THIS ISSUE of The Journal contains a considerable amount of information about the country's graduate medical education (GME) system and about the resident physicians enrolled in GME programs (Appendix II, page 725). The data in Appendix II document clearly the size and complexity of the GME enterprise and the fact that both the total number of resident physicians and the number on duty in first-year positions increased in 1993. The unremitting growth in the aggregate number of resident physicians enrolled in GME programs, in association with what is viewed as an imbalance in the specialty mix of those programs, has led policymakers once again to express concerns about the adverse impact the GME system has on the size and specialty composition of the physician workforce. These concerns are not new nor are the strategies being proposed to address them.
See also p 725.
During the past 20 years, the federal