Fewer American grads going into primary care. DUH!!!! Why on earth would you - low reimbursement, long hours, lots more hassles than a specialist?
Don't get me wrong - a good PC doctor is worth his/her weight in gold, maybe even platinum. But many American medical school grads agree and they are voting with their feet by going into specialties. (and BTW, my specialty is having similar issues with getting people to train as one - more on the rant later)
Heck, pretty soon, all American grads will be either path, derm, rads, ortho, or anesthesia. ;)