RT Journal Article SR Electronic T1 Improving the Return on Investment of Graduate Medical Education in North Carolina JF North Carolina Medical Journal JO N C Med J FD North Carolina Institute of Medicine SP 121 OP 127 DO 10.18043/ncm.77.2.121 VO 77 IS 2 A1 Newton, Warren A1 Wouk, Noah A1 Spero, Julie C. YR 2016 UL http://www.ncmedicaljournal.com/content/77/2/121.abstract 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.