This was successfully posted to your pofile.
This box will close automatically in a few seconds. Close this window
We don't have an e-mail address on file for you. To use AAFP Connection, you must have an e-mail address in our records. Click Here
House Bill Sets Up Pilot Project for Distributing GME Funds
Legislation Would Support Primary Care Training Where It Is Delivered
By News Staff
According to AAFP President Glen Stream, M.D., M.B.I., of Spokane, Wash., Medicare GME funding currently is funneled solely through hospitals. But that model does not compensate for many of the costs of training in nonhospital settings, which is where most primary care services are provided and where primary care residents need to spend the bulk of their training time.
- The AAFP and other physician groups are applauding the introduction of a House bill that would establish a pilot project to test and support primary care training models in nonhospital settings.
- The bill would send funds for graduate medical education directly to the entities where medical students are being trained, including the community settings where most primary care physicians receive training.
Although the legislation was only introduced on Dec. 15, it already has picked up key support. The CAFM, which consists of the Society of Teachers of Family Medicine, or STFM; the Association of Family Medicine Residency Directors; the Association of Departments of Family Medicine; and the North American Primary Care Research Group, is supporting the bill, as are the National Rural Health Association and a medical education partnership representing Washington, Wyoming, Alaska, Montana and Idaho.
According to Stream, "funding for physician training directly influences the types of physicians we produce as a nation. The current system doesn't foster production of primary care physicians. That's why this legislation is so important to Americans' future access to the care they need."
STFM President Jeri Hepworth, Ph.D., agreed with Stream's statement, saying, "This pilot temporarily shifts funding to entities whose sole mission is the education and training of primary care physicians. That means the educational focus will be on prevention, care coordination, implementation of the patient-centered medical home and meeting the ongoing health care needs of families, as opposed to responding to acute episodes that require costly hospitalization."
The bill would establish a five-year pilot to test four models whose principal mission is the education and training of primary care physicians. The models identified for testing are
- a community entity working with two or more hospitals,
- two hospitals working together to develop a primary care program,
- a hospital subsidiary or independent corporation working with the community to further primary care, and
- a medical school or university collaborating with a hospital.
Macy Foundation Report
Sweeping Overhaul of Content, Format Is Needed to Ensure Future of GME