Toward graduate medical education (GME) accountability: Measuring the outcomes of GME institutions

Academic Medicine

Volumn 88, Issue 9, 2013, Pages 1267-1280

  Chen, Candice ^a   Petterson, Stephen ^b   Phillips, Robert L ^c   Mullan, Fitzhugh ^a   Bazemore, Andrew ^b   O'Donnell, Sarah D ^a  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

^b ROBERT GRAHAM CENTER   (United States)

^c American Board Family Medicine   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 84883653739     PISSN: 10402446     EISSN: 1938808X     Source Type: Journal    
DOI: 10.1097/ACM.0b013e31829a3ce9     Document Type: Article

References (44)

1. Dorner FH, Burr RM, Tucker SL The geographic relationships between physicians' residency sites and the locations of their first practices. Acad Med. 1991; 66:540-544.
2. Seifer SD, Vranizan K, Grumbach K. Graduate medical education and physician practice location. Implications for physician workforce policy. JAMA. 1995; 274:685-691.
3. Steele MT, Schwab RA, McNamara R.M., Watson WA Emergency medicine resident choice of practice location. Ann Emerg Med. 1998; 31:351-357. (Pubitemid 28135359)
4. Pathman DE, Steiner BD, Jones B.D., Konrad TR Preparing and retaining rural physicians through medical education. Acad Med. 1999; 74:810-820. (Pubitemid 29344146)
5. Brooks RG, Walsh M, Mardon R.E., Lewis M., Clawson A. The roles of nature and nurture in the recruitment and retention of primary care physicians in rural areas: A review of the literature. Acad Med. 2002; 77:790-798. (Pubitemid 36090438)
6. Morris CG, Johnson B, Kim S., Chen F. Training family physicians in community health centers: A health workforce solution. Fam Med. 2008; 40:271-276. (Pubitemid 351644487)
7. Reese VF, McCann JL, Bazemore A.W., Phillips RL Jr. Residency footprints: Assessing the impact of training programs on the local physician workforce and communities. Fam Med. 2008; 40:339-344. (Pubitemid 351679386)
8. Centers for Medicare and Medicaid Services. Cost reports. https://www.cms.gov/costreports/02-hospitalcostreport.asp. Accessed May 1, 2013.
9. Henderson TM. Medicaid Direct and Indirect Graduate Medical Education Payments: A 50-State Survey. Washington, DC: Association of American Medical Colleges; 2010. https://members.aamc.org/eweb/upload/Medicaid%20Direct- Indirect%20 GME%20Payments%20Survey%202010.pdf. Accessed May 1, 2013.
10. Wynn B, Guarino C, Morse L., Cho M. Alternative Ways of Financing Graduate Medical Education. Santa Monica, Calif: RAND Health; 2006. http://aspe.dhhs.gov/health/reports/06/AltGradMedicalEdu/report.pdf. Accessed May 1, 2013.
11. Cooper RA, Getzen TE, McKee H.J., Laud P. Economic and demographic trends signal an impending physician shortage. Health Aff (Millwood). 2002; 21:140-154.
12. Doescher M.P., Fordyce MA, Skillman S.M., Jackson JE, Rosenblatt RA Persistent Primary Care Health Professional Shortage Areas (HPSAs) and Health Care Access in Rural America. Seattle, Wash: WWAMI Rural Health Research Center; 2009. http://depts. washington.edu/uwrhrc/uploads/Persistent-HPSAs-PB.pdf. Accessed May 1, 2013.
13. Williams TE J.r., Satiani B, Thomas A., Ellison EC The impending shortage and the estimated cost of training the future surgical workforce. Ann Surg. 2009; 250:590-597.
14. Lynge DC, Larson EH, Thompson M.J., Rosenblatt RA, Hart LG A longitudinal analysis of the general surgery workforce in the United States, 1981-2005. Arch Surg. 2008; 143:345-350. (Pubitemid 351574852)
15. Thomas CR, Holzer CE 3rd. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry. 2006; 45:1023-1031. (Pubitemid 44348741)
16. U.S. Department of Health Services Health Resources and Services Administration Bureau of Health Professions. The Physician Workforce: Projections and Research Into Current Issues Affecting Supply and Demand. Washington, DC: Health Resources and Services Administration; 2008. http://bhpr.hrsa.gov/healthworkforce/reports/physwfissues.pdf. Accessed May 1, 2013.
17. U.S. Department of Health Services Health Resources and Services Administration Bureau of Health Professions. Physician Supply and Demand: Projections to 2020. Washington, DC: Health Resources and Services Administration; 2006. http://www.achi.net/HCR%20Docs/2011HCRWorkforceResources/ Physician%20Supply%20and%20 Demand-2020%20kl.pdf. Accessed May 1, 2013.
18. Association of American Medical Colleges Center for Workforce Studies. The Complexities of Physician Supply and Demand: Projections Through 2025. Washington, DC: Association of American Medical Colleges; 2008. https://members.aamc.org/eweb/upload/The%20 Complexities%20of%20Physician%20Supply.pdf. Accessed May 1, 2013.
19. Chang CH, Stukel TA, Flood A.B., Goodman DC Primary care physician workforce and Medicare beneficiaries' health outcomes. JAMA. 2011; 305:2096-2104.
20. Jerant A, Fenton JJ, Franks P. Primary care attributes and mortality: A national person-level study. Ann Fam Med. 2012; 10:34-41.
21. Starfeld B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005; 83:457-502. (Pubitemid 41551756)
22. Fisher ES, Wennberg DE, Stukel T.A., Gottlieb DJ, Lucas FL, Pinder EL The implications of regional variations in Medicare spending. Part 1: The content, quality, and accessibility of care. Ann Intern Med. 2003; 138:273-287.
23. Coggeshall LT. Planning for Medical Progress Through Education. Washington, DC: Association of American Medical Colleges; 1965.
24. Institute of Medicine. Primary Care Physicians: Financing Their Graduate Medical Education in Ambulatory Settings. Washington, DC: Institute of Medicine; 1989. http://iom.edu/Reports/1989/Primary-Care-Physicians-Financing-Their- Graduate-Medical-Education-in-Ambulatory-Settings.aspx. Accessed May 1, 2013.
25. Council on Graduate Medical Education. Advancing Primary Care. Washington, DC: Health Resources and Services Administration; 2010. http://www.hrsa.gov/advisorycommittees/bhpradvisory/cogme/Reports/ twentiethreport.pdf. Accessed May 1, 2013.
26. Josiah Macy Jr. Foundation. Ensuring an Effective Physician Workforce for America: Recommendations for an Accountable Graduate Medical Education System. New York, NY: Josiah Macy Jr. Foundation; 2011. http://www.josiahmacyfoundation. org/docs/macy-pubs/Effective-Physician-Workforce-Conf-Book.pdf. Accessed November May 1, 2013.
27. Medicare Payment Advisory Commission. Report to the Congress: Aligning Incentives in Medicare. Washington, DC: Medicare Payment and Advisory Commission; 2010. http://www.medpac.gov/documents/jun10-entirereport.pdf. Accessed May 1, 2013.
28. Pub L No. 111-148, 152.
29. Hofer AN, Abraham JM, Moscovice I. Expansion of coverage under the Patient Protection and Affordable Care Act and primary care utilization. Milbank Q. 2011; 89:69-89.
30. Kirch DG, Henderson MK, Dill MJ Physician workforce projections in an era of health care reform. Annu Rev Med. 2012; 63:435-445.
31. Mullan F, Chen C, Petterson S., Kolsky G, Spagnola M. The social mission of medical education: Ranking the schools. Ann Intern Med. 2010; 152:804-811.
32. Brotherton SE, Etzel SI Graduate medical education, 2010-2011. JAMA. 2011; 306:1015-1030.
33. Miller RS. Senior vice president of applications and data analysis, Accreditation Council for Graduate Medical Education. Personal communication with R. Phillips, April 6, 2011.
34. Accreditation Council for Graduate Medical Education. Glossary of Terms. http://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/ ab-ACGMEglossary.pdf. Accessed May 1, 2013.
35. Centers for Medicare and Medicaid Services. NPI Files. http://nppes.viva-it.com/NPI-Files.html. Accessed May 1, 2013.
36. United States Department of Agriculture. Measuring rurality: Rural-urban continuum codes. http://www.ers.usda.gov/Briefing/Rurality/RuralUrbCon/. Accessed May 1, 2013.
37. Health Resources and Services Administration. Data Warehouse. http://datawarehouse.hrsa.gov/. Accessed May 1, 2013.
38. Berry M. Office of Shortage Designation, Health Resources and Services Administration. Personal communication with R. Phillips, September 2, 2010.
39. Centers for Medicare and Medicaid Services. Cost Reports by Fiscal Year: 2012. https://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/ CostReports/Cost-Reports-by-Fiscal-Year.html. Accessed May 1, 2013.
40. Accreditation Council for Graduate Medical Education. ACGME Program Requirements for Graduate Medical Education in Internal Medicine. http://www.acgme.org/acgmeweb/Portals/0/PFAssets/ProgramRequirements/ 140-internal-medicine-07012009.pdf. Accessed May 1, 2013.
41. Geiger Gibson/RCHN Community Health Foundation Research Collaborative. Policy Research Brief No. 19: Strengthening Primary Care to Bend the Cost Curve: The Expansion of Community Health Center Through Health Reform. http://sphhs.gwu.edu/departments/healthpolicy/dhp-publications/pub-uploads/ dhpPublication-895A7FC0-5056-9D20-3DDB8A6567031078.pdf. Accessed May 1, 2013.
42. Freed GL, Nahra TA, Wheeler JR; Research Advisory Committee of American Board of Pediatrics. Counting physicians: Inconsistencies in a commonly used source for workforce analysis. Acad Med. 2006; 81:847-852. (Pubitemid 44319129)
43. Grumbach K, Becker SH, Osborn E.H., Bindman AB The challenge of defining and counting generalist physicians: An analysis of Physician Masterfile data. Am J Public Health. 1995; 85:1402-1407.
44. Konrad TR, Slifkin RT, Stevens C, Miller J. Using the American Medical Association physician masterfile to measure physician supply in small towns. J Rural Health. 2000; 16:162-167. (Pubitemid 30627012)