Change in Self-Definition from Specialist to Generalist in a National Sample of Physicians

care system call for a physician work force composed of at least 50 % generalists. Achieving this objective will likely require that some physicians who are currently specialists become generalists. We sought to deter-mine the extent of such change before any concerted reform efforts and the types of physicians most ame-nable to such change. • Design: Retrospective cohort study. • Participants: 335 438 physicians in active practice