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'Alarming' Physician Shortages Lie Ahead

Joe Cantlupe, for HealthLeaders Media, November 14, 2013

That didn't happen. "The cap," Grover writes, "is still in place, limiting teaching hospitals' efforts to expand or create new programs." Medicare now pays for less than 25% of direct training costs for residents and fellows.

In the late 1990s, when Grover was a resident, there were HMOs, and predictions for the need for physicians were less dire. Then "technology helped make fatal diseases chronic diseases," he says. Now Congress needs to expand the number of federally supported residency positions, he says, noting that some legislation has been proposed.

Non-Physician Providers
Grover agrees with healthcare planning providing for physician assistants, social workers, nurses, physical therapists, and pharmacists to buttress physician work. But that only goes so far without physicians themselves, he says.

Even if current health care delivery reforms are implemented and successful, the U.S. population certainly will need a larger healthcare workforce, including more physicians. The Patient Protection and Affordable Care Act may add up to 30 million more insured to the population in the upcoming years

"I worry about giving 30 million people a card and a false promise," Grover says.

Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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7 comments on "'Alarming' Physician Shortages Lie Ahead"

savita (11/29/2013 at 9:41 PM)
oh really? Dr, Dave, you are yet to know millions of female medical work force who have been working on same terms as their male colleagues and yet caring for their family needs without compromising professional durties all over world. it was really unfortunate to come across a prejudiced sexist comment like this. you need to correct yourself.

Bill Schlesinger (11/16/2013 at 2:21 PM)
So when does The Cap Get Lifted On Residency Slots?

Daniel (11/15/2013 at 6:26 PM)
There aré a lot of physician who are trained outside and do not have a chance to get a residency spot. Most of the residency spot just go to people familiar with the program directors. Thera ano equality. In other words There are thousand of physician without opportunity to enter in the system. Just look how many apply and how many match.