Changing the Number of Surgeons

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Abstract
The generally expansionist policies for physician manpower heretofore recommended by medical-manpower commissions and implemented by medical schools, legislatures, and Congress have had serious, unintended effects on access to primary care, on cost, on expansion of specialties, and on the geographic distribution of physicians.1 This is especially clear in surgery. Recent studies have shown that physicians who perform operations vary in training, degree of specialization, and surgical experience.2 , 3 They have low mean operative workloads, relatively short workweeks, and high incomes relative to other physicians.2 3 4 This situation leads to the obvious conclusion that too many physicians practice surgery. In addition, the number . . .

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