20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 4 8.4 Physician Need 7 Status Deficit: -3 5 Deficit: -1 4 Adequate 0 4 Adequate 0 3 Surplus: 1 2 Surplus: 2 4 Adequate 0 3 Surplus: 1 4 Adequate 0 2015 Projected Population 59,766 Physician Need 8 6 5 5 2 2 5 4 5 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 47,365 4 8.4 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 59,766 Physician Need 4 3 3 2 1 1 2 2 2 3 2 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 3 6.3 Physician Need 5 Status Deficit: -2 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 3 Adequate 0 1 Surplus: 2 6 Deficit: -3 3 Adequate 0 2015 Projected Population 59,766 Physician Need 6 3 3 3 3 3 2 7 4 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 47,365 1 2.1 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 59,766 Physician Need 1 1 1 0 1 1 0 1 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 10 21.1 Physician Need 15 Status Deficit: -5 22 Deficit: -12 20 Deficit: -10 12 Deficit: -2 8 Surplus: 2 5 Surplus: 5 4 Surplus: 6 8 Surplus: 2 11 Deficit: -1 11 Deficit: -1 2015 Projected Population 59,766 Physician Need 19 27 25 15 7 7 5 10 13 14 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 47,365 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 59,766 Physician Need 3 2 2 1 1 1 2 1 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 11 23.2 Physician Need 25 Status Deficit: -14 10 Surplus: 1 9 Surplus: 2 14 Deficit: -3 13 Deficit: -2 14 Deficit: -3 8 Surplus: 3 5 Surplus: 6 9 Surplus: 2 10 Surplus: 1 2015 Projected Population 59,766 Physician Need 32 13 12 17 18 18 10 7 11 13 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 47,365 9 19.0 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 59,766 Physician Need 3 1 1 2 1 1 1 1 1 1 1 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 5 10.6 Physician Need 7 Status Deficit: -2 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 59,766 Physician Need 8 7 7 6 7 7 6 5 5 5 6 6 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 47,365 2 4.2 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 2 Adequate 0 2 Adequate 0 2 Adequate 0 2015 Projected Population 59,766 Physician Need 4 4 3 3 2 2 3 2 2 3 3 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 3 6.3 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 59,766 Physician Need 5 4 4 4 3 3 4 2 4 3 4 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 47,365 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 59,766 Physician Need 2 2 2 1 1 2 2 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 1 2.1 Physician Need 3 Status Deficit: -2 1 Adequate 0 1 Adequate 0 3 Deficit: -2 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 2 Deficit: -1 2015 Projected Population 59,766 Physician Need 4 1 1 4 1 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 47,365 7 14.8 Physician Need 12 Status Deficit: -5 8 Deficit: -1 7 Adequate 0 6 Surplus: 1 6 Surplus: 1 8 Deficit: -1 5 Surplus: 2 4 Surplus: 3 7 Adequate 0 6 Surplus: 1 2015 Projected Population 59,766 Physician Need 15 10 9 7 10 10 6 5 8 8 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 2 4.2 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 59,766 Physician Need 8 5 4 9 2 2 4 2 3 4 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 47,365 3 6.3 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 59,766 Physician Need 7 8 8 5 3 3 5 5 5 20 Georgia Physician Workforce: County Reports - 2008 Camden County Physician Standard Report 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 47,365 4 8.4 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 59,766 Physician Need 7 6 5 6 4 4 4 3 6 2 4 4 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.