58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 3 1.9 Physician Need 22 Status Deficit: -19 15 Deficit: -12 14 Deficit: -11 14 Deficit: -11 9 Deficit: -6 6 Deficit: -3 14 Deficit: -11 11 Deficit: -8 12 Deficit: -9 2015 Projected Population 221,128 Physician Need 31 21 20 20 9 9 20 15 17 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 158,369 7 4.4 Physician Need 12 Status Deficit: -5 9 Deficit: -2 8 Deficit: -1 5 Surplus: 2 5 Surplus: 2 3 Surplus: 4 5 Surplus: 2 6 Surplus: 1 4 Surplus: 3 7 Adequate 0 6 Surplus: 1 2015 Projected Population 221,128 Physician Need 17 12 11 7 4 4 6 8 6 9 8 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 4 2.5 Physician Need 6 Status Deficit: -2 4 Adequate 0 4 Adequate 0 4 Adequate 0 4 Adequate 0 4 Adequate 0 4 Adequate 0 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 5 Deficit: -1 4 Adequate 0 2015 Projected Population 221,128 Physician Need 8 6 6 6 5 5 6 4 3 5 7 5 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 158,369 13 8.2 Physician Need 17 Status Deficit: -4 9 Surplus: 4 8 Surplus: 5 9 Surplus: 4 11 Surplus: 2 8 Surplus: 5 4 Surplus: 9 20 Deficit: -7 10 Surplus: 3 2015 Projected Population 221,128 Physician Need 23 12 11 12 12 12 6 27 14 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 43 27.2 Physician Need 50 Status Deficit: -7 72 Deficit: -29 67 Deficit: -24 40 Surplus: 3 26 Surplus: 17 17 Surplus: 26 15 Surplus: 28 26 Surplus: 17 36 Surplus: 7 37 Surplus: 6 2015 Projected Population 221,128 Physician Need 70 101 94 56 24 24 20 36 50 52 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 158,369 3 1.9 Physician Need 7 Status Deficit: -4 5 Deficit: -2 5 Deficit: -2 3 Adequate 0 3 Adequate 0 2 Surplus: 1 6 Deficit: -3 4 Deficit: -1 2015 Projected Population 221,128 Physician Need 9 7 7 4 4 3 8 5 58 Georgia Physician Workforce: County Reports - 2008 Forsyth County Physician Standard Report Page 4 Physician Specialty Hematology/Oncology 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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2 1.1 2.1 2008 Actual Population Physicians /100k 158,369 1 0.6 Physician Need 6 Status Deficit: -5 4 Deficit: -3 4 Deficit: -3 6 Deficit: -5 4 Deficit: -3 3 Deficit: -2 3 Deficit: -2 4 Deficit: -3 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2015 Projected Population 221,128 Physician Need 8 6 5 8 4 4 4 6 3 2 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 158,369 1 0.6 Physician Need 3 Status Deficit: -2 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 221,128 Physician Need 5 2 1 2 2 2 1 2 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 29 18.3 Physician Need 84 Status Deficit: -55 34 Deficit: -5 32 Deficit: -3 46 Deficit: -17 45 Deficit: -16 48 Deficit: -19 26 Surplus: 3 18 Surplus: 11 30 Deficit: -1 35 Deficit: -6 2015 Projected Population 221,128 Physician Need 117 47 44 64 67 67 37 25 42 49 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 158,369 1 0.6 Physician Need 4 Status Deficit: -3 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 2015 Projected Population 221,128 Physician Need 6 3 3 2 2 2 2 2 2 58 Georgia Physician Workforce: County Reports - 2008 Forsyth County Physician Standard Report Page 6 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 158,369 1 0.6 Physician Need 3 Status Deficit: -2 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 2 Deficit: -1 2015 Projected Population 221,128 Physician Need 4 2 2 2 1 2 2 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 158,369 1 0.6 Physician Need 8 Status Deficit: -7 4 Deficit: -3 4 Deficit: -3 5 Deficit: -4 2 Deficit: -1 3 Deficit: -2 2 Deficit: -1 3 Deficit: -2 2 Deficit: -1 3 Deficit: -2 3 Deficit: -2 2015 Projected Population 221,128 Physician Need 11 5 5 7 4 4 3 5 3 4 4 58 Georgia Physician Workforce: County Reports - 2008 Forsyth County Physician Standard Report Page 7 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 158,369 3 1.9 Physician Need 22 Status Deficit: -19 19 Deficit: -16 18 Deficit: -15 16 Deficit: -13 18 Deficit: -15 18 Deficit: -15 16 Deficit: -13 14 Deficit: -11 13 Deficit: -10 13 Deficit: -10 16 Deficit: -13 16 Deficit: -13 2015 Projected Population 221,128 Physician Need 31 27 25 22 25 25 22 19 19 18 22 23 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 158,369 4 2.5 Physician Need 10 Status Deficit: -6 9 Deficit: -5 9 Deficit: -5 7 Deficit: -3 4 Adequate 0 5 Deficit: -1 8 Deficit: -4 6 Deficit: -2 5 Deficit: -1 7 Deficit: -3 7 Deficit: -3 2015 Projected Population 221,128 Physician Need 13 13 12 10 7 7 11 8 7 10 9 58 Georgia Physician Workforce: County Reports - 2008 Forsyth County Physician Standard Report Page 8 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 158,369 16 10.1 Physician Need 13 Status Surplus: 3 11 Surplus: 5 10 Surplus: 6 10 Surplus: 6 9 Surplus: 7 7 Surplus: 9 11 Surplus: 5 5 Surplus: 11 9 Surplus: 7 7 Surplus: 9 10 Surplus: 6 9 Surplus: 7 2015 Projected Population 221,128 Physician Need 18 15 14 13 9 9 15 7 13 9 14 12 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 158,369 6 3.8 Physician Need 5 Status Surplus: 1 5 Surplus: 1 5 Surplus: 1 5 Surplus: 1 4 Surplus: 2 5 Surplus: 1 5 Surplus: 1 2015 Projected Population 221,128 Physician Need 8 7 7 5 5 7 7 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 23 14.5 Physician Need 39 Status Deficit: -16 26 Deficit: -3 25 Deficit: -2 20 Surplus: 3 19 Surplus: 4 25 Deficit: -2 16 Surplus: 7 12 Surplus: 11 22 Surplus: 1 21 Surplus: 2 2015 Projected Population 221,128 Physician Need 55 37 34 27 35 35 22 17 31 29 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 158,369 3 1.9 Physician Need 4 Status Deficit: -1 2 Surplus: 1 0 Surplus: 3 1 Surplus: 2 2 Surplus: 1 4 Deficit: -1 4 Deficit: -1 2 Surplus: 1 2015 Projected Population 221,128 Physician Need 5 2 1 2 5 5 3 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 8 5.1 Physician Need 22 Status Deficit: -14 12 Deficit: -4 11 Deficit: -3 24 Deficit: -16 8 Adequate 0 6 Surplus: 2 11 Deficit: -3 6 Surplus: 2 9 Deficit: -1 11 Deficit: -3 2015 Projected Population 221,128 Physician Need 30 17 16 34 9 9 16 9 13 16 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 158,369 3 1.9 Physician Need 6 Status Deficit: -3 3 Adequate 0 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2015 Projected Population 221,128 Physician Need 8 4 4 3 2 2 3 3 3 3 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 6 3.8 Physician Need 18 Status Deficit: -12 22 Deficit: -16 22 Deficit: -16 12 Deficit: -6 13 Deficit: -7 7 Deficit: -1 12 Deficit: -6 13 Deficit: -7 14 Deficit: -8 2015 Projected Population 221,128 Physician Need 25 30 30 17 10 10 17 18 20 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 158,369 1 0.6 Physician Need 2 Status Deficit: -1 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2015 Projected Population 221,128 Physician Need 3 2 2 2 2 2 2 1 3 2 58 Georgia Physician Workforce: County Reports - 2008 Forsyth 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 158,369 5 3.2 Physician Need 20 Status Deficit: -15 15 Deficit: -10 14 Deficit: -9 15 Deficit: -10 11 Deficit: -6 10 Deficit: -5 9 Deficit: -4 7 Deficit: -2 15 Deficit: -10 6 Deficit: -1 10 Deficit: -5 11 Deficit: -6 2015 Projected Population 221,128 Physician Need 28 21 19 21 14 14 13 9 21 9 13 16 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 158,369 2 1.3 Physician Need 6 Status Deficit: -4 6 Deficit: -4 5 Deficit: -3 5 Deficit: -3 5 Deficit: -3 4 Deficit: -2 5 Deficit: -3 4 Deficit: -2 3 Deficit: -1 5 Deficit: -3 5 Deficit: -3 2015 Projected Population 221,128 Physician Need 8 8 7 7 5 5 6 6 4 6 6 58 Georgia Physician Workforce: County Reports - 2008 Page 13 Forsyth 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.