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Updated: Apr 7, 2026

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Financing Residency Training Redesign.

Patricia A Carney, Elaine Waller, Larry A Green

    Journal of Graduate Medical Education
    |July 4, 2015
    PubMed
    Summary
    This summary is machine-generated.

    Funding for health care residency training redesign primarily comes from grants, marginally increasing overall training costs. Most funds support salaries, highlighting the financial aspects of educational innovation.

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    Area of Science:

    • Medical Education
    • Health Care Systems
    • Residency Training

    Background:

    • Health care delivery system redesign necessitates reorganization of medical residency education.
    • Current funding mechanisms for residency training redesign initiatives are not well understood.

    Purpose of the Study:

    • To investigate the revenue and expenses associated with training redesign in family medicine residency programs.
    • To understand how residency programs fund educational innovations.

    Main Methods:

    • Survey of family medicine residency program directors involved in the Preparing Personal Physicians for Practice (P(4)) project.
    • Data collection on revenues and expenses related to training redesign between 2006 and 2011.

    Main Results:

    • University-based programs received over $5.2M, community-based programs received over $4.7M.
    • Grants were the primary funding source (57.8% university, 86.9% community).
    • Training redesign marginally increased program budgets (3% university, 2% community), with most funds allocated to salaries.

    Conclusions:

    • Residency programs utilize diverse funding strategies for training redesign.
    • Innovations led to a slight increase in training costs, mainly for salaries.
    • Federal and local grants are key funding sources; further research on transformation costs is needed.