Faulkner L R, McCurdy R L
Office of the Dean, University of South Carolina, Columbia 29208, USA.
J S C Med Assoc. 1998 May;94(5):223-9.
Available data suggest that South Carolina does not have the same degree of problems with its medical workforce as is present in many other areas of the country. While there may be too many specialists and not enough primary care physicians and while maldistribution is also a problem in some areas of the state; it appears that the total number of physicians and the size and focus of the medical education system in South Carolina are about what they should be. Furthermore, the graduate medical education system in South Carolina is currently changing on its own to emphasize more primary care and less specialist training. With careful monitoring, coordination of effort, and specific initiatives to address specialty, maldistribution and curricular issues, the state's medical education programs can take action to build on their current strengths and assure a medical workforce of sufficient size, type, and skill to meet the future needs of the citizens of South Carolina.
现有数据表明，南卡罗来纳州在医疗劳动力方面不存在与美国其他许多地区相同程度的问题。虽然可能存在专科医生过多而初级保健医生不足的情况，而且该州某些地区也存在分布不均的问题；但南卡罗来纳州的医生总数以及医学教育系统的规模和重点似乎基本合理。此外，南卡罗来纳州的毕业后医学教育系统目前正在自行调整，以更加注重初级保健，减少专科培训。通过仔细监测、协调努力以及采取具体举措来解决专科、分布不均和课程问题，该州的医学教育项目可以采取行动，利用其当前的优势，确保拥有足够规模、类型和技能的医疗劳动力，以满足南卡罗来纳州公民未来的需求。
