Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 3 1.7 Physician Need 3 Status Adequate 0 3 Adequate 0 3 Adequate 0 1 Surplus: 2 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 2 Surplus: 1 2015 Projected Population 179,986 Physician Need 3 3 3 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 179,338 19 10.6 Physician Need 25 Status Deficit: -6 17 Surplus: 2 16 Surplus: 3 16 Surplus: 3 11 Surplus: 8 7 Surplus: 12 16 Surplus: 3 13 Surplus: 6 14 Surplus: 5 2015 Projected Population 179,986 Physician Need 25 17 16 16 11 7 16 13 14 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 12 6.7 Physician Need 13 Status Deficit: -1 10 Surplus: 2 9 Surplus: 3 6 Surplus: 6 5 Surplus: 7 3 Surplus: 9 5 Surplus: 7 6 Surplus: 6 5 Surplus: 7 8 Surplus: 4 6 Surplus: 6 2015 Projected Population 179,986 Physician Need 13 10 9 6 5 3 5 6 5 8 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 179,338 14 7.8 Physician Need 7 Status Surplus: 7 5 Surplus: 9 5 Surplus: 9 5 Surplus: 9 4 Surplus: 10 4 Surplus: 10 5 Surplus: 9 3 Surplus: 11 3 Surplus: 11 4 Surplus: 10 6 Surplus: 8 4 Surplus: 10 2015 Projected Population 179,986 Physician Need 7 5 5 5 4 4 5 3 3 4 6 4 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 34 19.0 Physician Need 19 Status Surplus: 15 10 Surplus: 24 9 Surplus: 25 10 Surplus: 24 12 Surplus: 22 10 Surplus: 24 5 Surplus: 29 22 Surplus: 12 11 Surplus: 23 2015 Projected Population 179,986 Physician Need 19 10 9 10 12 10 5 22 11 Physician Specialty Endocrinology, Diabetes & Metabolism National Physician Standards* AMA Standard Phys/100,000 Pop. 1.8 Two Mature HMO 1.1 Adjusted FTE 1.0 GMENAC 0.8 Kaiser Portland 0.9 7 Kaiser Plans 1.1 GHC Seattle Three HMOs 0.6 Goodman Hicks & Glenn Solucient Average Requirement 0.9 2008 Actual Population Physician /100k 179,338 1 0.6 Physician Need 3 Status Deficit: -2 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 2015 Projected Population 179,986 Physician Need 3 2 2 1 2 2 1 2 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe Page 4 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 179,338 49 27.3 Physician Need 56 Status Deficit: -7 82 Deficit: -33 76 Deficit: -27 45 Surplus: 4 30 Surplus: 19 20 Surplus: 29 16 Surplus: 33 29 Surplus: 20 40 Surplus: 9 42 Surplus: 7 2015 Projected Population 179,986 Physician Need 57 82 77 45 30 20 17 29 41 42 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 179,338 6 3.3 Physician Need 8 Status Deficit: -2 6 Adequate 0 6 Adequate 0 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 6 Adequate 0 4 Surplus: 2 2015 Projected Population 179,986 Physician Need 8 6 6 3 3 2 6 4 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 58 32.3 Physician Need 95 Status Deficit: -37 38 Surplus: 20 36 Surplus: 22 52 Surplus: 6 50 Surplus: 8 54 Surplus: 4 30 Surplus: 28 20 Surplus: 38 34 Surplus: 24 39 Surplus: 19 2015 Projected Population 179,986 Physician Need 96 39 36 52 51 55 30 20 34 40 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 179,338 9 5.0 Physician Need 5 Status Surplus: 4 3 Surplus: 6 2 Surplus: 7 2 Surplus: 7 1 Surplus: 8 1 Surplus: 8 2 Surplus: 7 1 Surplus: 8 2 Surplus: 7 2015 Projected Population 179,986 Physician Need 5 3 2 2 1 1 2 1 2 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 7 3.9 Physician Need 3 Status Surplus: 4 2 Surplus: 5 2 Surplus: 5 2 Surplus: 5 3 Surplus: 4 1 Surplus: 6 1 Surplus: 6 2 Surplus: 5 2015 Projected Population 179,986 Physician Need 3 2 2 2 3 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 179,338 9 5.0 Physician Need 9 Status Adequate 0 4 Surplus: 5 4 Surplus: 5 6 Surplus: 3 2 Surplus: 7 3 Surplus: 6 2 Surplus: 7 4 Surplus: 5 3 Surplus: 6 3 Surplus: 6 3 Surplus: 6 2015 Projected Population 179,986 Physician Need 9 4 4 6 2 3 2 4 3 3 3 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 27 15.1 Physician Need 25 Status Surplus: 2 22 Surplus: 5 20 Surplus: 7 18 Surplus: 9 21 Surplus: 6 21 Surplus: 6 18 Surplus: 9 16 Surplus: 11 15 Surplus: 12 14 Surplus: 13 18 Surplus: 9 18 Surplus: 9 2015 Projected Population 179,986 Physician Need 25 22 20 18 21 21 18 16 15 14 18 18 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 179,338 9 5.0 Physician Need 11 Status Deficit: -2 11 Deficit: -2 10 Deficit: -1 8 Surplus: 1 4 Surplus: 5 6 Surplus: 3 9 Adequate 0 6 Surplus: 3 6 Surplus: 3 8 Surplus: 1 8 Surplus: 1 2015 Projected Population 179,986 Physician Need 11 11 10 8 4 6 9 6 6 8 8 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 12 6.7 Physician Need 15 Status Deficit: -3 12 Adequate 0 11 Surplus: 1 11 Surplus: 1 11 Surplus: 1 8 Surplus: 4 12 Adequate 0 5 Surplus: 7 11 Surplus: 1 8 Surplus: 4 11 Surplus: 1 10 Surplus: 2 2015 Projected Population 179,986 Physician Need 15 12 12 11 11 8 12 5 11 8 11 10 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 179,338 6 3.3 Physician Need 6 Status Adequate 0 6 Adequate 0 6 Adequate 0 6 Adequate 0 4 Surplus: 2 5 Surplus: 1 5 Surplus: 1 2015 Projected Population 179,986 Physician Need 6 6 6 6 4 5 5 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 7 3.9 Physician Need 11 Status Deficit: -4 3 Surplus: 4 3 Surplus: 4 11 Deficit: -4 6 Surplus: 1 3 Surplus: 4 7 Adequate 0 6 Surplus: 1 2015 Projected Population 179,986 Physician Need 11 3 3 12 6 3 7 6 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 179,338 29 16.2 Physician Need 45 Status Deficit: -16 30 Deficit: -1 28 Surplus: 1 22 Surplus: 7 21 Surplus: 8 29 Adequate 0 18 Surplus: 11 14 Surplus: 15 25 Surplus: 4 23 Surplus: 6 2015 Projected Population 179,986 Physician Need 45 30 28 22 21 29 18 14 25 23 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 7 3.9 Physician Need 4 Status Surplus: 3 2 Surplus: 5 1 Surplus: 6 1 Surplus: 6 2 Surplus: 5 4 Surplus: 3 4 Surplus: 3 2 Surplus: 5 2015 Projected Population 179,986 Physician Need 4 2 1 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 179,338 25 13.9 Physician Need 24 Status Surplus: 1 14 Surplus: 11 13 Surplus: 12 28 Deficit: -3 9 Surplus: 16 7 Surplus: 18 13 Surplus: 12 7 Surplus: 18 10 Surplus: 15 13 Surplus: 12 2015 Projected Population 179,986 Physician Need 24 14 13 28 9 7 13 7 10 13 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 7 3.9 Physician Need 6 Status Surplus: 1 4 Surplus: 3 3 Surplus: 4 3 Surplus: 4 3 Surplus: 4 2 Surplus: 5 3 Surplus: 4 3 Surplus: 4 2 Surplus: 5 3 Surplus: 4 2015 Projected Population 179,986 Physician Need 6 4 3 3 3 2 3 3 2 3 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 179,338 17 9.5 Physician Need 20 Status Deficit: -3 24 Deficit: -7 25 Deficit: -8 14 Surplus: 3 15 Surplus: 2 8 Surplus: 9 14 Surplus: 3 14 Surplus: 3 16 Surplus: 1 2015 Projected Population 179,986 Physician Need 21 24 25 14 15 8 14 14 16 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 1 0.6 Physician Need 3 Status Deficit: -2 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2015 Projected Population 179,986 Physician Need 3 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 179,338 13 7.2 Physician Need 22 Status Deficit: -9 17 Deficit: -4 16 Deficit: -3 17 Deficit: -4 13 Adequate 0 11 Surplus: 2 11 Surplus: 2 8 Surplus: 5 17 Deficit: -4 7 Surplus: 6 11 Surplus: 2 13 Adequate 0 2015 Projected Population 179,986 Physician Need 22 17 16 17 13 11 11 8 17 7 11 13 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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 179,338 1 0.6 Physician Need 3 Status Deficit: -2 1 Adequate 0 0 Surplus: 1 1 Adequate 0 2015 Projected Population 179,986 Physician Need 3 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 179,338 12 6.7 Physician Need 6 Status Surplus: 6 6 Surplus: 6 6 Surplus: 6 6 Surplus: 6 6 Surplus: 6 4 Surplus: 8 5 Surplus: 7 5 Surplus: 7 3 Surplus: 9 5 Surplus: 7 5 Surplus: 7 2015 Projected Population 179,986 Physician Need 6 6 6 6 6 4 5 5 3 5 5 Georgia Physician Workforce: MSA Reports - 2008 Athens MSA Physician Standard Report Included Counties: Clarke, Madison, Oconee, Oglethorpe 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.