Does It Cost More to Train Residents or to Replace Them

摘要: The policy issue underlying this study is whether Medicare support for graduate medical education (GME) should be restructured to differentiate between programs that are less costly or self-sustaining and those more the sponsoring institution its educational partners. We used available literature, interviews with individuals involved in operating GME programs, analysis of administrative data explore how financial impact residency training might differ by specialty. does not quantify variation impact, but it provides a framework examining both costs benefits It also identifies major factors likely affect performance influence program offerings size. Marginal impacts sponsor decisions on changes size help explain why expansions occurring without additional funding. If hospital has service needs, there marginal benefit adding resident, particularly more-lucrative specialty subspecialty before considering any GME-related revenues.