TRENDS IN ORTHOPEDIC SURGEONS 1996-2006 SPECIALTY FACT SHEET SERIES SUMMER 2009 (No. 5 of 12) GEORGIA BOARD FOR PHYSICIAN WORKFORCE SUPPLY AND DISTRIBUTION OF ORTHOPEDIC SURGEONS Orthopedic Surgeons Physician Distribution 2006 Secondary Care Service Areas* (SCSA) Dade Catoosa Fannin Towns Rabun Murray Union Whitfield White Walker Chattooga Gordon Region 1 Gilmer Habersham Lumpkin Region 2 Stephens Pickens Dawson 6.2 Banks Franklin Hart Below State Rate Above State Rate 5.2 Cherokee Forsyth Hall Floyd Bartow Jackson Madison Elbert GA Rate = 7.5 US Rate = 8.1 *Physicians per 100,000 population Polk Paulding Haralson Region 3 Cobb Gwinnett Barrow Clarke Oglethorpe Dekalb Walton Oconee Wilkes 7.7 Region 5 Lincoln Carroll Douglas Rockdale Fulton Clayton Newton 3.5 Morgan Greene Taliaferro Columbia McDuffie Region 7 Coweta Heard Henry Fayette Butts Spalding Jasper Warren Putnam Hancock Glascock Richmond Reg4io.8n 4 Region 6 15.2 Troup Meriwether Pike Lamar Monroe Baldwin Jones Jefferson Washington Burke Harris Upson 8.2 Bibb Crawford Wilkinson Talbot Twiggs Johnson Emanuel Jenkins Screven Taylor Peach Muscogee Region 8 Marion Houston Bleckley Laurens Treutlen Bulloch Candler Effingham Region 9 Region 12 Chattahoochee Macon 9.3 Schley Pulaski Dodge Montgomery Evans 3.3 8.7 Stewart Webster Sumter Dooly Wilcox Wheeler Tatnall Toombs Bryan Chatham Crisp Telfair Liberty Quitman Terrell Lee Randolph Clay Calhoun Dougherty Region 10 Early Baker 12.5Mitchell Miller Turner Ben Hill Jeff Davis Appling Long Worth Colquitt Irwin Coffee Bacon Wayne Tift Region 11 Pierce Berrien 5.5 Cook Atkinson Ware Brantley McIntosh Glynn Seminole Decatur Grady Thomas Brooks Lanier Lowndes Clinch Charlton Camden Echols *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. There was an increase in physicians be coming board certified between 1996 and 2006. 1996: 78.6% of orthopedic surgeons were board certified compared to 73.4% of total physicians. 2006: 84.0% of orthopedic surgeons were board certified compared to 83.2% of total physicians. Six of the twelve SCSAs are below the state rate and seven are below the national rate for orthopedic surgeons. The rate for SCSA Region 7, which includes Augusta, is more than twice the state rate at 15.2. Region 9, in the southeastern part of the state, is the lowest at 3.3. Orthopedic surgeons have grown by 24.0% between 1996 and 2006. Of all the orthopedic surgeons: 1996: 5.6% were residents 2006: 3.8% were residents Of all the residents: 1996: 4.0% were in orthopedic surgery 2006: 6.8% were in orthopedic surgery MSA VERSUS NON-MSA DISTRIBUTION OF ORTHOPEDIC SURGEONS Orthopedic surgeons have always been concentrated in Metropolitan Statistical Areas (MSAs). However, there has been a decline of orthopedic surgeons practicing in Non-Metropolitan Statistical Areas (Non-MSAs). From 2004 to 2006, there was a 5.1% decrease in the percentage of orthopedic surgeons practicing in Non-MSA designated areas. ORTHOPEDIC SURGEONS BY YEAR: GEORGIA MSA/NON-MSA DESIGNATION MSA NON-MSA 2004 81.2% 18.8% 2006 86.3% 13.7% 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 Orthopedic Surgeons By Gender 97.8% 100 97.0% 80 60 40 20 2.2% 0 1996 3.0% 2006 Male Female Orthopedic Surgeons By Race 100 92.8% 75.6% 80 60 40 20 0 White 4.6% 11.6% 9.6% 2.4% 0.2% 3.2% Black Asian 1996 2006 Other Since 1996, there has been an increase in the number of female orthopedic surgeons practicing in Georgia. Overall, the percentage of minority physicians has increased, while the percentage of white orthopedic surgeons has decreased by 17.2% since 1996. Percentage of Orthopedic Surgeons and Total Physicians Age 55 and Older 1996 and 2006 30 26.6% 23.5% 27.0% 26.3% 20 The percentage of orthopedic surgeons age 55 and older increased only by .4% between 1996 and 2006. 10 0 1996 2006 Similarly, the percentage of total practicing physicians age 55 and older showed a 2.8% increase during the same time period. Orthopedic Surgeons Total Physicians TRENDS IN THE NUMBER AND RATE OF ORTHOPEDIC SURGEONS Over the last ten years, the NUMBER of orthopedic surgeons practicing in Georgia has steadily increased. The RATE for orthopedic surgeons decreased from 7.6 in 1996 to 6.7 in 2000. In 2002, the rate began to increase and reached 7.4 in 2006. Total Number Rate per 100,000 Population 800 681 600 549 550 556 590 612 400 8 7.6 7.2 6.7 6.8 7.0 7.4 6 4 200 2 0 1996 1998 2000 2002 2004 2006 0 1996 1998 2000 2002 2004 2006