Accountability in Graduate Medical Education

Topic Overview

There is growing concern over the physician workforce, particularly about identified shortage specialties, such as primary care, general surgery, ob-gyn, and psychiatry, and about geographic distribution issues. The graduate medical education (GME) system governs both the overall size and the specialty make-up of the physician workforce. GME institutional characteristics and choices about their GME programs influence specialty career choices and location following graduation. There is growing evidence that direct and indirect institutional influences are responsible for a significant decline in the production of generalist physicians.  Two federal advisory bodies and an influential foundation have called for greater accountability for GME to produce needed specialties and to reduce geographic disparities since it is almost entirely funded by government.  This forum, sponsored by the American Board of Family Medicine focuses on the growing call for increased accountability for Graduate Medical Education training and funding, and present evidence about options for doing so. 


George Thibault, MD

Gerorge Thibault is president of the Josiah Macy, Jr. Foundation

Russ Robertson, MD

Russ Robertson serves as dean of Chicago Medical School and Chair of the U.S. Council on GME

Candice Chen, MD, MPH

Candice Chen served as co-PI of the Medical Education Futures and Graduate Medical Education Accountability studies