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
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.
TARLOV AR, WEIL PA, SCHLEITER MK, Deiss WP, Hook EW, Johnson JE, et al. National Study of Internal Medicine Manpower: I. Residency Training 1976-1977. Ann Intern Med. 1978;88:413–420. doi: 10.7326/0003-4819-88-3-413
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Published: Ann Intern Med. 1978;88(3):413-420.
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