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- W2057529548 abstract "THERE HAS recently been renewed interest in the specialty balance in the US physician workforce, with many groups calling for increased production of generalist physicians. A number of factors are responsible for this, including declining medical student interest in generalist careers,<sup>1</sup>continued shortages in rural and inner-city areas,<sup>2,3</sup>increased demand from managed care organizations, cross-national experience,<sup>4</sup>as well as some evidence of cost savings from higher proportions of generalists.<sup>5,6</sup>The Council on Graduate Medical Education<sup>7</sup>has called for a reduction in first-year graduate medical education positions to 110% of US medical graduates with a 50:50 generalist-to-specialist mix, and the Physician Payment Review Commission<sup>8</sup>has also considered such changes. Similar recommendations have been proposed in the Clinton Health Security Act as well as independently in Congress. Such changes are significant and could be approached from a variety of educational, financial, and regulatory perspectives. In order" @default.
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- W2057529548 date "1994-05-18" @default.
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- W2057529548 title "Counting Generalist Physicians" @default.
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- W2057529548 doi "https://doi.org/10.1001/jama.1994.03510430059035" @default.
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