22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 111,928 3 2.7 Physician Need 2 Status Surplus: 1 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 1 Surplus: 2 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 2015 Projected Population 136,867 Physician Need 2 2 2 1 2 2 2 2 2 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 Physicians /100k 111,928 10 8.9 Physician Need 16 Status Deficit: -6 11 Deficit: -1 10 Adequate 0 10 Adequate 0 7 Surplus: 3 4 Surplus: 6 10 Adequate 0 8 Surplus: 2 9 Surplus: 1 2015 Projected Population 136,867 Physician Need 19 13 12 12 5 5 12 10 10 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 111,928 5 4.5 Physician Need 8 Status Deficit: -3 6 Deficit: -1 6 Deficit: -1 3 Surplus: 2 3 Surplus: 2 2 Surplus: 3 3 Surplus: 2 4 Surplus: 1 3 Surplus: 2 5 Adequate 0 4 Surplus: 1 2015 Projected Population 136,867 Physician Need 10 7 7 4 2 2 4 5 4 6 5 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 111,928 3 2.7 Physician Need 4 Status Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 4 Deficit: -1 3 Adequate 0 2015 Projected Population 136,867 Physician Need 5 4 4 4 3 3 4 2 2 3 4 3 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 111,928 15 13.4 Physician Need 12 Status Surplus: 3 6 Surplus: 9 6 Surplus: 9 6 Surplus: 9 7 Surplus: 8 6 Surplus: 9 3 Surplus: 12 14 Surplus: 1 7 Surplus: 8 2015 Projected Population 136,867 Physician Need 14 8 7 7 7 7 4 17 8 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 111,928 1 0.9 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 2015 Projected Population 136,867 Physician Need 2 2 1 1 2 2 1 1 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 30 26.8 Physician Need 35 Status Deficit: -5 51 Deficit: -21 48 Deficit: -18 28 Surplus: 2 19 Surplus: 11 12 Surplus: 18 10 Surplus: 20 18 Surplus: 12 25 Surplus: 5 26 Surplus: 4 2015 Projected Population 136,867 Physician Need 43 62 58 34 15 15 13 22 31 32 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 111,928 3 2.7 Physician Need 5 Status Deficit: -2 3 Adequate 0 4 Deficit: -1 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 4 Deficit: -1 3 Adequate 0 2015 Projected Population 136,867 Physician Need 6 4 4 2 2 2 5 3 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report Page 5 Physician Specialty Infectious Disease 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. 2.2 0.7 0.6 0.9 1.2 0.7 0.6 0.8 2008 Actual Population Physicians /100k 111,928 1 0.9 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 2015 Projected Population 136,867 Physician Need 3 1 1 1 1 1 1 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 111,928 18 16.1 Physician Need 59 Status Deficit: -41 24 Deficit: -6 22 Deficit: -4 32 Deficit: -14 31 Deficit: -13 34 Deficit: -16 19 Deficit: -1 13 Surplus: 5 21 Deficit: -3 25 Deficit: -7 2015 Projected Population 136,867 Physician Need 73 29 27 39 41 41 23 15 26 30 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report Page 6 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 111,928 2 1.8 Physician Need 3 Status Deficit: -1 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 136,867 Physician Need 4 2 2 2 1 1 1 1 1 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 111,928 5 4.5 Physician Need 6 Status Deficit: -1 3 Surplus: 2 3 Surplus: 2 4 Surplus: 1 1 Surplus: 4 2 Surplus: 3 1 Surplus: 4 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 2015 Projected Population 136,867 Physician Need 7 3 3 5 2 2 2 3 2 2 3 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 10 8.9 Physician Need 16 Status Deficit: -6 14 Deficit: -4 13 Deficit: -3 11 Deficit: -1 13 Deficit: -3 13 Deficit: -3 11 Deficit: -1 10 Adequate 0 9 Surplus: 1 9 Surplus: 1 11 Deficit: -1 11 Deficit: -1 2015 Projected Population 136,867 Physician Need 19 17 15 14 16 16 14 12 11 11 14 14 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 111,928 4 3.6 Physician Need 7 Status Deficit: -3 7 Deficit: -3 6 Deficit: -2 5 Deficit: -1 3 Surplus: 1 3 Surplus: 1 6 Deficit: -2 4 Adequate 0 4 Adequate 0 5 Deficit: -1 5 Deficit: -1 2015 Projected Population 136,867 Physician Need 8 8 8 6 4 4 7 5 4 6 6 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 6 5.4 Physician Need 9 Status Deficit: -3 8 Deficit: -2 7 Deficit: -1 7 Deficit: -1 7 Deficit: -1 5 Surplus: 1 7 Deficit: -1 3 Surplus: 3 7 Deficit: -1 5 Surplus: 1 7 Deficit: -1 6 Adequate 0 2015 Projected Population 136,867 Physician Need 11 9 9 8 6 6 9 4 8 6 8 8 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 111,928 7 6.3 Physician Need 4 Status Surplus: 3 4 Surplus: 3 4 Surplus: 3 4 Surplus: 3 3 Surplus: 4 3 Surplus: 4 3 Surplus: 4 2015 Projected Population 136,867 Physician Need 5 4 4 3 3 4 4 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 3 2.7 Physician Need 7 Status Deficit: -4 2 Surplus: 1 2 Surplus: 1 7 Deficit: -4 4 Deficit: -1 2 Surplus: 1 5 Deficit: -2 4 Deficit: -1 2015 Projected Population 136,867 Physician Need 9 3 2 9 2 2 6 4 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 111,928 14 12.5 Physician Need 28 Status Deficit: -14 19 Deficit: -5 17 Deficit: -3 14 Adequate 0 13 Surplus: 1 18 Deficit: -4 11 Surplus: 3 9 Surplus: 5 16 Deficit: -2 15 Deficit: -1 2015 Projected Population 136,867 Physician Need 34 23 21 17 22 22 13 10 19 18 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 1 0.9 Physician Need 3 Status Deficit: -2 1 Adequate 0 0 Surplus: 1 0 Surplus: 1 1 Adequate 0 3 Deficit: -2 2 Deficit: -1 1 Adequate 0 2015 Projected Population 136,867 Physician Need 3 2 1 2 3 3 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 Physicians /100k 111,928 5 4.5 Physician Need 15 Status Deficit: -10 9 Deficit: -4 8 Deficit: -3 17 Deficit: -12 6 Deficit: -1 5 Adequate 0 8 Deficit: -3 4 Surplus: 1 6 Deficit: -1 8 Deficit: -3 2015 Projected Population 136,867 Physician Need 19 11 10 21 6 6 10 5 8 10 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 2 1.8 Physician Need 4 Status Deficit: -2 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2015 Projected Population 136,867 Physician Need 5 3 3 2 1 1 2 2 2 2 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 111,928 12 10.7 Physician Need 13 Status Deficit: -1 15 Deficit: -3 15 Deficit: -3 9 Surplus: 3 10 Surplus: 2 5 Surplus: 7 9 Surplus: 3 9 Surplus: 3 10 Surplus: 2 2015 Projected Population 136,867 Physician Need 16 19 19 11 6 6 11 11 12 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report 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 Physicians /100k 111,928 1 0.9 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 0 Surplus: 1 1 Adequate 0 1 Adequate 0 0 Surplus: 1 1 Adequate 0 1 Adequate 0 2015 Projected Population 136,867 Physician Need 2 2 1 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 Physicians /100k 111,928 9 8.0 Physician Need 14 Status Deficit: -5 11 Deficit: -2 10 Deficit: -1 11 Deficit: -2 8 Surplus: 1 7 Surplus: 2 7 Surplus: 2 5 Surplus: 4 11 Deficit: -2 5 Surplus: 4 7 Surplus: 2 8 Surplus: 1 2015 Projected Population 136,867 Physician Need 17 13 12 13 8 8 8 6 13 6 8 10 22 Georgia Physician Workforce: County Reports - 2008 Carroll County Physician Standard Report Page 13 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 111,928 3 2.7 Physician Need 4 Status Deficit: -1 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2015 Projected Population 136,867 Physician Need 5 5 5 4 3 3 4 4 3 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.