56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
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 132,165
Physician Need 2 2 2 1 2 2 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
105,933
2
1.9
Physician Need
15
Status Deficit: -13
10
Deficit: -8
10
Deficit: -8
9
Deficit: -7
6
Deficit: -4
4
Deficit: -2
10
Deficit: -8
7
Deficit: -5
8
Deficit: -6
2015 Projected
Population 132,165
Physician Need 19 13 12 12 5 5 12
9
10
56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
5
4.7
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 132,165
Physician Need 10 7 7 4 2 2 4
5 3 6 5
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
105,933
5
4.7
Physician Need
4
Status Surplus: 1
3
Surplus: 2
3
Surplus: 2
3
Surplus: 2
3
Surplus: 2
3
Surplus: 2
3
Surplus: 2
2
Surplus: 3
1
Surplus: 4
2
Surplus: 3
3
Surplus: 2
3
Surplus: 2
2015 Projected
Population 132,165
Physician Need 5 4 3 4 3 3 3 2 2 3 4 3
56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
10
9.4
Physician Need
11
Status Deficit: -1
6
Surplus: 4
6
Surplus: 4
6
Surplus: 4
7
Surplus: 3
6
Surplus: 4
3
Surplus: 7
13
Deficit: -3
7
Surplus: 3
2015 Projected
Population 132,165
Physician Need 14 7 7 7 7 7
4
16 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
105,933
32
30.2
Physician Need
33
Status Deficit: -1
48
Deficit: -16
45
Deficit: -13
27
Surplus: 5
18
Surplus: 14
12
Surplus: 20
10
Surplus: 22
17
Surplus: 15
24
Surplus: 8
25
Surplus: 7
2015 Projected
Population 132,165
Physician Need 42 60 56 33 15 15
12
21 30 31
56 Georgia Physician Workforce: County Reports - 2008
Fayette County Physician Standard Report
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
105,933
6
5.7
Physician Need
4
Status Surplus: 2
3
Surplus: 3
3
Surplus: 3
2
Surplus: 4
2
Surplus: 4
1
Surplus: 5
4
Surplus: 2
3
Surplus: 3
2015 Projected
Population 132,165
Physician Need 6 4
4 2 2
2
5 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
105,933
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 132,165
Physician Need 3 1 1 1 1 1 1
1
56 Georgia Physician Workforce: County Reports - 2008
Fayette County Physician Standard Report
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
105,933
40
37.8
Physician Need
56
Status Deficit: -16
23
Surplus: 17
21
Surplus: 19
31
Surplus: 9
30
Surplus: 10
32
Surplus: 8
18
Surplus: 22
12
Surplus: 28
20
Surplus: 20
23
Surplus: 17
2015 Projected
Population 132,165
Physician Need 70 28 26 38 40 40
22
15 25 29
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
105,933
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 132,165
Physician Need 3 2 2 1 1 1 1
1 1
56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
3
2.8
Physician Need
5
Status Deficit: -2
3
Adequate 0
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 132,165
Physician Need 7 3 3 4 2 2 2
3 2 2 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
105,933
22
20.8
Physician Need
15
Status Surplus: 7
13
Surplus: 9
12
Surplus: 10
10
Surplus: 12
12
Surplus: 10
12
Surplus: 10
11
Surplus: 11
9
Surplus: 13
9
Surplus: 13
8
Surplus: 14
11
Surplus: 11
11
Surplus: 11
2015 Projected
Population 132,165
Physician Need 19 16 15 13 15 15 13 12 11 11 13 13
56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
4
3.8
Physician Need
6
Status Deficit: -2
6
Deficit: -2
6
Deficit: -2
5
Deficit: -1
3
Surplus: 1
3
Surplus: 1
5
Deficit: -1
4
Adequate 0
3
Surplus: 1
5
Deficit: -1
4
Adequate 0
2015 Projected
Population 132,165
Physician Need 8 8 7 6 4 4 7
5 4 6 6
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
105,933
9
8.5
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 132,165
Physician Need 11 9 8 8 6 6 9 4 8 6 8 7
56 Georgia Physician Workforce: County Reports - 2008
Fayette 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
105,933
1
0.9
Physician Need
4
Status Deficit: -3
3
Deficit: -2
3
Deficit: -2
4
Deficit: -3
3
Deficit: -2
3
Deficit: -2
3
Deficit: -2
2015 Projected
Population 132,165
Physician Need 4 4
4 3 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
105,933
23
21.7
Physician Need
26
Status Deficit: -3
18
Surplus: 5
16
Surplus: 7
13
Surplus: 10
13
Surplus: 10
17
Surplus: 6
10
Surplus: 13
8
Surplus: 15
15
Surplus: 8
14
Surplus: 9
2015 Projected
Population 132,165
Physician Need 33 22 20 16 21 21
13
10 18 17
56 Georgia Physician Workforce: County Reports - 2008
Fayette County Physician Standard Report
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
105,933
2
1.9
Physician Need
3
Status Deficit: -1
1
Surplus: 1
0
Surplus: 2
0
Surplus: 2
1
Surplus: 1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2015 Projected
Population 132,165
Physician Need 3
1
1
1 3 3 2
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
105,933
6
5.7
Physician Need
14
Status Deficit: -8
8
Deficit: -2
8
Deficit: -2
16
Deficit: -10
6
Adequate 0
4
Surplus: 2
8
Deficit: -2
4
Surplus: 2
6
Adequate 0
8
Deficit: -2
2015 Projected
Population 132,165
Physician Need 18 10 10 20 5 5
10 5 8 9
56 Georgia Physician Workforce: County Reports - 2008
Fayette County Physician Standard Report
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
105,933
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 132,165
Physician Need 5 3 3 2 1 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
105,933
7
6.6
Physician Need
12
Status Deficit: -5
14
Deficit: -7
15
Deficit: -8
8
Deficit: -1
9
Deficit: -2
5
Surplus: 2
8
Deficit: -1
8
Deficit: -1
10
Deficit: -3
2015 Projected
Population 132,165
Physician Need 15 18 18 10 6 6 10
11
12
56 Georgia Physician Workforce: County Reports - 2008
Fayette County Physician Standard Report
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
105,933
11
10.4
Physician Need
13
Status Deficit: -2
10
Surplus: 1
9
Surplus: 2
10
Surplus: 1
7
Surplus: 4
7
Surplus: 4
6
Surplus: 5
4
Surplus: 7
10
Surplus: 1
4
Surplus: 7
6
Surplus: 5
8
Surplus: 3
2015 Projected
Population 132,165
Physician Need 17 12 12 13 8 8 8 6 13 5 8 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
105,933
3
2.8
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 132,165
Physician Need 5 5 4 4 3 3 4
3 3 4 4
56 Georgia Physician Workforce: County Reports - 2008 Page 12
Fayette 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.