The impact of health care economics on surgical education

Margolin, David A. (2012) The impact of health care economics on surgical education. Clinics in Colon and Rectal Surgery, 25 3: 177-180. doi:10.1055/s-0032-1322547

Author Margolin, David A.
Title The impact of health care economics on surgical education
Journal name Clinics in Colon and Rectal Surgery   Check publisher's open access policy
ISSN 1531-0043
Publication date 2012
Year available 2012
Sub-type Article (original research)
DOI 10.1055/s-0032-1322547
Open Access Status
Volume 25
Issue 3
Start page 177
End page 180
Total pages 4
Place of publication New York, NY United States
Publisher Thieme Medical Publishers
Collection year 2012
Language eng
Subject 2715 Gastroenterology
2746 Surgery
Abstract Just like the world economy in 2012, health care is in a state of flux. The current economic environment will impact not only current colorectal surgery residents, but also future generations of surgical trainees. To understand the economic impact of the current health care environment on colorectal surgery residencies, we need to know the basics of graduate medical education (GME) funding for all residents. Since the 1960s with the initiation of Medicare, the federal government through the Center for Medicare and Medicaid Services (CMS) has been the largest source of GME funding. There are two types of costs associated with GME. Direct GME (DME) funding covers costs directly attributed to the training of residents. These costs include residents' stipends, salaries, and benefits; cost of supervising faculty; direct program administration costs; overhead; and malpractice coverage. Indirect GME (IME) costs are payments to hospitals as an additional or add-on payment for the increased cost of care that is generally found in teaching hospitals. In 2010, President Barak Obama signed into law H.R. 3200, the Patient Protection and Affordable Care Act (PPACA). In 2011, the Supreme Court held that the majority of the PPACA is constitutional. Although the true impact of this bill is unknown, it will change the formula for Medicare GME reimbursement as well as shift unused residency positions to primary care.
Keyword Funding
GME costs
Graduate medical education
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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