Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee 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 Physicians /100k 47,154 1 2.1 Physician Need 1 Status Adequate 0 1 Adequate 0 1 Adequate 0 0 Surplus: 1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 48,104 Physician Need 1 1 1 0 1 1 1 1 1 1 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 Physicians /100k 47,154 3 6.4 Physician Need 7 Status Deficit: -4 5 Deficit: -2 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 2 Surplus: 1 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 2015 Projected Population 48,104 Physician Need 7 5 4 4 3 2 4 3 4 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee 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 Physicians /100k 47,154 4 8.5 Physician Need 4 Status Adequate 0 3 Surplus: 1 2 Surplus: 2 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2 Surplus: 2 2015 Projected Population 48,104 Physician Need 4 3 2 1 1 1 1 2 1 2 2 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 Physicians /100k 47,154 1 2.1 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 48,104 Physician Need 2 1 1 1 1 1 1 1 1 1 2 1 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee 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 Physicians /100k 47,154 6 12.7 Physician Need 5 Status Surplus: 1 3 Surplus: 3 2 Surplus: 4 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 1 Surplus: 5 6 Adequate 0 3 Surplus: 3 2015 Projected Population 48,104 Physician Need 5 3 3 3 3 3 1 6 3 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 Physicians /100k 47,154 13 27.6 Physician Need 15 Status Deficit: -2 22 Deficit: -9 20 Deficit: -7 12 Surplus: 1 8 Surplus: 5 5 Surplus: 8 4 Surplus: 9 8 Surplus: 5 11 Surplus: 2 11 Surplus: 2 2015 Projected Population 48,104 Physician Need 15 22 20 12 8 5 4 8 11 11 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee 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 Physicians /100k 47,154 1 2.1 Physician Need 2 Status Deficit: -1 1 Adequate 0 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2015 Projected Population 48,104 Physician Need 2 1 2 1 1 1 2 1 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 Physicians /100k 47,154 6 12.7 Physician Need 25 Status Deficit: -19 10 Deficit: -4 9 Deficit: -3 14 Deficit: -8 13 Deficit: -7 14 Deficit: -8 8 Deficit: -2 5 Surplus: 1 9 Deficit: -3 10 Deficit: -4 2015 Projected Population 48,104 Physician Need 26 10 10 14 14 15 8 5 9 11 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 5 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 Physicians /100k 47,154 2 4.2 Physician Need 1 Status Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 0 Surplus: 2 0 Surplus: 2 0 Surplus: 2 0 Surplus: 2 0 Surplus: 2 2015 Projected Population 48,104 Physician Need 1 1 1 1 0 0 0 0 0 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 Physicians /100k 47,154 3 6.4 Physician Need 7 Status Deficit: -4 6 Deficit: -3 5 Deficit: -2 5 Deficit: -2 5 Deficit: -2 5 Deficit: -2 5 Deficit: -2 4 Deficit: -1 4 Deficit: -1 4 Deficit: -1 5 Deficit: -2 5 Deficit: -2 2015 Projected Population 48,104 Physician Need 7 6 5 5 6 6 5 4 4 4 5 5 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 6 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 Physicians /100k 47,154 3 6.4 Physician Need 4 Status Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 1 Surplus: 2 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2015 Projected Population 48,104 Physician Need 4 3 3 3 3 2 3 1 3 2 3 3 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 Physicians /100k 47,154 2 4.2 Physician Need 2 Status Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 48,104 Physician Need 2 2 2 2 1 1 1 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 7 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 Physicians /100k 47,154 2 4.2 Physician Need 3 Status Deficit: -1 1 Surplus: 1 1 Surplus: 1 3 Deficit: -1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 2015 Projected Population 48,104 Physician Need 3 1 1 3 2 1 2 2 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 Physicians /100k 47,154 5 10.6 Physician Need 12 Status Deficit: -7 8 Deficit: -3 7 Deficit: -2 6 Deficit: -1 6 Deficit: -1 8 Deficit: -3 5 Adequate 0 4 Surplus: 1 7 Deficit: -2 6 Deficit: -1 2015 Projected Population 48,104 Physician Need 12 8 7 6 6 8 5 4 7 6 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 8 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 Physicians /100k 47,154 1 2.1 Physician Need 1 Status Adequate 0 1 Adequate 0 0 Surplus: 1 0 Surplus: 1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 48,104 Physician Need 1 1 0 0 1 1 1 1 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 Physicians /100k 47,154 4 8.5 Physician Need 6 Status Deficit: -2 4 Adequate 0 3 Surplus: 1 7 Deficit: -3 2 Surplus: 2 2 Surplus: 2 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 3 Surplus: 1 2015 Projected Population 48,104 Physician Need 7 4 3 7 3 2 3 2 3 3 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 9 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 Physicians /100k 47,154 1 2.1 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 0 Surplus: 1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 48,104 Physician Need 2 1 1 1 1 0 1 1 1 1 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 Physicians /100k 47,154 1 2.1 Physician Need 5 Status Deficit: -4 6 Deficit: -5 6 Deficit: -5 4 Deficit: -3 4 Deficit: -3 2 Deficit: -1 4 Deficit: -3 4 Deficit: -3 4 Deficit: -3 2015 Projected Population 48,104 Physician Need 5 7 7 4 4 2 4 4 4 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 10 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 Physicians /100k 47,154 4 8.5 Physician Need 6 Status Deficit: -2 4 Adequate 0 4 Adequate 0 5 Deficit: -1 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 2 Surplus: 2 5 Deficit: -1 2 Surplus: 2 3 Surplus: 1 3 Surplus: 1 2015 Projected Population 48,104 Physician Need 6 5 4 5 3 3 3 2 5 2 3 3 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 Physicians /100k 47,154 2 4.2 Physician Need 2 Status Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 48,104 Physician Need 2 2 2 1 2 1 1 1 1 1 1 Georgia Physician Workforce: PCSA Reports - 2008 88 PCSA Physician Standard Report Included Counties: Atkinson, Coffee Page 11 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.