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.