Georgia physician workforce: PCSA reports 2008

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 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

46,049

4

8.7

Physician Need
6

Status Deficit: -2

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus: 1

2

Surplus: 2

4

Adequate 0

3

Surplus: 1

3

Surplus: 1

2015 Projected
Population 46,345
Physician Need 6 4 4 4 3 2 4
3
4

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

46,049

4

8.7

Physician Need
3

Status Surplus: 1

2

Surplus: 2

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 46,345
Physician Need 3 3 2 1 1 1 1
2 1 2 2

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 2

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

46,049

3

6.5

Physician Need
5

Status Deficit: -2

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

3

Adequate 0

2

Surplus: 1

1

Surplus: 2

6

Deficit: -3

3

Adequate 0

2015 Projected
Population 46,345
Physician Need 5 3 2 3 3 2
1
6 3

Physician Specialty

Endocrinology, Diabetes & Metabolism

National Physician Standards*

Standard Phys/100,000 Pop.

AMA

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

Physicians /100k

46,049

1

2.2

Physician Need
1

Status Adequate 0

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

2015 Projected
Population 46,345
Physician Need 1 1 0 0 0 1
0
0

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 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

46,049

10

21.7

Physician Need
15

Status Deficit: -5

21

Deficit: -11

20

Deficit: -10

12

Deficit: -2

8

Surplus: 2

5

Surplus: 5

4

Surplus: 6

7

Surplus: 3

10

Adequate 0

11

Deficit: -1

2015 Projected
Population 46,345
Physician Need 15 21 20 12 8 5
4
8 10 11

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

46,049

1

2.2

Physician Need
2

Status 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 46,345
Physician Need 2 1
1 1 1
1
2 1

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 4

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

46,049

11

23.9

Physician Need
24

Status Deficit: -13

10

Surplus: 1

9

Surplus: 2

13

Deficit: -2

13

Deficit: -2

14

Deficit: -3

8

Surplus: 3

5

Surplus: 6

9

Surplus: 2

10

Surplus: 1

2015 Projected
Population 46,345
Physician Need 25 10 9 13 13 14
8
5 9 10

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

Physicians /100k

46,049

9

19.5

Physician Need
2

Status Surplus: 7

1

Surplus: 8

1

Surplus: 8

2

Surplus: 7

1

Surplus: 8

1

Surplus: 8

1

Surplus: 8

1

Surplus: 8

1

Surplus: 8

1

Surplus: 8

1

Surplus: 8

2015 Projected
Population 46,345
Physician Need 2 1 1 2 1 1 1
1 1 1 1

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 5

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

46,049

5

10.9

Physician Need
6

Status Deficit: -1

6

Deficit: -1

5

Adequate 0

5

Adequate 0

5

Adequate 0

5

Adequate 0

5

Adequate 0

4

Surplus: 1

4

Surplus: 1

4

Surplus: 1

5

Adequate 0

5

Adequate 0

2015 Projected
Population 46,345
Physician Need 7 6 5 5 5 5 5 4 4 4 5 5

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

Physicians /100k

46,049

2

4.3

Physician Need
3

Status Deficit: -1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

2015 Projected
Population 46,345
Physician Need 3 3 3 2 1 1 2
2 1 2 2

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

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

46,049

3

6.5

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 46,345
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

46,049

2

4.3

Physician Need
2

Status Adequate 0

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 46,345
Physician Need 2 1
1 2 1 1
1

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

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

46,049

1

2.2

Physician Need
3

Status Deficit: -2

1

Adequate 0

1

Adequate 0

3

Deficit: -2

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2015 Projected
Population 46,345
Physician Need 3 1 1 3 2 1
2
1

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

46,049

7

15.2

Physician Need
11

Status Deficit: -4

8

Deficit: -1

7

Adequate 0

6

Surplus: 1

5

Surplus: 2

7

Adequate 0

5

Surplus: 2

3

Surplus: 4

6

Surplus: 1

6

Surplus: 1

2015 Projected
Population 46,345
Physician Need 12 8 7 6 6 7
5
4 6 6

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 8

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

46,049

2

4.3

Physician Need
6

Status Deficit: -4

4

Deficit: -2

3

Deficit: -1

7

Deficit: -5

2

Adequate 0

2

Adequate 0

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

3

Deficit: -1

2015 Projected
Population 46,345
Physician Need 6 4 3 7 2 2
3 2 3 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

Physicians /100k

46,049

3

6.5

Physician Need
5

Status Deficit: -2

6

Deficit: -3

6

Deficit: -3

4

Deficit: -1

4

Deficit: -1

2

Surplus: 1

4

Deficit: -1

4

Deficit: -1

4

Deficit: -1

2015 Projected
Population 46,345
Physician Need 5 6 6 4 4 2 4
4
4

Georgia Physician Workforce: PCSA Reports - 2008
96 PCSA Physician Standard Report
Included Counties: Camden

Page 9

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

46,049

4

8.7

Physician Need
6

Status Deficit: -2

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus: 1

3

Surplus: 1

3

Surplus: 1

2

Surplus: 2

4

Adequate 0

2

Surplus: 2

3

Surplus: 1

3

Surplus: 1

2015 Projected
Population 46,345
Physician Need 6 4 4 4 3 3 3 2 4 2 3 3

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.