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Minimum instructional and program-specific administrative costs of educating residents in internal medicine.
- Source :
-
Archives of internal medicine [Arch Intern Med] 2001 Mar 12; Vol. 161 (5), pp. 760-6. - Publication Year :
- 2001
-
Abstract
- Background: The cost associated with education of residents is of interest from an educational as well as a political perspective. Most studies report a single institution's actual incurred costs, based on traditional cost accounting methods. We quantified the minimum instructional and program-specific administrative costs for residency training in internal medicine.<br />Methods: Using the Accreditation Council for Graduate Medical Education program requirements for internal medicine as minimum standards for teaching and administrative effort, we quantified the minimum instructional and administrative costs for sponsorship of an accredited residency program in internal medicine. We also analyzed the impact of resident complement and program curricular emphasis (outpatient, inpatient, or traditional) on the per-resident cost. The main outcome measure was the minimum annual per-resident cost of instruction and program-specific administration.<br />Results: Using the assumptions in this model, we estimated the annual cost per resident of implementing the program requirements to be $50,648, $35,477, $28,517, and $26,197 for inpatient intensive residency programs with resident complements of 21, 42, 84, and 126, respectively. For outpatient intensive residency programs of identical resident complements, we estimated the annual per-resident cost to be $58,025, $42,853, $35,894, and $33,574 for similar resident complements. Fixed costs mandated by the program requirements, which did not vary across program size or configuration, were estimated to be $640,737.<br />Conclusions: There are fixed and variable costs associated with sponsorship of accredited internal medicine residency programs. The minimum cost per resident of education and departmental administration varies inversely with program size within the sizes examined.
- Subjects :
- Administrative Personnel economics
Administrative Personnel organization & administration
Costs and Cost Analysis
Education, Continuing organization & administration
Health Planning
Humans
Internal Medicine organization & administration
Internship and Residency organization & administration
Models, Economic
United States
Education, Continuing economics
Internal Medicine education
Internship and Residency economics
Subjects
Details
- Language :
- English
- ISSN :
- 0003-9926
- Volume :
- 161
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Archives of internal medicine
- Publication Type :
- Academic Journal
- Accession number :
- 11231711
- Full Text :
- https://doi.org/10.1001/archinte.161.5.760