A new Institute of Medicine report calls for an overhaul of the the federal system for financing physician training and residency programs to "ensure that the public’s $15 billion annual investment is producing the doctors that the nation needs." The report, produced by the IOM’s Committee on the Governance and Financing of Graduate Medical Education and supported in part by The Commonwealth Fund, calls for a financing system based on performance measurement and accountability, as well as support for innovative approaches to medical education.