Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
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.
Cawley JF, Jones PE. Nonphysician Clinicians in the Health Care Workforce. JAMA. 1999;281(6):509-511. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-6-jac80022