Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 2 0.9 Physician Need 3 Status Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 4 Deficit: -2 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 4 Deficit: -2 3 Deficit: -1 2015 Projected Population 227,677 Physician Need 3 3 3 2 4 3 3 3 4 3 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 Physician /100k 227,879 30 13.2 Physician Need 32 Status Deficit: -2 22 Surplus: 8 21 Surplus: 9 20 Surplus: 10 13 Surplus: 17 9 Surplus: 21 21 Surplus: 9 16 Surplus: 14 17 Surplus: 13 2015 Projected Population 227,677 Physician Need 32 22 21 20 13 9 20 16 17 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 26 11.4 Physician Need 17 Status Surplus: 9 12 Surplus: 14 11 Surplus: 15 7 Surplus: 19 7 Surplus: 19 4 Surplus: 22 7 Surplus: 19 8 Surplus: 18 6 Surplus: 20 10 Surplus: 16 8 Surplus: 18 2015 Projected Population 227,677 Physician Need 17 12 11 7 7 4 7 8 6 10 8 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 Physician /100k 227,879 6 2.6 Physician Need 8 Status Deficit: -2 6 Adequate 0 6 Adequate 0 6 Adequate 0 6 Adequate 0 5 Surplus: 1 6 Adequate 0 4 Surplus: 2 3 Surplus: 3 5 Surplus: 1 7 Deficit: -1 5 Surplus: 1 2015 Projected Population 227,677 Physician Need 8 6 6 6 6 5 6 4 3 5 7 5 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 21 9.2 Physician Need 24 Status Deficit: -3 13 Surplus: 8 12 Surplus: 9 12 Surplus: 9 15 Surplus: 6 12 Surplus: 9 6 Surplus: 15 28 Deficit: -7 14 Surplus: 7 2015 Projected Population 227,677 Physician Need 24 13 12 12 15 12 6 28 14 Physician Specialty Endocrinology, Diabetes & Metabolism National Physician Standards* AMA Standard Phys/100,000 Pop. 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 Physician /100k 227,879 5 2.2 Physician Need 4 Status Surplus: 1 3 Surplus: 2 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 3 Surplus: 2 1 Surplus: 4 2 Surplus: 3 2015 Projected Population 227,677 Physician Need 4 3 2 2 2 3 1 2 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 85 37.3 Physician Need 72 Status Surplus: 13 104 Deficit: -19 97 Deficit: -12 57 Surplus: 28 38 Surplus: 47 25 Surplus: 60 21 Surplus: 64 37 Surplus: 48 51 Surplus: 34 54 Surplus: 31 2015 Projected Population 227,677 Physician Need 72 104 97 57 38 25 21 37 51 54 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 Physician /100k 227,879 13 5.7 Physician Need 10 Status Surplus: 3 7 Surplus: 6 7 Surplus: 6 4 Surplus: 9 4 Surplus: 9 3 Surplus: 10 8 Surplus: 5 5 Surplus: 8 2015 Projected Population 227,677 Physician Need 10 7 7 4 4 3 8 5 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 4 1.8 Physician Need 5 Status Deficit: -1 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 3 Surplus: 1 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2015 Projected Population 227,677 Physician Need 5 2 1 2 3 2 1 2 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 Physician /100k 227,879 75 32.9 Physician Need 121 Status Deficit: -46 49 Surplus: 26 46 Surplus: 29 66 Surplus: 9 64 Surplus: 11 69 Surplus: 6 38 Surplus: 37 26 Surplus: 49 43 Surplus: 32 50 Surplus: 25 2015 Projected Population 227,677 Physician Need 121 49 46 66 64 69 38 26 43 50 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 11 4.8 Physician Need 6 Status Surplus: 5 3 Surplus: 8 3 Surplus: 8 3 Surplus: 8 2 Surplus: 9 2 Surplus: 9 2 Surplus: 9 2 Surplus: 9 2 Surplus: 9 2015 Projected Population 227,677 Physician Need 6 3 3 3 2 2 2 2 2 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 Physician /100k 227,879 10 4.4 Physician Need 4 Status Surplus: 6 3 Surplus: 7 2 Surplus: 8 3 Surplus: 7 3 Surplus: 7 1 Surplus: 9 2 Surplus: 8 2 Surplus: 8 2015 Projected Population 227,677 Physician Need 4 3 2 3 3 1 2 2 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 12 5.3 Physician Need 11 Status Surplus: 1 5 Surplus: 7 5 Surplus: 7 8 Surplus: 4 3 Surplus: 9 4 Surplus: 8 3 Surplus: 9 5 Surplus: 7 3 Surplus: 9 4 Surplus: 8 4 Surplus: 8 2015 Projected Population 227,677 Physician Need 11 5 5 8 3 4 3 5 3 4 4 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 Physician /100k 227,879 35 15.4 Physician Need 32 Status Surplus: 3 28 Surplus: 7 26 Surplus: 9 23 Surplus: 12 26 Surplus: 9 26 Surplus: 9 23 Surplus: 12 20 Surplus: 15 19 Surplus: 16 18 Surplus: 17 23 Surplus: 12 23 Surplus: 12 2015 Projected Population 227,677 Physician Need 32 28 26 23 26 26 23 20 19 18 23 23 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 20 8.8 Physician Need 14 Status Surplus: 6 13 Surplus: 7 13 Surplus: 7 10 Surplus: 10 5 Surplus: 15 7 Surplus: 13 11 Surplus: 9 8 Surplus: 12 7 Surplus: 13 11 Surplus: 9 10 Surplus: 10 2015 Projected Population 227,677 Physician Need 14 13 13 10 5 7 11 8 7 11 10 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 Physician /100k 227,879 23 10.1 Physician Need 19 Status Surplus: 4 15 Surplus: 8 15 Surplus: 8 14 Surplus: 9 13 Surplus: 10 10 Surplus: 13 15 Surplus: 8 7 Surplus: 16 13 Surplus: 10 10 Surplus: 13 14 Surplus: 9 13 Surplus: 10 2015 Projected Population 227,677 Physician Need 19 15 15 14 13 10 15 7 13 10 14 13 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 10 4.4 Physician Need 8 Status Surplus: 2 7 Surplus: 3 7 Surplus: 3 8 Surplus: 2 5 Surplus: 5 7 Surplus: 3 7 Surplus: 3 2015 Projected Population 227,677 Physician Need 8 7 7 8 5 7 7 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 Physician /100k 227,879 14 6.1 Physician Need 14 Status Adequate 0 4 Surplus: 10 4 Surplus: 10 15 Deficit: -1 8 Surplus: 6 4 Surplus: 10 9 Surplus: 5 7 Surplus: 7 2015 Projected Population 227,677 Physician Need 14 4 4 15 8 4 9 7 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 39 17.1 Physician Need 57 Status Deficit: -18 38 Surplus: 1 35 Surplus: 4 28 Surplus: 11 27 Surplus: 12 36 Surplus: 3 22 Surplus: 17 17 Surplus: 22 32 Surplus: 7 30 Surplus: 9 2015 Projected Population 227,677 Physician Need 57 38 35 28 27 36 22 17 32 30 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 Physician /100k 227,879 10 4.4 Physician Need 5 Status Surplus: 5 3 Surplus: 7 1 Surplus: 9 1 Surplus: 9 3 Surplus: 7 5 Surplus: 5 5 Surplus: 5 3 Surplus: 7 2015 Projected Population 227,677 Physician Need 5 3 1 1 3 5 5 3 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 30 13.2 Physician Need 31 Status Deficit: -1 18 Surplus: 12 16 Surplus: 14 35 Deficit: -5 12 Surplus: 18 9 Surplus: 21 16 Surplus: 14 9 Surplus: 21 13 Surplus: 17 16 Surplus: 14 2015 Projected Population 227,677 Physician Need 31 18 16 35 12 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 Physician /100k 227,879 10 4.4 Physician Need 8 Status Surplus: 2 5 Surplus: 5 4 Surplus: 6 3 Surplus: 7 3 Surplus: 7 2 Surplus: 8 3 Surplus: 7 3 Surplus: 7 3 Surplus: 7 3 Surplus: 7 2015 Projected Population 227,677 Physician Need 8 5 4 3 3 2 3 3 3 3 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 37 16.2 Physician Need 26 Status Surplus: 11 31 Surplus: 6 31 Surplus: 6 18 Surplus: 19 19 Surplus: 18 11 Surplus: 26 18 Surplus: 19 18 Surplus: 19 21 Surplus: 16 2015 Projected Population 227,677 Physician Need 26 31 31 18 19 11 18 18 21 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 Physician /100k 227,879 4 1.8 Physician Need 3 Status Surplus: 1 3 Surplus: 1 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 3 Surplus: 1 2 Surplus: 2 2015 Projected Population 227,677 Physician Need 3 3 2 2 1 2 2 1 3 2 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 27 11.8 Physician Need 28 Status Deficit: -1 21 Surplus: 6 20 Surplus: 7 22 Surplus: 5 16 Surplus: 11 14 Surplus: 13 13 Surplus: 14 10 Surplus: 17 22 Surplus: 5 9 Surplus: 18 14 Surplus: 13 16 Surplus: 11 2015 Projected Population 227,677 Physician Need 28 21 20 22 16 14 13 10 22 9 14 16 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 Physician /100k 227,879 4 1.8 Physician Need 3 Status Surplus: 1 2 Surplus: 2 0 Surplus: 4 1 Surplus: 3 2015 Projected Population 227,677 Physician Need 3 2 0 1 Georgia Physician Workforce: MSA Reports - 2008 Macon MSA Physician Standard Report Included Counties: Bibb, Crawford, Jones, Monroe, Twiggs 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 Physician /100k 227,879 8 3.5 Physician Need 8 Status Adequate 0 8 Adequate 0 8 Adequate 0 7 Surplus: 1 8 Adequate 0 5 Surplus: 3 7 Surplus: 1 6 Surplus: 2 4 Surplus: 4 7 Surplus: 1 7 Surplus: 1 2015 Projected Population 227,677 Physician Need 8 8 8 7 8 5 7 6 4 7 7 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.