33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 8 1.2 Physician Need 10 Status Deficit: -2 10 Deficit: -2 10 Deficit: -2 6 Surplus: 2 12 Deficit: -4 8 Adequate 0 8 Adequate 0 9 Deficit: -1 12 Deficit: -4 9 Deficit: -1 2015 Projected Population 779,807 Physician Need 11 12 11 6 9 9 9 10 13 10 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 691,496 59 8.5 Physician Need 97 Status Deficit: -38 67 Deficit: -8 63 Deficit: -4 62 Deficit: -3 41 Surplus: 18 27 Surplus: 32 62 Deficit: -3 48 Surplus: 11 53 Surplus: 6 2015 Projected Population 779,807 Physician Need 109 76 71 69 30 30 70 55 59 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 47 6.8 Physician Need 52 Status Deficit: -5 37 Surplus: 10 35 Surplus: 12 21 Surplus: 26 21 Surplus: 26 12 Surplus: 35 20 Surplus: 27 25 Surplus: 22 18 Surplus: 29 29 Surplus: 18 24 Surplus: 23 2015 Projected Population 779,807 Physician Need 58 42 39 24 14 14 23 28 20 33 27 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 691,496 25 3.6 Physician Need 26 Status Deficit: -1 19 Surplus: 6 18 Surplus: 7 19 Surplus: 6 17 Surplus: 8 17 Surplus: 8 18 Surplus: 7 11 Surplus: 14 10 Surplus: 15 15 Surplus: 10 22 Surplus: 3 17 Surplus: 8 2015 Projected Population 779,807 Physician Need 29 22 20 22 19 19 20 12 11 16 24 19 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 58 8.4 Physician Need 73 Status Deficit: -15 38 Surplus: 20 36 Surplus: 22 37 Surplus: 21 46 Surplus: 12 37 Surplus: 21 19 Surplus: 39 86 Deficit: -28 43 Surplus: 15 2015 Projected Population 779,807 Physician Need 82 43 41 42 41 41 21 97 48 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 691,496 8 1.2 Physician Need 12 Status Deficit: -4 8 Adequate 0 7 Surplus: 1 6 Surplus: 2 6 Surplus: 2 8 Adequate 0 4 Surplus: 4 6 Surplus: 2 2015 Projected Population 779,807 Physician Need 14 9 8 6 9 9 5 7 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 134 19.4 Physician Need 218 Status Deficit: -84 315 Deficit: -181 295 Deficit: -161 174 Deficit: -40 115 Surplus: 19 76 Surplus: 58 64 Surplus: 70 112 Surplus: 22 156 Deficit: -22 163 Deficit: -29 2015 Projected Population 779,807 Physician Need 246 356 332 197 86 86 72 126 176 184 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 691,496 23 3.3 Physician Need 29 Status Deficit: -6 21 Surplus: 2 22 Surplus: 1 12 Surplus: 11 12 Surplus: 11 9 Surplus: 14 24 Deficit: -1 17 Surplus: 6 2015 Projected Population 779,807 Physician Need 33 24 25 13 13 10 27 19 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 12 1.7 Physician Need 15 Status Deficit: -3 5 Surplus: 7 4 Surplus: 8 6 Surplus: 6 8 Surplus: 4 5 Surplus: 7 4 Surplus: 8 6 Surplus: 6 2015 Projected Population 779,807 Physician Need 17 5 5 7 5 5 5 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 Physicians /100k 691,496 157 22.7 Physician Need 367 Status Deficit: -210 148 Surplus: 9 138 Surplus: 19 199 Deficit: -42 194 Deficit: -37 210 Deficit: -53 115 Surplus: 42 78 Surplus: 79 131 Surplus: 26 152 Surplus: 5 2015 Projected Population 779,807 Physician Need 414 167 156 225 236 236 130 88 148 172 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 16 2.3 Physician Need 18 Status Deficit: -2 10 Surplus: 6 9 Surplus: 7 8 Surplus: 8 6 Surplus: 10 5 Surplus: 11 6 Surplus: 10 5 Surplus: 11 7 Surplus: 9 2015 Projected Population 779,807 Physician Need 20 11 10 9 5 5 7 6 8 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 691,496 6 0.9 Physician Need 13 Status Deficit: -7 8 Deficit: -2 7 Deficit: -1 8 Deficit: -2 10 Deficit: -4 3 Surplus: 3 5 Surplus: 1 7 Deficit: -1 2015 Projected Population 779,807 Physician Need 15 9 8 9 3 5 8 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 18 2.6 Physician Need 35 Status Deficit: -17 17 Surplus: 1 16 Surplus: 2 23 Deficit: -5 9 Surplus: 9 12 Surplus: 6 8 Surplus: 10 15 Surplus: 3 10 Surplus: 8 12 Surplus: 6 13 Surplus: 5 2015 Projected Population 779,807 Physician Need 39 19 18 26 13 13 9 16 11 14 15 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 691,496 77 11.1 Physician Need 98 Status Deficit: -21 84 Deficit: -7 78 Deficit: -1 68 Surplus: 9 80 Deficit: -3 80 Deficit: -3 69 Surplus: 8 61 Surplus: 16 58 Surplus: 19 55 Surplus: 22 70 Surplus: 7 71 Surplus: 6 2015 Projected Population 779,807 Physician Need 110 94 88 77 90 90 78 69 66 62 79 80 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 25 3.6 Physician Need 41 Status Deficit: -16 41 Deficit: -16 38 Deficit: -13 32 Deficit: -7 17 Surplus: 8 21 Surplus: 4 35 Deficit: -10 24 Surplus: 1 22 Surplus: 3 33 Deficit: -8 29 Deficit: -4 2015 Projected Population 779,807 Physician Need 47 46 43 36 24 24 39 27 25 37 33 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 691,496 50 7.2 Physician Need 57 Status Deficit: -7 47 Surplus: 3 44 Surplus: 6 41 Surplus: 9 41 Surplus: 9 29 Surplus: 21 46 Surplus: 4 21 Surplus: 29 41 Surplus: 9 29 Surplus: 21 42 Surplus: 8 38 Surplus: 12 2015 Projected Population 779,807 Physician Need 65 53 50 47 33 33 52 23 46 33 48 43 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 20 2.9 Physician Need 24 Status Deficit: -4 22 Deficit: -2 22 Deficit: -2 24 Deficit: -4 17 Surplus: 3 21 Deficit: -1 21 Deficit: -1 2015 Projected Population 779,807 Physician Need 27 25 25 19 19 23 23 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 691,496 23 3.3 Physician Need 44 Status Deficit: -21 13 Surplus: 10 12 Surplus: 11 44 Deficit: -21 23 Adequate 0 12 Surplus: 11 28 Deficit: -5 22 Surplus: 1 2015 Projected Population 779,807 Physician Need 49 15 14 50 14 14 32 25 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 118 17.1 Physician Need 172 Status Deficit: -54 115 Surplus: 3 107 Surplus: 11 86 Surplus: 32 82 Surplus: 36 111 Surplus: 7 68 Surplus: 50 53 Surplus: 65 96 Surplus: 22 90 Surplus: 28 2015 Projected Population 779,807 Physician Need 194 129 121 97 125 125 76 59 108 101 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 691,496 16 2.3 Physician Need 17 Status Deficit: -1 8 Surplus: 8 2 Surplus: 14 3 Surplus: 13 8 Surplus: 8 16 Adequate 0 15 Surplus: 1 8 Surplus: 8 2015 Projected Population 779,807 Physician Need 19 9 3 9 18 17 9 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 63 9.1 Physician Need 94 Status Deficit: -31 53 Surplus: 10 50 Surplus: 13 106 Deficit: -43 36 Surplus: 27 28 Surplus: 35 50 Surplus: 13 27 Surplus: 36 40 Surplus: 23 49 Surplus: 14 2015 Projected Population 779,807 Physician Need 106 60 56 120 32 32 56 30 45 55 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 691,496 25 3.6 Physician Need 24 Status Surplus: 1 14 Surplus: 11 13 Surplus: 12 10 Surplus: 15 10 Surplus: 15 7 Surplus: 18 10 Surplus: 15 10 Surplus: 15 9 Surplus: 16 10 Surplus: 15 2015 Projected Population 779,807 Physician Need 27 16 15 11 8 8 11 11 10 12 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 43 6.2 Physician Need 79 Status Deficit: -36 94 Deficit: -51 95 Deficit: -52 53 Deficit: -10 59 Deficit: -16 33 Surplus: 10 53 Deficit: -10 55 Deficit: -12 63 Deficit: -20 2015 Projected Population 779,807 Physician Need 89 106 107 60 37 37 60 62 71 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 691,496 4 0.6 Physician Need 10 Status Deficit: -6 8 Deficit: -4 7 Deficit: -3 5 Deficit: -1 3 Surplus: 1 5 Deficit: -1 5 Deficit: -1 3 Surplus: 1 9 Deficit: -5 6 Deficit: -2 2015 Projected Population 779,807 Physician Need 12 9 8 5 5 5 5 3 10 6 33 Georgia Physician Workforce: County Reports - 2008 Cobb 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 691,496 37 5.4 Physician Need 86 Status Deficit: -49 65 Deficit: -28 61 Deficit: -24 67 Deficit: -30 48 Deficit: -11 43 Deficit: -6 41 Deficit: -4 29 Surplus: 8 67 Deficit: -30 28 Surplus: 9 42 Deficit: -5 49 Deficit: -12 2015 Projected Population 779,807 Physician Need 97 73 69 76 48 48 46 33 76 32 47 55 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 691,496 5 0.7 Physician Need 10 Status Deficit: -5 6 Deficit: -1 1 Surplus: 4 3 Surplus: 2 2015 Projected Population 779,807 Physician Need 12 6 4 33 Georgia Physician Workforce: County Reports - 2008 Cobb County Physician Standard Report Page 14 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 691,496 17 2.5 Physician Need 24 Status Deficit: -7 24 Deficit: -7 23 Deficit: -6 21 Deficit: -4 23 Deficit: -6 16 Surplus: 1 20 Deficit: -3 18 Deficit: -1 13 Surplus: 4 20 Deficit: -3 20 Deficit: -3 2015 Projected Population 779,807 Physician Need 27 27 26 24 18 18 23 20 15 22 23 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.