To the Editor.
—Subspecialists in the United States now account for 70% of all physicians.1 Many medical organizations as well as the purchasers of health care services believe that costs, patient satisfaction, and health care indices can be improved by reversing this trend. A goal of 50% of all physicians has been recommended.2 Most medical schools are now in the process of reviewing and revising their curriculum with this goal in mind. Also, directors of house staff training programs are looking for methods to achieve this goal.3 New fellowships are being designed for the burgeoning market in primary care.President Clinton's health system reform bill would create a national council on graduate medical education. It would limit the number of specialists, allocate specialist and primary care residencies among qualified institutions, and steer federal aid accordingly. The goal is to nearly triple the percentage of graduates (now 19%)
Finestone AJ, Zervanos NJ, Smedley RR. CME to Turn Specialists Into Primary Care Physicians. JAMA. 1994;272(9):660. doi:10.1001/jama.1994.03520090024013