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.