AMA Resident Physicians Section Actions on Graduate Medical Education and Training. JAMA. 1999;281(2):202. doi:10.1001/jama.281.2.202
Prepared by Ashish Bajaj, Department of Resident
Physician Services, American Medical Association.
At its Interim Meeting in December, the American Medical
Association-Resident Physicians Section (AMA-RPS) discussed 17
resolutions and 5 reports concerning graduate medical education (GME)
funding, resident working conditions, public health and safety, and
other topics. The following are the actions taken on resolutions and
reports directly related to GME and residency training. We will report
on RPS actions on other topics in next week's column.
Annual Contracts for Continuing Residents asked the AMA to
urge the Accredited Council on Graduate Medical Education to require
residency programs to present an annual written contract by March 1 to
the residents who can continue in their programs for an additional
year. This would give a resident sufficient time to apply to other
programs if their current program chooses not to renew the resident's
Public Disclosure of Residency Revenue and
Expenditures asked the RPS Governing Council to study and report on
the finances of residency programs. The report specifically will
explain the feasibility of requiring residency programs to disclose
revenues and expenses and the feasibility of developing accounting
techniques that can identify the financial value of the services
resident physicians provide. The report will also present current and
proposed methodologies of Medicare GME funding.
Data Bank for Poor Outcomes Associated With Excessive Work
Hours asked the AMA to help develop a mechanism through which
residents can report adverse outcomes associated with poor working
conditions such as excessive work hours. The resolution also called for
the AMA-RPS to support a nationwide survey of resident work hours and
working conditions as the first step towards developing new
recommendations regarding resident work hours and working conditions.
The Disruptive Physician was a report the Governing Council
decided to prepare after members and staff heard anecdotes of
behavioral and communications problems that had occurred at hospitals.
This report asked the AMA to identify and study behavior by physicians
that is disruptive to high-quality patient care, define the term
"disruptive physician," and disseminate guidelines for managing the
On-Call Physicians asks the AMA to work with the
American Hospital Association, the American College of Emergency
Physicians, and other interested state medical and specialty societies
to study trends in reimbursement, responsibilities and availability of
on-call physicians and the impact of these trends on the timely
delivery of emergency services.
Workers' Compensation for Residents, an informational
report prepared by the RPS Governing Council, found no evidence that
residents were being denied workers' compensation benefits and
recommended no action at this time.