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Medicine and Public Policy |

National Study of Internal Medicine Manpower: III. Subspecialty Fellowship Training 1976-1977

ALVIN R. TARLOV, M.D.; PETER A. WEIL, Ph.D.; MARY KAY SCHLEITER, M.A., The Association of Professors of Medicine Task Force on Manpower
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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); the Henry J. Kaiser Family Foundation, Palo Alto, California; and in part by contract HRA-231-76-0059, 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 East 59th Street; Chicago, IL 60637.

▸From the Section of General Internal Medicine, Department of Medicine, and the Center for Health Administration Studies, Graduate School of Business, University of Chicago; Chicago, Illinois.*William P. Deiss, Jr., M.D.; Saul J. Farber, M.D.; Edward W. Hook, M.D.; Joseph E. Johnson III, M.D.; Joseph C. Shipp, M.D.; John L. Townsend, M.D.; and Alvin R. Tarlov, M.D., Chairman.

Chicago, Illinois

© 1979 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1979;91(2):287-294. doi:10.7326/0003-4819-91-2-287
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Questionnaire II of the National Study of Internal Medicine Manpower was directed to all of the 1502 subspecialty training programs in the United States and Puerto Rico. The overall response rate was 86%. For the years 1972-1973 through 1976-1977 the number of fellows in subspecialty training grew at an average rate of 10.6% per year, or one and one-half times greater than the growth rate of 7.2% in the number of first-year residents in training for the same time period. In 1976-1977 there were 5826 fellows in subspecialty fellowship training, of whom 26% were foreign medical graduates. Stipends for subspecialty fellows in 1976-1977 amounted to $90 million, 40% of which was derived from direct federal funds and 33% from hospital revenues. Most of the subspecialty fellowship programs were in large teaching hospitals, which are closely affiliated with the nation's medical schools. The 1976-1977 professional activities of former subspecialty trainees who had finished their training between 1972 and 1976 were distributed roughly in thirds between research-teaching, teaching-practice, and practice. We discuss public policy implications of the data.





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