Medical Education

Our need for physicians is growing, as mounting shortages threaten access to care.

In the Balanced Budget Act of 1997, Congress anticipated a surplus of physicians and capped the number of Medicare-funded physician training positions. The freeze has severely limited hospitals' ability to train the next generation of providers and has contributed to a shortage of physicians, especially in behavioral health, primary care and general surgery.

The AHA supports passage of legislation to increase the number of residency positions eligible for Medicare direct graduate medical education and indirect medical education support by 15,000 slots above the current cap, thereby helping to alleviate physician shortages that threaten patients’ access to care.

The purpose of GME funding is to ensure an adequate supply of well-trained physicians. However, the current cap on residency slots, established in the Balanced Budget Act of 1997, restricts the number of slots for which hospitals may receive direct GME funding. A cap also limits the number of residents that hospitals may include in their ratio of residents-to-beds, which affects IME payments.

This web page explains the need for additional Medicare-supported residency slots and contains resources.

Related Resources

Podcasts
The COVID-19 pandemic has brought about new challenges for health care providers including the way teams work together and communicate. The American Society of…
Case Studies
Public
New York faced unprecedented challenges in response to the COVID-19 pandemic. Learn about how SBH Health System managed the situation while also ensuring the…
Case Studies
Public
Statistics on physician suicide and burnout served as the impetus for ChristianaCare in Newark, Del., to create the Center for WorkLife Wellbeing, which builds…
Videos
Member Non-Fed
AHA members can watch a replay of the October 16 Town Hall webcast featuring Centers for Medicare & Medicaid Services Administrator Seema Verma. AHA…
Case Studies
Overview As physicians take on increasing levels of executive responsibility within hospitals, their skills need to evolve with their role. While caring for…
Letter/Comment
Public
AHA applauds the House Ways and Means Committee for considering legislation to improve the quality of and access to critical services for Medicare…