Georgia Physician Workforce county reports - 2008: Chatham County physician standard report [2010]

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

6

2.4

Physician Need
3

Status Surplus: 3

4

Surplus: 2

3

Surplus: 3

2

Surplus: 4

4

Surplus: 2

3

Surplus: 3

3

Surplus: 3

3

Surplus: 3

4

Surplus: 2

3

Surplus: 3

2015 Projected
Population 273,756
Physician Need 4 4 4 2 3 3 3
4
5 4

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

248,596

36

14.5

Physician Need
35

Status Surplus: 1

24

Surplus: 12

23

Surplus: 13

22

Surplus: 14

15

Surplus: 21

10

Surplus: 26

22

Surplus: 14

17

Surplus: 19

19

Surplus: 17

2015 Projected
Population 273,756
Physician Need 38 27 25 24 11 11 25
19
21

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

31

12.5

Physician Need
19

Status Surplus: 12

13

Surplus: 18

12

Surplus: 19

8

Surplus: 23

7

Surplus: 24

4

Surplus: 27

7

Surplus: 24

9

Surplus: 22

6

Surplus: 25

10

Surplus: 21

9

Surplus: 22

2015 Projected
Population 273,756
Physician Need 21 15 14 8 5 5 8
10 7 12 10

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

248,596

11

4.4

Physician Need
9

Status Surplus: 2

7

Surplus: 4

6

Surplus: 5

7

Surplus: 4

6

Surplus: 5

6

Surplus: 5

6

Surplus: 5

4

Surplus: 7

3

Surplus: 8

5

Surplus: 6

8

Surplus: 3

6

Surplus: 5

2015 Projected
Population 273,756
Physician Need 10 8 7 8 7 7 7 4 4 6 9 7

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

44

17.7

Physician Need
26

Status Surplus: 18

14

Surplus: 30

13

Surplus: 31

13

Surplus: 31

17

Surplus: 27

13

Surplus: 31

7

Surplus: 37

31

Surplus: 13

15

Surplus: 29

2015 Projected
Population 273,756
Physician Need 29 15 14 15 15 15
7
34 17

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

248,596

4

1.6

Physician Need
4

Status Adequate 0

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

3

Surplus: 1

1

Surplus: 3

2

Surplus: 2

2015 Projected
Population 273,756
Physician Need 5 3 3 2 3 3
2
2

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

87

35.0

Physician Need
78

Status Surplus: 9

113

Deficit: -26

106

Deficit: -19

63

Surplus: 24

42

Surplus: 45

27

Surplus: 60

23

Surplus: 64

40

Surplus: 47

56

Surplus: 31

59

Surplus: 28

2015 Projected
Population 273,756
Physician Need 86 125 117 69 30 30
25
44 62 65

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

248,596

18

7.2

Physician Need
10

Status Surplus: 8

8

Surplus: 10

8

Surplus: 10

4

Surplus: 14

4

Surplus: 14

3

Surplus: 15

9

Surplus: 9

6

Surplus: 12

2015 Projected
Population 273,756
Physician Need 11 8
9 5 5
4
10 7

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

6

2.4

Physician Need
5

Status Surplus: 1

2

Surplus: 4

1

Surplus: 5

2

Surplus: 4

3

Surplus: 3

2

Surplus: 4

1

Surplus: 5

2

Surplus: 4

2015 Projected
Population 273,756
Physician Need 6 2 2 2 2 2 2
2

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

248,596

78

31.4

Physician Need
132

Status Deficit: -54

53

Surplus: 25

50

Surplus: 28

72

Surplus: 6

70

Surplus: 8

75

Surplus: 3

42

Surplus: 36

28

Surplus: 50

47

Surplus: 31

55

Surplus: 23

2015 Projected
Population 273,756
Physician Need 145 59 55 79 83 83
46
31 52 60

25 Georgia Physician Workforce: County Reports - 2008
Chatham 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

248,596

8

3.2

Physician Need
6

Status Surplus: 2

3

Surplus: 5

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

2

Surplus: 6

2

Surplus: 6

2

Surplus: 6

2

Surplus: 6

2015 Projected
Population 273,756
Physician Need 7 4 4 3 2 2 2
2 3

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 Physicians /100k

248,596

9

3.6

Physician Need
5

Status Surplus: 4

3

Surplus: 6

2

Surplus: 7

3

Surplus: 6

3

Surplus: 6

1

Surplus: 8

2

Surplus: 7

2

Surplus: 7

2015 Projected
Population 273,756
Physician Need 5 3 3 3
1
2
3

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 7

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

248,596

13

5.2

Physician Need
12

Status Surplus: 1

6

Surplus: 7

6

Surplus: 7

8

Surplus: 5

3

Surplus: 10

4

Surplus: 9

3

Surplus: 10

5

Surplus: 8

3

Surplus: 10

4

Surplus: 9

5

Surplus: 8

2015 Projected
Population 273,756
Physician Need 14 7 6 9 5 5 3
6 4 5 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

248,596

35

14.1

Physician Need
35

Status Adequate 0

30

Surplus: 5

28

Surplus: 7

25

Surplus: 10

29

Surplus: 6

29

Surplus: 6

25

Surplus: 10

22

Surplus: 13

21

Surplus: 14

20

Surplus: 15

25

Surplus: 10

25

Surplus: 10

2015 Projected
Population 273,756
Physician Need 39 33 31 27 31 31 27 24 23 22 28 28

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 8

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

248,596

24

9.7

Physician Need
15

Status Surplus: 9

15

Surplus: 9

14

Surplus: 10

11

Surplus: 13

6

Surplus: 18

8

Surplus: 16

12

Surplus: 12

9

Surplus: 15

8

Surplus: 16

12

Surplus: 12

10

Surplus: 14

2015 Projected
Population 273,756
Physician Need 16 16 15 13 8 8 14
10 9 13 11

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

248,596

30

12.1

Physician Need
21

Status Surplus: 9

17

Surplus: 13

16

Surplus: 14

15

Surplus: 15

15

Surplus: 15

10

Surplus: 20

17

Surplus: 13

7

Surplus: 23

15

Surplus: 15

10

Surplus: 20

15

Surplus: 15

14

Surplus: 16

2015 Projected
Population 273,756
Physician Need 23 19 18 16 11 11 18 8 16 11 17 15

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 9

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

248,596

12

4.8

Physician Need
8

Status Surplus: 4

8

Surplus: 4

8

Surplus: 4

8

Surplus: 4

6

Surplus: 6

7

Surplus: 5

7

Surplus: 5

2015 Projected
Population 273,756
Physician Need 9 9
9 7 7 8
8

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

248,596

11

4.4

Physician Need
16

Status Deficit: -5

5

Surplus: 6

4

Surplus: 7

16

Deficit: -5

8

Surplus: 3

4

Surplus: 7

10

Surplus: 1

8

Surplus: 3

2015 Projected
Population 273,756
Physician Need 17 5 5 18 5 5
11
9

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 10

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

248,596

57

22.9

Physician Need
62

Status Deficit: -5

41

Surplus: 16

39

Surplus: 18

31

Surplus: 26

30

Surplus: 27

40

Surplus: 17

24

Surplus: 33

19

Surplus: 38

35

Surplus: 22

32

Surplus: 25

2015 Projected
Population 273,756
Physician Need 68 45 42 34 44 44
27
21 38 36

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

248,596

19

7.6

Physician Need
6

Status Surplus: 13

3

Surplus: 16

1

Surplus: 18

1

Surplus: 18

3

Surplus: 16

6

Surplus: 13

6

Surplus: 13

3

Surplus: 16

2015 Projected
Population 273,756
Physician Need 7
3
1
3 6 6 3

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 11

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

248,596

36

14.5

Physician Need
34

Status Surplus: 2

19

Surplus: 17

18

Surplus: 18

38

Deficit: -2

13

Surplus: 23

10

Surplus: 26

18

Surplus: 18

10

Surplus: 26

14

Surplus: 22

18

Surplus: 18

2015 Projected
Population 273,756
Physician Need 37 21 20 42 11 11
20 11 16 19

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

248,596

16

6.4

Physician Need
9

Status Surplus: 7

5

Surplus: 11

5

Surplus: 11

3

Surplus: 13

3

Surplus: 13

2

Surplus: 14

3

Surplus: 13

3

Surplus: 13

3

Surplus: 13

4

Surplus: 12

2015 Projected
Population 273,756
Physician Need 10 5 5 4 3 3 4
4
4 4

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 12

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

248,596

52

20.9

Physician Need
28

Status Surplus: 24

34

Surplus: 18

34

Surplus: 18

19

Surplus: 33

21

Surplus: 31

12

Surplus: 40

19

Surplus: 33

20

Surplus: 32

23

Surplus: 29

2015 Projected
Population 273,756
Physician Need 31 37 38 21 13 13 21
22
25

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

248,596

1

0.4

Physician Need
4

Status Deficit: -3

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

3

Deficit: -2

2

Deficit: -1

2015 Projected
Population 273,756
Physician Need 4 3 3 2 2 2 2
1
4 2

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 13

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

248,596

37

14.9

Physician Need
31

Status Surplus: 6

23

Surplus: 14

22

Surplus: 15

24

Surplus: 13

17

Surplus: 20

15

Surplus: 22

15

Surplus: 22

10

Surplus: 27

24

Surplus: 13

10

Surplus: 27

15

Surplus: 22

18

Surplus: 19

2015 Projected
Population 273,756
Physician Need 34 26 24 27 17 17 16 11 27 11 16 19

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 Physicians /100k

248,596

4

1.6

Physician Need
4

Status Adequate 0

2

Surplus: 2

0

Surplus: 4

1

Surplus: 3

2015 Projected
Population 273,756
Physician Need 4
2
1

25 Georgia Physician Workforce: County Reports - 2008
Chatham County Physician Standard Report

Page 14

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

248,596

14

5.6

Physician Need
9

Status Surplus: 5

9

Surplus: 5

8

Surplus: 6

8

Surplus: 6

8

Surplus: 6

6

Surplus: 8

7

Surplus: 7

6

Surplus: 8

5

Surplus: 9

7

Surplus: 7

7

Surplus: 7

2015 Projected
Population 273,756
Physician Need 10 10 9 8 6 6 8
7 5 8 8

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.