Not Enough Generalists?

SoloDoc writes a nice entry on family medicine .. and the problems we're having recruiting students to go into our specialty:

One of the solutions has got to be increasing the reimbursement rate for primary care physicians so that they can make a decent living without working themselves to the bone. If medical students see happy family doctors, they will want to become a happy family doctor, too.

At our local Medical Mecca, we graduate 130 students every year.  Back in the old days – 7 or 8 years ago, we would routinely see 20% of the class go into family medicine.  This year, it may be less than 5%

Of course, this is exacly the opposite of the trend that should be ocurring, if we consider the healthcare needs of the United States (or the world, for that matter).  But the pressures that generalists feel are real, and the solution is unclear.