Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 1 Physician Specialty Allergy & Immunology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 1.4 1.5 1.4 0.8 1.7 1.2 1.1 1.3 1.7 1.3 2008 Actual Population Physician /100k 162 079 2 1.2 Physician Need 2 Status Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus 1 3 Deficit -1 2 Adequate 0 2 Adequate 0 2 Adequate 0 3 Deficit -1 2 Adequate 0 2015 Projected Population 161 394 Physician Need 2 2 2 1 3 2 2 2 3 2 Physician Specialty Anesthesiology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 14.0 9.7 9.1 8.9 5.9 3.9 9.0 7.0 7.6 2008 Actual Population Physician /100k 162 079 13 8.0 Physician Need 23 Status Deficit -10 16 Deficit -3 15 Deficit -2 14 Deficit -1 10 Surplus 3 6 Surplus 7 15 Deficit -2 11 Surplus 2 12 Surplus 1 2015 Projected Population 161 394 Physician Need 23 16 15 14 10 6 15 11 12 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 2 Physician Specialty Cardiovascular Diseases National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 7.5 5.4 5.0 3.1 3.0 1.8 2.9 3.6 2.6 4.2 3.5 2008 Actual Population Physician /100k 162 079 9 5.6 Physician Need 12 Status Deficit -3 9 Adequate 0 8 Surplus 1 5 Surplus 4 5 Surplus 4 3 Surplus 6 5 Surplus 4 6 Surplus 3 4 Surplus 5 7 Surplus 2 6 Surplus 3 2015 Projected Population 161 394 Physician Need 12 9 8 5 5 3 5 6 4 7 6 Physician Specialty Dermatology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 3.7 2.8 2.6 2.8 2.5 2.4 2.6 1.6 1.4 2.1 3.1 2.4 2008 Actual Population Physician /100k 162 079 4 2.5 Physician Need 6 Status Deficit -2 5 Deficit -1 4 Adequate 0 5 Deficit -1 4 Adequate 0 4 Adequate 0 4 Adequate 0 3 Surplus 1 2 Surplus 2 3 Surplus 1 5 Deficit -1 4 Adequate 0 2015 Projected Population 161 394 Physician Need 6 5 4 5 4 4 4 3 2 3 5 4 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 3 Physician Specialty Emergency Medicine National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 10.5 5.5 5.2 5.4 6.7 5.3 2.7 12.4 6.2 2008 Actual Population Physician /100k 162 079 17 10.5 Physician Need 17 Status Adequate 0 9 Surplus 8 8 Surplus 9 9 Surplus 8 11 Surplus 6 9 Surplus 8 4 Surplus 13 20 Deficit -3 10 Surplus 7 2015 Projected Population 161 394 Physician Need 17 9 8 9 11 9 4 20 10 Physician Specialty Family Practice National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 31.5 45.6 42.6 25.2 16.7 11.0 9.2 16.2 22.5 23.6 2008 Actual Population Physician /100k 162 079 42 25.9 Physician Need 51 Status Deficit -9 74 Deficit -32 69 Deficit -27 41 Surplus 1 27 Surplus 15 18 Surplus 24 15 Surplus 27 26 Surplus 16 37 Surplus 5 38 Surplus 4 2015 Projected Population 161 394 Physician Need 51 74 69 41 27 18 15 26 36 38 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 4 Physician Specialty Gastroenterology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 4.2 3.1 3.2 1.7 1.7 1.3 3.5 2.4 2008 Actual Population Physician /100k 162 079 8 4.9 Physician Need 7 Status Surplus 1 5 Surplus 3 5 Surplus 3 3 Surplus 5 3 Surplus 5 2 Surplus 6 6 Surplus 2 4 Surplus 4 2015 Projected Population 161 394 Physician Need 7 5 5 3 3 2 6 4 Physician Specialty Infectious Disease National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 2.2 0.7 0.6 0.9 1.2 0.7 0.6 0.8 2008 Actual Population Physician /100k 162 079 3 1.9 Physician Need 4 Status Deficit -1 1 Surplus 2 1 Surplus 2 1 Surplus 2 2 Surplus 1 1 Surplus 2 1 Surplus 2 1 Surplus 2 2015 Projected Population 161 394 Physician Need 4 1 1 1 2 1 1 1 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 5 Physician Specialty Internal Medicine National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 53.1 21.4 20.0 28.8 28.1 30.3 16.7 11.3 19.0 22.0 2008 Actual Population Physician /100k 162 079 46 28.4 Physician Need 86 Status Deficit -40 35 Surplus 11 32 Surplus 14 47 Deficit -1 46 Adequate 0 49 Deficit -3 27 Surplus 19 18 Surplus 28 31 Surplus 15 36 Surplus 10 2015 Projected Population 161 394 Physician Need 86 35 32 46 45 49 27 18 31 36 Physician Specialty Nephrology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 2.6 1.4 1.3 1.1 0.8 0.7 0.9 0.7 1.0 2008 Actual Population Physician /100k 162 079 6 3.7 Physician Need 4 Status Surplus 2 2 Surplus 4 2 Surplus 4 2 Surplus 4 1 Surplus 5 1 Surplus 5 1 Surplus 5 1 Surplus 5 2 Surplus 4 2015 Projected Population 161 394 Physician Need 4 2 2 2 1 1 1 1 2 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 6 Physician Specialty Neurological Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 1.9 1.1 1.0 1.1 1.4 0.4 0.7 1.0 2008 Actual Population Physician /100k 162 079 5 3.1 Physician Need 3 Status Surplus 2 2 Surplus 3 2 Surplus 3 2 Surplus 3 2 Surplus 3 1 Surplus 4 1 Surplus 4 2 Surplus 3 2015 Projected Population 161 394 Physician Need 3 2 2 2 2 1 1 2 Physician Specialty Neurology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 5.0 2.4 2.3 3.3 1.3 1.7 1.2 2.1 1.4 1.8 1.9 2008 Actual Population Physician /100k 162 079 2 1.2 Physician Need 8 Status Deficit -6 4 Deficit -2 4 Deficit -2 5 Deficit -3 2 Adequate 0 3 Deficit -1 2 Adequate 0 3 Deficit -1 2 Adequate 0 3 Deficit -1 3 Deficit -1 2015 Projected Population 161 394 Physician Need 8 4 4 5 2 3 2 3 2 3 3 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 7 Physician Specialty OB/GYN National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 14.1 12.1 11.3 9.9 11.6 11.5 10.0 8.8 8.4 8.0 10.2 10.2 2008 Actual Population Physician /100k 162 079 24 14.8 Physician Need 23 Status Surplus 1 20 Surplus 4 18 Surplus 6 16 Surplus 8 19 Surplus 5 19 Surplus 5 16 Surplus 8 14 Surplus 10 14 Surplus 10 13 Surplus 11 16 Surplus 8 17 Surplus 7 2015 Projected Population 161 394 Physician Need 23 20 18 16 19 19 16 14 14 13 16 16 Physician Specialty Opthalmology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 6.0 5.9 5.5 4.6 2.4 3.1 5.0 3.5 3.2 4.7 4.2 2008 Actual Population Physician /100k 162 079 9 5.6 Physician Need 10 Status Deficit -1 10 Deficit -1 9 Adequate 0 7 Surplus 2 4 Surplus 5 5 Surplus 4 8 Surplus 1 6 Surplus 3 5 Surplus 4 8 Surplus 1 7 Surplus 2 2015 Projected Population 161 394 Physician Need 10 10 9 7 4 5 8 6 5 8 7 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 8 Physician Specialty Orthopedic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 8.3 6.8 6.4 6.0 5.9 4.2 6.7 3.0 5.9 4.2 6.1 5.5 2008 Actual Population Physician /100k 162 079 11 6.8 Physician Need 13 Status Deficit -2 11 Adequate 0 10 Surplus 1 10 Surplus 1 10 Surplus 1 7 Surplus 4 11 Adequate 0 5 Surplus 6 10 Surplus 1 7 Surplus 4 10 Surplus 1 9 Surplus 2 2015 Projected Population 161 394 Physician Need 13 11 10 10 10 7 11 5 10 7 10 9 Physician Specialty Otolaryngology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 3.4 3.2 3.2 3.4 2.4 3.0 3.0 2008 Actual Population Physician /100k 162 079 3 1.9 Physician Need 6 Status Deficit -3 5 Deficit -2 5 Deficit -2 6 Deficit -3 4 Deficit -1 5 Deficit -2 5 Deficit -2 2015 Projected Population 161 394 Physician Need 5 5 5 5 4 5 5 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 9 Physician Specialty Pathology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 6.3 1.9 1.8 6.4 3.3 1.8 4.1 3.2 2008 Actual Population Physician /100k 162 079 8 4.9 Physician Need 10 Status Deficit -2 3 Surplus 5 3 Surplus 5 10 Deficit -2 5 Surplus 3 3 Surplus 5 7 Surplus 1 5 Surplus 3 2015 Projected Population 161 394 Physician Need 10 3 3 10 5 3 7 5 Physician Specialty Pediatrics National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 24.9 16.6 15.5 12.4 11.9 16.0 9.8 7.6 13.9 13.0 2008 Actual Population Physician /100k 162 079 26 16.0 Physician Need 40 Status Deficit -14 27 Deficit -1 25 Surplus 1 20 Surplus 6 19 Surplus 7 26 Adequate 0 16 Surplus 10 12 Surplus 14 23 Surplus 3 21 Surplus 5 2015 Projected Population 161 394 Physician Need 40 27 25 20 19 26 16 12 22 21 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 10 Physician Specialty Plastic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 2.4 1.1 0.3 0.4 1.1 2.3 2.2 1.2 2008 Actual Population Physician /100k 162 079 3 1.9 Physician Need 4 Status Deficit -1 2 Surplus 1 0 Surplus 3 1 Surplus 2 2 Surplus 1 4 Deficit -1 4 Deficit -1 2 Surplus 1 2015 Projected Population 161 394 Physician Need 4 2 0 1 2 4 4 2 Physician Specialty Psychiatry National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 13.6 7.7 7.2 15.4 5.2 4.1 7.2 3.9 5.7 7.1 2008 Actual Population Physician /100k 162 079 11 6.8 Physician Need 22 Status Deficit -11 12 Deficit -1 12 Deficit -1 25 Deficit -14 8 Surplus 3 7 Surplus 4 12 Deficit -1 6 Surplus 5 9 Surplus 2 12 Deficit -1 2015 Projected Population 161 394 Physician Need 22 12 12 25 8 7 12 6 9 11 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 11 Physician Specialty Pulmonary Diseases National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 3.5 2.0 1.9 1.4 1.4 1.0 1.4 1.4 1.3 1.5 2008 Actual Population Physician /100k 162 079 4 2.5 Physician Need 6 Status Deficit -2 3 Surplus 1 3 Surplus 1 2 Surplus 2 2 Surplus 2 2 Surplus 2 2 Surplus 2 2 Surplus 2 2 Surplus 2 2 Surplus 2 2015 Projected Population 161 394 Physician Need 6 3 3 2 2 2 2 2 2 2 Physician Specialty Radiology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 11.4 13.6 13.7 7.7 8.5 4.7 7.7 8.0 9.1 2008 Actual Population Physician /100k 162 079 24 14.8 Physician Need 18 Status Surplus 6 22 Surplus 2 22 Surplus 2 12 Surplus 12 14 Surplus 10 8 Surplus 16 12 Surplus 12 13 Surplus 11 15 Surplus 9 2015 Projected Population 161 394 Physician Need 18 22 22 12 14 8 12 13 15 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 12 Physician Specialty Rheumatology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 1.5 1.1 1.0 0.7 0.4 0.7 0.7 0.4 1.3 0.8 2008 Actual Population Physician /100k 162 079 2 1.2 Physician Need 2 Status Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus 1 1 Surplus 1 1 Surplus 1 1 Surplus 1 1 Surplus 1 2 Adequate 0 1 Surplus 1 2015 Projected Population 161 394 Physician Need 2 2 2 1 1 1 1 1 2 1 Physician Specialty General Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 12.5 9.4 8.8 9.7 7.0 6.2 5.9 4.2 9.7 4.1 6.0 7.1 2008 Actual Population Physician /100k 162 079 17 10.5 Physician Need 20 Status Deficit -3 15 Surplus 2 14 Surplus 3 16 Surplus 1 11 Surplus 6 10 Surplus 7 10 Surplus 7 7 Surplus 10 16 Surplus 1 7 Surplus 10 10 Surplus 7 12 Surplus 5 2015 Projected Population 161 394 Physician Need 20 15 14 16 11 10 10 7 16 7 10 11 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 13 Physician Specialty Thoracic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 1.5 0.8 0.1 0.5 2008 Actual Population Physician /100k 162 079 1 0.6 Physician Need 2 Status Deficit -1 1 Adequate 0 0 Surplus 1 1 Adequate 0 2015 Projected Population 161 394 Physician Need 2 1 0 1 Physician Specialty Urology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100 000 Pop. 3.5 3.5 3.3 3.1 3.3 2.3 2.9 2.6 1.9 2.9 2.9 2008 Actual Population Physician /100k 162 079 8 4.9 Physician Need 6 Status Surplus 2 6 Surplus 2 5 Surplus 3 5 Surplus 3 5 Surplus 3 4 Surplus 4 5 Surplus 3 4 Surplus 4 3 Surplus 5 5 Surplus 3 5 Surplus 3 2015 Projected Population 161 394 Physician Need 6 6 5 5 5 4 5 4 3 5 5 Georgia Physician Workforce MSA Reports - 2008 Albany MSA Physician Standard Report Included Counties Baker Dougherty Lee Terrell Worth Page 14 Report created by Georgia Board for Physician Workforce State of Georgia *Standards are presented as rates per 100 000 population (1) McClendon B. R.Polizer E. Christain and E. Fernandez. 1997. Downsizing the Physician Workforce. Public Health Reports. May/June 112 231-239. (2) Graduate Medical Education National Advisory Committee Summary Report. 1981. Pub. No. (HRA) 81-651. Washington Government Printing Office. (3) American Medical Association. 1996. Physician Characteristics and Distribution in the US 1995/1996. Chicago. (4) American Osteopathic Association. 1993. 1994 Yearbook and Directory of Osteopathic Physicians. Chicago. (5) Hart L. E. Wagner J. Parzada A.Nelson and R.Rosenblah. 1997. Physician Staffing Ratios in Staff- Model HMO s A Cautionary Tale Health Affairs 16 no. 1 55-70. (6) Weiner J.P. 1994 Forecasting the Effects of Health Reform on U.S. Physician Workforce Requirement. JAMA 272 no. 3 222-230. (7) Steinwachs D. J.P. Weiner S. Shapiro et al. 1986. A Comparison of the Requirements for Primary Care Physicians in with Projections Made by the Graduate Medical National Advisory Committee. New England Journal of Medicine 314 217-222. (8) Kronick R. D.C. Goodman J. Wennberg and E.Wagner. 1993. The Marketplace in Health Care Reform The Demographic Limitations of Managed Competition. New England Journal of Medicine 328 1480152. See also related NAPS Document 04998. (9) Vansdow N.A. The Physician Workforce Issues for Academic Medical Centers. Forum on the Future of Academic Medicine. December 2 1996. (10) Forte G.J. Dionne M. Beaulieu M. and Salsberg E. Profile of New York State Physicians. Rensselaer NY Center for Health Workforce Studies School of Public Health SUNY Albany. April 2001. (11) A Review of Physician-to-Population Ratios. Merritt Hawkins & Associates. GMENAC Goodman (Dec. 11 1996 JAMA) Hicks & Glenn (1989 Journal of Health Care Management) Solucient (2003). (12) American Medical Association. Physician Characteristics and Distribution in the US 2010 Edition 2010.