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October 1984

A Surplus of DermatologistsWherefrom and Whereto

Author Affiliations

Department of Dermatology University of Virginia School of Medicine Box 134 Charlottesville, VA 22908

Arch Dermatol. 1984;120(10):1295-1297. doi:10.1001/archderm.1984.01650460035014

The article by Ramsay et al1 in this issue of the Archives is most provocative and should stimulate us to examine not only how we arrived at our current level of training of dermatologists but also possible implications of a future surplus of physicians.

The causes for the rapid expansion in dermatologic manpower can be traced, in part, to the overall expansion of physician manpower fueled by such initiatives as the Health Professions Educational Assistance Act of 1963, which granted construction funds and capitation support to enlarge class size in the medical schools. The Medicare and Medicaid legislation of 1965 and 1966 provided further impetus to increase the physician supply by stimulating demand for medical care services. The Health Manpower Act of 1968 offered additional construction funds for medical schools in exchange for a further increase in enrollments. The comprehensive Health Manpower Training Act of 1971 and the Health

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