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Comment & Response
March 2020

Considerations in Analysis of Medicare Graduate Medical Education Payment Policies

Author Affiliations
  • 1Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia
  • 2Drexel University College of Medicine, Philadelphia, Pennsylvania
JAMA Intern Med. 2020;180(3):471-472. doi:10.1001/jamainternmed.2019.6987

To the Editor We appreciate the work by Chen and colleagues1 that explores trends in graduate medical education (GME) payments and the provocative proposal to cap total government payments at a rate of $150 000 per resident. The striking variation in payments reflects the potential differences in costs to train residents but may also indicate differences in what programs provide trainees. To our knowledge, there is no document or contract that details minimum expectations of sponsoring institutions for them to receive GME funding.

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