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Jeffrey L. Kaufman, MD
Baystate Medical Center Springfield, Mass

JAMA. 1993;270(15):1813-1814.

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

To the Editor.

—Why is the review of physician supply by Feil et al¹ so overwhelmingly a supply-side analysis with scant discussion of attrition? In private discussions with my colleagues, the issue of early retirement or attenuation of one's specialty practice is a hot topic. With the frustrations of rapidly decreasing incomes and increasing practice overhead, other physicians have told me that specialty medical practice as we now know it may not be worth the trouble within the next 5 years. Among an informally polled sample of 20 peripheral vascular surgeons aged 38 to 45 years, 19 expressed a desire to truncate or leave their practice when they reach 55 years of age. Actually, doing this will obviously depend on each physician's financial resources, but those currently in their 50s who have assiduously saved pension money and who do not have excessive expenses, such as tuition for children, may . . . [Full Text PDF of this Article]

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