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WASHINGTON — Fewer American doctors are focusing on primary care, but the decline is being covered by physicians from other countries.

The Government Accountability Office said Tuesday that as of 2006 there were 22,146 American doctors in residency programs in the U.S. specializing in primary care, down from 23,801 in 1995, the research arm of Congress told the Senate Health, Education, Labor and Pensions Committee. The number of international medical graduates training in primary care had grown from 13,025 in 1995 to 15,565 in 2006.

For specialists, the number of Americans in training went from 45,300 in 1995 to 47,575 in 2006, and over the same period, international specialists grew from 11,957 to 12,611.

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