Measuring the direct costs of graduate medical education training in Minnesota

Citation
La. Blewett et al., Measuring the direct costs of graduate medical education training in Minnesota, ACAD MED, 76(5), 2001, pp. 446-452
Citations number
16
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Health Care Sciences & Services
Journal title
ACADEMIC MEDICINE
ISSN journal
1040-2446 → ACNP
Volume
76
Issue
5
Year of publication
2001
Pages
446 - 452
Database
ISI
SICI code
1040-2446(200105)76:5<446:MTDCOG>2.0.ZU;2-O
Abstract
Purpose. To demonstrate the usefulness of self-reported cost-accounting dat a from the sponsors of training programs for estimating the direct costs of graduate medical education (GME). The study also assesses the relative con tributions of resident, faculty, and administrative costs to primary care, surgery, and the combined programs of radiology, emergency medicine, anesth esiology, and pathology (REAP). Method. The data were the FY97 direct costs of clinical education reported to Minnesota's Department of Health by eight sponsors of 117 accredited med ical education programs, representing 394 sites of training (both hospital- and community-based) and 2,084 full-time equivalent trainees (both residen ts and fellows). Average costs of clinical training were calculated as resi dency, faculty, and administrative costs. Preliminary analysis showed avera ge costs by type of training programs, comparing the cost components for su rgery, primary care, and REAP. Results. The average direct cost of clinical training in FY97 was $130,843. Faculty costs were 52%, resident costs were 26%, and administrative casts were 20% of the total. Primary care programs' average costs were lower than were those of either surgery or REAP programs, but proportionally they inc luded more administrative costs. Conclusions. As policymakers assess government subsidies for GME, more deta iled cast information will be required. Self-reported data are more cast ef fective and efficient than are the more detailed and costly time-and-motion studies. This data-collection study also revealed that faculty costs, driv en by faculty hours and base salaries, represent a higher proportion of dir ect costs of GME than studies have shown in the past.