29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
3
2.6
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 123,967
Physician Need 2 2 2 1 1 1 1
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
113,457
17
15.0
Physician Need
16
Status Surplus: 1
11
Surplus: 6
10
Surplus: 7
10
Surplus: 7
7
Surplus: 10
4
Surplus: 13
10
Surplus: 7
8
Surplus: 9
9
Surplus: 8
2015 Projected
Population 123,967
Physician Need 17 12 11 11 5 5 11
9
9
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
12
10.6
Physician Need
9
Status Surplus: 3
6
Surplus: 6
6
Surplus: 6
4
Surplus: 8
3
Surplus: 9
2
Surplus: 10
3
Surplus: 9
4
Surplus: 8
3
Surplus: 9
5
Surplus: 7
4
Surplus: 8
2015 Projected
Population 123,967
Physician Need 9 7 6 4 2 2 4
4 3 5 4
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
113,457
13
11.5
Physician Need
4
Status Surplus: 9
3
Surplus: 10
3
Surplus: 10
3
Surplus: 10
3
Surplus: 10
3
Surplus: 10
3
Surplus: 10
2
Surplus: 11
2
Surplus: 11
2
Surplus: 11
4
Surplus: 9
3
Surplus: 10
2015 Projected
Population 123,967
Physician Need 5 3 3 3 3 3 3 2 2 3 4 3
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
29
25.6
Physician Need
12
Status Surplus: 17
6
Surplus: 23
6
Surplus: 23
6
Surplus: 23
8
Surplus: 21
6
Surplus: 23
3
Surplus: 26
14
Surplus: 15
7
Surplus: 22
2015 Projected
Population 123,967
Physician Need 13 7 6 7 7 7
3
15 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
113,457
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 123,967
Physician Need 2 1 1 1 1 1
1
1
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
34
30.0
Physician Need
36
Status Deficit: -2
52
Deficit: -18
48
Deficit: -14
29
Surplus: 5
19
Surplus: 15
12
Surplus: 22
10
Surplus: 24
18
Surplus: 16
26
Surplus: 8
27
Surplus: 7
2015 Projected
Population 123,967
Physician Need 39 57 53 31 14 14
11
20 28 29
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
113,457
6
5.3
Physician Need
5
Status Surplus: 1
4
Surplus: 2
4
Surplus: 2
2
Surplus: 4
2
Surplus: 4
1
Surplus: 5
4
Surplus: 2
3
Surplus: 3
2015 Projected
Population 123,967
Physician Need 5 4
4 2 2
2
4 3
29 Georgia Physician Workforce: County Reports - 2008
Clarke County Physician Standard Report
Page 5
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
113,457
51
45.0
Physician Need
60
Status Deficit: -9
24
Surplus: 27
23
Surplus: 28
33
Surplus: 18
32
Surplus: 19
34
Surplus: 17
19
Surplus: 32
13
Surplus: 38
22
Surplus: 29
25
Surplus: 26
2015 Projected
Population 123,967
Physician Need 66 27 25 36 38 38
21
14 24 27
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
113,457
9
7.9
Physician Need
3
Status Surplus: 6
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 123,967
Physician Need 3 2 2 1 1 1 1
1 1
29 Georgia Physician Workforce: County Reports - 2008
Clarke County Physician Standard Report
Page 6
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
113,457
7
6.2
Physician Need
2
Status Surplus: 5
1
Surplus: 6
1
Surplus: 6
1
Surplus: 6
2
Surplus: 5
0
Surplus: 7
1
Surplus: 6
1
Surplus: 6
2015 Projected
Population 123,967
Physician Need 2 1 1 1
0
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
113,457
9
7.9
Physician Need
6
Status Surplus: 3
3
Surplus: 6
3
Surplus: 6
4
Surplus: 5
1
Surplus: 8
2
Surplus: 7
1
Surplus: 8
2
Surplus: 7
2
Surplus: 7
2
Surplus: 7
2
Surplus: 7
2015 Projected
Population 123,967
Physician Need 6 3 3 4 2 2 1
3 2 2 2
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
27
23.8
Physician Need
16
Status Surplus: 11
14
Surplus: 13
13
Surplus: 14
11
Surplus: 16
13
Surplus: 14
13
Surplus: 14
11
Surplus: 16
10
Surplus: 17
10
Surplus: 17
9
Surplus: 18
12
Surplus: 15
12
Surplus: 15
2015 Projected
Population 123,967
Physician Need 17 15 14 12 14 14 12 11 10 10 13 13
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
113,457
9
7.9
Physician Need
7
Status Surplus: 2
7
Surplus: 2
6
Surplus: 3
5
Surplus: 4
3
Surplus: 6
4
Surplus: 5
6
Surplus: 3
4
Surplus: 5
4
Surplus: 5
5
Surplus: 4
5
Surplus: 4
2015 Projected
Population 123,967
Physician Need 7 7 7 6 4 4 6
4 4 6 5
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
11
9.7
Physician Need
9
Status Surplus: 2
8
Surplus: 3
7
Surplus: 4
7
Surplus: 4
7
Surplus: 4
5
Surplus: 6
8
Surplus: 3
3
Surplus: 8
7
Surplus: 4
5
Surplus: 6
7
Surplus: 4
6
Surplus: 5
2015 Projected
Population 123,967
Physician Need 10 8 8 7 5 5 8 4 7 5 8 7
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
113,457
6
5.3
Physician Need
4
Status Surplus: 2
4
Surplus: 2
4
Surplus: 2
4
Surplus: 2
3
Surplus: 3
3
Surplus: 3
3
Surplus: 3
2015 Projected
Population 123,967
Physician Need 4 4
4 3 3 4
4
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
7
6.2
Physician Need
7
Status Adequate 0
2
Surplus: 5
2
Surplus: 5
7
Adequate 0
4
Surplus: 3
2
Surplus: 5
5
Surplus: 2
4
Surplus: 3
2015 Projected
Population 123,967
Physician Need 8 2 2 8 2 2
5
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
113,457
22
19.4
Physician Need
28
Status Deficit: -6
19
Surplus: 3
18
Surplus: 4
14
Surplus: 8
14
Surplus: 8
18
Surplus: 4
11
Surplus: 11
9
Surplus: 13
16
Surplus: 6
15
Surplus: 7
2015 Projected
Population 123,967
Physician Need 31 21 19 15 20 20
12
9 17 16
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
7
6.2
Physician Need
3
Status Surplus: 4
1
Surplus: 6
0
Surplus: 7
0
Surplus: 7
1
Surplus: 6
3
Surplus: 4
3
Surplus: 4
1
Surplus: 6
2015 Projected
Population 123,967
Physician Need 3
1
0
1 3 3 1
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
113,457
21
18.5
Physician Need
15
Status Surplus: 6
9
Surplus: 12
8
Surplus: 13
17
Surplus: 4
6
Surplus: 15
5
Surplus: 16
8
Surplus: 13
4
Surplus: 17
7
Surplus: 14
8
Surplus: 13
2015 Projected
Population 123,967
Physician Need 17 10 9 19 5 5
9 5 7 9
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
7
6.2
Physician Need
4
Status Surplus: 3
2
Surplus: 5
2
Surplus: 5
2
Surplus: 5
2
Surplus: 5
1
Surplus: 6
2
Surplus: 5
2
Surplus: 5
1
Surplus: 6
2
Surplus: 5
2015 Projected
Population 123,967
Physician Need 4 2 2 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
113,457
17
15.0
Physician Need
13
Status Surplus: 4
15
Surplus: 2
16
Surplus: 1
9
Surplus: 8
10
Surplus: 7
5
Surplus: 12
9
Surplus: 8
9
Surplus: 8
10
Surplus: 7
2015 Projected
Population 123,967
Physician Need 14 17 17 10 6 6 10
10
11
29 Georgia Physician Workforce: County Reports - 2008
Clarke 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
113,457
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
2
Deficit: -1
1
Adequate 0
2015 Projected
Population 123,967
Physician Need 2 1 1 1 1 1 1
0
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
113,457
12
10.6
Physician Need
14
Status Deficit: -2
11
Surplus: 1
10
Surplus: 2
11
Surplus: 1
8
Surplus: 4
7
Surplus: 5
7
Surplus: 5
5
Surplus: 7
11
Surplus: 1
5
Surplus: 7
7
Surplus: 5
8
Surplus: 4
2015 Projected
Population 123,967
Physician Need 15 12 11 12 8 8 7 5 12 5 7 9
29 Georgia Physician Workforce: County Reports - 2008
Clarke County Physician Standard Report
Page 13
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
113,457
1
0.9
Physician Need
2
Status Deficit: -1
1
Adequate 0
0
Surplus: 1
1
Adequate 0
2015 Projected
Population 123,967
Physician Need 2
1
1
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
113,457
12
10.6
Physician Need
4
Status Surplus: 8
4
Surplus: 8
4
Surplus: 8
4
Surplus: 8
4
Surplus: 8
3
Surplus: 9
3
Surplus: 9
3
Surplus: 9
2
Surplus: 10
3
Surplus: 9
3
Surplus: 9
2015 Projected
Population 123,967
Physician Need 4 4 4 4 3 3 4
3 2 4 4
29 Georgia Physician Workforce: County Reports - 2008 Page 14
Clarke County Physician Standard Report
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.