The Health Manpower Challenge to Internal Medicine

Editorials1 May 1987The Health Manpower Challenge to Internal MedicineSTEVEN A. SCHROEDER, M.D.STEVEN A. SCHROEDER, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-106-5-768 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHealth manpower planning is an uncertain and humbling business. Decisions to expand or constrict physician supply or to modify specialty mix have enduring consequences. For example, the decision to increase the capacity of medical schools in the United States in the 1960s and 1970s prompted a gradual expansion in the number of practicing physicians, a trend that will affect health policy for at least the next 40 years.Rational policy concerning health manpower requires accurate assessment of both supply and demand. Supply can be forecasted by simple bookkeeping techniques, given reasonable estimates of the current physician pool and projections concerning...References1. Report of the Graduate Medical Education National Advisory Committee to the Secretary, Department of Health and Human Services. Vols. 1-7. Hyattsville, Maryland: U.S. Department of Health and Human Services; 1981. (DHHS publication no. [HRA] 81-651—81-657). Google Scholar2. TARLOV A. HMO enrollment growth and physicians: the third compartment. Health Aff. 1986;5:24-35. CrossrefGoogle Scholar3. STEINWACHSWEINERSHAPIROBATALDENCOLTINWASSERMAN DJSPKF. A comparison of the requirements for primary care physicians in HMOs with projections made by the GMENAC. N Engl J Med. 1986;314:217-22. CrossrefMedlineGoogle Scholar4. SCHROEDER S. The making of a medical generalist. Health Aff. 1985;4:22-46. CrossrefMedlineGoogle Scholar5. COXANDERSONADAYLEVEY MRLG. National Study of Internal Medicine Manpower: XI. Internal Medicine Residency and Fellowship Training in the 1980s. Ann Intern Med. 1987;106:734-40. LinkGoogle Scholar6. KLETKESCHLEITERTARLOV PMA. Changes in the supply of internists: the internal medicine population from 1978 to 1998. Ann Intern Med. 1987; 107:(In press). MedlineGoogle Scholar7. SCHROEDER S. Western European responses to physician oversupply: lessons for the United States. JAMA. 1984;252:373-84. CrossrefMedlineGoogle Scholar8. PETERSDORF R. Is the establishment still defensible?: sounding board. N Engl J Med. 1983;309:1053-7. CrossrefMedlineGoogle Scholar9. IGLEHART J. The political contest over health care resumes. Health policy report. N Engl J Med. 1987;316:639-44. CrossrefMedlineGoogle Scholar10. . Health care in transition: consequences for young physicians. JAMA. 1986;256:3384-90. CrossrefMedlineGoogle Scholar11. KEITHBELLSWANSONWILLIAMS SRAA. Effects of affirmative action in medical schools: a study of the class of 1975. N Engl J Med. 1985;313:1519-25. CrossrefMedlineGoogle Scholar12. SCHROEDERSHOWSTACKGERBERT SJB. Residency training in internal medicine: time for a change? Ann Intern Med. 1986;104:554-61. LinkGoogle Scholar13. KARPFLEVEY MG. Training internists for the changing medical scene. Ann Intern Med. 1986;104:567-9. LinkGoogle Scholar14. GELLHORN A. Graduate medical education in internal medicine. Ann Intern Med. 1986;104:569-70. LinkGoogle Scholar15. LEWIS C. Training in internal medicine: time to retool the factory? [Editorial]. Ann Intern Med. 1986;104:570-2. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByThe promotion of generalism in medicineAlternative Pathways for Training the General Internist and the Medical SubspecialistLaurence E. Earley, MDNational Study of Internal Medicine Manpower XVIII: Subspecialty Fellowships with a Special Look at Hematology and Oncology, 1988-1989Christopher S. Lyttle, MA, Ronald M. Andersen, PhD, Kristen Neymarc, MA, Christian Schmidt, BA, Claire H. Kohrman, PhD, Gerald S. Levey, MDGrand Cru versus Generic: Different Approaches to Altering the Ratio of General Internists to SubspecialistsJay H. Stein, MDPrimary Care Internal Medicine: A Challenging Career Choice for the 1990sMack Lipkin Jr., MD, Wendy Levinson, MD, Randol Barker, MD, David Kern, MD, Wylie Burke, MD, John Noble, MD, Steven Wartman, MD, Thomas L. Delbanco, MDWomen in Academic MedicineEmployment choices in conditions of physician oversupplyCareer development among residents completing primary care and traditional residencies in medicine at the Boston City Hospital, 1974–1983 1 May 1987Volume 106, Issue 5Page: 768-770KeywordsForecasting Issue Published: 1 May 1987 PDF DownloadLoading ...