Pearse W H, Trabin J R
Am J Obstet Gynecol. 1977 Jun 1;128(3):303-7. doi: 10.1016/0002-9378(77)90626-3.
The formal development of subspecialities with obstetrics and gynecology has focused attention on problems of physician supply and demand. The need for subspecalized practitioners appears to be 750 in maternal-fetal medicine and 350 each in reproductive endocrinology and gynecologic oncology. Taken together, this number represents about 10 per cent of presently certified specialists. As supply is now developing, the demand in gynecologic oncology should soon be saturated, but there will be a longer term demand in maternal-fetal medicine and in reproductive endocrinology. However, the expectation of 30 per cent of present residents that they will enter subspecialities is far in excess of available fellowships or ultimate need. Fellowships leading to subspecialty certification should be approved by the Residency Review Committee, and numbers should be limited to best estimate of need.
妇产科亚专业的正式发展已将注意力集中在医生供需问题上。母胎医学对亚专科从业者的需求似乎为750人，生殖内分泌学和妇科肿瘤学各为350人。这些数字加起来约占目前获得认证专家的10%。随着供应的发展，妇科肿瘤学的需求很快将饱和，但母胎医学和生殖内分泌学将有长期需求。然而，目前30%的住院医师期望进入亚专业，这远远超过了现有的奖学金名额或最终需求。导致亚专业认证的奖学金应由住院医师评审委员会批准，名额应限制在对需求的最佳估计范围内。
