48 Georgia Physician Workforce: County Reports - 2008 Douglas 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 124,324 7 5.6 Physician Need 17 Status Deficit: -10 12 Deficit: -5 11 Deficit: -4 11 Deficit: -4 7 Adequate 0 5 Surplus: 2 11 Deficit: -4 9 Deficit: -2 9 Deficit: -2 2015 Projected Population 159,765 Physician Need 22 15 15 14 6 6 14 11 12 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 124,324 4 3.2 Physician Need 9 Status Deficit: -5 7 Deficit: -3 6 Deficit: -2 4 Adequate 0 4 Adequate 0 2 Surplus: 2 4 Adequate 0 4 Adequate 0 3 Surplus: 1 5 Deficit: -1 4 Adequate 0 2015 Projected Population 159,765 Physician Need 12 9 8 5 3 3 5 6 4 7 6 48 Georgia Physician Workforce: County Reports - 2008 Douglas 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 124,324 2 1.6 Physician Need 5 Status Deficit: -3 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 2 Adequate 0 3 Deficit: -1 4 Deficit: -2 3 Deficit: -1 2015 Projected Population 159,765 Physician Need 6 4 4 4 4 4 4 3 2 3 5 4 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 124,324 5 4.0 Physician Need 13 Status Deficit: -8 7 Deficit: -2 6 Deficit: -1 7 Deficit: -2 8 Deficit: -3 7 Deficit: -2 3 Surplus: 2 15 Deficit: -10 8 Deficit: -3 2015 Projected Population 159,765 Physician Need 17 9 8 9 8 8 4 20 10 48 Georgia Physician Workforce: County Reports - 2008 Douglas 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 124,324 20 16.1 Physician Need 39 Status Deficit: -19 57 Deficit: -37 53 Deficit: -33 31 Deficit: -11 21 Deficit: -1 14 Surplus: 6 11 Surplus: 9 20 Adequate 0 28 Deficit: -8 29 Deficit: -9 2015 Projected Population 159,765 Physician Need 50 73 68 40 18 18 15 26 36 38 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 124,324 3 2.4 Physician Need 5 Status Deficit: -2 4 Deficit: -1 4 Deficit: -1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 4 Deficit: -1 3 Adequate 0 2015 Projected Population 159,765 Physician Need 7 5 5 3 3 2 6 4 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 4 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 124,324 22 17.7 Physician Need 66 Status Deficit: -44 27 Deficit: -5 25 Deficit: -3 36 Deficit: -14 35 Deficit: -13 38 Deficit: -16 21 Surplus: 1 14 Surplus: 8 24 Deficit: -2 27 Deficit: -5 2015 Projected Population 159,765 Physician Need 85 34 32 46 48 48 27 18 30 35 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 124,324 2 1.6 Physician Need 3 Status Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 159,765 Physician Need 4 2 2 2 1 1 1 1 2 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 5 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 124,324 3 2.4 Physician Need 6 Status Deficit: -3 3 Adequate 0 3 Adequate 0 4 Deficit: -1 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2015 Projected Population 159,765 Physician Need 8 4 4 5 3 3 2 3 2 3 3 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 124,324 9 7.2 Physician Need 18 Status Deficit: -9 15 Deficit: -6 14 Deficit: -5 12 Deficit: -3 14 Deficit: -5 14 Deficit: -5 12 Deficit: -3 11 Deficit: -2 10 Deficit: -1 10 Deficit: -1 13 Deficit: -4 13 Deficit: -4 2015 Projected Population 159,765 Physician Need 23 19 18 16 18 18 16 14 13 13 16 16 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 6 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 124,324 6 4.8 Physician Need 7 Status Deficit: -1 7 Deficit: -1 7 Deficit: -1 6 Adequate 0 3 Surplus: 3 4 Surplus: 2 6 Adequate 0 4 Surplus: 2 4 Surplus: 2 6 Adequate 0 5 Surplus: 1 2015 Projected Population 159,765 Physician Need 10 9 9 7 5 5 8 6 5 8 7 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 124,324 1 0.8 Physician Need 10 Status Deficit: -9 8 Deficit: -7 8 Deficit: -7 7 Deficit: -6 7 Deficit: -6 5 Deficit: -4 8 Deficit: -7 4 Deficit: -3 7 Deficit: -6 5 Deficit: -4 8 Deficit: -7 7 Deficit: -6 2015 Projected Population 159,765 Physician Need 13 11 10 10 7 7 11 5 9 7 10 9 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 7 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 124,324 4 3.2 Physician Need 4 Status Adequate 0 4 Adequate 0 4 Adequate 0 4 Adequate 0 3 Surplus: 1 4 Adequate 0 4 Adequate 0 2015 Projected Population 159,765 Physician Need 5 5 5 4 4 5 5 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 124,324 1 0.8 Physician Need 8 Status Deficit: -7 2 Deficit: -1 2 Deficit: -1 8 Deficit: -7 4 Deficit: -3 2 Deficit: -1 5 Deficit: -4 4 Deficit: -3 2015 Projected Population 159,765 Physician Need 10 3 3 10 3 3 7 5 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 8 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 124,324 23 18.5 Physician Need 31 Status Deficit: -8 21 Surplus: 2 19 Surplus: 4 15 Surplus: 8 15 Surplus: 8 20 Surplus: 3 12 Surplus: 11 9 Surplus: 14 17 Surplus: 6 16 Surplus: 7 2015 Projected Population 159,765 Physician Need 40 27 25 20 26 26 16 12 22 21 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 124,324 5 4.0 Physician Need 17 Status Deficit: -12 10 Deficit: -5 9 Deficit: -4 19 Deficit: -14 6 Deficit: -1 5 Adequate 0 9 Deficit: -4 5 Adequate 0 7 Deficit: -2 9 Deficit: -4 2015 Projected Population 159,765 Physician Need 22 12 12 25 7 7 12 6 9 11 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 9 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 124,324 2 1.6 Physician Need 4 Status Deficit: -2 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2015 Projected Population 159,765 Physician Need 6 3 3 2 2 2 2 2 2 2 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 124,324 3 2.4 Physician Need 14 Status Deficit: -11 17 Deficit: -14 17 Deficit: -14 10 Deficit: -7 11 Deficit: -8 6 Deficit: -3 10 Deficit: -7 10 Deficit: -7 11 Deficit: -8 2015 Projected Population 159,765 Physician Need 18 22 22 12 8 8 12 13 15 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 10 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 124,324 5 4.0 Physician Need 16 Status Deficit: -11 12 Deficit: -7 11 Deficit: -6 12 Deficit: -7 9 Deficit: -4 8 Deficit: -3 7 Deficit: -2 5 Adequate 0 12 Deficit: -7 5 Adequate 0 7 Deficit: -2 9 Deficit: -4 2015 Projected Population 159,765 Physician Need 20 15 14 15 10 10 9 7 15 7 10 11 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 124,324 1 0.8 Physician Need 2 Status Deficit: -1 1 Adequate 0 0 Surplus: 1 1 Adequate 0 2015 Projected Population 159,765 Physician Need 2 1 1 48 Georgia Physician Workforce: County Reports - 2008 Douglas County Physician Standard Report Page 11 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 124,324 2 1.6 Physician Need 4 Status Deficit: -2 4 Deficit: -2 4 Deficit: -2 4 Deficit: -2 4 Deficit: -2 3 Deficit: -1 4 Deficit: -2 3 Deficit: -1 2 Adequate 0 4 Deficit: -2 4 Deficit: -2 2015 Projected Population 159,765 Physician Need 6 6 5 5 4 4 5 4 3 5 5 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.