47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 1 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 95,301 13 13.6 Physician Need 13 Status Adequate 0 9 Surplus: 4 9 Surplus: 4 8 Surplus: 5 6 Surplus: 7 4 Surplus: 9 9 Surplus: 4 7 Surplus: 6 7 Surplus: 6 2015 Projected Population 96,656 Physician Need 14 9 9 9 4 4 9 7 7 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 95,301 8 8.4 Physician Need 7 Status Surplus: 1 5 Surplus: 3 5 Surplus: 3 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 4 Surplus: 4 3 Surplus: 5 2015 Projected Population 96,656 Physician Need 7 5 5 3 2 2 3 3 3 4 3 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 2 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 95,301 4 4.2 Physician Need 4 Status Adequate 0 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 3 Surplus: 1 2 Surplus: 2 2015 Projected Population 96,656 Physician Need 4 3 3 3 2 2 3 2 1 2 3 2 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 95,301 16 16.8 Physician Need 10 Status Surplus: 6 5 Surplus: 11 5 Surplus: 11 5 Surplus: 11 6 Surplus: 10 5 Surplus: 11 3 Surplus: 13 12 Surplus: 4 6 Surplus: 10 2015 Projected Population 96,656 Physician Need 10 5 5 5 5 5 3 12 6 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 3 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 95,301 26 27.3 Physician Need 30 Status Deficit: -4 43 Deficit: -17 41 Deficit: -15 24 Surplus: 2 16 Surplus: 10 10 Surplus: 16 9 Surplus: 17 15 Surplus: 11 21 Surplus: 5 22 Surplus: 4 2015 Projected Population 96,656 Physician Need 30 44 41 24 11 11 9 16 22 23 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 95,301 8 8.4 Physician Need 4 Status Surplus: 4 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 2 Surplus: 6 1 Surplus: 7 3 Surplus: 5 2 Surplus: 6 2015 Projected Population 96,656 Physician Need 4 3 3 2 2 1 3 2 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 4 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 95,301 2 2.1 Physician Need 2 Status Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 96,656 Physician Need 2 1 1 1 1 1 1 1 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 95,301 40 42.0 Physician Need 51 Status Deficit: -11 20 Surplus: 20 19 Surplus: 21 27 Surplus: 13 27 Surplus: 13 29 Surplus: 11 16 Surplus: 24 11 Surplus: 29 18 Surplus: 22 21 Surplus: 19 2015 Projected Population 96,656 Physician Need 51 21 19 28 29 29 16 11 18 21 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 5 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 95,301 6 6.3 Physician Need 2 Status Surplus: 4 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 2015 Projected Population 96,656 Physician Need 3 1 1 1 1 1 1 1 1 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 95,301 5 5.2 Physician Need 2 Status Surplus: 3 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 0 Surplus: 5 1 Surplus: 4 1 Surplus: 4 2015 Projected Population 96,656 Physician Need 2 1 1 1 0 1 1 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 6 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 95,301 2 2.1 Physician Need 5 Status Deficit: -3 2 Adequate 0 2 Adequate 0 3 Deficit: -1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 2015 Projected Population 96,656 Physician Need 5 2 2 3 2 2 1 2 1 2 2 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 95,301 24 25.2 Physician Need 13 Status Surplus: 11 12 Surplus: 12 11 Surplus: 13 9 Surplus: 15 11 Surplus: 13 11 Surplus: 13 10 Surplus: 14 8 Surplus: 16 8 Surplus: 16 8 Surplus: 16 10 Surplus: 14 10 Surplus: 14 2015 Projected Population 96,656 Physician Need 14 12 11 10 11 11 10 9 8 8 10 10 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 7 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 95,301 8 8.4 Physician Need 6 Status Surplus: 2 6 Surplus: 2 5 Surplus: 3 4 Surplus: 4 2 Surplus: 6 3 Surplus: 5 5 Surplus: 3 3 Surplus: 5 3 Surplus: 5 4 Surplus: 4 4 Surplus: 4 2015 Projected Population 96,656 Physician Need 6 6 5 4 3 3 5 3 3 5 4 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 95,301 10 10.5 Physician Need 8 Status Surplus: 2 6 Surplus: 4 6 Surplus: 4 6 Surplus: 4 6 Surplus: 4 4 Surplus: 6 6 Surplus: 4 3 Surplus: 7 6 Surplus: 4 4 Surplus: 6 6 Surplus: 4 5 Surplus: 5 2015 Projected Population 96,656 Physician Need 8 7 6 6 4 4 6 3 6 4 6 5 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 8 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 95,301 3 3.1 Physician Need 3 Status Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2015 Projected Population 96,656 Physician Need 3 3 3 2 2 3 3 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 95,301 7 7.3 Physician Need 6 Status Surplus: 1 2 Surplus: 5 2 Surplus: 5 6 Surplus: 1 3 Surplus: 4 2 Surplus: 5 4 Surplus: 3 3 Surplus: 4 2015 Projected Population 96,656 Physician Need 6 2 2 6 2 2 4 3 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 9 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 95,301 21 22.0 Physician Need 24 Status Deficit: -3 16 Surplus: 5 15 Surplus: 6 12 Surplus: 9 11 Surplus: 10 15 Surplus: 6 9 Surplus: 12 7 Surplus: 14 13 Surplus: 8 12 Surplus: 9 2015 Projected Population 96,656 Physician Need 24 16 15 12 15 15 9 7 13 13 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 95,301 3 3.1 Physician Need 2 Status Surplus: 1 1 Surplus: 2 0 Surplus: 3 0 Surplus: 3 1 Surplus: 2 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2015 Projected Population 96,656 Physician Need 2 1 0 1 2 2 1 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 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 95,301 10 10.5 Physician Need 13 Status Deficit: -3 7 Surplus: 3 7 Surplus: 3 15 Deficit: -5 5 Surplus: 5 4 Surplus: 6 7 Surplus: 3 4 Surplus: 6 5 Surplus: 5 7 Surplus: 3 2015 Projected Population 96,656 Physician Need 13 7 7 15 4 4 7 4 6 7 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 95,301 4 4.2 Physician Need 3 Status Surplus: 1 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 1 Surplus: 3 2015 Projected Population 96,656 Physician Need 3 2 2 1 1 1 1 1 1 1 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 11 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 95,301 21 22.0 Physician Need 11 Status Surplus: 10 13 Surplus: 8 13 Surplus: 8 7 Surplus: 14 8 Surplus: 13 4 Surplus: 17 7 Surplus: 14 8 Surplus: 13 9 Surplus: 12 2015 Projected Population 96,656 Physician Need 11 13 13 7 5 5 7 8 9 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 95,301 2 2.1 Physician Need 1 Status Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 0 Surplus: 2 1 Surplus: 1 1 Surplus: 1 0 Surplus: 2 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 96,656 Physician Need 1 1 1 1 1 1 1 0 1 1 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 12 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 95,301 16 16.8 Physician Need 12 Status Surplus: 4 9 Surplus: 7 8 Surplus: 8 9 Surplus: 7 7 Surplus: 9 6 Surplus: 10 6 Surplus: 10 4 Surplus: 12 9 Surplus: 7 4 Surplus: 12 6 Surplus: 10 7 Surplus: 9 2015 Projected Population 96,656 Physician Need 12 9 9 9 6 6 6 4 9 4 6 7 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 95,301 1 1.0 Physician Need 1 Status Adequate 0 1 Adequate 0 0 Surplus: 1 0 Surplus: 1 2015 Projected Population 96,656 Physician Need 1 1 0 47 Georgia Physician Workforce: County Reports - 2008 Dougherty County Physician Standard Report Page 13 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 95,301 8 8.4 Physician Need 3 Status Surplus: 5 3 Surplus: 5 3 Surplus: 5 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 3 Surplus: 5 2 Surplus: 6 2 Surplus: 6 3 Surplus: 5 3 Surplus: 5 2015 Projected Population 96,656 Physician Need 3 3 3 3 2 2 3 3 2 3 3 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.