Meyers LL. Delegate's Report, Part 2. JAMA. 1999;281(7):666. doi:10.1001/jama.281.7.666
Prepared by Ashish Bajaj, Department of
Resident Physician and Fellow Services, American Medical Association.
Last week's Resident Forum column summarized resolutions on public
health submitted by the American Medical Association Resident
Physicians Section (AMA-RPS) to the AMA House of Delegates 1998 Interim
Meeting. This week's column focuses on resolutions concerning graduate
medical education and residency training.
Health and Disability Insurance Coverage for Medical Students and
Resident Physicians. This resolution called for the AMA to take
several actions to ensure that residents and students have access to
health and disability insurance, including coverage for human
immunodeficiency virus. These actions include preparing educational
material explaining the need for coverage, studying current disability
coverage and the feasibility of providing it as a benefit to AMA
members, and working with educational institutions, accreditation
agencies, and medical societies to encourage insurance coverage.
Resident Representation on Residency Review Committees. This
resolution asked the AMA to adopt policy regarding the term and
selection of resident representatives to the Accreditation Council for
Graduate Medical Education (ACGME) Residency Review Committees (RRCs).
The AMA called for the resident member to serve for at least a 1-year
term as a full and voting participant at all RRC meetings. The
resolution had also asked that the resident be peer-selected. Because
the ACGME is currently reviewing different selection methods to
determine which would be best for all RRCs, this portion of the
resolution was referred to the AMA Board of Trustees.
Resident Work Hours. This resolution asked that the AMA use
all available means to ensure that the existing work hour requirements
set by each specialty's RRC are being met. The resolution also asked
for AMA representatives to the RRCs to report annually on the
effectiveness of work hour policies within individual residency
Support for Alternatives to Night Call. This resolution
had asked the AMA to encourage alternatives to traditional night call
systems. The resolution was referred to the Board of Trustees for
Penalties for Discrimination against IMGs Seeking Residency
Positions. This resolution asked the AMA to reaffirm its policy
that residency appointments be based solely on the individual
applicant's merit and qualifications. The resolution also called on
the AMA to inform all residency program directors about federal law and
AMA policy opposing discrimination by country of medical education.
Impact of the Balanced Budget Act of 1997 on Graduate Medical
Education Funding in Nonhospital Settings. This report, prepared by
the Board of Trustees, asked the AMA to continue to advocate for
additional funds from the federal government and other third-party
payers for GME programs that take place in nonhospital settings. It
also asked the AMA to urge the Secretary of the Department of Health
and Human Services to develop a system to obtain annual information on
costs per resident to calculate direct GME payments.
I would like to thank all the residents and other members who testified
or assisted in other ways at the 1998 Interim Meeting. Your hard work
on testimony coordination and preparation was greatly appreciated and
made for a successful meeting.