PT - JOURNAL ARTICLE AU - Newton, Warren AU - Wouk, Noah AU - Spero, Julie C. TI - Improving the Return on Investment of Graduate Medical Education in North Carolina AID - 10.18043/ncm.77.2.121 DP - 2016 Mar 01 TA - North Carolina Medical Journal PG - 121--127 VI - 77 IP - 2 4099 - http://www.ncmedicaljournal.com/content/77/2/121.short 4100 - http://www.ncmedicaljournal.com/content/77/2/121.full SO - N C Med J2016 Mar 01; 77 AB - The National Academy of Medicine has called for fundamental reform in the governance and accountability of graduate medical education, but how to implement this change is unclear. We describe the North Carolina graduate medical education system, and we propose tracking outcomes and aligning residency stipends with outcomes such as specialty choice, practice in North Carolina, and acceptance of new Medicaid and Medicare patients.