Internal Medicine Manpower: Trends in Training Programs and Policy Implications

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Health manpower policy decisions demand the kind of thorough, careful, and critical research reported by Tarlov and his associates (1–4) from the National Study of Internal Medicine Manpower (NaSIMM). Four reports from this study have now appeared and provide detailed information on residency and subspecialty fellowship training. These findings and those from a study of physicians' practices now being done at the University of Southern California (USC) will be integrated to develop comprehensive policy recommendations for internal medicine (5). The NaSIMM study, as evidenced by findings reported in this issue (3, 4), is fulfilling its objective to gather systematically and

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