Institute of Medicine’s Report: Graduate Medical
Education That Meets the Nation’s Health Needs
Organized Neurosurgery’s
Response
On July 29, 2014, the Institute of Medicine (IOM) released a report, Graduate Medical Education
That Meets the Nation’s Needs, which recommends a sweeping overhaul of the current graduate
medical education (GME) system. The IOM committee identified six goals for an improved GME
financing system:
Goal 1: Encourage production of a physician workforce better prepared to work in, help lead,
and continually improve an evolving health care delivery system that can provide better
individual care, better population health, and lower cost.
Goal 2: Encourage innovation in the structures, locations, and designs of GME programs to
better achieve Goal 1.
Goal 3: Provide transparency and accountability of GME programs, with respect to the
stewardship of public funding and the achievement of GME goals.
Goal 4: Clarify and strengthen public policy planning and oversight of GME with respect to the
use of public funds and the achievement of goals for the investment of those funds.
Goal 5: Ensure rational, efficient, and effective use of public funds for GME in order to maximize
the value of this public invest
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