Journal of General Internal Medicine

, Volume 29, Issue 11, pp 1546–1551 | Cite as

Addressing the Nation’s Physician Workforce Needs: The Society of General Internal Medicine (SGIM) Recommendations on Graduate Medical Education Reform

  • Angela Jackson
  • Robert B. Baron
  • Jeffrey Jaeger
  • Mark Liebow
  • Margaret Plews-Ogan
  • Mark D. Schwartz
  • For the Society of General Internal Medicine Health Policy Committee


The Graduate Medical Education (GME) system in the United States (US) has garnered worldwide respect, graduating over 25,000 new physicians from over 8,000 residency and fellowship programs annually. GME is the portal of entry to medical practice and licensure in the US, and the pathway through which resident physicians develop the competence to practice independently and further develop their career plans. The number and specialty distribution of available GME positions shapes the overall composition of our national workforce; however, GME is failing to provide appropriate programs that support the delivery of our society’s system of healthcare. This paper, prepared by the Health Policy Education Subcommittee of the Society of General Internal Medicine (SGIM) and unanimously endorsed by SGIM’s Council, outlines a set of recommendations on how to reform the GME system to best prepare a physician workforce that can provide high quality, high value, population-based, and patient-centered health care, aligned with the dynamic needs of our nation’s healthcare delivery system. These recommendations include: accurate workforce needs assessment, broadened GME funding sources, increased transparency of the use of GME dollars, and implementation of incentives to increase the accountability of GME-funded programs for the preparation and specialty selection of their program graduates.


healthcare delivery system graduate medical education training workforce 


Conflict of Interest

The authors and all other contributors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine 2014

Authors and Affiliations

  • Angela Jackson
    • 1
  • Robert B. Baron
    • 2
  • Jeffrey Jaeger
    • 3
  • Mark Liebow
    • 4
  • Margaret Plews-Ogan
    • 5
  • Mark D. Schwartz
    • 6
  • For the Society of General Internal Medicine Health Policy Committee
  1. 1.Section of General Internal Medicine, Department of MedicineBoston University School of MedicineBostonUSA
  2. 2.San Francisco School of Medicine, Division of General Internal Medicine, Department of MedicineUniversity of CaliforniaSan FranciscoUSA
  3. 3.Division of General Internal MedicineThe Raymond and Ruth Perelman School of Medicine at the University of PennsylvaniaPhiladelphiaUSA
  4. 4.Division of General Internal MedicineMayo Clinic College of MedicineRochesterUSA
  5. 5.Division of General Internal Medicine, Department of MedicineUniversity of VirginiaCharlottesvilleUSA
  6. 6.Department of Population HealthNew York University School of MedicineNew YorkUSA

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