In today's turbulent environment, daily concerns are expressed in strident terms which a decade ago would have been used only for impending tragedies. As a result, important warnings are likely to be unnoticed. The financial problems of the nation's medical schools are not receiving the public and professional attention they deserve, possibly because the warnings are lost in the cacophony of daily alarms. The danger is present; the alarms have been sounded, but the responses to date are far from adequate.
The challenge has gone out to the nation's medical schools to increase substantially their output of physicians. While no authoritative numerical goal is available, few of the statements call for less than 50% expansion of entering classes within the next five years.
It is unlikely that an increase in the number of students by from 50% to 100% in the next five to ten years can occur without major