Balance and Limits: Modeling Graduate Medical Education Reform Based on Recommendations of the Council on Graduate Medical Education
该研究基于医学研究生教育委员会的建议，提出将培训职位限制在美国医学院毕业生的110%，并让50%的毕业生进入初级保健实践，以改善医疗可及性和控制成本。
National commissions, medical philanthropies, scholars, and policy analysts agree that the key to improved health care access and cost containment is a physician workforce built on a generalist foundation. They propose a national system to allocate a specific and limited number of graduate medical education (GME) positions. The Council on Graduate Medical Education recommended that training positions be limited to 110 percent of the graduates of U.S. allopathic and osteopathic medical schools and that the system graduate 50 percent into primary care practice (50/50-110 proposal). The 50/50-110 option would significantly modify GME training: surgical and support specialty positions would be reduced, and increased numbers of medical and pediatric residents would enter general practice. This workforce composition would facilitate provision of universal health care access and help control costs--the basic tenets of reform.