Resident Physicians Section Adopts Resolutions on Graduate Medical EducationResident Physicians Section Adopts Resolutions on Graduate Medical Education. JAMA. 1998;279(3):248G. doi:10.1001/jama.279.3.248
Prepared by Ashish Bajaj, Department of Resident Physicians Services,
American Medical Association
At the American Medical Association's Interim Meeting in December, the
Resident Physicians Section (RPS) considered 10 resolutions and 9 reports
dealing with graduate medical education, public health issues, and RPS procedures.
The RPS adopted the following resolutions and reports pertaining to graduate
medical education. The remaining adopted resolutions and reports will be published
in next week's Resident Forum.
National Committee to Evaluate Medical School Closings called for the AMA to address the concern about the possible oversupply
of physicians by working with appropriate agencies to develop recommendations
regarding the number of graduates of US medical schools. The resolution acknowledged
that most of the recommendations regarding the physician workforce have focused
on the number of resident physicians and not on the number of students in
Clinical Supervision of Resident Physicians by Nonphysicians called for the AMA to amend current policy to include the following
language regarding the supervision of resident physicians: It is a cardinal
principle that responsibility for the treatment of each patient and the education
of housestaff lies with the staff physician to whom the patient is assigned
and who supervises all care rendered by residents. The resolution also called
on the AMA to ask the Accreditation Council for Graduate Medical Education
(ACGME) to incorporate this language.
Effective Communication With HCFA asked the
AMA-RPS Governing Council to meet with the staff at the Health Care Financing
Administration (HCFA) to discuss the Medicare guidelines governing reimbursement
of teaching physicians for supervising residents and to report back to the
Impact of HCFA Medicare Regulations on Residency Training calls on the AMA-RPS Governing Council to continue to monitor the
issue of Medicare, Medicaid, and private payor reimbursement of teaching physicians
for supervising residents. This report stemmed from the concern that Medicaid
and private insurance companies would use Medicare standards regarding reimbursement
even though Medicare and private payors do not help fund graduate medical
education. The report acknowledged the work that the AMA-RPS has done on this
issue and asked the AMA-RPS Governing Council to continue to collect information
and anecdotes from residents on the regulations regarding reimbursement of
teaching physicians for supervising residents, and to continue to report back
to the Assembly as appropriate.
Reallocation of Residency Positions and Preservation
of Work Hour Reform called for the AMA-RPS to ask the AMA's Council
on Medical Education's Task Force on Emotional and Physical Support of Undergraduate
and Graduate Education to work with other interested entities to coordinate
and secure funding for a longitudinal study of the effects of downsizing on
residency work hours.
Evaluations and Consultations for Use in Grievance
Procedures asked that the AMA-RPS ask the AMA's Council on Ethical
and Judicial Affairs (CEJA) to develop guidelines for residency programs regarding
the procedures by which a residency program can terminate or dismiss a resident.
They also asked that the AMA-RPS publicize current CEJA Opinions that relate
to residency termination hearings.
Inappropriate Use and Reporting of USMLE Scores
calls for the AMA to advocate to the National Board of Medical Examiners (NBME)
that scores for the US Medical Licensure Examination be used only in accordance
with the following AMA policy: (a) Students receive "pass/fail" scores as
soon as they are available. (A student who fails the examination may request
numerical scores immediately.) (b) The NBME will report numerical scores to
the state licensing authorities upon request by the applicant for licensure.
At this time, the applicant may request a copy of his/her numerical scores.
(c) The NBME will report scores for each student in pass/fail format to the
medical school. The school also receives a frequency distribution of numerical
scores for the aggregate of its students.