31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
1
0.4
Physician Need
4
Status Deficit: -3
4
Deficit: -3
4
Deficit: -3
2
Deficit: -1
5
Deficit: -4
3
Deficit: -2
3
Deficit: -2
4
Deficit: -3
5
Deficit: -4
4
Deficit: -3
2015 Projected
Population 290,965
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
272,705
14
5.1
Physician Need
38
Status Deficit: -24
26
Deficit: -12
25
Deficit: -11
24
Deficit: -10
16
Deficit: -2
11
Surplus: 3
25
Deficit: -11
19
Deficit: -5
21
Deficit: -7
2015 Projected
Population 290,965
Physician Need 41 28 26 26 11 11 26
20
22
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
14
5.1
Physician Need
20
Status Deficit: -6
15
Deficit: -1
14
Adequate 0
8
Surplus: 6
8
Surplus: 6
5
Surplus: 9
8
Surplus: 6
10
Surplus: 4
7
Surplus: 7
12
Surplus: 2
10
Surplus: 4
2015 Projected
Population 290,965
Physician Need 22 16 15 9 5 5 8
10 8 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
272,705
2
0.7
Physician Need
10
Status Deficit: -8
8
Deficit: -6
7
Deficit: -5
8
Deficit: -6
7
Deficit: -5
7
Deficit: -5
7
Deficit: -5
4
Deficit: -2
4
Deficit: -2
6
Deficit: -4
9
Deficit: -7
7
Deficit: -5
2015 Projected
Population 290,965
Physician Need 11 8 8 8 7 7 8 5 4 6 9 7
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
14
5.1
Physician Need
29
Status Deficit: -15
15
Deficit: -1
14
Adequate 0
15
Deficit: -1
18
Deficit: -4
14
Adequate 0
7
Surplus: 7
34
Deficit: -20
17
Deficit: -3
2015 Projected
Population 290,965
Physician Need 31 16 15 16 15 15
8
36 18
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
272,705
1
0.4
Physician Need
5
Status Deficit: -4
3
Deficit: -2
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
2015 Projected
Population 290,965
Physician Need 5 3 3 2 3 3
2
3
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
32
11.7
Physician Need
86
Status Deficit: -54
124
Deficit: -92
116
Deficit: -84
69
Deficit: -37
46
Deficit: -14
30
Surplus: 2
25
Surplus: 7
44
Deficit: -12
61
Deficit: -29
64
Deficit: -32
2015 Projected
Population 290,965
Physician Need 92 133 124 73 32 32
27
47 66 69
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
272,705
5
1.8
Physician Need
11
Status Deficit: -6
8
Deficit: -3
9
Deficit: -4
5
Adequate 0
5
Adequate 0
4
Surplus: 1
10
Deficit: -5
7
Deficit: -2
2015 Projected
Population 290,965
Physician Need 12 9
9 5 5
4
10 7
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
3
1.1
Physician Need
6
Status Deficit: -3
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 290,965
Physician Need 6 2 2 3 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
272,705
44
16.1
Physician Need
145
Status Deficit: -101
58
Deficit: -14
55
Deficit: -11
79
Deficit: -35
77
Deficit: -33
83
Deficit: -39
46
Deficit: -2
31
Surplus: 13
52
Deficit: -8
60
Deficit: -16
2015 Projected
Population 290,965
Physician Need 155 62 58 84 88 88
49
33 55 64
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
5
1.8
Physician Need
7
Status Deficit: -2
4
Surplus: 1
4
Surplus: 1
3
Surplus: 2
2
Surplus: 3
2
Surplus: 3
2
Surplus: 3
2
Surplus: 3
3
Surplus: 2
2015 Projected
Population 290,965
Physician Need 8 4 4 3 2 2 3
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
272,705
1
0.4
Physician Need
5
Status Deficit: -4
3
Deficit: -2
3
Deficit: -2
3
Deficit: -2
4
Deficit: -3
1
Adequate 0
2
Deficit: -1
3
Deficit: -2
2015 Projected
Population 290,965
Physician Need 6 3 3 3
1
2
3
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
7
2.6
Physician Need
14
Status Deficit: -7
7
Adequate 0
6
Surplus: 1
9
Deficit: -2
4
Surplus: 3
5
Surplus: 2
3
Surplus: 4
6
Surplus: 1
4
Surplus: 3
5
Surplus: 2
5
Surplus: 2
2015 Projected
Population 290,965
Physician Need 15 7 7 10 5 5 3
6 4 5 6
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
272,705
20
7.3
Physician Need
38
Status Deficit: -18
33
Deficit: -13
31
Deficit: -11
27
Deficit: -7
32
Deficit: -12
31
Deficit: -11
27
Deficit: -7
24
Deficit: -4
23
Deficit: -3
22
Deficit: -2
28
Deficit: -8
28
Deficit: -8
2015 Projected
Population 290,965
Physician Need 41 35 33 29 33 33 29 26 24 23 30 30
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
8
2.9
Physician Need
16
Status Deficit: -8
16
Deficit: -8
15
Deficit: -7
13
Deficit: -5
7
Surplus: 1
8
Adequate 0
14
Deficit: -6
10
Deficit: -2
9
Deficit: -1
13
Deficit: -5
11
Deficit: -3
2015 Projected
Population 290,965
Physician Need 17 17 16 13 9 9 15
10 9 14 12
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
272,705
12
4.4
Physician Need
23
Status Deficit: -11
19
Deficit: -7
17
Deficit: -5
16
Deficit: -4
16
Deficit: -4
11
Surplus: 1
18
Deficit: -6
8
Surplus: 4
16
Deficit: -4
11
Surplus: 1
17
Deficit: -5
15
Deficit: -3
2015 Projected
Population 290,965
Physician Need 24 20 19 17 12 12 19 9 17 12 18 16
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
8
2.9
Physician Need
9
Status Deficit: -1
9
Deficit: -1
9
Deficit: -1
9
Deficit: -1
7
Surplus: 1
8
Adequate 0
8
Adequate 0
2015 Projected
Population 290,965
Physician Need 10 9
9 7 7 9
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
272,705
6
2.2
Physician Need
17
Status Deficit: -11
5
Surplus: 1
5
Surplus: 1
17
Deficit: -11
9
Deficit: -3
5
Surplus: 1
11
Deficit: -5
9
Deficit: -3
2015 Projected
Population 290,965
Physician Need 18 6 5 19 5 5
12
9
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
37
13.6
Physician Need
68
Status Deficit: -31
45
Deficit: -8
42
Deficit: -5
34
Surplus: 3
32
Surplus: 5
44
Deficit: -7
27
Surplus: 10
21
Surplus: 16
38
Deficit: -1
35
Surplus: 2
2015 Projected
Population 290,965
Physician Need 72 48 45 36 47 47
29
22 40 38
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
272,705
1
0.4
Physician Need
7
Status Deficit: -6
3
Deficit: -2
1
Adequate 0
1
Adequate 0
3
Deficit: -2
6
Deficit: -5
6
Deficit: -5
3
Deficit: -2
2015 Projected
Population 290,965
Physician Need 7
3
1
3 7 6 3
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
14
5.1
Physician Need
37
Status Deficit: -23
21
Deficit: -7
20
Deficit: -6
42
Deficit: -28
14
Adequate 0
11
Surplus: 3
20
Deficit: -6
11
Surplus: 3
16
Deficit: -2
19
Deficit: -5
2015 Projected
Population 290,965
Physician Need 40 22 21 45 12 12
21 11 17 21
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
272,705
7
2.6
Physician Need
10
Status Deficit: -3
5
Surplus: 2
5
Surplus: 2
4
Surplus: 3
4
Surplus: 3
3
Surplus: 4
4
Surplus: 3
4
Surplus: 3
4
Surplus: 3
4
Surplus: 3
2015 Projected
Population 290,965
Physician Need 10 6 6 4 3 3 4
4
4 4
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
16
5.9
Physician Need
31
Status Deficit: -15
37
Deficit: -21
37
Deficit: -21
21
Deficit: -5
23
Deficit: -7
13
Surplus: 3
21
Deficit: -5
22
Deficit: -6
25
Deficit: -9
2015 Projected
Population 290,965
Physician Need 33 40 40 22 14 14 22
23
26
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
272,705
2
0.7
Physician Need
4
Status Deficit: -2
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
1
Surplus: 1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
4
Deficit: -2
2
Adequate 0
2015 Projected
Population 290,965
Physician Need 4 3 3 2 2 2 2
1
4 2
31 Georgia Physician Workforce: County Reports - 2008
Clayton 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
272,705
16
5.9
Physician Need
34
Status Deficit: -18
26
Deficit: -10
24
Deficit: -8
26
Deficit: -10
19
Deficit: -3
17
Deficit: -1
16
Adequate 0
11
Surplus: 5
26
Deficit: -10
11
Surplus: 5
16
Adequate 0
19
Deficit: -3
2015 Projected
Population 290,965
Physician Need 36 27 26 28 18 18 17 12 28 12 17 21
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
272,705
7
2.6
Physician Need
10
Status Deficit: -3
10
Deficit: -3
9
Deficit: -2
8
Deficit: -1
9
Deficit: -2
6
Surplus: 1
8
Deficit: -1
7
Adequate 0
5
Surplus: 2
8
Deficit: -1
8
Deficit: -1
2015 Projected
Population 290,965
Physician Need 10 10 10 9 7 7 8
8 6 8 8
31 Georgia Physician Workforce: County Reports - 2008 Page 14
Clayton 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.