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February 25, 2009, Vol 301, No. 8 >

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Letters | February 25, 2009

Health Workforce Planning and Medical Student Career Choice—Reply

David C. Goodman, MD, MS
JAMA. 2009;301(8):824-826. doi:10.1001/jama.2009.160.
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In Reply: Drs Rabkin and Cook argue that medical workforce planning is bound to fail without medical financing reform that addresses the perverse incentives of fee-for-service reimbursement. I agree. The evidence is also robust that a greater infusion of public dollars to expand graduate medical education is likely to lead to more fragmented care and higher costs without improvements in access, quality, and outcomes.1- 3 Less widely discussed, the additional physician capacity will adversely affect the pace and direction of health care reform. It is hard to imagine a more efficient and coordinated health care delivery system evolving during an era when teaching hospitals greatly expand the training of subspecialists.

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February 25, 2009
Health Workforce Planning and Medical Student Career Choice
Frederick M. Perkins, MD
JAMA. 2009;301(8):824-826. doi:10.1001/jama.2009.156.
February 25, 2009
Health Workforce Planning and Medical Student Career Choice
Mitchell T. Rabkin, MD; John S. Cook, DPhil
JAMA. 2009;301(8):824-826. doi:10.1001/jama.2009.157.
February 25, 2009
Health Workforce Planning and Medical Student Career Choice
Brett D. Stauffer, MD, MHS
JAMA. 2009;301(8):824-826. doi:10.1001/jama.2009.158.
February 25, 2009
Health Workforce Planning and Medical Student Career Choice—Reply
Karen E. Hauer, MD; Steven J. Durning, MD; Mark D. Schwartz, MD
JAMA. 2009;301(8):824-826. doi:10.1001/jama.2009.159.
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