67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 1 0.1 Physician Need 11 Status Deficit: -10 12 Deficit: -11 11 Deficit: -10 6 Deficit: -5 13 Deficit: -12 9 Deficit: -8 8 Deficit: -7 10 Deficit: -9 13 Deficit: -12 10 Deficit: -9 2015 Projected Population 910,677 Physician Need 13 14 13 7 11 11 10 12 16 12 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 772,464 38 4.9 Physician Need 108 Status Deficit: -70 75 Deficit: -37 70 Deficit: -32 69 Deficit: -31 46 Deficit: -8 30 Surplus: 8 70 Deficit: -32 54 Deficit: -16 59 Deficit: -21 2015 Projected Population 910,677 Physician Need 127 88 83 81 36 36 82 64 69 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 30 3.9 Physician Need 58 Status Deficit: -28 42 Deficit: -12 39 Deficit: -9 24 Surplus: 6 23 Surplus: 7 14 Surplus: 16 22 Surplus: 8 28 Surplus: 2 20 Surplus: 10 33 Deficit: -3 27 Surplus: 3 2015 Projected Population 910,677 Physician Need 68 49 46 28 16 16 26 33 24 38 32 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 772,464 17 2.2 Physician Need 29 Status Deficit: -12 22 Deficit: -5 20 Deficit: -3 22 Deficit: -5 19 Deficit: -2 19 Deficit: -2 20 Deficit: -3 12 Surplus: 5 11 Surplus: 6 16 Surplus: 1 24 Deficit: -7 19 Deficit: -2 2015 Projected Population 910,677 Physician Need 34 25 24 25 22 22 24 15 13 19 29 22 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 43 5.6 Physician Need 81 Status Deficit: -38 42 Surplus: 1 40 Surplus: 3 42 Surplus: 1 52 Deficit: -9 41 Surplus: 2 21 Surplus: 22 96 Deficit: -53 48 Deficit: -5 2015 Projected Population 910,677 Physician Need 96 50 47 49 48 48 25 113 56 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 772,464 9 1.2 Physician Need 14 Status Deficit: -5 8 Surplus: 1 8 Surplus: 1 6 Surplus: 3 7 Surplus: 2 8 Surplus: 1 5 Surplus: 4 7 Surplus: 2 2015 Projected Population 910,677 Physician Need 16 10 9 7 10 10 5 8 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 146 18.9 Physician Need 243 Status Deficit: -97 352 Deficit: -206 329 Deficit: -183 195 Deficit: -49 129 Surplus: 17 85 Surplus: 61 71 Surplus: 75 125 Surplus: 21 174 Deficit: -28 182 Deficit: -36 2015 Projected Population 910,677 Physician Need 287 415 388 229 100 100 84 148 205 215 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 772,464 15 1.9 Physician Need 32 Status Deficit: -17 24 Deficit: -9 25 Deficit: -10 13 Surplus: 2 13 Surplus: 2 10 Surplus: 5 27 Deficit: -12 19 Deficit: -4 2015 Projected Population 910,677 Physician Need 38 28 29 15 15 12 32 22 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 4 0.5 Physician Need 17 Status Deficit: -13 5 Deficit: -1 5 Deficit: -1 7 Deficit: -3 9 Deficit: -5 5 Deficit: -1 5 Deficit: -1 6 Deficit: -2 2015 Projected Population 910,677 Physician Need 20 6 5 8 6 6 5 7 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 772,464 138 17.9 Physician Need 410 Status Deficit: -272 165 Deficit: -27 154 Deficit: -16 222 Deficit: -84 217 Deficit: -79 234 Deficit: -96 129 Surplus: 9 87 Surplus: 51 147 Deficit: -9 170 Deficit: -32 2015 Projected Population 910,677 Physician Need 484 195 182 262 276 276 152 103 173 200 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 12 1.6 Physician Need 20 Status Deficit: -8 11 Surplus: 1 10 Surplus: 2 8 Surplus: 4 6 Surplus: 6 5 Surplus: 7 7 Surplus: 5 6 Surplus: 6 8 Surplus: 4 2015 Projected Population 910,677 Physician Need 24 13 12 10 6 6 8 7 9 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 772,464 5 0.6 Physician Need 15 Status Deficit: -10 8 Deficit: -3 8 Deficit: -3 8 Deficit: -3 11 Deficit: -6 3 Surplus: 2 5 Adequate 0 8 Deficit: -3 2015 Projected Population 910,677 Physician Need 17 10 9 10 4 6 9 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 14 1.8 Physician Need 39 Status Deficit: -25 19 Deficit: -5 18 Deficit: -4 25 Deficit: -11 10 Surplus: 4 13 Surplus: 1 9 Surplus: 5 16 Deficit: -2 11 Surplus: 3 14 Adequate 0 15 Deficit: -1 2015 Projected Population 910,677 Physician Need 46 22 21 30 15 15 11 19 13 16 17 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 772,464 61 7.9 Physician Need 109 Status Deficit: -48 93 Deficit: -32 87 Deficit: -26 76 Deficit: -15 90 Deficit: -29 89 Deficit: -28 77 Deficit: -16 68 Deficit: -7 65 Deficit: -4 62 Deficit: -1 79 Deficit: -18 79 Deficit: -18 2015 Projected Population 910,677 Physician Need 128 110 103 90 105 105 91 80 76 73 93 93 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 14 1.8 Physician Need 46 Status Deficit: -32 46 Deficit: -32 42 Deficit: -28 36 Deficit: -22 19 Deficit: -5 24 Deficit: -10 39 Deficit: -25 27 Deficit: -13 25 Deficit: -11 36 Deficit: -22 32 Deficit: -18 2015 Projected Population 910,677 Physician Need 55 54 50 42 28 28 46 32 29 43 38 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 772,464 29 3.8 Physician Need 64 Status Deficit: -35 53 Deficit: -24 49 Deficit: -20 46 Deficit: -17 46 Deficit: -17 32 Deficit: -3 52 Deficit: -23 23 Surplus: 6 46 Deficit: -17 32 Deficit: -3 47 Deficit: -18 42 Deficit: -13 2015 Projected Population 910,677 Physician Need 76 62 58 55 38 38 61 27 54 38 56 50 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 9 1.2 Physician Need 26 Status Deficit: -17 25 Deficit: -16 25 Deficit: -16 26 Deficit: -17 19 Deficit: -10 23 Deficit: -14 23 Deficit: -14 2015 Projected Population 910,677 Physician Need 31 29 29 22 22 27 27 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 772,464 7 0.9 Physician Need 49 Status Deficit: -42 15 Deficit: -8 14 Deficit: -7 49 Deficit: -42 25 Deficit: -18 14 Deficit: -7 32 Deficit: -25 25 Deficit: -18 2015 Projected Population 910,677 Physician Need 57 17 16 58 16 16 37 29 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 138 17.9 Physician Need 192 Status Deficit: -54 128 Surplus: 10 120 Surplus: 18 96 Surplus: 42 92 Surplus: 46 124 Surplus: 14 76 Surplus: 62 59 Surplus: 79 107 Surplus: 31 100 Surplus: 38 2015 Projected Population 910,677 Physician Need 227 151 141 113 146 146 89 69 127 118 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 772,464 12 1.6 Physician Need 19 Status Deficit: -7 8 Surplus: 4 2 Surplus: 10 3 Surplus: 9 8 Surplus: 4 18 Deficit: -6 17 Deficit: -5 9 Surplus: 3 2015 Projected Population 910,677 Physician Need 22 10 4 10 21 20 11 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 43 5.6 Physician Need 105 Status Deficit: -62 59 Deficit: -16 56 Deficit: -13 119 Deficit: -76 40 Surplus: 3 32 Surplus: 11 56 Deficit: -13 30 Surplus: 13 44 Deficit: -1 55 Deficit: -12 2015 Projected Population 910,677 Physician Need 124 70 66 140 37 37 66 36 52 65 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 772,464 12 1.6 Physician Need 27 Status Deficit: -15 15 Deficit: -3 15 Deficit: -3 11 Surplus: 1 11 Surplus: 1 8 Surplus: 4 11 Surplus: 1 11 Surplus: 1 10 Surplus: 2 12 Adequate 0 2015 Projected Population 910,677 Physician Need 32 18 17 13 9 9 13 13 12 14 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 37 4.8 Physician Need 88 Status Deficit: -51 105 Deficit: -68 106 Deficit: -69 59 Deficit: -22 66 Deficit: -29 36 Surplus: 1 59 Deficit: -22 62 Deficit: -25 70 Deficit: -33 2015 Projected Population 910,677 Physician Need 104 124 125 70 43 43 70 73 83 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 772,464 5 0.6 Physician Need 12 Status Deficit: -7 8 Deficit: -3 8 Deficit: -3 5 Adequate 0 3 Surplus: 2 5 Adequate 0 5 Adequate 0 3 Surplus: 2 10 Deficit: -5 6 Deficit: -1 2015 Projected Population 910,677 Physician Need 14 10 9 6 6 6 6 4 12 7 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 24 3.1 Physician Need 97 Status Deficit: -73 73 Deficit: -49 68 Deficit: -44 75 Deficit: -51 54 Deficit: -30 48 Deficit: -24 46 Deficit: -22 32 Deficit: -8 75 Deficit: -51 32 Deficit: -8 46 Deficit: -22 55 Deficit: -31 2015 Projected Population 910,677 Physician Need 114 86 80 88 56 56 54 38 88 37 55 65 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 772,464 1 0.1 Physician Need 12 Status Deficit: -11 6 Deficit: -5 1 Adequate 0 4 Deficit: -3 2015 Projected Population 910,677 Physician Need 14 7 5 67 Georgia Physician Workforce: County Reports - 2008 Gwinnett 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 772,464 11 1.4 Physician Need 27 Status Deficit: -16 27 Deficit: -16 25 Deficit: -14 24 Deficit: -13 25 Deficit: -14 18 Deficit: -7 22 Deficit: -11 20 Deficit: -9 15 Deficit: -4 22 Deficit: -11 22 Deficit: -11 2015 Projected Population 910,677 Physician Need 32 32 30 28 21 21 26 24 17 26 26 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.