Commentary   |    
Commentary - The Orthopaedic Workforce: Which Rate is Right?*
James N. Weinstein, D.O., M.S.; David Goodman, M.D., M.S.; John E. Wennberg, M.D., M.P.H.
J Bone Joint Surg Am, 1998 Mar 01;80(3):327-30
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Since the 1970s, the number of clinically active specialists in the United States per 100,000 population has more than doubled. For example, the number of orthopaedic surgeons increased from 3.6 in 1970 to 7.1 currently (Fig. 1). The increase in the supply of physicians has been associated with an increase in per capita costs and in utilization of specialist care. As a result of this escalation in health-care spending, the federal government has called for a dramatic change in the way in which they support graduate medical education. In this new scenario, institutions would be rewarded for reducing the number of residency trainees3.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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