How Can We Pay for Graduate Medical Education in Ambulatory Care?

Abstract

The need for expanded training in ambulatory care is clear, not only in specialties that have traditionally emphasized outpatient practice (such as dermatology and family medicine), but also in specialties that have recently begun caring for more of their patients outside the hospital (such as anesthesiology and surgery).In any setting, graduate medical education depends on many sources of financial support, the most substantial of which is hospital revenue. In 1985–1986, hospital revenue from service to patients accounted for 81 percent of residents' stipends and benefits.¹ In internal medicine, hospital revenue from Medicare covered 26 percent of residents' salaries and . . .