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Previous Volume 359:643-650 August 7, 2008 Number 6 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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It has been more than a decade since Congress enacted legislation that significantly altered the policies under which Medicare supports graduate medical education (GME). Now, the political ground under this relationship is beginning to gradually shift again, and if this development gathers momentum, it could lead to greater support for the training of primary care physicians and more scrutiny overall of how these Medicare GME monies are spent. As an increasing number of medical-school graduates pursue specialties with a "controllable lifestyle" and shun careers in primary care, there are distinct signs that Congress will face new demands to examine Medicare . . . [Full Text of this Article]

A Long-Standing Federal Commitment to Support GME

Threats to Federal Support of GME

The Fits and Starts of U.S. Physician Workforce Policy

Efforts to Lift the Medicare GME Cap

Changes in the Wind over Health Workforce Policy

MedPAC Recommendations Promoting Primary Care

Calls for GME Reform and Greater Accountability

New Advocates for Primary Care

Conclusions

Source Information

Mr. Iglehart is a national correspondent for the Journal.

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