Welcome!

News Feed Item

AUA Responds to Important New IOM Report on Graduate Medical Education Funding and Governance

BALTIMORE, July 30, 2014 /PRNewswire-USNewswire/ -- The American Urological Association (AUA) today issued a statement in response to the new Institute of Medicine (IOM) July 29 report, "Graduate Medical Education that Meets the Nation's Health Needs." The below statement is attributable to AUA Public Policy Council Vice Chair Dr. Christopher Gonzalez.

"The AUA applauds the Institute of Medicine (IOM) for studying the governance, finance and regulation of graduate medical education (GME) in the United States as outlined in its new report, "Graduate Medical Education That Meets the Nation's Health Needs." This is a much-anticipated report about an increasingly growing problem in the United States.

We stand in support of a need for stable, long-term funding for GME in the United States and also an increased focus on value and performance. However, we are concerned that the IOM's report fails to provide recommendations that acknowledge that there is a physician workforce shortage across all of medicine. We have concerns over replacing indirect GME (which provides additional funding to teaching hospitals to help offset higher patient care costs) and direct GME funding with one single funding stream.  Such consolidation may negatively impact teaching hospitals in their mission to take care of our sickest patients and to safely train medical residents. We are also concerned about the recommendation to create a new Department of Health and Human Services (HHS) GME policy council and a GME Center within the Centers for Medicare & Medicaid Services, which runs the risk of merely creating bureaucracies and delaying the training of new physicians needed to care for the growing patient population.   

There is a physician workforce shortage across all of medicine. Reform must include plans to expand and increase funding for residency slots in needed and underserved areas of medicine. Primary and specialty care must form a united front to advance legislative reform of the GME system. Together with our colleagues across the healthcare space, we look forward to sharing perspectives on how to advance reform to ensure that our country has a sufficient physician workforce to meet patient demand.

About the Urology Workforce Shortage

The American Association of Medical Colleges (AAMC) has estimated a deficit of 130,000 physicians equally in primary care and non-primary care by the year 2025. By 2030, it is estimated that nearly 20 percent of the U.S. population will be age 65 or older. Elderly patients require three times the rate of surgical services the general population uses. (Williams 2010, US Census Bureau 2000 – 2050). To meet these population demands, the HHS projects a need for 14,000 urologists by 2015 and 16,000 urologists by 2020. Currently there are less than 10,000 urologists practicing in the United States, an unsustainable number required to care for an aging and growing population. There is also concern about the fact that Urology has the second-oldest surgical subspecialty workforce with an average age of 52.5 years. Currently 44 percent of the urology workforce is over the age of 55 with 18 percent age 65 or older and 7.4 percent over the age of 70.

Another concerning trend is the geographic distribution of urologists in the United States. In rural settings, urologists, on average, are 2.2 years older than those practicing in urban settings. As of 2009, the concentration of urologists practicing in an urban setting was seven times higher than the number practicing in a rural setting. Urologists in the rural setting tend to be older and nearing retirement. These data raise concerns that a disproportionate aging urology workforce significantly threatens access to urologic care, especially in rural areas, which comprise 18 percent of the U.S. population.

A recent AUA Workforce and Compensation Survey indicated that up to 20 percent of currently practicing urologists plan to retire in the next five to 10 years. Other independent analysis indicates that by 2030, urology will face a 32 percent (3,884 urologists) shortage in the number of providers necessary to care for a projected 364 million U.S. citizens. (Williams et al 2009)

These shortages, in combination with the 1997 freeze on GME funding at 170 funded urology residency slots, has led to a very precarious situation for our specialty and the ability of our teaching institutions to safely train high-quality urologists for the future. This past year, there were 285 PGY1 slots in the 2014 match, which means that 115 slots were funded with non-GME money. In a recent Society of University Urologists survey, clinical revenue and hospital funding appear to be the main financial support engines for faculty salary, resident education, dedicated resident research rotations and proficiency training (surgical training skills labs). This is not a sustainable model."

Learn more about the AUA's advocacy activity on GME and workforce.

About the American Urological Association: Founded in 1902 and headquartered near Baltimore, Maryland, the American Urological Association is a leading advocate for the specialty of urology, and has more than 20,000 members throughout the world. The AUA is a premier urologic association, providing invaluable support to the urologic community as it pursues its mission of fostering the highest standards of urologic care through education, research and the formulation of health policy.

Contact:
Wendy Waldsachs Isett, AUA
410-689-3789
[email protected]

SOURCE American Urological Association

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
"We're bringing out a new application monitoring system to the DevOps space. It manages large enterprise applications that are distributed throughout a node in many enterprises and we manage them as one collective," explained Kevin Barnes, President of eCube Systems, in this SYS-CON.tv interview at DevOps at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
The Internet of Things can drive efficiency for airlines and airports. In their session at @ThingsExpo, Shyam Varan Nath, Principal Architect with GE, and Sudip Majumder, senior director of development at Oracle, discussed the technical details of the connected airline baggage and related social media solutions. These IoT applications will enhance travelers' journey experience and drive efficiency for the airlines and the airports.
All organizations that did not originate this moment have a pre-existing culture as well as legacy technology and processes that can be more or less amenable to DevOps implementation. That organizational culture is influenced by the personalities and management styles of Executive Management, the wider culture in which the organization is situated, and the personalities of key team members at all levels of the organization. This culture and entrenched interests usually throw a wrench in the work...
In his General Session at DevOps Summit, Asaf Yigal, Co-Founder & VP of Product at Logz.io, will explore the value of Kibana 4 for log analysis and will give a real live, hands-on tutorial on how to set up Kibana 4 and get the most out of Apache log files. He will examine three use cases: IT operations, business intelligence, and security and compliance. This is a hands-on session that will require participants to bring their own laptops, and we will provide the rest.
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo 2016 in New York. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place June 6-8, 2017, at the Javits Center in New York City, New York, is co-located with 20th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry p...
@DevOpsSummit at Cloud taking place June 6-8, 2017, at Javits Center, New York City, is co-located with the 20th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long developm...
A look across the tech landscape at the disruptive technologies that are increasing in prominence and speculate as to which will be most impactful for communications – namely, AI and Cloud Computing. In his session at 20th Cloud Expo, Curtis Peterson, VP of Operations at RingCentral, will highlight the current challenges of these transformative technologies and share strategies for preparing your organization for these changes. This “view from the top” will outline the latest trends and developm...
"LinearHub provides smart video conferencing, which is the Roundee service, and we archive all the video conferences and we also provide the transcript," stated Sunghyuk Kim, CEO of LinearHub, in this SYS-CON.tv interview at @ThingsExpo, held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
When you focus on a journey from up-close, you look at your own technical and cultural history and how you changed it for the benefit of the customer. This was our starting point: too many integration issues, 13 SWP days and very long cycles. It was evident that in this fast-paced industry we could no longer afford this reality. We needed something that would take us beyond reducing the development lifecycles, CI and Agile methodologies. We made a fundamental difference, even changed our culture...
Things are changing so quickly in IoT that it would take a wizard to predict which ecosystem will gain the most traction. In order for IoT to reach its potential, smart devices must be able to work together. Today, there are a slew of interoperability standards being promoted by big names to make this happen: HomeKit, Brillo and Alljoyn. In his session at @ThingsExpo, Adam Justice, vice president and general manager of Grid Connect, will review what happens when smart devices don’t work togethe...
"There's a growing demand from users for things to be faster. When you think about all the transactions or interactions users will have with your product and everything that is between those transactions and interactions - what drives us at Catchpoint Systems is the idea to measure that and to analyze it," explained Leo Vasiliou, Director of Web Performance Engineering at Catchpoint Systems, in this SYS-CON.tv interview at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York Ci...
The 20th International Cloud Expo has announced that its Call for Papers is open. Cloud Expo, to be held June 6-8, 2017, at the Javits Center in New York City, brings together Cloud Computing, Big Data, Internet of Things, DevOps, Containers, Microservices and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding business opportunity. Submit your speaking proposal ...
@DevOpsSummit taking place June 6-8, 2017 at Javits Center, New York City, is co-located with the 20th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. @DevOpsSummit at Cloud Expo New York Call for Papers is now open.
SYS-CON Events announced today that Dataloop.IO, an innovator in cloud IT-monitoring whose products help organizations save time and money, has been named “Bronze Sponsor” of SYS-CON's 20th International Cloud Expo®, which will take place on June 6-8, 2017, at the Javits Center in New York City, NY. Dataloop.IO is an emerging software company on the cutting edge of major IT-infrastructure trends including cloud computing and microservices. The company, founded in the UK but now based in San Fran...
20th Cloud Expo, taking place June 6-8, 2017, at the Javits Center in New York City, NY, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy.