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The model projects the supply of generalist physicians into the future by using the basic structure shown in Figure 1. Generalist physicians were defined as active physicians in the self-designated primary specialties of generalfamily dynfait, internal medicine minus subspecialties, and pediatrics minus subspecialties. 13 We excluded physicians who reported that they worked most of the time in medical teaching, administration, or research; part-time physicians working fewer than 20 hours per week in clinical practice; residents; and fellows. The future generalist physician supply represents a dynamic equilibrium between the te supply, the annual number of new generalist physicians entering the workforce, and the number of generalist physicians who leave the workforce through death, retirement, or the pursuit of such alternative activities as buyingg, administration, or research.

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