The elusive generalist physician: can we reach a 50% goal?
Article Abstract:
Fifty percent of all post-1993 medical school graduates would have to choose to practice primary care medicine in order to achieve an almost equal balance between specialists and generalists by the year 2040. Health care policy is moving toward the goal of producing an equal number of primary care and specialist physicians in order to increase access to medical care and to contain costs. A model, based on current trends in medical education and practice, was developed to determine how long it would take to produce this equal distribution under a variety of conditions. If only 30% of physicians become general practitioners 10 years after graduating, then the percentage of generalists will decrease from the current 32.8% to 30.2% in 2040. If only 20% of graduates become general practitioners, they will comprise 21% of all physicians in 2040. If 100% of post-1993 medical school graduates become general practitioners, then they would account for more than 90% of all physicians practicing in 2040.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1993
User Contributions:
Comment about this article or add new information about this topic:
Domestic production vs international immigration: options for the US physician workforce
Article Abstract:
An immediate reduction in the number of first-year medical internships may be required to meet future physician supply scenarios. Researchers assumed three physician supply scenarios in the year 2050 and calculated backward to determine how this supply could be met. The supply scenarios were a low of 175 physicians per 100,000 people, a middle of 192/100,000 and a high of 248/100,000. To meet these scenarios, the number of internships would have to be cut each year between 1996 and 2000 by 1,742 for the low scenario, 1,390 for the middle scenario and 226 for the high scenario. This could be done by cutting positions for US medical graduates, international graduates or both.
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 1996
User Contributions:
Comment about this article or add new information about this topic:
- Abstracts: Preventive medicine. Uncompensated and discounted Medicaid care provided by physician group practices in Wisconsin
- Abstracts: Incidence and characteristics of preventable iatrogenic cardiac arrests. Clinical crossroads: an invitation
- Abstracts: Health care: overpriced, unjust - and unlikely to change. Chiropractic and insurance: working within the system
- Abstracts: Organ transplantation and pregnancy; a case report and review. Postpartum coronary artery dissection followed by heart transplantation
- Abstracts: Prevention and detection in older persons. Prostate cancer: transrectal ultrasound and pathology comparison: a preliminary study of the outer gland (peripheral and central zones) and inner gland (transition zone) cancer