Graduate Medical Education and Military Medicine

摘要

The Institute of Medicine addressed these questions within a study requested by the Assistant Secretary of Defense for Health Affairs: (1) What is the maximum capacity of each military medical department to conduct GME programs in its own hospitals considering the availability of (a) patients, (b) staff, (c) facilities, and (d) other pertinent resources; (2) How do these programs affect the recruitment and retention of military physicians; (3) What are the optimal sizes of such programs. The study committee recommended that the Department of Defense withdraw its 1979 directive which limited the fraction of active duty physicians in Graduate Medical Education (GME) assignments and, instead, to allow each medical department to adjust its own GME programs to meet changing manpower circumstances and requirements. Concerning the Armed Forces Health Professions Scholarship Program, the committee recommended: (1) an increase to forty-five percent of the Army's share in the HPSP total; (2) that legislative authority be requested governing the service obligation of HPSP recipients; (3) a study of future HPSP requirements consistent with reduced manpower requirements; (4) institution of a quality review system for the GME programs of three services; (5) a major DOD effort to identify policy and program changes needed to maintain an effective military medical establishment in the 1980's.