title: Managed care may crunch GME programs.
abstract: Can teaching hospitals continue operating graduate medical education programs in a world of cost-conscious purchasers, competitive marketplaces, and cutbacks in Medicare's financial support? The absence of widely evident financial problems may slow efforts to establish national trust funds for graduate medical education.
authors.affiliation: Birch & Davis Health Management Corp., Silver Spring, Md., USA.
authors.forename: P L
authors.initials: PL
authors.lastname: Grimaldi
mesh_terms: D003363:Cost Control; D004465:Economic Competition; D004503:Education, Medical, Graduate / Q000191:economics*; D006784:Hospitals, Teaching / Q000191:economics*; D006801:Humans; D008329:Managed Care Programs / Q000191:economics*; D006278:Medicare / Q000191:economics; D014146:Training Support / Q000191:economics*; D014481:United States