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Edward Tuohy, MD

JAMA. 1999;282:2366.

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

Last week's Resident Physician Forum column contained a brief summary of how Medicare funds graduate medical education (GME). Residents who plan to switch programs need to understand that Medicare may reduce funding for a resident who moves from one program to another, depending on the length of the initial residency period. Medicare defines an "initial residency period" as the number of years it takes for a resident to become board eligible in the first medical specialty the resident entered. The initial residency period is set when a physician enters residency, and it does not change. Hospitals with training programs will receive slightly less when a resident is beyond the initial residency period. Some hospitals are using this cut in funding to eliminate applicants to their programs.

Because of the way Medicare defines the initial residency period, residents who first enter specialties with longer initial residency periods may . . . [Full Text of this Article]

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

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