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Introduction
Pages 10-14

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From page 10...
... ,< , ~,, Educators recently have come to appreciate that the present financing system is a barrier to reshaping the education of residents to enable them to meet the realities of modern primary care practice. These realities include the management of patients in a health care system that is responding to new financial incentives by increasing the practice of medicine outside the hospital; technological developments that allow the movement of care to outpatient settings; changes in demographics and disease patterns that make new demands on primary care physicians; and efforts to contain health care cost increases that require primary care physicians to play central roles in decisions about access to services.
From page 11...
... In particular, the issue of the supply of primary care manpower cannot be divorced from the issue of GME financing because patient care revenues have an impact on both the number of entrants into the primary care specialties, and the ability to support residents in ambulatory settings. The committee examined evidence concerning the adequacy of the future supply of primary care physicians and adopted the policy goal of expanding the primacy care physician workforce.
From page 12...
... While acknowledging the major role played by obstetricians and gynecologists in the delivery of primary care services to women, the committee believed that it should concentrate on the three specialties of general internal medicine, general pediatrics, and family practice for which a commonality of problems in the financing of GME are found, and which are federally defined as primary care specialties and receive support from federal grants programs intended to enhance primary care. Conduct of the Study During the course of the study the committee held two meetings.
From page 13...
... These important questions, which bear on the development of quality education programs in primary care, are subjects worthy of investigation but could not be undertaken by the committee. Moreover, the committee did not undertake an investigation of the organizational structure of medical schools and hospitals.
From page 14...
... Community Oriented Primary Care: From Principle to Practice.


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