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Children's Hospital Graduate Medical Education (CHGME) Payment Program
93.255
The purpose of the CHGME Payment Program is to compensate for the disparity in the level of Federal Graduate Medical Education (GME) funding for freestanding children’s teaching hospitals versus other types of teaching hospitals. Hospitals typically receive support for graduate medical education (GME) through Medicare, and those payments are provided to hospitals based on their Medicare patient volume. Freestanding children’s hospitals receive little to no Graduate Medical Education (GME) funding from Medicare because children’s hospitals have a low Medicare caseload. The CHGME Payment Program supports freestanding children’s teaching hospitals that: 1) Educate and train future pediatricians, pediatric sub-specialists, and other non-pediatric residents, including residents in dentistry; 2) Provide care for vulnerable and underserved children; and 3) Conduct innovative and valuable pediatric research. The CHGME Support Reauthorization Act of 2013 contained a provision to establish a quality bonus system (QBS). The goal of the QBS is to recognize and incentivize those CHGME Payment Program awardees with high quality training to meet the pediatric workforce needs of the nation.
This chart shows obligations for the program by fiscal year. All data for this chart was provided by the
administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.
For more information on each of these data sources, please see the
About the data page.
In Academic Year 2015-2016, the CHGME program supported the training of 5,017 pediatric residents that included general pediatrics residents, as well as residents from five types of combined pediatrics programs (e.g., internal medicine/ pediatrics). Additionally, 2,713 pediatric medical subspecialists, 285 pediatric surgical subspecialists, and 365 pediatric dentistry residents were trained. The CHGME also supported training of 3,120 non-pediatric residents and fellows in the care of children. CHGME-funded medical residents and fellows provided a total of 2,075,887 patient encounters in primary care settings and a total of 4,799,074 patient contact hours in medically underserved communities.
: In Academic Year (AY) 2016-2017, CHGME supported the training of 4,975 Pediatric residents that included General Pediatrics residents, as well as residents from seven types of combined pediatrics programs (e.g., Internal Medicine/Pediatrics). Additionally, CHGME supported 2,962 Pediatric Medical Subspecialists, 234 Child and Adolescent Psychiatry fellows, 424 CHGME-funded Advanced Dentistry residents including 300 Pediatric Dentists, and 3,571 Adult Medical and Surgical Specialists. Pediatric residents supported by the CHGME program accounted for 47 percent of all Pediatric residents trained in the United States during AY 2016-2017. Additionally, Pediatric Medical and Surgical Specialists and Subspecialists supported by CHGME accounted for 58 percent of pediatric specialists trained in the United States. CHGME-funded medical residents and fellows provided care during more than 1.7 million patient encounters in primary care settings. CHGME-funded medical residents and fellows provided over 5.2 million hours of patient care in medically underserved communities.
No Current Data Available
No Current Data Available
In FY 2019-2020, CHGME supported the training of 5,433 Pediatric residents that included General Pediatrics residents, as well as residents from seven types of combined pediatrics programs (e.g., Internal Medicine/Pediatrics). Additionally, 3,055 Pediatric Medical Subspecialists, including 199 Child and Adolescent Psychiatry fellows, received training.
In Academic Year 2020-2021 CHGME funded over 13,000 physician and dental residents and fellows. The program supported the training of 5,628 Pediatric residents and 2,904 Pediatric medical subspecialty fellows, including training 198 Child and Adolescent Psychiatry fellows. Moreover, CHGME funding was responsible for training 4,572 Adult Medical and Surgical Specialty Residents who rotate through children’s hospitals for their pediatrics training. There were also 430 CHGME-funded Advanced General Dentistry residents, including 340 Pediatric Dentistry and 21 Pediatric Orthodontist residents. CHGME-funded hospitals reported having 1,538 patient safety initiatives and programs, with their medical residents and fellows providing over 5.5 million hours of patient care in medically underserved communities.
In Academic Year 2021-2022 CHGME funded over 15,515 physician and dental residents and fellows. The program supported the training of 6,124 Pediatric residents and 3,201 Pediatric medical subspecialty fellows, including training 206 Child and Adolescent Psychiatry fellows. Moreover, CHGME funding was responsible for training 5,357 Adult Medical and Surgical Specialty Residents who rotate through children’s hospitals for their pediatrics training. There were also 516 CHGME-funded Advanced General Dentistry residents, including 415 Pediatric Dentistry and 23 Pediatric Orthodontist residents. CHGME-funded hospitals reported having 1,639 patient safety initiatives and programs, with their medical residents and fellows providing over 5.1 million hours of patient care in medically underserved communities.
In academic year 2022-2023 CHGME funded over 15860 physician and dental residents and fellows. The program supported the training of 6,146 Pediatric residents and 3,163 Pediatric medical subspecialty fellows, including training 235 Child and Adolescent Psychiatry fellows. Moreover, CHGME funding was responsible for training 5666 Adult Medical and Surgical Specialty Residents who rotate through children’s hospitals for their pediatrics training. There were also 510 adult and pediatric residents and 375 pediatric surgical subspecialty residents CHGME-funded hospitals reported providing more than 1.7 million patient encounters in primary care settings with their medical residents and fellows providing over 5.51 million hours of patient care in medically underserved communities.
Single Audit Applies (2 CFR Part 200 Subpart F):
For additional information on single audit requirements for this program, review the current Compliance Supplement.
OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.
