The study, which analyzes present and projected physician manpower in New York State, finds New York's physician to population ratio to be the highest of all U.S. States (193 per 100,000 population), but total physician supply to be neither sufficiently large nor equitably distributed to meet patient demand. Foreign and U. S. born graduates of foreign medical schools (FMGs) are critically examined, and it is suggested that ways be found to decrease the number of FMGs practicing in the State. The study surveys medical education in the State, reports favorably on the location and distribution of existing schools and their close alliance with teaching hospitals, and suggests expanding both undergraduate and graduate medical education. The supply and demand for physicians in the State through the year 2000 is projected in graphical form with respect to various assumptions and hypothetical growth rates, with the conclusions that the major need is for primary care physicians, that 260 physicians per 100,000 population is achievable by 1990, and that with expanded medical education and with major increments in the number and capability of physician extenders, reliance on FMGs could be reduced substantially without reducing physician services. Three pages of conclusions and 31 recommendations are included. (JR)