Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee 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 Physician /100k 235,025 3 1.3 Physician Need 3 Status Adequate 0 4 Deficit: -1 3 Adequate 0 2 Surplus: 1 4 Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 4 Deficit: -1 3 Adequate 0 2015 Projected Population 233,439 Physician Need 3 4 3 2 4 3 3 3 4 3 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 Physician /100k 235,025 26 11.1 Physician Need 33 Status Deficit: -7 23 Surplus: 3 21 Surplus: 5 21 Surplus: 5 14 Surplus: 12 9 Surplus: 17 21 Surplus: 5 16 Surplus: 10 18 Surplus: 8 2015 Projected Population 233,439 Physician Need 33 23 21 21 14 9 21 16 18 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee 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 Physician /100k 235,025 14 6.0 Physician Need 18 Status Deficit: -4 13 Surplus: 1 12 Surplus: 2 7 Surplus: 7 7 Surplus: 7 4 Surplus: 10 7 Surplus: 7 8 Surplus: 6 6 Surplus: 8 10 Surplus: 4 8 Surplus: 6 2015 Projected Population 233,439 Physician Need 18 13 12 7 7 4 7 8 6 10 8 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 Physician /100k 235,025 10 4.3 Physician Need 9 Status Surplus: 1 7 Surplus: 3 6 Surplus: 4 7 Surplus: 3 6 Surplus: 4 6 Surplus: 4 6 Surplus: 4 4 Surplus: 6 3 Surplus: 7 5 Surplus: 5 7 Surplus: 3 6 Surplus: 4 2015 Projected Population 233,439 Physician Need 9 7 6 7 6 6 6 4 3 5 7 6 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee 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 Physician /100k 235,025 21 8.9 Physician Need 25 Status Deficit: -4 13 Surplus: 8 12 Surplus: 9 13 Surplus: 8 16 Surplus: 5 12 Surplus: 9 6 Surplus: 15 29 Deficit: -8 15 Surplus: 6 2015 Projected Population 233,439 Physician Need 25 13 12 13 16 12 6 29 14 Physician Specialty Endocrinology, Diabetes & Metabolism National Physician Standards* AMA Standard Phys/100,000 Pop. 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 Physician /100k 235,025 4 1.7 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 233,439 Physician Need 4 3 2 2 2 3 1 2 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee 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 Physician /100k 235,025 134 57.0 Physician Need 74 Status Surplus: 60 107 Surplus: 27 100 Surplus: 34 59 Surplus: 75 39 Surplus: 95 26 Surplus: 108 22 Surplus: 112 38 Surplus: 96 53 Surplus: 81 55 Surplus: 79 2015 Projected Population 233,439 Physician Need 74 106 99 59 39 26 21 38 53 55 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 Physician /100k 235,025 8 3.4 Physician Need 10 Status Deficit: -2 7 Surplus: 1 8 Adequate 0 4 Surplus: 4 4 Surplus: 4 3 Surplus: 5 8 Adequate 0 6 Surplus: 2 2015 Projected Population 233,439 Physician Need 10 7 7 4 4 3 8 6 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 5 Physician Specialty Hematology/Oncology 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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2 1.1 2.1 2008 Actual Population Physician /100k 235,025 1 0.4 Physician Need 8 Status Deficit: -7 6 Deficit: -5 6 Deficit: -5 8 Deficit: -7 5 Deficit: -4 4 Deficit: -3 4 Deficit: -3 6 Deficit: -5 3 Deficit: -2 3 Deficit: -2 5 Deficit: -4 2015 Projected Population 233,439 Physician Need 8 6 6 8 5 4 4 6 3 3 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 Physician /100k 235,025 2 0.9 Physician Need 5 Status Deficit: -3 2 Adequate 0 1 Surplus: 1 2 Adequate 0 3 Deficit: -1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2015 Projected Population 233,439 Physician Need 5 2 1 2 3 2 1 2 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 6 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 Physician /100k 235,025 47 20.0 Physician Need 125 Status Deficit: -78 50 Deficit: -3 47 Adequate 0 68 Deficit: -21 66 Deficit: -19 71 Deficit: -24 39 Surplus: 8 27 Surplus: 20 45 Surplus: 2 52 Deficit: -5 2015 Projected Population 233,439 Physician Need 124 50 47 67 66 71 39 26 44 51 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 Physician /100k 235,025 9 3.8 Physician Need 6 Status Surplus: 3 3 Surplus: 6 3 Surplus: 6 3 Surplus: 6 2 Surplus: 7 2 Surplus: 7 2 Surplus: 7 2 Surplus: 7 2 Surplus: 7 2015 Projected Population 233,439 Physician Need 6 3 3 3 2 2 2 2 2 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 7 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 Physician /100k 235,025 4 1.7 Physician Need 4 Status Adequate 0 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 3 Surplus: 1 1 Surplus: 3 2 Surplus: 2 2 Surplus: 2 2015 Projected Population 233,439 Physician Need 4 3 2 3 3 1 2 2 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 Physician /100k 235,025 5 2.1 Physician Need 12 Status Deficit: -7 6 Deficit: -1 5 Adequate 0 8 Deficit: -3 3 Surplus: 2 4 Surplus: 1 3 Surplus: 2 5 Adequate 0 3 Surplus: 2 4 Surplus: 1 4 Surplus: 1 2015 Projected Population 233,439 Physician Need 12 6 5 8 3 4 3 5 3 4 4 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 8 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 Physician /100k 235,025 25 10.6 Physician Need 33 Status Deficit: -8 28 Deficit: -3 27 Deficit: -2 23 Surplus: 2 27 Deficit: -2 27 Deficit: -2 24 Surplus: 1 21 Surplus: 4 20 Surplus: 5 19 Surplus: 6 24 Surplus: 1 24 Surplus: 1 2015 Projected Population 233,439 Physician Need 33 28 26 23 27 27 23 21 20 19 24 24 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 Physician /100k 235,025 13 5.5 Physician Need 14 Status Deficit: -1 14 Deficit: -1 13 Adequate 0 11 Surplus: 2 6 Surplus: 7 7 Surplus: 6 12 Surplus: 1 8 Surplus: 5 8 Surplus: 5 11 Surplus: 2 10 Surplus: 3 2015 Projected Population 233,439 Physician Need 14 14 13 11 6 7 12 8 7 11 10 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 9 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 Physician /100k 235,025 33 14.0 Physician Need 20 Status Surplus: 13 16 Surplus: 17 15 Surplus: 18 14 Surplus: 19 14 Surplus: 19 10 Surplus: 23 16 Surplus: 17 7 Surplus: 26 14 Surplus: 19 10 Surplus: 23 14 Surplus: 19 13 Surplus: 20 2015 Projected Population 233,439 Physician Need 19 16 15 14 14 10 16 7 14 10 14 13 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 Physician /100k 235,025 8 3.4 Physician Need 8 Status Adequate 0 8 Adequate 0 8 Adequate 0 8 Adequate 0 6 Surplus: 2 7 Surplus: 1 7 Surplus: 1 2015 Projected Population 233,439 Physician Need 8 7 7 8 6 7 7 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 10 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 Physician /100k 235,025 8 3.4 Physician Need 15 Status Deficit: -7 4 Surplus: 4 4 Surplus: 4 15 Deficit: -7 8 Adequate 0 4 Surplus: 4 10 Deficit: -2 8 Adequate 0 2015 Projected Population 233,439 Physician Need 15 4 4 15 8 4 10 7 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 Physician /100k 235,025 32 13.6 Physician Need 59 Status Deficit: -27 39 Deficit: -7 36 Deficit: -4 29 Surplus: 3 28 Surplus: 4 38 Deficit: -6 23 Surplus: 9 18 Surplus: 14 33 Deficit: -1 31 Surplus: 1 2015 Projected Population 233,439 Physician Need 58 39 36 29 28 37 23 18 32 30 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 11 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 Physician /100k 235,025 8 3.4 Physician Need 6 Status Surplus: 2 3 Surplus: 5 1 Surplus: 7 1 Surplus: 7 3 Surplus: 5 5 Surplus: 3 5 Surplus: 3 3 Surplus: 5 2015 Projected Population 233,439 Physician Need 6 3 1 1 3 5 5 3 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 Physician /100k 235,025 31 13.2 Physician Need 32 Status Deficit: -1 18 Surplus: 13 17 Surplus: 14 36 Deficit: -5 12 Surplus: 19 10 Surplus: 21 17 Surplus: 14 9 Surplus: 22 13 Surplus: 18 17 Surplus: 14 2015 Projected Population 233,439 Physician Need 32 18 17 36 12 10 17 9 13 17 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 12 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 Physician /100k 235,025 3 1.3 Physician Need 8 Status Deficit: -5 5 Deficit: -2 4 Deficit: -1 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 3 Adequate 0 4 Deficit: -1 2015 Projected Population 233,439 Physician Need 8 5 4 3 3 2 3 3 3 4 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 Physician /100k 235,025 27 11.5 Physician Need 27 Status Adequate 0 32 Deficit: -5 32 Deficit: -5 18 Surplus: 9 20 Surplus: 7 11 Surplus: 16 18 Surplus: 9 19 Surplus: 8 21 Surplus: 6 2015 Projected Population 233,439 Physician Need 27 32 32 18 20 11 18 19 21 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 13 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 Physician /100k 235,025 2 0.9 Physician Need 4 Status Deficit: -2 3 Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 3 Deficit: -1 2 Adequate 0 2015 Projected Population 233,439 Physician Need 4 3 2 2 1 2 2 1 3 2 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 Physician /100k 235,025 24 10.2 Physician Need 29 Status Deficit: -5 22 Surplus: 2 21 Surplus: 3 23 Surplus: 1 16 Surplus: 8 15 Surplus: 9 14 Surplus: 10 10 Surplus: 14 23 Surplus: 1 10 Surplus: 14 14 Surplus: 10 17 Surplus: 7 2015 Projected Population 233,439 Physician Need 29 22 21 23 16 14 14 10 23 10 14 17 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 14 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 Physician /100k 235,025 3 1.3 Physician Need 4 Status Deficit: -1 2 Surplus: 1 0 Surplus: 3 1 Surplus: 2 2015 Projected Population 233,439 Physician Need 4 2 0 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 Physician /100k 235,025 10 4.3 Physician Need 8 Status Surplus: 2 8 Surplus: 2 8 Surplus: 2 7 Surplus: 3 8 Surplus: 2 5 Surplus: 5 7 Surplus: 3 6 Surplus: 4 4 Surplus: 6 7 Surplus: 3 7 Surplus: 3 2015 Projected Population 233,439 Physician Need 8 8 8 7 8 5 7 6 4 7 7 Georgia Physician Workforce: MSA Reports - 2008 Columbus MSA Physician Standard Report Included Counties: Chattahoochee, Harris, Marion, Muscogee Page 15 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.