The AANS and the CNS, as leading members of the Alliance of Specialty Medicine (ASM), responded to a request for information aimed at improving the Medicare Graduate Medical Education (GME) program. The ASM emphasizes the urgent need to address critical medical specialty workforce shortages, including neurosurgery, due to projected physician deficits by 2034. ASM supports expanding Medicare-funded GME residency slots to 10,000 between fiscal years 2027–2031, with at least 25% allocated to specialty and subspecialty training. They propose specific legislative text changes to prioritize specialty care, oppose the creation of a new GME Policy Council as redundant, and recommend enhancing the existing Council on Graduate Medical Education (COGME) to include specialty representatives.
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