A new study, the latest and most comprehensive of its kind, finds that Michigan is now facing a shortage of certain specialty physicians and will likely face a critical shortage of general practitioners by 2020. "Efforts to address the shortages must consider the needs of rural and inner city communities," said Robert Frank, dean of the Wayne State University School of Medicine. "While the medically underserved today are largely those on public health insurance and the low-income uninsured, the medically underserved of the future will include Michigan residents of varying means all over the state."