The Institute of Medicine (IOM) released earlier this week a sweeping report on how to fund graduate medical education at the hospital level, and the reaction from the hospital community is mixed at best. Among the recommendations: Move toward a performance-based model, and shift funding away from teaching hospitals and to facilities that actually fund medical residencies to incentivize hospitals to train providers for non-hospital settings. "Whether overt or under the guise of better training for doctors, you are talking about significant reductions in funding," said Richard Silver, M.D., chief academic officer and chairman of the department of obstetrics and gynecology services at NorthShore University HealthSystem in Illinois. But Dave Asprey, Ph.D, an IOM committee member and physician assistant educator, told FierceHealthcare that "in the current system there's not a lot of direct outcome measures that are linked to the money that flows toward graduate medical education, and so this is an attempt to improve upon that." Read the full article at FierceHealthcare