American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Graduate Medical Education (GME)

In recent years, there has been increased interest in reforming the way our country pays for Graduate Medical Education (GME). In August 2015, Rep. Kevin Brady, then-Chairman of the House Ways and Means Committee, along with other members of the House Ways and Means and Energy and Commerce Committees, sent a letter to the U.S. Government Accountability Office (GAO) requesting an evaluation of the current structure of GME programs and recommendations for improvement. This letter from committees with oversight jurisdiction signals a strong willingness by Congress to take a deeper look at the GME program. The ACS maintains that broad reforms to the way in which GME is funded and administered are long overdue and necessary to ensure that that we are able to produce a physician workforce capable of meeting the needs of our nation’s population. The ACS believes solutions must be flexible, nimble, patient-centric and, most importantly, evidenced-based. In order to preserve the innovation and excellence for which our country’s medical system is known, GME should continue to be supported as a public good. The ACS has developed a set of principles on GME reform and used them to formulate a policy and position paper. The ACS Division of Advocacy and Health Policy (DAHP) intends to use these principles and the policy and position paper to advocate for reforms that are based on documented workforce studies and will result in building an optimal health care workforce.

Federal Legislative Efforts

Resident Physician Shortage Reduction Act

S. 348/H.R. 1763, the Resident Physician Shortage Reduction Act, seeks to bolster the U.S. surgical workforce and health care infrastructure by increasing the number of Medicare-supported residency positions nationally by 3,000 each year from 2019 through 2023, totaling 15,000 slots.

ACS Letter of Support for the Resident Physician Shortage Reduction Act

Take Action: Contact Congress in Support of the Resident Physician Shortage Reduction Act

Children’s Hospital Graduate Medical Education (CHGME)

The ACS has consistently supported the Children’s Hospital GME program through legislation and appropriations requests.

Coalition Letter of Support for CHGME Funding