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National Study of Internal Medicine Manpower: XVI. Subspecialty Fellowship Programs, 1988 Update
- Christopher Lyttle, MA;
- Ronald M. Andersen, PhD;
- Gerald S. Levey, MD; and
- Claire H. Kohrman, PhD.
Abstract
Much of the debate about medical manpower during the 1980s has focused on the growing number of medical subspecialists. We examined the number of subspecialty fellows since 1976, paying particular attention to data collected in the 1987-1988 academic year. The number of fellows in subspecialty training at a given time has increased by 27% since 1976; however, much of this increase is due to the increased length of the training programs. The number of first-year fellows has increased only 7% since 1976. Growth in the number of fellowships has varied by subspecialty. The number of fellowships in geriatrics, critical care, and general internal medicine has increased dramatically. Additionally, the traditional subspecialties-cardiology, pulmonary disease, gastroenterology, infectious diseases, rheumatology, and al-lergy-immunology-have all grown to some extent. Program directors in all subspecialties anticipate continued growth in the coming years.
Article and Author Information
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From the University of Chicago, Chicago, Illinois; and the University of Pittsburgh, Pittsburgh, Pennsylvania. For current author addresses, see end of text.
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Grant Support: Supported in part by grants from the Association of Professors of Medicine, the American College of Physicians, the American Board of Internal Medicine, the American Society of Internal Medicine, the Association of Program Directors in Internal Medicine, the Richard King Mellon Foundation, and the Henry J. Kaiser Family Foundation.
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Requests for Reprints: Ronald Andersen, PhD, Center for Health Administration Studies, 1101 East 58th Street, Chicago, IL 60637.
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Current Author Addresses: Mr. Lyttle and Drs. Andersen and Kohrman: Center for Health Administration Studies, 1101 East 58th Street, Chicago, IL 60637.
Dr. Levey: Department of Medicine, University of Pittsburgh School of Medicine, 1200 Scaife Hall, 3350 Terrace Street, Pittsburgh, PA 15261.
- ©1989 American College of Physicians
