non-Journal
Publication Date: 1989
Primary Care Physicians: Financing Their Graduate Medical Education in Ambulatory Settings. A Report of a Study by a Committee of the Institute of Medicine, Division of Health Care Services.
Institute of Medicine (NAS), Washington, DC.
This report is the result of a study by a committee charged with developing strategies for financing graduate medical education (GME) for primary care (general internal medicine, general pediatrics, and family practice) practitioners in ambulatory settings. Historically, systems of financing for most physicians in GME have favored inpatient and specialty education, making it difficult for primary care practitioner students to receive increased training in ambulatory settings. The study consisted of two meetings; at the first meeting, a program for a workshop was developed. At the second meeting, the workshop was implemented (April 18-19, 1989), with over 50 participants. The resulting recommendations are presented in the report's three chapters. The first, "Concerns about Primary Care Residency Training," outlines concerns about the production of primary care physicians to meet the nation's future requirements. Chapter 2 is titled "Costs and Revenues for Primary Care Residencies in Ambulatory Settings." Chapter 3, "Options and Recommendations for Financing Graduate Medical Education for Primary Care Physicians in Ambulatory Care Settings," lays out the committee's recommendations and discusses existing barriers to financing and criteria for evaluating policy options. Appendix A contains the workshop program and proceedings. Appendix B contains four additional papers commissioned by the group: "The Cost of Graduate Medical Education in Outpatient Settings" (Judith R. Lave); "Financing of Medical and Graduate Medical Education: Issues in Primary Care Education Support" (Ruth S. Hanft); "Financing Graduate Medical Education in Primary Care: Options for Change (Sandra C. Peinado and John M. Eisenberg); and "Financing Primary Care Residency Training: Examples and Lessons from Successful Programs" (Robert A. Walkington). (JB)
Descriptors: Educational Finance, Financial Policy, Financial Problems, Futures (of Society), Graduate Medical Education, Health Services, Higher Education, Income, Policy Formation, Primary Health Care, Program Costs, Student Costs
National Academy Press, 2101 Constitution Avenue, N.W., Washington, DC 20418 ($33.00).
Publication Type: Reports - Research
Education Level: N/A
Sponsor: Josiah Macy, Jr. Foundation, New York, NY.; Health Resources and Services Administration (DHHS/PHS), Rockville, MD. Bureau of Health Professions.
Authoring Institution: Institute of Medicine (NAS), Washington, DC.