While many sources cite a shortage of family physicians (and also other primary care providers, i.e. internists, pediatricians, and general practitioners), the per capita supply of primary care physicians has actually increased about 1 percent per year since 1998. Additionally, a recent decrease in the number of M.D. graduates pursuing a residency in primary care has been offset by the number of D.O. graduates and graduates of international medical schools (IMGs) who enter primary care residencies. Still, projections indicate that by 2020 the demand for family physicians will exceed their supply.