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 Program: University of Florida at Gainesville. Arch Surg. 1995;130(9):930–931. doi:10.1001/archsurg.1995.01430090016005
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