SO FAR, OUR COLLEAGUES have covered many of the problems likely to happen with managed care, and we have been asked to relate the impact of managed care in a relatively rural area, that of our program at the University of Florida, located in the north central Florida city of Gainesville (population, 93091).
Two years ago, our dean created a graduate medical education task force for strategic planning purposes. I (E.M.C.) was eager to be a participant in that task force to have the best opportunity to protect the number of general surgical resident positions at our institution. If resident positions were to be lost, I wanted them to come from other services that I considered to be overstaffed relative to surgery. No resident positions have been lost to date, but the committee developed some interesting data that I would like to share with you. When the committee first met,
Copeland EM, Flynn TC, Ross WE. Impact of Managed Care on One Training ProgramUniversity of Florida at Gainesville. Arch Surg. 1995;130(9):930-931. doi:10.1001/archsurg.1995.01430090016005