For the last three quarters of a century, the American Medical Association's
national collection of graduate medical education (GME) data has evolved in
its scope and methods. This year's GME survey involved new technology. The
National GME Census for 2000-2001, jointly administered by the American Medical
Association and the Association of American Medical Colleges, was part of
an Internet-based product called GME Track. Because of technical problems,
data collection was less complete than in previous years. Similar to the 1999-2000
survey, we observed an increase in the number of subspecialty programs, with
79 more than last year (2.1% increase), and a decrease in the number of specialty
programs, with 40 (0.9%) fewer. Parallel to this continuing trend was a decrease
in the number of graduates of US medical schools who were matched into primary
care residencies, particularly family practice programs (20% decrease compared
with 1996-1997). The number of graduates of osteopathic medical schools training
in allopathic programs continued to rise, increasing 7.9% from last year.
Numbers of Hispanic and Asian graduates from US allopathic medical schools
(USMDs) in graduate year 1 (GY1) positions increased numerically to 887 and
2356, respectively, and proportionally by 7.2% and 17.3%, respectively. Although
the number of white USMDs in GY1 positions increased, their proportion decreased
slightly among those with known race or ethnicity from 72.2% to 71.7%, and
the number of black USMD GY1 residents, numbering 859, declined from the previous
year. Although we observed an overall decline in the average number of on-duty
hours expected of residents in their first year in a program (from 55 in 1996-1997
to 54 in 2000-2001; P<.001), the average number
of hours reported by the majority of programs that typically report the most
on-duty hours did not decrease. The issues of resident work hours and the
diversity and specialty distribution of the physician workforce continue to
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