TRENDS IN EMERGENCY MEDICINE PHYSICIANS 1996-2006 SPECIALTY FACT SHEET SERIES SPRING 2009 (No. 1 of 12) GEORGIA BOARD FOR PHYSICIAN WORKFORCE
SUPPLY AND DISTRIBUTION OF EMERGENCY MEDICINE PHYSICIANS
Emergency Medicine Physician Distribution 2006 Secondary Care Service Areas* (SCSA)
Dade Catoosa
Fannin
Towns Rabun
Murray
Union
Whitfield
White
Walker
Chattooga Gordon
Region 1
6.8
Floyd
Bartow
Gilmer
Habersham
Pickens
Lumpkin
Region
2
Stephens
7.7 Dawson
Banks Franklin
Hart
Cherokee Forsyth Hall
Jackson Madison Elbert
Below State Rate Above State Rate
GA Rate = 9.6 US Rate = 10.0 *Physicians per 100,000
Polk
Cobb
Region 3 Paulding
Haralson
Gwinnett Barrow Clarke Oglethorpe
Dekalb
Walton Oconee
Wilkes
Lincoln
population
9.4 Reg1io2n.05 Carroll
Douglas
Rockdale
Fulton Clayton
Newton
Morgan Greene Taliaferro
Columbia
McDuffie
Region 7 Coweta
Heard
Henry Fayette
Butts Spalding
Jasper
Warren Putnam
Hancock Glascock
Richmond
Reg1io0n.14 Region 6 19.9 Troup Meriwether Pike Lamar Monroe
Baldwin Jones
Jefferson Washington
Burke
Harris
Upson
8.6 Bibb
Crawford
Wilkinson
Talbot
Twiggs
Johnson Emanuel
Jenkins
Screven
Taylor
Peach
Muscogee
Bulloch
Region 8 Marion
Houston Bleckley Laurens
Treutlen
Candler
Region 9 Region 12 Chattahoochee
Macon
7.3 Schley
4.6 10.8 Stewart Webster
Sumter
Pulaski Dodge Dooly
Wilcox
Montgomery
Evans
Wheeler
Tatnall Toombs
Effingham Bryan Chatham
Crisp
Telfair
Liberty
Quitman
Terrell Lee
Randolph
Clay Calhoun Dougherty
Region 10
Early
Baker
9.2 Mitchell
Miller
Turner
Ben Hill
Jeff Davis Appling
Long
Worth Colquitt
Irwin
Coffee Bacon
Wayne
Tift Region 11
Pierce
Berrien 11.3
Cook
Atkinson
Ware
Brantley
McIntosh Glynn
Seminole Decatur
Grady Thomas Brooks
Lanier Lowndes
Clinch
Charlton
Camden
Echols
There was an increase in physicians becoming board certified between 1996 and 2006. o 1996: 66.2% of emergency medicine physicians were board certified compared to 73.4% of total physicians.
o 2006: 75.8% of emergency medicine physicians were board certified compared to 83.2% of total physicians.
Seven of the twelve SCSAs are below the state and U.S. rate for emergency medicine physicians.
The rate for SCSA Region 7, which includes Augusta, is more than twice the state rate.
Emergency medicine physicians have grown by 55% between 1996 and 2006.
Of all the emergency medicine physicians: o 1996: 5.1% were residents o 2006: 1.3% were residents
*State Service Delivery Regions; Effective July 1, 1998, the State Legislature voted to provide regional boundaries for the purpose of consistency in planning and service delivery from State Agencies.
Of all the residents:
o 1996: 3.8% were in emergency medicine o 2006: 3.1% were in emergency medicine
MSA VERSUS NON-MSA DISTRIBUTION OF EMERGENCY MEDICINE PHYSICIANS
Emergency medicine physicians have always been concentrated in Metropolitan Statistical Areas (MSAs). However, there has been a decline of emergency medicine physicians practicing in Non-Metropolitan Statistical Areas (Non-MSA's). From 2004 to 2006, there was a 7.1% decrease in the percentage of emergency medicine physicians practicing in Non-MSA designated areas.
EMERGENCY MEDICINE PHYSICIANS BY YEAR: GEORGIA MSA/NON-MSA
DESIGNATION MSA
NON-MSA
2004 76.6% 23.4%
2006 83.7% 16.3%
Georgia Board for Physician Workforce 1718 Peachtree St., N.W., Suite 683, Atlanta, Georgia 30309, (404) 206-5420 www.gbpw.georgia.gov Cherri Tucker, Executive Director. Colette Caldwell, Carla Graves, Kelly McNamara, and G.E. Alan Dever, M.D., Ph.D., contributors.
DEMOGRAPHICS
Emergency Medicine Physicians By Gender
100 82.6%
80
80.7%
60
40 17.4%
20
19.3%
0 1996
2006
Male Female
Emergency Medicine Physicians By Race
100
84.3%
80
73.7%
60
40
20
0 White
10.4% 13.3% 4.1% 7.8% 1.2% 5.2%
Black
Asian
1996 2006
Other
Since 1996, there has been a slight increase in the number of female emergency medicine physicians practicing in Georgia. Additionally, the percentage of minority physicians has increased, while the percentage of white emergency medicine physicians has decreased by 10.6% since 1996.
Percentage of Emergency Medicine Physicians and Total Physicians Age 55 and Older 1996 and 2006
30
23.6%
20
12.1%
26.3% 16.5%
10
0 1996
2006
Emergency Medicine Total Physicians
The percentage of emergency medicine
physicians age 55 and older increased by 4.4% between 1996 and 2006.
Similarly, the percentage of total practicing
physicians age 55 and older increased by 2.7% during the same time period.
TRENDS IN THE NUMBER AND RATE OF EMERGENCY MEDICINE PHYSICIANS
Over the last ten years, the NUMBER of emergency medicine physicians practicing in Georgia has steadily increased. Similarly, the RATE of emergency medicine physicians has shown a general increase. The rate increased between 1996 and 2000 and then declined slightly in 2002. In 2004, there was a notable increase in the rate. The rate remained the same through 2006 at 9.6 emergency medicine physicians.
Total Number
1000
836 876
800
732 755
643 600 565
Rate per 100,000 Population
10 7.8
8.4
8.9
8.8
9.6
9.6
8
6
400
4
200
2
0 1996 1998 2000 2002 2004 2006
0 1996 1998 2000 2002 2004 2006