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In Reply: Dr Hueston is correct when he states that many graduates of US medical schools still choose primary care careers. However, the number of graduates of US medical schools choosing family medicine has declined precipitously in the last 10 years, from 2340 in 1997 to only 1172 in 2008.¹ Whereas 72% of first-year residents in family medicine were US medical school graduates in 1997, that is true of only 44% in 2008.¹ Similar declines have occurred in primary care internal medicine (from 386 US graduates in 1997 to 166 in 2007) and medicine/pediatrics (from 386 to 248).¹

The article by Hauer and colleagues² in the same issue of JAMA found that only 2% of students surveyed at 11 medical schools planned to pursue a career in primary care internal medicine and only 4.9% a career in family medicine. The United States is already far behind other industrialized nations in . . . [Full Text of this Article]

Mark H. Ebell, MD, MS
ebell@uga.edu
University of Georgia
Athens

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