type or size of hospital, a higher percentage of ACS Governors in academic facilities or larger hospitals answered
“extremely high priority,” and a higher percentage of
surgeons in smaller hospitals answered “high priority.”
ACS Governors clearly have significant concerns about
GME. Of the survey respondents, 80 percent said that
GME funding should be increased. This sentiment was
expressed regardless of the type of practice, be it academic, hospital-based, or private practice.
Governors also suggested that the College and other
stakeholders explore alternative funding options for
GME funding, specifically insurers, for sources of additional funding. It was clear that respondents felt that
simply having teaching hospitals supplement GME funding from their general fund was not a good option as an
alternative source of GME funding.
Furthermore, the Governors indicated that the ACS
should play an advisory role, first in determining which
surgical specialties are most needed so that residency
positions in those disciplines can be preserved, and
second, to help determine which parts of the U.S. have
the greatest need for access to surgical care so that residency positions can be sustained in these areas.
Survey results suggest that ACS Governors would
encourage the ACS Division of Advocacy and Health
Policy to keep GME funding at the forefront of its legislative agenda. Only 2 percent of the respondents indicated
that this issue is a low priority.
The ACS leadership can use the information provided
by the 2015 Governors Survey to make GME a program
that produces surgeons who are prepared to provide for
the health care needs of our nation. ♦
FIGURE 7. LEGISLATIVE PRIORITY LEVEL
FOR GME FUNDING
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