57 Georgia Physician Workforce: County Reports - 2008
Floyd 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
95,117
1
1.1
Physician Need
1
Status Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2015 Projected
Population 102,613
Physician Need 1 2 1 1 1 1 1
1
2 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
95,117
15
15.8
Physician Need
13
Status Surplus: 2
9
Surplus: 6
9
Surplus: 6
8
Surplus: 7
6
Surplus: 9
4
Surplus: 11
9
Surplus: 6
7
Surplus: 8
7
Surplus: 8
2015 Projected
Population 102,613
Physician Need 14 10 9 9 4 4 9
7
8
57 Georgia Physician Workforce: County Reports - 2008
Floyd 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
95,117
13
13.7
Physician Need
7
Status Surplus: 6
5
Surplus: 8
5
Surplus: 8
3
Surplus: 10
3
Surplus: 10
2
Surplus: 11
3
Surplus: 10
3
Surplus: 10
2
Surplus: 11
4
Surplus: 9
3
Surplus: 10
2015 Projected
Population 102,613
Physician Need 8 6 5 3 2 2 3
4 3 4 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
95,117
2
2.1
Physician Need
4
Status Deficit: -2
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
3
Deficit: -1
2
Adequate 0
2015 Projected
Population 102,613
Physician Need 4 3 3 3 2 2 3 2 1 2 3 2
57 Georgia Physician Workforce: County Reports - 2008
Floyd 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
95,117
6
6.3
Physician Need
10
Status Deficit: -4
5
Surplus: 1
5
Surplus: 1
5
Surplus: 1
6
Adequate 0
5
Surplus: 1
3
Surplus: 3
12
Deficit: -6
6
Adequate 0
2015 Projected
Population 102,613
Physician Need 11 6 5 6 5 5
3
13 6
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
95,117
1
1.1
Physician Need
2
Status Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 102,613
Physician Need 2 1 1 1 1 1
1
1
57 Georgia Physician Workforce: County Reports - 2008
Floyd 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
95,117
62
65.2
Physician Need
30
Status Surplus: 32
43
Surplus: 19
41
Surplus: 21
24
Surplus: 38
16
Surplus: 46
10
Surplus: 52
9
Surplus: 53
15
Surplus: 47
21
Surplus: 41
22
Surplus: 40
2015 Projected
Population 102,613
Physician Need 32 47 44 26 11 11
9
17 23 24
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
95,117
7
7.4
Physician Need
4
Status Surplus: 3
3
Surplus: 4
3
Surplus: 4
2
Surplus: 5
2
Surplus: 5
1
Surplus: 6
3
Surplus: 4
2
Surplus: 5
2015 Projected
Population 102,613
Physician Need 4 3
3 2 2
1
4 2
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 5
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
95,117
1
1.1
Physician Need
2
Status Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 102,613
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
95,117
39
41.0
Physician Need
51
Status Deficit: -12
20
Surplus: 19
19
Surplus: 20
27
Surplus: 12
27
Surplus: 12
29
Surplus: 10
16
Surplus: 23
11
Surplus: 28
18
Surplus: 21
21
Surplus: 18
2015 Projected
Population 102,613
Physician Need 54 22 21 30 31 31
17
12 20 23
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 6
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
95,117
5
5.3
Physician Need
2
Status Surplus: 3
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
2015 Projected
Population 102,613
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
95,117
3
3.2
Physician Need
2
Status Surplus: 1
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
0
Surplus: 3
1
Surplus: 2
1
Surplus: 2
2015 Projected
Population 102,613
Physician Need 2 1 1 1
0
1
1
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 7
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
95,117
5
5.3
Physician Need
5
Status Adequate 0
2
Surplus: 3
2
Surplus: 3
3
Surplus: 2
1
Surplus: 4
2
Surplus: 3
1
Surplus: 4
2
Surplus: 3
1
Surplus: 4
2
Surplus: 3
2
Surplus: 3
2015 Projected
Population 102,613
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
95,117
13
13.7
Physician Need
13
Status Adequate 0
12
Surplus: 1
11
Surplus: 2
9
Surplus: 4
11
Surplus: 2
11
Surplus: 2
10
Surplus: 3
8
Surplus: 5
8
Surplus: 5
8
Surplus: 5
10
Surplus: 3
10
Surplus: 3
2015 Projected
Population 102,613
Physician Need 14 12 12 10 12 12 10 9 9 8 10 10
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 8
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
95,117
4
4.2
Physician Need
6
Status Deficit: -2
6
Deficit: -2
5
Deficit: -1
4
Adequate 0
2
Surplus: 2
3
Surplus: 1
5
Deficit: -1
3
Surplus: 1
3
Surplus: 1
4
Adequate 0
4
Adequate 0
2015 Projected
Population 102,613
Physician Need 6 6 6 5 3 3 5
4 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
95,117
13
13.7
Physician Need
8
Status Surplus: 5
6
Surplus: 7
6
Surplus: 7
6
Surplus: 7
6
Surplus: 7
4
Surplus: 9
6
Surplus: 7
3
Surplus: 10
6
Surplus: 7
4
Surplus: 9
6
Surplus: 7
5
Surplus: 8
2015 Projected
Population 102,613
Physician Need 9 7 7 6 4 4 7 3 6 4 6 6
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 9
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
95,117
6
6.3
Physician Need
3
Status Surplus: 3
3
Surplus: 3
3
Surplus: 3
3
Surplus: 3
2
Surplus: 4
3
Surplus: 3
3
Surplus: 3
2015 Projected
Population 102,613
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
95,117
5
5.3
Physician Need
6
Status Deficit: -1
2
Surplus: 3
2
Surplus: 3
6
Deficit: -1
3
Surplus: 2
2
Surplus: 3
4
Surplus: 1
3
Surplus: 2
2015 Projected
Population 102,613
Physician Need 6 2 2 7 2 2
4
3
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 10
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
95,117
14
14.7
Physician Need
24
Status Deficit: -10
16
Deficit: -2
15
Deficit: -1
12
Surplus: 2
11
Surplus: 3
15
Deficit: -1
9
Surplus: 5
7
Surplus: 7
13
Surplus: 1
12
Surplus: 2
2015 Projected
Population 102,613
Physician Need 26 17 16 13 16 16
10
8 14 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
95,117
5
5.3
Physician Need
2
Status Surplus: 3
1
Surplus: 4
0
Surplus: 5
0
Surplus: 5
1
Surplus: 4
2
Surplus: 3
2
Surplus: 3
1
Surplus: 4
2015 Projected
Population 102,613
Physician Need 2
1
0
1 2 2 1
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 11
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
95,117
22
23.1
Physician Need
13
Status Surplus: 9
7
Surplus: 15
7
Surplus: 15
15
Surplus: 7
5
Surplus: 17
4
Surplus: 18
7
Surplus: 15
4
Surplus: 18
5
Surplus: 17
7
Surplus: 15
2015 Projected
Population 102,613
Physician Need 14 8 7 16 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
95,117
6
6.3
Physician Need
3
Status Surplus: 3
2
Surplus: 4
2
Surplus: 4
1
Surplus: 5
1
Surplus: 5
1
Surplus: 5
1
Surplus: 5
1
Surplus: 5
1
Surplus: 5
1
Surplus: 5
2015 Projected
Population 102,613
Physician Need 4 2 2 1 1 1 1
1
1 2
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 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
95,117
17
17.9
Physician Need
11
Status Surplus: 6
13
Surplus: 4
13
Surplus: 4
7
Surplus: 10
8
Surplus: 9
4
Surplus: 13
7
Surplus: 10
8
Surplus: 9
9
Surplus: 8
2015 Projected
Population 102,613
Physician Need 12 14 14 8 5 5 8
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
95,117
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 102,613
Physician Need 2 1 1 1 1 1 1
0
1 1
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 13
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
95,117
7
7.4
Physician Need
12
Status Deficit: -5
9
Deficit: -2
8
Deficit: -1
9
Deficit: -2
7
Adequate 0
6
Surplus: 1
6
Surplus: 1
4
Surplus: 3
9
Deficit: -2
4
Surplus: 3
6
Surplus: 1
7
Adequate 0
2015 Projected
Population 102,613
Physician Need 13 10 9 10 6 6 6 4 10 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
95,117
3
3.2
Physician Need
1
Status Surplus: 2
1
Surplus: 2
0
Surplus: 3
0
Surplus: 3
2015 Projected
Population 102,613
Physician Need 2
1
1
57 Georgia Physician Workforce: County Reports - 2008
Floyd County Physician Standard Report
Page 14
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
95,117
6
6.3
Physician Need
3
Status Surplus: 3
3
Surplus: 3
3
Surplus: 3
3
Surplus: 3
3
Surplus: 3
2
Surplus: 4
3
Surplus: 3
2
Surplus: 4
2
Surplus: 4
3
Surplus: 3
3
Surplus: 3
2015 Projected
Population 102,613
Physician Need 4 4 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.