NEJM January 15, 2025
An urgent health care workforce crisis is looming. In the United States, a country plagued by disparate health outcomes across its geographic regions, relative physician “deserts” (i.e., regions with limited access to physicians) mirror many areas with the lowest life expectancies. The aging of baby boomers (a population born between 1946 and 1964) — the so-called Silver Tsunami — is expected to triple the population of persons 85 years of age or older over the next three decades, exacerbating an already-strained physician workforce. Medical school admission processes and subsequent training structures, graduate medical education (GME), and compensation policies simultaneously serve to foster current challenges and constrain creative solutions. Many potential reforms — including in GME, pathways for physician production, and...
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