Graduate Medical Education
Support GME Funding
Encourage your representatives to support new funding models for primary care physicians.
With the creation of the Medicare program in 1965, a funding stream was established to support the training of medical residents in support of Medicare beneficiary care. Today, Medicare remains the single largest payer of graduate medical education (GME), with expenditures totaling about $9.5 billion annually.
Despite the importance of GME funding in helping to avert a physician shortage, budgetary concerns have led some in Congress to propose major reductions in GME expenditures. Critics question the overall value of the program, and concerns have been raised regarding a lack of accountability for educational funds provided exclusively to hospitals.
The AAFP recognizes the financial pressures facing the federal government and concurs that the GME program must be modernized to keep pace with an ongoing shift in care delivery away from hospitals. Nonetheless, the AAFP has repeatedly urged Congress to prevent cuts to this essential program.
In the event that cuts occur due to sequestration, however, AAFP has recommended that:
- Reductions be prioritized and targeted to avoid a disproportionate impact on the primary care workforce;
- Special protections be established for primary care training;
- Innovative new models for the distribution of Medicare GME funding be developed, tested and, if successful, implemented.
The AAFP has helped draft legislation to create a budget-neutral pilot project for testing locally based, alternative approaches to GME funding distribution for primary care training. We will continue to remain actively engaged in this issue to help ensure that our country is adequately prepared to meet the demands of health care in the years ahead.
- Summary on Graduate Medical Education - January 10, 2013(2 page PDF)
- Modernizing Primary Care Graduate Medical Education - January 10, 2013(2 page PDF)
- Joint Letter to Congress on Negative Impact of Budget Sequester - September 12, 2012(3 page PDF)
- Graduate Medical Education Backgrounder; Students and Residents - July 26, 2011(2 page PDF)
- Talking Points on Pilot to Test Modernization of Primary Care GME - November 30, 2010(3 page PDF)
- Education and Training: Family Physicians versus Nurse Practitioners - November 8, 2010(2 page PDF)
- Education and Training: Family Physicians versus Doctors of Nursing Practice - November 8, 2010(2 page PDF)
- Education and Training: Family Physicians versus Naturopaths - November 8, 2010(2 page PDF)
- Transforming Graduate Medical Education - October 3, 2009(4 page PDF)
- Educating Family Physicians - June 2007(3 page PDF)
- Medical School Expansion - June 2007(6 page PDF)
- Education, Training, and Recruitment of Family Physicians - June 2007(2 page PDF)
- Joint Letter to Senate on Teaching Health Centers - November 18, 2013(2 page PDF)
- Joint Letter to HRSA on Teaching Health Center Graduate Medical Education (THCGME) Program Eligible Resident/Full-Time Equivalent (FTE) Chart - August 29, 2013(2 page PDF)
- CAFM and AAFP Letter to HRSA on Evaluation and Initial Assessment of HRSA Teaching Health Centers - August 8, 2013(2 page PDF)
- CAFM Letter to CMS on Graduate Medical Education Provisions Within 2014 Proposed IPPS Regulation - June 24, 2013(4 page PDF)
- Letter to CMS Expressing Concern with the Graduate Nurse Education Demonstration - April 4, 2012(2 page PDF)
- CAFM and AAFP Letter to CMS on Proposed 2013 IPPS/GME Regulation - October 3, 2011(3 page PDF)
- Letter to the Joint Select Committee Regarding Deficit Reduction(2 page PDF)
- Letter to the President, House and Senate Regarding Primary Care GME - July 27, 2011(4 page PDF)
- CAFM and AAFP Letter to CMS on Primary Care Exception - July 26, 2011(2 page PDF)
- PPCW Letter to the President Regarding Access to Quality and Cost Effective Health Care for All Americans - July 12, 2011(2 page PDF)
- Letter to President Obama Regarding GME - June 27, 2011(4 page PDF)
- Letter to the IOM Regarding Their Continuous Assessment and Improvement Study - June 23, 2011(3 page PDF)
- Letter to House Opposing Repeal of Mandatory THC Funding - May 24, 2011(2 page PDF)
- AFMAC Letter to President Obama Regarding FY12 Budget - March 7, 2011(3 page PDF)
- Joint Letter to CMS on GME Proposed Rule - August 31, 2010(5 page PDF)
- Letter in Response to Senate HELP Committee Regarding the Affordable Health Choices Act - June 22, 2009(14 page PDF)
- Joint Letter from AAFP and AFMAA to CMS Objecting to the Proposed Rule that would End GME Payments for Medcaid - June 22, 2007(24 page PDF)
- Testimony to Senate HELP Committee's Subcommittee on Primary Care and Aging on Primary Care Access - January 29, 2013
- Testimony to the House Appropriations Committee on FY 2012 Priorities - April 15, 2011(4 page PDF)
- Testimony to House Regarding the Challenge for Small Medical Practices - July 8, 2009(9 page PDF)