New York State Council on Graduate Medical Education (NYS COGME)
The New York State Council on Graduate Medical Education was created by Executive Order in 1987 (and reauthorized most recently by Executive Order on January 1, 2007) to provide advice to the Governor and Commissioner of Health on the formulation and implementation of State policies relating to medical education and training. The Council is charged to consider:
- Graduate medical education programs including the composition, supply and distribution of residency programs, subspecialty programs and fellowship training;
- Efforts to increase the number of minority physicians in training in New York and to increase and improve the training of physicians who will serve as medical residents, and subsequently as practitioners, in underserved areas of the State and serve populations with special health needs;
- The number and specialties of physicians needed in New York State;
- Policies and programs to increase the training of primary care physicians and the training of physicians in non-hospital settings; and
- Promotion of high quality residency and training programs.
Under the leadership of Drs. Alfred Gellhorn, Lambert King, John Naughton and Mary Jane Massie (its current Chairman) the Council has championed causes, including primary care education, increasing underrepresented minorities in medicine, and reducing resident work hours that have distinguished New York as a national leader in Graduate Medical Education (GME). In addition, the Council has provided leadership on residency training issues that include: cultural competence; biomedical research; and with developmental disabilities and special needs populations.
With policy direction from the Council, staff has administered a number of programs including: the GME Reform Incentive Pool; the Empire Clinical Research Investigators Program (ECRIP); the upweighting and Designated Priority Program (DPP); and grant programs in Minority Participation in Medical Education, Medical School Participation in Ambulatory Care and School-Based Health Centers, and Parent Partners in Health Education (PPHE).
The Council has participated with other organizations in sponsoring several conferences and events to increase educational opportunities in medicine for minorities and economically disadvantaged students along the academic pipeline and to promote training in primary care and ambulatory care settings. The Council was also instrumental in developing guidelines for the use of residents in Medicaid Managed Care Plans for both primary care and specialty residents in order to ensure that a single standard of care is provided to all patients regardless of payor.
The Council and has been recognized in the New York Prospective Hospital Reimbursement Methodology (NYPHRM), the Health Care Reform Act (HCRA) and the New York Code of Rules and Regulations (NYCRR - Title 10). The Council works through its four subcommittees: GME Reform; Primary Care and Workforce Development; Minority Participation in Medical Education; and the Steering Committee. In addition, the Council convenes ad-hoc committees, workshops and workgroups, as necessary.
The Council membership is broadly representative of health professional, hospital and public interests. Members are appointed by the Governor, upon recommendation of the Commissioner of Health. The Council consists of up to 30 members.