Harkness CB. AMA Adopts Policies Regarding Medical Education. JAMA. 2000;283(6):740. doi:10.1001/jama.283.6.740
Prepared by Ashish Bajaj, Department of Resident
and Fellow Services, American Medical Association.
Compliance With Resident Work-Hour Requirements
asks the Accreditation Council for Graduate Medical Education (ACGME) to report
annually on violations of residency work-hour requirements. The resolution
also asks the AMA to study the impact of prolonged work hours, including time
spent moonlighting, on resident performance, and overall well-being.
Enforcement of ACGME Requirements asks the
AMA Board of Trustees to study alternative mechanisms for enforcing ACGME
requirements at residency training institutions. The HOD recognized that a
resident may be reluctant to report accreditation violations. The current
penalties for accreditation violations, withdrawing accreditation, or placing
a program on probation, may also punish the resident by delaying the completion
of training or by downgrading the residency program.
Impact of NLRB Ruling in the Boston Medical Center
Case asks the AMA to prepare a report on the implications and potential
impact of the recent decision by the NLRB to recognize resident and fellow
physicians as employees for the purpose of collective bargaining. The report
will look at a broad range of issues, including the possible effect on education,
graduate medical education funding, resident finances, and the formation of
resident house staff organizations.
Student Loan Deferment asks the AMA to lobby
Congress before the next federal budget approval for residents to defer medical
student loans for the duration of their initial residency program.
Facilitating Entry Into Practice asks the AMA
to take the following steps to make the transition from residency into practice
more efficient for physicians: (1) encourage program directors to document
a resident's satisfactory progress to a potential employer or credentialing
agency; (2) encourage board certification organizations to expedite reporting
of examination results; (3) work to establish mechanisms for provisional credentialing
of physicians completing residency; and (4) advocate for a system that distinguishes
between physicians who are in the board certification process and those who
Compliance With National Resident Matching Program
(NRMP) Requirements by Residency Program Directors asks the AMA to
distribute materials to medical students that explain NRMP policies and procedures
and the process for reporting violations of these. The AMA will work with
residency program directors to reduce violations and will submit a report
to the HOD regarding progress towards reducing the number of violations. The
NRMP is the primary system medical students and international medical graduates
use for placement in residency programs.
Medical Schools and Colleges Not Accredited by the
Liaison Committee on Medical Education or the American Osteopathic Association asks the AMA to work with the Association of American Medical Colleges
and other organizations to educate premedical students and advisors in US
colleges about the difficulties students may face if they graduate from a
medical school not accredited by either of these bodies.