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Article |

No Evidence of an Emerging Physician Surplus

William B. Schwartz, MD; Daniel N. Mendelson
JAMA. 1990;264(6):691. doi:10.1001/jama.1990.03450060037011.
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ABSTRACT

To the Editor.—  In a recent article,1 we analyzed data on changes in physicians' work load and income during the 1980s and concluded that the demand for physicians' services has equaled or exceeded the growth in physician supply. These findings run directly counter to the projections made by the Graduate Medical Education National Advisory Committee (GMENAC) that we would face a large physician surplus by 1990. In an editorial that accompanied our article, Dr Tarlov,2 who headed the GMENAC study, is sharply critical of our conclusions.Tarlov disputes our finding concerning the sharp rise in physician income on the grounds that survey data from the American Medical Association used in our study are not corroborated by a medical economics survey. He fails to point out, however, that we verified the American Medical Association findings with income tax data gathered by the Internal Revenue Service. The nearperfect agreement between

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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