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Implications of The IOM GME Report Fitzhugh Mullan, MD Murdock Head Professor of Medicine and Health Policy George Washington University Arkansas GME Summit.

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Presentation on theme: "Implications of The IOM GME Report Fitzhugh Mullan, MD Murdock Head Professor of Medicine and Health Policy George Washington University Arkansas GME Summit."— Presentation transcript:

1 Implications of The IOM GME Report Fitzhugh Mullan, MD Murdock Head Professor of Medicine and Health Policy George Washington University Arkansas GME Summit October 16, 2014

2 1 st Year MD and DO Enrollment In 2003 Compared With Projected 2017 Enrollment Figures 2003 2017 # and % Increase MD16,54121,434 4,893 29.6% DO3,308 6,675 3,367 101.8% _______________________________________________ Combined 19,84928,1098,260 41.2% Sources:AAMC Results of the 2012 Medical School Enrollment Survey, May 2013; AAMC Enrollment Data 2008 https://www.aamc.org/download/60740/data/enrollmentdata2008.pdfhttps://www.aamc.org/download/60740/data/enrollmentdata2008.pdf AACOM – Trends in Osteopathic Medical School Applicants, Enrollment and Graduates

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4 1 st Year MD and DO Enrollment In 2003 Compared With Projected 2017 Enrollment Figures 2003 2017 # and % Increase MD16,54121,434 4,893 29.6% DO3,308 6,675 3,367 101.8% _______________________________________________ Combined 19,84928,1098,260 41.2% Sources:AAMC Results of the 2012 Medical School Enrollment Survey, May 2013; AAMC Enrollment Data 2008 https://www.aamc.org/download/60740/data/enrollmentdata2008.pdfhttps://www.aamc.org/download/60740/data/enrollmentdata2008.pdf AACOM – Trends in Osteopathic Medical School Applicants, Enrollment and Graduates

5 Academic Graduation Year MD GraduatesDO GraduatesTotal Graduates 2008-200916,4673,58820,055 2009-201016,8363,63120,467 2010-2011 17,3624,15921,521 2011-2012 17,3434,45821,801 2012-2013 18,1564,72622,882 2013-2014* 18,6655,42824,093 2014-2015* 19,2305,78825,018 2015-2016* 19,5175,98625,503 2016-2017* 20,0556,44926,504 2017-2018** 20,654627126,925 2018-2019** 21,0536,22227,275 2019-2020** 21,2556,17927,434 2020-2021** 21,4346,67528,109 MD and DO Medical School Graduation Projections from 2008 - 2021 Sources: AAMC and ACCOM *Notes extrapolated data **Notes projected data

6 New Entrants into GME: Entrants into GME Without Prior GME 2010-2013 Sources: NCHWA analysis of data from AAMC and AACOM, April 2012; Number for 2011 is provisional; Number for 2013 is from NRMP and AOA Entrants Year

7 Projected US MD and DO Medical School Graduates (with 3% Attrition Rate) and 1 st Year Entrants into GME (2009-2021) Year 2014-2021 data are based on a 1% annual increase in entrants into GME

8 Source: The Washington Post, March 11, 2013

9 Source: American Medical Association (www.savegme.org).www.savegme.org

10 State Medicare Graduate Medical Education Cap Per 100,000 Population, 2010. Mullan F et al. Health Aff 2013;32:1914-1921

11 StatePopulation Resident cap Resident Cap per 100,000 population Resident number Medicare GME payments Medicare GME payment per population Medicare GME average payment per resident NY 19,378,10214,945.9177.1315,549$2,008,212,352$103.63$139,126 CT 3,574,0971,774.6549.651,844$266,880,096$74.67$155,135 US 312,471,327 91,559.0529.31101,024 $10,094,758,522 $32.31$112,642 KS 2,853,118527.7318.50548$52,258,136$18.32$100,834 AR 2,915,918455.6615.63515$35,584,024$12.20$79,144 MS 2,967,297333.8411.25437$22,162,972$7.47$67,527 State Level Medicare Graduate Medical Education Cap and Payments, Arrayed by Cap per 100,000 Population (Selected States)

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