Recent research on the physician workforce in the United States suggests that the projected supply of generalist physicians will be adequate. However, the Association of American Medical Colleges (AAMC) recommendation for training of more generalists is still valid, because more physicians will be needed to maintain an adequate generalist…

As internal medicine residency programs struggle to produce enough general internists adequately prepared for practice, the graduate medical education system must have a clear picture of what competencies these practitioners will need. It must constantly monitor the changing practice environment and its varied generalist career choices.…

The article examines trends in the supply of physician-scientists, with emphasis on M.D.-Ph.D. programs to train biomedical researchers. New initiatives, such as the National Institutes of Health Physician-Scientist Training Awards and the Dana Foundation Training Program in the Neurosciences, are described and general recommendations are offered.…

Issues related to the production of more generalists in medicine are discussed, including economic, practice-related, and scientific forces favoring practice of specialty medicine; the influence of the medical school experience on career choice; strategies for correcting the balance inside and outside academic medicine; and resulting alternative…