Check out the article in yesterday's Wall Street Journal about super sub-specialists. Primary care is not the only type of specialty for which their is a shortage. I find it interesting that these docs have even more schooling and yet still get paid less because they don't have a procedure to really bill for. It makes you wonder who really is behind the creation of the fee schedules set forth by the government for which every insurance company abides? Could it have been the proceduralists?
This article also proves that medical students and residents are human and will tend to gravitate to where the money is. Until they make the field of neuro-ophthalmology sexy and exciting or give them one really cool procedure (that generates cash), then it will go the way of the dinosaur....or family doctor.