Is There a Return on a Children’s Hospital’s Investment in a Pediatric Residency’s Community Health Track? A Cost Analysis

  • Cara Lichtenstein
  • Denice Cora-Bramble
  • Mary Ottolini
  • Dewesh Agrawal
Original Paper


Academic Medical Centers incur significant expenses associated with training residents and caring for underserved populations. No previous studies have analyzed hospital-level graduate medical education economics for pediatric residency training. Using data from the 2010–2011 academic year, we quantified total direct costs per year for training 12 community health track (CHT) residents. Utilizing sensitivity analyses, we estimated revenues generated by residents in inpatient and outpatient settings. The total yearly direct cost of training 12 CHT residents was $922,640 including salaries, benefits, and administrative costs. The estimated additional yearly inpatient net revenue from attending-resident clinical teams compared to attendingonly service was $109,452. For primary care clinics, the estimated yearly revenue differential of resident-preceptor teams was $455,940, compared to attending-only clinics. The replacement cost of 12 CHT residents with advanced practitioners was $457,596 per year.This study suggests there is positive return on a children’s hospital’s investment in a CHT.


Residency training Return on investment Community health track Children’s Hospitals Graduate Medical Education (CHGME) Funding 


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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  1. 1.Department of PediatricsGeorge Washington University School of Medicine and Health SciencesWashingtonUSA
  2. 2.Pediatric Residency ProgramChildren’s National Health SystemWashingtonUSA
  3. 3.Diana L. and Stephen A. Goldberg Center for Community Pediatric HealthChildren’s National Health SystemWashingtonUSA
  4. 4.Medical EducationChildren’s National Health SystemWashingtonUSA
  5. 5.Emergency Medicine & Trauma ServicesChildren’s National Health SystemWashingtonUSA

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