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February 10, 1999

Nonphysician Clinicians in the Health Care Workforce

Author Affiliations

Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor

JAMA. 1999;281(6):509-511. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-6-jac80022

To the Editor: Dr Cooper and colleagues1 provide an encompassing overview of the NPC component of the US health workforce and call attention to the serious problem of a future health system with too many NPCs compounding an oversupply of physicians. Their data on the growth of the NPC disciplines affirms the perception of a continuing physician avoidance of primary care practice that has resulted in the expanded production of various clinicians seeking to fill the void in this practice area. With the likely probability of an overcrowded health care workforce in the future, and the surely negative consequences that this will have on the health care system and the professions, further public dialogue, as suggested by the authors, indeed seems imperative.

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