title: Improving the Return on Investment of Graduate Medical Education in North Carolina.
abstract: The National Academy of Medicine has called for fundamental reform in the governance and accountability of graduate medical education, but how to implement this change is unclear. We describe the North Carolina graduate medical education system, and we propose tracking outcomes and aligning residency stipends with outcomes such as specialty choice, practice in North Carolina, and acceptance of new Medicaid and Medicare patients.
authors.affiliation: vice dean and director, North Carolina Area Health Education Centers; William B. Aycock Professor and chair, Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina warren-newton@med.unc.edu.
authors.forename: Warren
authors.initials: W
authors.lastname: Newton
authors.affiliation: resident, Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Noah
authors.initials: N
authors.lastname: Wouk
authors.affiliation: research associate, Program on Health Workforce Research and Policy, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
authors.forename: Julie C
authors.initials: JC
authors.lastname: Spero
mesh_terms: D004493:Education / Q000191:economics / Q000592:standards; D004503:Education, Medical, Graduate / Q000191:economics / Q000458:organization & administration; D006801:Humans; D008484:Medicaid; D006278:Medicare; D020380:Needs Assessment / Q000191:economics; D009657:North Carolina; D058996:Quality Improvement; D012423:Rural Health / Q000191:economics / Q000193:education; D014146:Training Support / Q000379:methods / Q000458:organization & administration; D014481:United States