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David A. Kindig, MD, PhD
Council on Graduate Medical Education Rockville, Md

JAMA. 1995;274(23):1833.

	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.

—Several issues addressed by Dr Whitcomb¹ require clarification and response. First, Whitcomb erred in stating that the Council on Graduate Medical Education (COGME) relied heavily on a single cross-national study in making its 1992 recommendation to move toward a system in which generalist physicians approach 50% of the physician workforce. COGME based its recommendation on a critical analysis of all relevant data available at the time, including health maintenance organization (HMO) staffing data, analysis of changes in the US health care delivery system, and data on costs generated by generalist and specialist physicians.² For the past 2 years, COGME has relied exclusively on population-based studies and evidence regarding supply and requirements.³

Second, Whitcomb's conclusion that the current US generalist supply is adequate is drawn from a single managed care study commissioned by COGME and performed by Dr Weiner.⁴ Using a similar methodology but . . . [Full Text PDF of this Article]

Footnotes
Edited by Margaret A. Winker, MD, Senior Editor, and Phil B. Fontanarosa, MD, Senior Editor.

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