Office of Program Policy Analysis and Government Accountability
Office of Program Policy Analysis and Government Accountability

Medical Education Funding Is Complex; Better Expenditure Data Is Needed

Report 08-36, June 2008




Report Summary

  • During the 2007 regular legislative session, the University of Florida and the University of South Florida raised, as part of a budget request, the issue of parity in state funding among the current and proposed public colleges of medicine. The parity request was based on State University System (SUS) expenditure data. While the use of official SUS expenditure data is a reasonable starting point, we found that the data reflects inconsistent reporting practices across universities and lacks sufficient detail to determine the costs of the state's colleges of medicine. Insufficient information on current spending and funding by the colleges of medicine including all revenue sources limits the state's ability to assess funding parity across institutions
  • In addition, few states have funding models that specifically address medical education programs, and those few states with models use them for different functions in the state budgeting process. Ohio is the only state in which the state legislature uses a formula to appropriate funding directly to multiple public colleges of medicine.
  • Finally, patient care provided by medical schools, known as faculty practice plans, has historically provided funding to help support medical education programs. However, changes in the healthcare industry may lessen the ability of these plans to provide this support in the future.


Related Reports
  1. Florida's Graduate Medical Education System
    Report 14-08 February 2014
  2. The Board of Governors Has Developed a Funding Formula and Uniform Reporting Procedures for Medical Education Programs
    Report 11-09 February 2011
  3. Medical Education Program Funding Model Must Address Institutional Variations and Data Limitations
    Report 09-19 March 2009
Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.
Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.
education, on-the-job training, Medical Education, Colleges of Medicine, Medical Schools, Funding, school districts, best financial management practice, performance reviews, schools, school districts, principal, certification, staff development