Replacing Residents with Midlevel Practitioners: A New York City-Area Analysis

Author:

Green Barbara A.1,Johnson Tim2

Affiliation:

1. The Greater New York Hospital Association (GNYHA) in New York City

2. GNYHA

Publisher

Health Affairs (Project Hope)

Subject

Health Policy

Reference2 articles.

1. Assuming that cuts are made in proportion to the current distribution of positions across the country yields the most conservative estimate of losses in the New York City region. Alternative ways of allocating cuts, such as according to physician-to-population or resident-to-population ratios, would result in the elimination of much greater numbers of residency positions in the New York City area. See Whitcomb M. , “The Impact of National Graduate Medical Education (GME) Reform Goals on the GME Activity of Individual States” ( Unpublished study , The Ohio State University College of Medicine , 1994 ).

2. The potential for using non-physicians to compensate for the reduced availability of residents

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