The first paper, on planning the future size of the psychiatrist workforce, discusses methods for determining whether a geographic area has a surplus or a shortage of psychiatrists and how such workforce issues may affect mental health services for rural areas. If managed care continues to shift from specialties to generalists for the provision of services, the number of psychiatrists in training will be markedly reduced, and the delivery of care in rural areas may be adversely affected. On the other hand, a surplus of psychiatrists might benefit currently underserved rural areas if it encourages movement of psychiatrists into those areas. Whether the future brings an under- or oversupply of psychiatrists, the bulk of psychiatric care in rural areas will be provided by nonpsychiatrists. Thus it is important to ensure that family practice physicians and other primary care practitioners are well trained in psychiatry.