Graduate medical education in Georgia : data brief, 2013 March

Georgia Board for Physician Workforce

State of Georgia
Data Brief: March 2013

Graduate Medical Education in Georgia

PPeerrcceennttCChhaannggeeinin GraGdruaadteuaMteedMicaeldEidcuacl aEtidouncFautniodning FY 2010- FFYY22001130AFmY e20n1d3ed Budget

Percent

6 4 2 0 -2 -4 -6 -8 -10
Family Medicine

Residency Capitation
2010

Pediatrics 2011

Preventative Medicine
2012

OB/GYN 2013

General Surgery

Existing GME programs have experienced a 17.6% decrease in state funding since 2009.
50% of the graduates from Georgia's GME programs had practice plans to stay in Georgia
The national average for retention of GME grads is 48%.
29.5% of GME grads going for additional training plan to return to Georgia to practice (56.1% were undecided)

How many PGY-1 residency training (GME) positions are there in Georgia? What percentage of PGY-1 positions are matched by graduates of Georgia's medical schools?

Specialty Family Medicine*

Total Number of PGY-1 Year Residency Positions Approved

Total Number of PGY-1 Year Residency Positions Filled

Number of PGY-1 Positions Matched by GA Medical School Graduates

Percent of PGY-1 Filled Positions Matched by GA Medical School Graduates

76

74

9

12.2%

Internal Medicine

147

149

15

10.1%

Pediatrics

57

56

12

21.4%

OB/GYN

24

24

12

50.0%

General Surgery

48

48

7

14.6%

All Other Specialties

122

122

35

28.7%

Total

474

473

90

19.0%

*Includes both ACGME and AOA filled family medicine residency positions. ** the category "All Other Specialties" includes transitional year positions, but does not include preliminary year positions.
For the 2012/ 2013 academic year (beginning July 1, 2012), Georgia had a total of 474 PGY-1 residency positions available in 12 specialties. One position remained unfilled. 90 of the 474 positions were matched by Georgia medical school graduates (19%).

How many total physicians are trained each year through Georgia's residency (GME) programs?

Total Number of Approved and Filled Residency (GME) Positions by Teaching Hospital

and Total Number of GME Graduates, 2012/ 2013

Emory

Program

Total Number of Approved/ Accredited Residency Positions**
1,212

Total Number of Filled Residency Positions**
1,117

Total GME Graduates in
2012***
337

Medical College of Georgia at GRU*

516

439

139

Morehouse School of Medicine

159

151

32

Memorial Health Univ. Medical Center

152

130

31

Medical Center of Central Georgia

117

110

30

Atlanta Medical Center

84

80

24

The Medical Center, Inc.*

41

41.5

11

Floyd Medical Center

24

22

4

Houston Health Care

18

8

0

Phoebe Putney Memorial Hospital

16

17

4

The Mayo Clinic (Waycross)

6

6

3

Total

2,345

2,121.5

615

*The family medicine programs at these teaching institutions have both ACGME and AOA approved and filled residency positions.
**Sources: Accreditation Council for Graduate Medical Education (www.ACGME.org), the American Osteopathic Association (www.osteopathic.org), Georgia's Teaching Hospitals, and Medical Schools.
***As reported by the teaching hospitals.

As shown above, 90.7% of the approved/ accredited residency positions in Georgia are filled, leaving 9.5% or 223.5 positions vacant. The majority of these unfilled positions are in primary care. Nationally 1,246 went unfilled (approximately 4.7% nationwide).
50% of the graduates that responded to the GME Exit Survey (a survey of all graduates conducted by the Georgia Board for Physician Workforce each year), and were going into patient care/ clinical practice, had plans to remain in Georgia to practice.

Medical Education Debt, Salary and Specialty

Percentage of Graduates with Over $200,000 in Educational Debt by Year

9%

10%

13%

26%

30%

3%

2002 2004 2006 2008 2010 2012

In 10 years, the percent of graduates with debt over $200,000 has increased from 3% to 30%.
The average debt of Georgia GME respondents was $132,167 in 2012 (the national average was $141,132). www.usnews.com
The average starting salary of respondents entering a primary care practice (family medicine, internal medicine, pediatrics, and OB/GYN) was $168,280. The average for all other specialties was $231,318.
The average salary of respondents entering pediatrics was $132,125, while the average for cardiovascular surgeons was $321,000.

Are Georgia's graduates practicing in close proximity to their training site? Where do Georgia's GME graduates come from and why did 50% leave the state after graduation?
GME Graduates Reporting Confirmed Practice Plans by Proximity to Training Location, 2012

Outside Georgia (other state or country) 50.0%

Same City/County as Residency 27.4%

Other Area in Georgia 13.5%

Same Region as Residency (within 60
miles) 9.1%

50% remaining in Georgia to practice
Of the respondents to the GBPW Graduate Medical Education Exit Survey with confirmed practice plans, 36.5% have practice plans within 60 miles of their residency training program. Residency training lasts a minimum of three years. 50% of respondents had confirmed practice plans to remain in Georgia to practice and 50% had plans to practice in another state or country. The national average is 47.8% (www.aamc.org). 75.6% of Georgia's graduating residents, who responded to the survey, reported attending high school in another state or country. Georgia retained 39.1% of the GME graduates that came from another state or country. Of the respondents that had practice plans in Georgia, 74.5% indicated they planned to be at their principle practice for four or more years. Of the respondents that are going on for additional training (i.e. fellowship, another residency), 29.5% plan to return to Georgia to practice and 56.1% have not yet decided. Top reasons cited for graduates leaving Georgia to practice elsewhere (in order of most to least):
1. Proximity to family 2. Better jobs in desired location outside Georgia 3. Better salary offered outside Georgia 4. Better jobs in desired practice setting outside Georgia 5. Overall lack of jobs/ practice opportunities in Georgia 6. Better job for spouse/ partner outside of Georgia

Why are teaching hospitals and GME programs important?
Teaching hospitals and resident physicians are an integral part of Georgia's healthcare delivery system. Over 2,300 resident physicians actively care for patients throughout their residency training. In addition, teaching hospitals have a positive economic impact in their communities by:
training physicians for Georgia; providing specialized healthcare services; caring for a disproportionate share of Georgia's uninsured, Medicaid, and Medicare populations; and serving as trauma centers (most of Georgia's teaching hospitals are designated Level 1 or Level 2 trauma centers)
Location of Georgia's Residency Programs/ Teaching Hospitals and Medical Schools

Residency Program Locations

Medical School and Additional Clinical Campus Locations

Atlanta Medical Center Emory, Morehouse, & Atlanta Med. Cntr. Floyd Medical Center Houston Medical Center Medical College of Georgia at GRU

Medical Center of Central Georgia Memorial Health Univ. Medical Center Phoebe Putney Memorial Hospital The Mayo Clinic The Medical Center

Emory University School of Medicine & Morehouse School of Medicine MCG/GRU & MCG/UGA 4 year campuses Mercer University School of Medicine 4 year campus Philadelphia College of Osteopathic Medicine Medical College of Georgia Clinical Campus Mercer University School of Medicine Clinical Campus

Georgia Board for Physician Workforce 2 Peachtree Street, 36th Floor, Atlanta, GA 30303
404-232-7972 Visit us at: www.gbpw.georgia.gov