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COGME’s 16th Report to Congress: Too Many Physicians Could Be Worse Than Wasted

¹ The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, Washington, DC
² University of Texas, Health Science Center at San Antonio, Department of Family & Community Medicine, San Antonio, Tex

CORRESPONDING AUTHOR: Robert L. Phillips, Jr, MD MSPH, The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, 1350 Connecticut Ave, NW, Suite 201, Washington, DC 20036, Bphillips{at}aafp.org

ABSTRACT

Departing from past reports, the latest Council on Graduate Medical Education (COGME) report warns of a physician deficit of 85,000 by 2020 and recommends increases in medical school and residency output. COGME notes that contributions of other clinicians and changes in how medical care is delivered in the future would likely offset physician deficits but chose not to modify their recommendations. COGME offers a relatively minor workforce correction in an otherwise flawed system of health care; however, the nation awaits a reassessment of its physician workforce based on what the nation wants and needs from physicians working in modern systems of care. Great caution should be exercised in expanding the physician workforce. Producing a physician surplus could be far worse than wasted, because the investment required and resulting rise in health care cost may harm, not help, the health of people in the United States. Instead, these resources could be applied in ways that improve health.

Key Words: COGME • • education • medical • graduate • health planning organizations • physicians, family/workforce • delivery of health care • health services research • health manpower

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