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Ideas and Opinions |

Aligning Expansion of Graduate Medical Education With Recent Recommendations for ReformExpansion of Graduate Medical Education

Richard E. Rieselbach, MD; Paul H. Rockey, MD, MPH; Robert L. Phillips Jr., MD, MSPH; Kathleen Klink, MD; and Malcolm Cox, MD
[+] Article, Author, and Disclosure Information

From University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin; Accreditation Council for Graduate Medical Education, Chicago, Illinois; Southern Illinois University School of Medicine, Springfield, Illinois; American Board of Family Medicine, Lexington, Kentucky; Georgetown University and Robert Graham Center for Policy Studies in Family Medicine and Primary Care, Washington, DC; Virginia Commonwealth University, Richmond, Virginia; and Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Disclaimer: Dr. Rieselbach is Past President of the Association of Program Directors in Internal Medicine, and Dr. Rockey is a Scholar in Residence at the Accreditation Council for Graduate Medical Education and the Past Director of the Division of Graduate Medical Education at the American Medical Association. Dr. Phillips is the Vice President for Research and Policy for the American Board of Family Medicine, and Dr. Klink is Medical Director at the Robert Graham Center for Policy Studies in Family Medicine and Primary Care and Immediate Past Director of the Health Resources and Services Administration's Division of Medicine and Dentistry at the Bureau of Health Professions. Dr. Cox is the Immediate Past Chief Academic Affiliations Officer at the Veterans Health Administration. This proposal does not necessarily reflect the position of any of these organizations.

Acknowledgment: The authors thank Drs. Karen Sanders, David Sundwall, and Thomas Nasca for their suggestions and contributions. They also thank Ms. Kathy Holland for her invaluable assistance in preparing the manuscript.

Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1838.

Requests for Single Reprints: Richard E. Rieselbach, MD, Professor Emeritus, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 7974 UW Health Court, Middleton, WI 53562; e-mail, rer@medicine.wisc.edu.

Current Author Addresses:Dr. Rieselbach: Professor Emeritus, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 7974 UW Health Court, Middleton, WI 53562.

Dr. Rockey: Accreditation Council for Graduate Medical Education, 515 North State Street, Suite 2000, Chicago, IL 60654.

Drs. Phillips and Klink: American Board of Family Medicine, 1133 Connecticut Avenue Northwest, Suite 1100, Washington, DC 20036.

Dr. Cox: 121 Overlook Drive, Media, PA 19063.

Author Contributions:Conception and design: R.E. Rieselbach,P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Analysis and interpretation of the data: R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Drafting of the article: R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Critical revision of the article for important intellectual content:R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Final approval of the article: R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Administrative, technical, or logistic support: R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.

Collection and assembly of data: R.E. Rieselbach, P.H. Rockey, R.L. Phillips, K. Klink, M. Cox.


Ann Intern Med. 2014;161(9):668-669. doi:10.7326/M14-1838
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Federal funds support graduate medical education positions, but expansion is needed in urban and rural areas that experience shortages in health professionals. This commentary discusses the need for existing funds to be used to expand primary care training programs and thus improve access to care in underserved areas.

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