Graduate Medical Education (GME) refers to any type of formal medical education, usually hospital-sponsored or hospital-based training, pursued after receipt of the M.D. or D.O. degree in the United States This education includes internship, residency, subspecialty and fellowship programs, and leads to state licensure and board certification.
Charles Shabino, MDChief Medical Officer608.274.1820EMAIL: Charles Shabino, MD
Investing in Graduate Medical Education Means Physicians Stay in Wisconsin
Wisconsin’s aging health care workforce and aging patient population is creating challenges for the state’s health care delivery system and is cause for concern for access to care, especially in rural Wisconsin. Statewide data shows WI needs between 2,000 and 4,000 additional physicians by 2035.
In 2003, Governor Doyle proposed and signed into law a state budget that cut $45.1 million from residency training in Wisconsin. Residency training is done once a medical student completes medical school and their training location is oftentimes where they end up practicing.
Since then, Governor Walker and the state legislature have taken steps to backfill these cuts by investing $5 million into creating new residency positions to expand our physician workforce. While we have a long way to go to backfill previous cuts, this GME matching grant program is a good first step that needs to be strengthened.
The Solution – “Grow Our Own”
We know that Graduate Medical Education (often called “residency training” that medical students receive following medical school) is a key factor in where physicians end up practicing. In fact, 86% of students from Wisconsin, who attend a medical school in Wisconsin and do their residency training in Wisconsin will ultimately stay here to practice. That number drops by 30% if these students do residency training somewhere else.
Governor Walker and the state legislature have found a successful model to recruit and retain additional physicians to practice in Wisconsin. This new grant program from 2013 has helped by creating seven new residency programs and training an additional 79 physician residents (including 31 new psychiatrists and 33 new family medicine physicians) in Wisconsin. This program, which is matched dollar-for-dollar by hospitals, health systems and medical schools has resulted in $22 million in public and private investment for GME in Wisconsin.
WI Council on Medical Education & Workforce