Residency Programs: Sizes, Types, and Effects

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The second report by Weil, Schleiter, and Tarlov, pp. 702–715, in this issue, from the National Study of Internal Medicine Manpower (NSIMM) is an important addition to their first report. The first report (1) was largely descriptive and dealt mainly with numbers of programs, numbers of residents, and sources of support dollars. This second report attempts to characterize the residency training environments by developing a typology of training programs and relating the principal types to a number of variables. The number of programs studied—virtually all of the approved residency programs in internal medicine during the years 1976–77—and the number of

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