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David J. Brailer, MD; David B. Nash, MD, MBA

JAMA. 1986;256(24):3391-3392.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Physicians have confronted many recent professional and social challenges, such as rising health care costs, an extensive federal role in health care financing, professional liability, technological growth, and subspecialization.^1-3 Although many physicians have felt threatened, most have adapted to these incremental changes; some have even flourished.⁴ Today, however, revolutionary forces such as the physician surplus, the growth of the for-profit sector, competition, and a preoccupation with cost containment threaten to eliminate traditional medical practice, driving even established physicians into alternative delivery systems. For young physicians lacking practice experience and carrying unprecedented debt, the result is overwhelming uncertainty about the future.⁵

The article entitled "Health Care in Transition: Consequences for Young Physicians" in this issue of JAMA⁶ (a report by the American Medical Association's Council on Long-Range Planning and Development) analyzes the forces that make uncertainty part of the modern environment of medicine. Historically, a physician had . . . [Full Text PDF of this Article]

Author Affiliations
Hospital of the University of Pennsylvania Philadelphia; Veterans Administration Medical Center Philadelphia

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