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Medicine and Public Policy |

National Study of Internal Medicine Manpower: I. Residency Training 1976-1977

ALVIN R. TARLOV, M.D., F.A.C.P.; PETER A. WEIL, Ph.D.; MARY KAY SCHLEITER, M.A.; William P. Deiss Jr., M.D.; Edward W. Hook, M.D.; Joseph E. Johnson III, M.D.; Arnold S. Relman, M.D.; Joseph C. Shipp, M.D.; Scott N. Swisher Jr., M.D.; Alvin R. Tarlov, M.D., Chairman, The Association of Professors of Medicine Task Force on Manpower
[+] Article and Author Information

Grant support: by the Federated Council for Internal Medicine (American Board of Internal Medicine, American College of Physicians, American Society of Internal Medicine, and Association of Professors of Medicine); and in part by contract No. HRA-231-76-00-59, Bureau of Health Manpower, Health Resources Administration, U.S. Department of Health, Education, and Welfare.

▸Requests for reprints should be addressed to Alvin R. Tarlov, M.D., Box 273, University of Chicago Hospitals, 950 E. 59th St., Chicago, IL 60637.


Chicago, Illinois


© 1978 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1978;88(3):413-420. doi:10.7326/0003-4819-88-3-413
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The National Study of Internal Medicine Manpower was undertaken to collect data on the supply of newly trained internists. The questionnaire data returned by 98% of the 418 internal medicine residency training program directors showed that there were more than 15 000 residents in training in internal medicine in 1976-1977. Twenty-five percent of the first-year positions were held by physicians destined for specialties other than internal medicine. Over a third of each medical school graduating class opts for a full year of internal medicine for their first residency year; an additional third of all medical school graduates rotate for a variable number of months on internal medicine teaching services. More than half of the practicing internists participate in the training of residents. Hospital revenue (for example, Medicare and third-party payers) provides the bulk of financial support for residents and teaching staff. Local, state, and federal governments, by direct appropriation, provide 25% of residents' stipends and teaching staff salaries.

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