Increased involvement by state and federal government in graduate medical education is related to the academic medical community's unwillingness to address issues of: manpower supply and specialty distribution, limited effectiveness of minority enhancement programs, and foreign medical graduates. Medical educators are urged to initiate solutions…

The discussion consists of a national overview of state legislative activity and summaries of state legislation addressing aspects of physician distribution in rural areas and other rural health care issues during the period 1984-89. Legislative summaries are organized by state. (MSE)

The annotated and indexed bibliography contains over 120 citations of research and program reports from multiple health disciplines concerning rural health care delivery. Citations cover the period of January 1980 through July 1990, and are organized by state in which the program or research occurs. (MSE)

Analysis of labor market trends for physicians considers potential indicators of change and what these indicators show. The article concludes that despite some changes in the market, it is too early to identify a departure from trends. Generalist positions are becoming more attractive, but specialist numbers continue to increase. Little indication…

A 1989 conference on physician manpower issues facing rural communities in Washington, Alaska, Montana, and Idaho (WAMI) is reported, and its recommendations for both medical schools and graduate medical education are summarized. The conclusions are applicable to physician manpower development in other areas of the country. (Author/MSE)

The traditional response of medical education to challenges from the external environment has been to claim that the medical profession must have autonomy concerning educational mission. However, as social, educational, and economic forces change, more explicit, formal, and systematic linkages between practice institutions and educational…

A review of 73 articles on primary care specialty choice between 1987 and 1993 revealed patterns in student attitudes on entry to medical school, characteristics associated with choice of primary care, significant curricular experiences, required time in family practice, and faculty representation. Twelve strategies for increasing the proportion…

The 1960s civil rights movement spurred affirmative action in medical education, but by the mid-1970s, the trend stalled. In 1991 the Association of American Medical Colleges began a long-range strategy to improve early (K-12) academic training of underrepresented minority group applicants to medical schools. This program has also slowed. Both…