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Letters |1 October 1995

National Health Work Force Policy

Jack A. Ginsburg, MPE; H. Denman Scott, MD, MPH

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  • American College of Physicians; Philadelphia, PA 19106
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IN RESPONSE:
Today's aggregate oversupply of physicians and the imbalances among generalists and specialists have been predicted and analyzed for at least 15 years [1, 2]. Although shortages of primary care physicians and overabundances of subspecialists are now apparent [3-5], the profession has had only limited success in increasing the numbers of primary care physicians and has been unable to stem the production of more subspecialists.
Graduate medical residency and fellowship training depends to a large extent on public funds from Medicare, Medicaid, the Veterans Administration, federal grant programs, and state support of universities and teaching hospitals. No other profession, including law, requires or receives such extensive public investments in education and training. Meaningful planning regarding the overall number of postgraduate medical training positions and their distribution among specialties is required to protect these investments, as well as the investments of effort, time, and money by medical students and residents.
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Ginsburg JA, Scott HD. National Health Work Force Policy. Ann Intern Med. ;123:555–556. doi: 10.7326/0003-4819-123-7-199510010-00025

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Published: Ann Intern Med. 1995;123(7):555-556.

DOI: 10.7326/0003-4819-123-7-199510010-00025

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

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