Table 2.

Society of General Internal Medicine’s Recommendations for Graduate Medical Education (GME) Reform

1. Workforce Analysis: Congress should fully fund the National Healthcare Workforce Commission.

2. Funding Mechanisms: All entities that pay for medical care should contribute to GME funding, which should reflect the true cost of training a physician workforce aligned to the nation’s healthcare needs.

3. Transparency: GME dollars must be spent transparently and exclusively for resident training and related costs

4. Competency-Based Curriculum Accountability: GME-funded training programs must demonstrate that their graduates have the competencies necessary to practice medicine in the 21st century.

5. Optimize the Distribution of Physician Specialties: The GME system should provide incentives to institutions and training programs to align the practice patterns of their graduates with national and regional workforce needs.

6. Education Innovations: Funding must be available for GME innovations designed to positively impact the workforce.