This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Edward Tuohy, MD

JAMA. 1999;282:2268.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The AMA Department of Resident and Fellow Services receives calls each month from residents who are told that they cannot switch specialties because their new residency program would not receive funding for them. Often, residency programs do not provide a complete answer regarding this situation. It is important for residents and medical students to understand how funding for graduate medical education (GME) can make switching specialties difficult. This week's column presents background information on how medicare reimburses hospitals for residency training. Next week's column will describe how reimbursement can affect a change of specialty choice.

Currently, Medicare reimburses teaching hospitals for the costs of GME through 2 payment streams: direct medical education (DME) payments and the indirect medical education (IME) adjustment. The DME payments cover the cost of resident, fellow, and faculty salaries and benefits as well as tangible educational expenses; DME payments depend on the number . . . [Full Text of this Article]

Vice-Chair, AMA Resident
and Fellow Section
New Haven, Conn

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?