TY - JOUR AU - Nicholson,Sean TI - Barriers to Entering Medical Specialties JF - National Bureau of Economic Research Working Paper Series VL - No. 9649 PY - 2003 Y2 - April 2003 UR - http://www.nber.org/papers/w9649 L1 - http://www.nber.org/papers/w9649.pdf N1 - Author contact info: Sean Nicholson Professor Department of Policy Analysis and Management Cornell University 102 Martha Van Rensselaer Hall Ithaca, NY 14853 Tel: 607/254-6498 Fax: 607/255-4071 E-Mail: sn243@cornell.edu AB - Non-primary care physicians earn considerably more than primary care physicians in the United States. I examine a number of explanations for the persistent high rates of return to medical specialization and conclude that barriers to entry may be creating an economic shortage of non-primary care physicians. I estimate that medical students would be willing to pay teaching hospitals to obtain residency positions in dermatology, general surgery, orthopedic surgery, and radiology rather than receiving the mean residents' salary of $34,000. In the simulation, the quantity of residents in these four specialties would increase by an estimated six to 30 percent, rates of return would fall substantially, and teaching hospitals would save an estimated $0.6 to $1.0 billion per year in labor costs. ER -