• The moving of physicians into or out of rural areas, and into or out of large cities, is accompanied by some shifting from general practice to specialization.
Five representative classes were selected from the alumni of a medical school and classified as either specialists or nonspecialists. The data showed that in each class the percentage of full-time specialists increased with the lapse of time. Moreover the trend toward specialization was stronger with each succeeding class, so that 15 years after graduation the 1915 class had only 25% rated as specialists while the 1935 class, 15 years after graduation 46% so rated.
The increased rate of specialization is probably a long-term phenomenon to be explained by changing conditions of medical practice.
Terris M, Monk M. CHANGES IN PHYSICIANS' CAREERSRELATION OF TIME AFTER GRADUATION TO SPECIALIZATION. JAMA. 1956;160(8):653–655. doi:10.1001/jama.1956.02960430043008
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