Graduate medical education is big business in Michigan with more than $1 billion in state and federal funds going to the state's 88 teaching hospitals. Medicare funds about $850 million and Michigan's Medicaid program funds about $163 million. The past several years the state Legislature has considered ending Medicaid residency funding.
The state also has the nation's seventh-largest number of residents with more than 7,200 in more than 200 hospital and other residency programs. Nationally, 1,100 teaching hospitals train about 110,000 residents and fellows each year at a cost of about $14 billion. Additional funding for residents come from hospitals, donations and grants.
In 2013, Southeast Michigan's top three hospitals for total GME payments received were University of Michigan with more than $129 million, Henry Ford Hospital in Detroit with $96.2 million and Beaumont Hospital in Royal Oak with $57.8 million, according to a 2015 analysis by Crain's.
At UM, about 300 residents complete their training each year with about 310 incoming interns, a number that has been growing at an annual 4 percent clip based on clinical and program needs, said Joe Kolars, M.D., UM's senior associate dean for education and global initiatives.
Overall, UM has about 1,407 residents and fellows in training in 105 programs, the largest in Michigan. About 33 percent of its residents come from Michigan and about 50 percent of its medical students, Kolars said. Only about 5 percent of its residents are international medical graduates.
"We have a little lag time, but the most recent numbers last year is 42 percent stay in Michigan. It has been increasing, not dramatic but an uptick in the numbers," said Kolars, adding that UM has been beefing up its primary care programs the past several years.