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Government Affairs Home > Washington Highlights > October 17, 2003

COGME Addresses Physician Supply

October 17, 2003 - At its Sept. 17 meeting, the Council on Graduate Medical Education (COGME) once again considered a report commissioned from the Center for Health Workforce Studies at SUNY Albany. Center researchers led by Ed Salsberg projected U.S. demand for physicians and the physician supply. Researchers concluded that if physician practice patterns remained as they are, demand would exceed supply by 2020 because of U.S. population growth, the aging of the population, and changing age-specific per capita physician utilization rates.

Based on these findings, the report's authors recommended increasing medical school graduations and residency positions 15 percent by 2015 and suggested that specialty distribution should be left to the marketplace. Other recommendations included the development of systems to track the supply, demand and need for physicians, and a comprehensive re-assessment within the next four years.

On a close vote, the Council accepted the report but dropped a recommendation to increase the number and use of physician assistants, nurse practitioners, and other non-physician clinicians.

Legislative authorization for COGME expired Sept. 30; however, the Senate version of the FY 2004 Labor-HHS appropriations bill includes a provision extending COGME's charter through FY 2004. The bill is currently in conference and may be considered by Congress in the coming weeks.

Information:
Sunny Yoder, Director of Resident Affairs
AAMC Health Care Affairs
syoder@aamc.org
(202) 828-0497

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