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.