This brief summarizes research conducted by the Program on Health Workforce Research and Policy on graduate medical education (GME). Originally prepared for the U.S. House of Representative Committee on Veterans’ Affairs, this summary will benefit policymakers and other stakeholders, such as HRSA, COGME, ACGME, and states interested in reforming Medicaid GME and evaluating the outcomes… Read more »
The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
North Carolina Session Law 2017-57, Section 11J.2, the Current Operations Appropriations Act of 2017, directed the North Carolina Department of Health and Human Services (DHHS) and The University of North Carolina (UNC) to assess the degree to which physician training programs in North Carolina meet the healthcare needs of North Carolina’s citizens. The Program on… Read more »
Lessons Learned from State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
October 11, 2017 Erin Fraher, PhD; Julie Spero, MSPH; Tom Bacon, DrPH Presentation to the GME Outcomes and Metrics Workshop, National Academy of Medicine Presentation Overview Much focus on GME at national level but states are policy laboratories States actively seeking data and metrics to better target GME funding and evaluate return on investment Oversight… Read more »
State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
May 5, 2017 Erin Fraher, PhD; Julie Spero, MSPH; Tom Bacon, DrPH Presentation to the 13th Annual AAMC Health Workforce Research Conference Presentation Overview High level of interest, limited implementation Most states seeking new funds, not redistributing existing funds Oversight bodies play critical role in educating legislature and navigating competing interests We heard loud call… Read more »
FutureDocs: Nation has Enough Physicians to Meet the Nation’s Overall Needs – For Now. Distribution to Worsen
April 26, 2017 Emily K. Tierney, Thomas C. Rickets, Andy Knapton, Erin P. Fraher Issue Brief Summary: This Brief uses data from the FutureDocs Forecasting Tool (FDFT) to assess whether the supply and distribution of physicians in the United States will be sufficient to meet the future demand for healthcare services. Currently in 2017, supply… Read more »
State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
January 23, 2017 Presentation at GMEI Summit, Albuquerque, New Mexico Authors: Erin P. Fraher, PhD, MPP; Julie Spero, MSPH; Tom Bacon, DrPH Presentation Overview: There is a high level of interest, but limited implementation at the state level for GME reform Most states are seeking new funds, not redistributing existing funds Oversight bodies play critical… Read more »
State-Based Approaches to Reforming Medicaid-Funded Graduate Medical Education
January 2017 Erin P. Fraher, PhD, MPP; Julie Spero, MSPH; Tom Bacon, DrPH Conclusions and Policy Implications 1) More states were in the planning stages of GME reform than had actually implemented changes. 2) States tackled GME reform to address maldistribution of physicians by geography, specialty and setting; to respond to expansions in undergraduate medical… Read more »
A Methodology for Using Workforce Data to Decide which Specialties and States to Target for GME Expansion
Product: publication in Health Services Research Authors: Erin Fraher, PhD, MPP; Andy Knapton, MS; Mark Holmes, PhD Conclusions and Policy Implications This analysis proposes an objective, evidence-based methodology for allocating GME positions that could be used as the starting point for discussions about GME expansion. The methodology, based on data from a workforce projection model,… Read more »
The Sticky Wicket of Projecting Physician Workforce Needs
Author: Erin P. Fraher, PhD, MPP Presentation to the National Health Policy Forum March 4, 2016 Presentation Overview: The lure of the shortage rhetoric Why don’t workforce models agree? Case study: our workforce projection model Using models as tools to simulate policy change, rather than the “answer” Understand effect of overlapping/shifting roles on workforce needs… Read more »
Toward a National Strategic Plan for GME: Stakeholders, Data and Innovative State Approaches
Author: Erin Fraher, PhD, MPP Presentation to the Council on Graduate Medical Education April 7, 2016 Presentation Overview: Who are the key GME stakeholders? What if we actually used data to allocate GME positions? What are states doing to reform GME?