Geography and GME funding
Residency Program Insider, November 8, 2013
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New York State gets about 20% of all GME funding and has more medical residents than 31 other states combined, a recent study revealed.
The Empire State is the most egregious example in a November Health Affairs report that reveals imbalances of GME funding.
Researchers compared the number of funded residency positions in a state with its population. Northeastern states such as New York, Massachusetts, and Rhode Island have far more medical residents than southern and western states. Arkansas, Idaho, and Montana have the fewest medical residents per 100,000 people.
The Balanced Budget Act of 1997, which capped funding for residency positions, gave an advantage to states with well-established medical training programs, the report’s authors conclude. They recommend that a central governing body make policy decisions about GME funding and take “the geography of GME into account” when making decisions about funding cuts.
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