Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 2 1.9 Physician Need 1 Status Surplus: 1 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2015 Projected Population 121,156 Physician Need 2 2 2 1 2 1 1 2 2 2 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 102,662 2 1.9 Physician Need 14 Status Deficit: -12 10 Deficit: -8 9 Deficit: -7 9 Deficit: -7 6 Deficit: -4 4 Deficit: -2 9 Deficit: -7 7 Deficit: -5 8 Deficit: -6 2015 Projected Population 121,156 Physician Need 17 12 11 11 7 5 11 8 9 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 5 4.9 Physician Need 8 Status Deficit: -3 6 Deficit: -1 5 Adequate 0 3 Surplus: 2 3 Surplus: 2 2 Surplus: 3 3 Surplus: 2 4 Surplus: 1 3 Surplus: 2 4 Surplus: 1 4 Surplus: 1 2015 Projected Population 121,156 Physician Need 9 7 6 4 4 2 4 4 3 5 4 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 102,662 5 4.9 Physician Need 4 Status Surplus: 1 3 Surplus: 2 3 Surplus: 2 3 Surplus: 2 3 Surplus: 2 2 Surplus: 3 3 Surplus: 2 2 Surplus: 3 1 Surplus: 4 2 Surplus: 3 3 Surplus: 2 2 Surplus: 3 2015 Projected Population 121,156 Physician Need 4 3 3 3 3 3 3 2 2 3 4 3 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 10 9.7 Physician Need 11 Status Deficit: -1 6 Surplus: 4 5 Surplus: 5 6 Surplus: 4 7 Surplus: 3 5 Surplus: 5 3 Surplus: 7 13 Deficit: -3 6 Surplus: 4 2015 Projected Population 121,156 Physician Need 13 7 6 7 8 6 3 15 8 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 102,662 32 31.2 Physician Need 32 Status Adequate 0 47 Deficit: -15 44 Deficit: -12 26 Surplus: 6 17 Surplus: 15 11 Surplus: 21 9 Surplus: 23 17 Surplus: 15 23 Surplus: 9 24 Surplus: 8 2015 Projected Population 121,156 Physician Need 38 55 52 31 20 13 11 20 27 29 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 4 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 102,662 6 5.8 Physician Need 4 Status Surplus: 2 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 2 Surplus: 4 1 Surplus: 5 4 Surplus: 2 2 Surplus: 4 2015 Projected Population 121,156 Physician Need 5 4 4 2 2 2 4 3 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 102,662 2 1.9 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 121,156 Physician Need 3 1 1 1 1 1 1 1 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 5 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 102,662 40 39.0 Physician Need 55 Status Deficit: -15 22 Surplus: 18 21 Surplus: 19 30 Surplus: 10 29 Surplus: 11 31 Surplus: 9 17 Surplus: 23 12 Surplus: 28 20 Surplus: 20 23 Surplus: 17 2015 Projected Population 121,156 Physician Need 64 26 24 35 34 37 20 14 23 27 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 102,662 2 1.9 Physician Need 3 Status Deficit: -1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 121,156 Physician Need 3 2 2 1 1 1 1 1 1 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 3 2.9 Physician Need 5 Status Deficit: -2 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2 Surplus: 1 2015 Projected Population 121,156 Physician Need 6 3 3 4 2 2 1 3 2 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 102,662 22 21.4 Physician Need 14 Status Surplus: 8 12 Surplus: 10 12 Surplus: 10 10 Surplus: 12 12 Surplus: 10 12 Surplus: 10 10 Surplus: 12 9 Surplus: 13 9 Surplus: 13 8 Surplus: 14 10 Surplus: 12 10 Surplus: 12 2015 Projected Population 121,156 Physician Need 17 15 14 12 14 14 12 11 10 10 12 12 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 4 3.9 Physician Need 6 Status Deficit: -2 6 Deficit: -2 6 Deficit: -2 5 Deficit: -1 2 Surplus: 2 3 Surplus: 1 5 Deficit: -1 4 Adequate 0 3 Surplus: 1 5 Deficit: -1 4 Adequate 0 2015 Projected Population 121,156 Physician Need 7 7 7 6 3 4 6 4 4 6 5 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 102,662 9 8.8 Physician Need 9 Status Adequate 0 7 Surplus: 2 7 Surplus: 2 6 Surplus: 3 6 Surplus: 3 4 Surplus: 5 7 Surplus: 2 3 Surplus: 6 6 Surplus: 3 4 Surplus: 5 6 Surplus: 3 6 Surplus: 3 2015 Projected Population 121,156 Physician Need 10 8 8 7 7 5 8 4 7 5 7 7 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette 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 102,662 1 1.0 Physician Need 3 Status Deficit: -2 3 Deficit: -2 3 Deficit: -2 3 Deficit: -2 2 Deficit: -1 3 Deficit: -2 3 Deficit: -2 2015 Projected Population 121,156 Physician Need 4 4 4 4 3 4 4 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 102,662 23 22.4 Physician Need 26 Status Deficit: -3 17 Surplus: 6 16 Surplus: 7 13 Surplus: 10 12 Surplus: 11 16 Surplus: 7 10 Surplus: 13 8 Surplus: 15 14 Surplus: 9 13 Surplus: 10 2015 Projected Population 121,156 Physician Need 30 20 19 15 14 19 12 9 17 16 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 9 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 102,662 2 1.9 Physician Need 2 Status Adequate 0 1 Surplus: 1 0 Surplus: 2 0 Surplus: 2 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2015 Projected Population 121,156 Physician Need 3 1 0 0 1 3 3 1 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 102,662 6 5.8 Physician Need 14 Status Deficit: -8 8 Deficit: -2 7 Deficit: -1 16 Deficit: -10 5 Surplus: 1 4 Surplus: 2 7 Deficit: -1 4 Surplus: 2 6 Adequate 0 7 Deficit: -1 2015 Projected Population 121,156 Physician Need 16 9 9 19 6 5 9 5 7 9 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 10 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 102,662 2 1.9 Physician Need 4 Status Deficit: -2 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 2015 Projected Population 121,156 Physician Need 4 2 2 2 2 1 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 102,662 7 6.8 Physician Need 12 Status Deficit: -5 14 Deficit: -7 14 Deficit: -7 8 Deficit: -1 9 Deficit: -2 5 Surplus: 2 8 Deficit: -1 8 Deficit: -1 9 Deficit: -2 2015 Projected Population 121,156 Physician Need 14 16 17 9 10 6 9 10 11 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 11 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 102,662 11 10.7 Physician Need 13 Status Deficit: -2 10 Surplus: 1 9 Surplus: 2 10 Surplus: 1 7 Surplus: 4 6 Surplus: 5 6 Surplus: 5 4 Surplus: 7 10 Surplus: 1 4 Surplus: 7 6 Surplus: 5 7 Surplus: 4 2015 Projected Population 121,156 Physician Need 15 11 11 12 8 8 7 5 12 5 7 9 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 102,662 3 2.9 Physician Need 4 Status Deficit: -1 4 Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2015 Projected Population 121,156 Physician Need 4 4 4 4 4 3 4 3 2 3 4 Georgia Physician Workforce: PCSA Reports - 2008 40 PCSA Physician Standard Report Included Counties: Fayette Page 12 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.