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Previous Volume 330:1167-1171 April 21, 1994 Number 16

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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For almost three decades, the federal government has provided billions of dollars annually to support graduate medical education without regard to the number and balance of generalists and specialists produced by the nation's teaching hospitals. Now, believing that the increasing ratio of specialists to generalists has deleterious effects on the cost^1,2 and quality of health care and concerned about a surfeit of physicians, President Bill Clinton has recommended that residency positions be allocated and funded through a centralized regulatory process sponsored by the federal government. Although Clinton's call for nationally coordinated planning of the physician work force is an unprecedented . . . [Full Text of this Article]

New Government Policy

The AAMC's Position

The AAMC's Policy Reversal

The Difficulties of Reducing Training Positions

Conclusions

References

Related Letters:

Health Care Reform and Graduate Medical Education
Perry R. F., Iglehart J. K.
Extract | Full Text  
N Engl J Med 1994; 331:879-880, Sep 29, 1994. Correspondence

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