44 Georgia Physician Workforce: County Reports - 2008 Dekalb 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 733,746 9 1.2 Physician Need 10 Status Deficit: -1 11 Deficit: -2 10 Deficit: -1 6 Surplus: 3 12 Deficit: -3 9 Adequate 0 8 Surplus: 1 10 Deficit: -1 13 Deficit: -4 10 Deficit: -1 2015 Projected Population 819,193 Physician Need 11 12 11 7 10 10 9 11 14 11 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 733,746 91 12.4 Physician Need 103 Status Deficit: -12 71 Surplus: 20 67 Surplus: 24 65 Surplus: 26 43 Surplus: 48 29 Surplus: 62 66 Surplus: 25 51 Surplus: 40 56 Surplus: 35 2015 Projected Population 819,193 Physician Need 115 79 75 73 32 32 74 57 62 44 Georgia Physician Workforce: County Reports - 2008 Dekalb 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 733,746 78 10.6 Physician Need 55 Status Surplus: 23 40 Surplus: 38 37 Surplus: 41 23 Surplus: 55 22 Surplus: 56 13 Surplus: 65 21 Surplus: 57 26 Surplus: 52 19 Surplus: 59 31 Surplus: 47 26 Surplus: 52 2015 Projected Population 819,193 Physician Need 61 44 41 25 15 15 24 29 21 35 29 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 733,746 30 4.1 Physician Need 27 Status Surplus: 3 21 Surplus: 9 19 Surplus: 11 21 Surplus: 9 18 Surplus: 12 18 Surplus: 12 19 Surplus: 11 12 Surplus: 18 10 Surplus: 20 15 Surplus: 15 23 Surplus: 7 18 Surplus: 12 2015 Projected Population 819,193 Physician Need 30 23 21 23 20 20 21 13 11 17 26 20 44 Georgia Physician Workforce: County Reports - 2008 Dekalb 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 733,746 71 9.7 Physician Need 77 Status Deficit: -6 40 Surplus: 31 38 Surplus: 33 40 Surplus: 31 49 Surplus: 22 39 Surplus: 32 20 Surplus: 51 91 Deficit: -20 45 Surplus: 26 2015 Projected Population 819,193 Physician Need 86 45 43 44 43 43 22 102 51 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 733,746 28 3.8 Physician Need 13 Status Surplus: 15 8 Surplus: 20 7 Surplus: 21 6 Surplus: 22 7 Surplus: 21 8 Surplus: 20 4 Surplus: 24 7 Surplus: 21 2015 Projected Population 819,193 Physician Need 15 9 8 7 9 9 5 7 44 Georgia Physician Workforce: County Reports - 2008 Dekalb 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 733,746 190 25.9 Physician Need 231 Status Deficit: -41 335 Deficit: -145 313 Deficit: -123 185 Surplus: 5 123 Surplus: 67 81 Surplus: 109 68 Surplus: 122 119 Surplus: 71 165 Surplus: 25 173 Surplus: 17 2015 Projected Population 819,193 Physician Need 258 374 349 206 90 90 75 133 185 193 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 733,746 35 4.8 Physician Need 31 Status Surplus: 4 23 Surplus: 12 23 Surplus: 12 12 Surplus: 23 12 Surplus: 23 10 Surplus: 25 26 Surplus: 9 18 Surplus: 17 2015 Projected Population 819,193 Physician Need 34 25 26 14 14 11 29 20 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 9 1.2 Physician Need 26 Status Deficit: -17 18 Deficit: -9 18 Deficit: -9 26 Deficit: -17 17 Deficit: -8 13 Deficit: -4 12 Deficit: -3 19 Deficit: -10 9 Adequate 0 8 Surplus: 1 15 Deficit: -6 2015 Projected Population 819,193 Physician Need 29 20 20 29 15 15 13 21 10 9 17 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 733,746 74 10.1 Physician Need 16 Status Surplus: 58 5 Surplus: 69 4 Surplus: 70 7 Surplus: 67 9 Surplus: 65 5 Surplus: 69 4 Surplus: 70 6 Surplus: 68 2015 Projected Population 819,193 Physician Need 18 6 5 7 6 6 5 7 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 277 37.8 Physician Need 390 Status Deficit: -113 157 Surplus: 120 147 Surplus: 130 211 Surplus: 66 206 Surplus: 71 222 Surplus: 55 123 Surplus: 154 83 Surplus: 194 139 Surplus: 138 161 Surplus: 116 2015 Projected Population 819,193 Physician Need 435 175 164 236 248 248 137 93 156 180 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 733,746 35 4.8 Physician Need 19 Status Surplus: 16 10 Surplus: 25 10 Surplus: 25 8 Surplus: 27 6 Surplus: 29 5 Surplus: 30 7 Surplus: 28 5 Surplus: 30 7 Surplus: 28 2015 Projected Population 819,193 Physician Need 21 11 11 9 6 6 7 6 8 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 17 2.3 Physician Need 14 Status Surplus: 3 8 Surplus: 9 7 Surplus: 10 8 Surplus: 9 10 Surplus: 7 3 Surplus: 14 5 Surplus: 12 7 Surplus: 10 2015 Projected Population 819,193 Physician Need 16 9 8 9 3 6 8 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 733,746 56 7.6 Physician Need 37 Status Surplus: 19 18 Surplus: 38 17 Surplus: 39 24 Surplus: 32 10 Surplus: 46 12 Surplus: 44 9 Surplus: 47 15 Surplus: 41 10 Surplus: 46 13 Surplus: 43 14 Surplus: 42 2015 Projected Population 819,193 Physician Need 41 20 19 27 14 14 10 17 11 15 16 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 78 10.6 Physician Need 103 Status Deficit: -25 89 Deficit: -11 83 Deficit: -5 73 Surplus: 5 85 Deficit: -7 84 Deficit: -6 73 Surplus: 5 65 Surplus: 13 62 Surplus: 16 59 Surplus: 19 75 Surplus: 3 75 Surplus: 3 2015 Projected Population 819,193 Physician Need 116 99 93 81 94 94 82 72 69 66 83 84 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 733,746 68 9.3 Physician Need 44 Status Surplus: 24 43 Surplus: 25 40 Surplus: 28 34 Surplus: 34 18 Surplus: 50 23 Surplus: 45 37 Surplus: 31 26 Surplus: 42 23 Surplus: 45 35 Surplus: 33 31 Surplus: 37 2015 Projected Population 819,193 Physician Need 49 48 45 38 25 25 41 29 26 39 34 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 44 6.0 Physician Need 61 Status Deficit: -17 50 Deficit: -6 47 Deficit: -3 44 Adequate 0 43 Surplus: 1 31 Surplus: 13 49 Deficit: -5 22 Surplus: 22 43 Surplus: 1 31 Surplus: 13 45 Deficit: -1 40 Surplus: 4 2015 Projected Population 819,193 Physician Need 68 56 52 49 34 34 55 25 48 34 50 45 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 733,746 23 3.1 Physician Need 25 Status Deficit: -2 23 Adequate 0 23 Adequate 0 25 Deficit: -2 18 Surplus: 5 22 Surplus: 1 22 Surplus: 1 2015 Projected Population 819,193 Physician Need 28 26 26 20 20 25 25 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 85 11.6 Physician Need 46 Status Surplus: 39 14 Surplus: 71 13 Surplus: 72 47 Surplus: 38 24 Surplus: 61 13 Surplus: 72 30 Surplus: 55 23 Surplus: 62 2015 Projected Population 819,193 Physician Need 52 16 15 52 15 15 34 26 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 733,746 235 32.0 Physician Need 183 Status Surplus: 52 122 Surplus: 113 114 Surplus: 121 91 Surplus: 144 87 Surplus: 148 117 Surplus: 118 72 Surplus: 163 56 Surplus: 179 102 Surplus: 133 95 Surplus: 140 2015 Projected Population 819,193 Physician Need 204 136 127 102 131 131 80 62 114 106 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 16 2.2 Physician Need 18 Status Deficit: -2 8 Surplus: 8 2 Surplus: 14 3 Surplus: 13 8 Surplus: 8 17 Deficit: -1 16 Adequate 0 9 Surplus: 7 2015 Projected Population 819,193 Physician Need 20 9 3 9 19 18 10 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 733,746 180 24.5 Physician Need 100 Status Surplus: 80 56 Surplus: 124 53 Surplus: 127 113 Surplus: 67 38 Surplus: 142 30 Surplus: 150 53 Surplus: 127 29 Surplus: 151 42 Surplus: 138 52 Surplus: 128 2015 Projected Population 819,193 Physician Need 111 63 59 126 34 34 59 32 47 58 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 42 5.7 Physician Need 26 Status Surplus: 16 15 Surplus: 27 14 Surplus: 28 10 Surplus: 32 10 Surplus: 32 7 Surplus: 35 10 Surplus: 32 10 Surplus: 32 10 Surplus: 32 11 Surplus: 31 2015 Projected Population 819,193 Physician Need 29 16 16 11 8 8 11 11 11 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 733,746 96 13.1 Physician Need 84 Status Surplus: 12 100 Deficit: -4 101 Deficit: -5 56 Surplus: 40 62 Surplus: 34 34 Surplus: 62 56 Surplus: 40 59 Surplus: 37 67 Surplus: 29 2015 Projected Population 819,193 Physician Need 93 111 112 63 39 39 63 66 75 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 15 2.0 Physician Need 11 Status Surplus: 4 8 Surplus: 7 7 Surplus: 8 5 Surplus: 10 3 Surplus: 12 5 Surplus: 10 5 Surplus: 10 3 Surplus: 12 10 Surplus: 5 6 Surplus: 9 2015 Projected Population 819,193 Physician Need 12 9 8 6 6 6 6 3 11 7 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 733,746 59 8.0 Physician Need 92 Status Deficit: -33 69 Deficit: -10 65 Deficit: -6 71 Deficit: -12 51 Surplus: 8 45 Surplus: 14 43 Surplus: 16 31 Surplus: 28 71 Deficit: -12 30 Surplus: 29 44 Surplus: 15 52 Surplus: 7 2015 Projected Population 819,193 Physician Need 102 77 72 79 51 51 48 34 79 34 49 58 44 Georgia Physician Workforce: County Reports - 2008 Dekalb County Physician Standard Report 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 Physicians /100k 733,746 10 1.4 Physician Need 11 Status Deficit: -1 6 Surplus: 4 1 Surplus: 9 4 Surplus: 6 2015 Projected Population 819,193 Physician Need 12 7 4 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 733,746 25 3.4 Physician Need 26 Status Deficit: -1 26 Deficit: -1 24 Surplus: 1 23 Surplus: 2 24 Surplus: 1 17 Surplus: 8 21 Surplus: 4 19 Surplus: 6 14 Surplus: 11 21 Surplus: 4 21 Surplus: 4 2015 Projected Population 819,193 Physician Need 29 29 27 25 19 19 24 21 16 23 24 44 Georgia Physician Workforce: County Reports - 2008 Page 15 Dekalb 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.