GME Policy: Stipend Level

Policy Statement

Trainees in all programs must be paid in accordance with the stipends set by the Graduate Medical Education Committee (GMEC).  For every program, each program level is associated with a standard stipend step.  Trainees may not be paid less than or in excess of the stipend step set for their program level of training, except as noted below.


  • H-1B visa holders must be paid the higher of the prevailing wage determined by the U.S. Department of Labor, or their program level stipend step.
  • Trainees holding a Without Salary appointment, per the Without Salary Appointment Policy.

Reason for Policy

To provide consistency regarding stipend levels within individual programs and across the institution, and clarity for residents/fellows, faculty, and program and department staff.

Additional Resources

Subject Contact Phone Email
Policy Christy Illig 612-626-0631


Related Information

It is recognized that there are trainees accepted into training programs who have completed additional GME training above and beyond what is required for the training program they are entering (e.g. additional fellowships, an additional year chief residency, etc.).  Trainees may have also spent time in non-GME activity (e.g. employment, graduate school, etc.).  While these accomplishments are noteworthy they do not impact the stipend level.

See also:



July 25, 2017: Instituted standard stipend steps for each program level of training.  All trainees at the same level in a program will receive the same standard stipend step.  (For instance, all trainees in XYZ Fellowship training at Program Level 1 will receive Stipend Step 5, regardless of their individual prior training history.)  The association between program level and stipend step will be set on a program-by-program basis.

April 25, 2017: Removed exception for trainees on NIH NRSA grants to be paid at the rate set by the grant.

Prior revision dates: June 27, 2003; October 4, 2005; April 13, 2006; April 11, 2007; March 31, 2008

EffectiveJanuary 24, 2003 - Approved by the Graduate Medical Education Committee (GMEC).