The Journal of Bone and Joint Surgery (American) 80:327-30 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.
Commentary - The Orthopaedic Workforce: Which Rate is Right?*
James N. Weinstein, D.O., M.S.,
David Goodman, M.D., M.S. and
John E. Wennberg, M.D., M.P.H.
| The first 150 words of the full text of this article appear below. |
Since the 1970s, the number of clinically active specialists in the United States per 100,000 population has more than doubled. For example, the number of orthopaedic surgeons increased from 3.6 in 1970 to 7.1 currently (Fig. 1). The increase in the supply of physicians has been associated with an increase in per capita costs and in utilization of specialist care. As a result of this escalation in health-care spending, the federal government has called for a dramatic change in the way in which they support graduate medical education. In this new scenario, institutions would be rewarded for reducing the number of residency trainees3.
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Fig. 1 Map showing the ratios of orthopaedic surgeons per 10,000 United States residents by hospital referral region in the United States in 1996 (Dartmouth Atlas Working Group, Hanover, New Hampshire, 1998).
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However, it is necessary to determine how many physicians are needed. In . . . [Full Text of this Article]

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