Reid S. AMA House of Delegates Adopts Resolutions, Part 1. JAMA. 1998;279(5):342U. doi:10.1001/jama.279.5.342
Prepared by Ashish Bajaj, Department of Resident
Physicians Services, American Medical Association.
At the 1997 American Medical Association Interim Meeting, the House
of Delegates considered many issues of importance to the Resident Physicians
Section. The most important topic concerned collective negotiations between
residents and training institutions. This has many implications for resident
working conditions and the ability of residents to provide high quality patient
care. It is a complex subject that will be discussed in greater detail in
a future Resident Forum.
The resolutions summarized below concern House actions on funding for
graduate medical education, resident contracts, and the residency application
process. Next week's Resident Forum will summarize resolutions concerning
resident benefits and public health issues. A complete summary of all House
actions is available through the AMA web page at www.ama-assn.org/meetings/public/int97/.
Medicare Voluntary Residency Reduction Incentive Program expresses the House's concern over the nationwide expansion of the
New York Medicare Demonstration Project because the project's end results
on patient care are not yet known. The New York Medicare Demonstration Project
provides a financial incentive to a teaching institution to encourage the
institution to cut the number of residents it trains. The resolution calls
on the AMA to research the project's effect on patient care.
Planning for Mergers/Acquisitions of Teaching Hospitals asks the AMA to study the impact of hospital mergers and acquisitions
on the education of medical students and residents.
Compensation for Teaching Physicians by Non-Medicare
Payors opposes private payor use of Medicare rules regarding reimbursement
of teaching physicians for supervision of resident physician services unless
the payor also contributes to the financing of graduate medical education
on a scale proportionate with Medicare's contribution to graduate medical
Revision of PATH Audit Rules asks the AMA to
study and, if necessary, work toward revising the Health Care Financing Administration
documentation guidelines regarding Medicare payments to physicians for supervising
residents. This issue was referred to the AMA Board of Trustees for a decision
because the Board is already working on a closely related issue.
Graduate Medical Education (GME) Funding for Preventive
Medicine Residencies calls on the AMA to assist the Secretary of Health
and Human Services with efforts to ensure funding for these residency programs.
Restrictive Covenants in Residency and Fellowship
Training Programs calls on the AMA to work with the Accreditation Council
for Graduate Medical Education (ACGME) to prohibit restrictive covenants in
residency and fellowship contracts. This issue is being considered as a new
requirement by ACGME at its February 1998 meeting.
A related resolution, Restrictive Covenant Information
Dissemination calls on the AMA to require that residency programs include
information on their use of restrictive covenants on the Fellowship and Residency
Electronic Interactive Database Access (FREIDA). If the ACGME does prohibit
restrictive covenants for residents, this resolution would become irrelevant.
Exposure to Residency Contracts for First Year Residents
Prior to Match Day calls on the AMA to ask the ACGME to require residency
programs to provide each medical student who applies to that program with
a copy of a representative contract before the student's interview.
Notification of Interview Decision to Residency Program
Applicants asks the AMA to strongly encourage residency programs to
inform applicants in a timely manner about their interview status and provide
a time frame of notification dates in the application materials.
Opposition of Central Data Collections of Resident
Physicians Named in Malpractice Suits asks the AMA to implement current
policy that seeks to limit the reporting of residents to the National Practitioner
Data Bank unless a final adverse action has been taken by a medical licensing