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Am J Surg. 2017 Jul 19. pii: S0002-9610(17)30727-4. doi: 10.1016/j.amjsurg.2017.07.010. [Epub ahead of print]

Model for prioritization of Graduate Medical Education funding at a university setting - Engagement of GME committee with the Clinical Enterprise.

Author information

1
Department of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198, USA. Electronic address: care@unmc.edu.
2
Department of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
3
Emory University School of Medicine, Atlanta, GA, 30322, USA.
4
Office of Graduate Medical Education, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
5
Department of Radiology, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
6
Division of Diabetes, Endocrinology and Metabolism, Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
7
Department of Family Medicine, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
8
Department of Internal Medicine- Pediatrics, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
9
Department of Anesthesiology, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
10
Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
11
Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
12
University of Nebraska Medical Center, Omaha, NE, 68198, USA.
13
Department of Emergency Medicine, University of Nebraska Medical Center, Omaha, NE, 68198, USA.

Abstract

BACKGROUND:

Funding for graduate medical education (GME) is becoming scarce and is likely to worsen. There is a higher degree of accountability and return on investment demanded from public funds dedicated to GME. Academic centers (AC) partnered with clinical enterprises (CE) are finding it increasingly difficult to retain sustainable funding streams for GME activities.

METHODS:

To develop and implement a novel algorithmic funding model at one AC in symbiotic partnership with the CE for all 50 GME programs with nearly 500 residents.

RESULTS:

A new GME Finance and Workforce Committee was convened which was tasked with developing the novel algorithmic financial model to prioritize GME funding. Early outcomes measures that were monitored consisted of: satisfaction of all stakeholders and financial savings.

CONCLUSIONS:

The model was presented to all the stakeholders and was well received and approved. Early signs, demonstrated AC and CE satisfaction with the model, financial savings and increased efficiency. This GME funding model may serve as a template for other academic centers with tailored modifications to suit their local needs, demands and constraints.

KEYWORDS:

Funding; Graduate Medical Education; Novel funding model

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