In 1986, Congress created the Council on Graduate Medical Education (COGME) to advise it and the Executive Branch about these issues. This brochure is a compendium of some of COGME's major activities, issues addressed, and recommendations made to policymakers since its inception. Some of the first issues considered are still problematic and remain unsolved in spite of governmental intervention. It should be noted, however, that, because of constantly changing demographics and the evolution of new technologies, health workforce needs are not static. Nevertheless, because of the cost of medical education to taxpayers and the need to ensure more equitable access to health care for all Americans, the importance of addressing these issues through public and private measures remains a national health policy priority.
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