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Letters |1 January 1994

Training More Generalists

Marc L. Rivo, MD, MPH

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Author, Article, and Disclosure Information
  • Bureau of Health Professions; Health Resources and Services Administration; Rockville, MD 20857
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IN RESPONSE:
I agree with Dr. Lowther that the foremost strategy to produce more generalist physicians is to narrow the generalist-to-specialist reimbursement gap and to reduce regulatory, administrative, and malpractice burdens. Dr. Robinson is correct; I do not believe that these changes in the health care marketplace will produce the appropriate supply and specialty mix of graduating residents in a timely and predictable fashion. A general consensus exists that disincentives in the medical education marketplace, particularly the Medicare financing policy for graduate medical education, will also require changes to produce more generalists and fewer specialists [1].
I respectfully disagree...
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Rivo ML. Training More Generalists. Ann Intern Med. 1994;120:92–93. doi: 10.7326/0003-4819-120-1-199401010-00033

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Published: Ann Intern Med. 1994;120(1):92-93.

DOI: 10.7326/0003-4819-120-1-199401010-00033

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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