106 Georgia Physician Workforce: County Reports - 2008 Muscogee 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 186,613 3 1.6 Physician Need 3 Status Adequate 0 3 Adequate 0 3 Adequate 0 1 Surplus: 2 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 2 Surplus: 1 2015 Projected Population 204,495 Physician Need 3 3 3 2 2 2 2 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 Physicians /100k 186,613 24 12.9 Physician Need 26 Status Deficit: -2 18 Surplus: 6 17 Surplus: 7 17 Surplus: 7 11 Surplus: 13 7 Surplus: 17 17 Surplus: 7 13 Surplus: 11 14 Surplus: 10 2015 Projected Population 204,495 Physician Need 29 20 19 18 8 8 18 14 16 106 Georgia Physician Workforce: County Reports - 2008 Muscogee 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 186,613 14 7.5 Physician Need 14 Status Adequate 0 10 Surplus: 4 9 Surplus: 5 6 Surplus: 8 6 Surplus: 8 3 Surplus: 11 5 Surplus: 9 7 Surplus: 7 5 Surplus: 9 8 Surplus: 6 7 Surplus: 7 2015 Projected Population 204,495 Physician Need 15 11 10 6 4 4 6 7 5 9 7 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 186,613 9 4.8 Physician Need 7 Status Surplus: 2 5 Surplus: 4 5 Surplus: 4 5 Surplus: 4 5 Surplus: 4 4 Surplus: 5 5 Surplus: 4 3 Surplus: 6 3 Surplus: 6 4 Surplus: 5 6 Surplus: 3 4 Surplus: 5 2015 Projected Population 204,495 Physician Need 8 6 5 6 5 5 5 3 3 4 6 5 106 Georgia Physician Workforce: County Reports - 2008 Muscogee 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 186,613 17 9.1 Physician Need 20 Status Deficit: -3 10 Surplus: 7 10 Surplus: 7 10 Surplus: 7 13 Surplus: 4 10 Surplus: 7 5 Surplus: 12 23 Deficit: -6 12 Surplus: 5 2015 Projected Population 204,495 Physician Need 21 11 11 11 11 11 6 25 13 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 186,613 4 2.1 Physician Need 3 Status Surplus: 1 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2015 Projected Population 204,495 Physician Need 4 2 2 2 2 2 1 2 106 Georgia Physician Workforce: County Reports - 2008 Muscogee 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 186,613 114 61.1 Physician Need 59 Status Surplus: 55 85 Surplus: 29 79 Surplus: 35 47 Surplus: 67 31 Surplus: 83 21 Surplus: 93 17 Surplus: 97 30 Surplus: 84 42 Surplus: 72 44 Surplus: 70 2015 Projected Population 204,495 Physician Need 64 93 87 52 22 22 19 33 46 48 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 186,613 8 4.3 Physician Need 8 Status Adequate 0 6 Surplus: 2 6 Surplus: 2 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 7 Surplus: 1 4 Surplus: 4 2015 Projected Population 204,495 Physician Need 9 6 7 3 3 3 7 5 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 5 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 186,613 1 0.5 Physician Need 7 Status Deficit: -6 5 Deficit: -4 4 Deficit: -3 7 Deficit: -6 4 Deficit: -3 3 Deficit: -2 3 Deficit: -2 5 Deficit: -4 2 Deficit: -1 2 Deficit: -1 4 Deficit: -3 2015 Projected Population 204,495 Physician Need 7 5 5 7 4 4 3 5 2 2 4 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 186,613 2 1.1 Physician Need 4 Status Deficit: -2 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 204,495 Physician Need 4 1 1 2 1 1 1 2 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 6 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 186,613 42 22.5 Physician Need 99 Status Deficit: -57 40 Surplus: 2 37 Surplus: 5 54 Deficit: -12 52 Deficit: -10 57 Deficit: -15 31 Surplus: 11 21 Surplus: 21 35 Surplus: 7 41 Surplus: 1 2015 Projected Population 204,495 Physician Need 109 44 41 59 62 62 34 23 39 45 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 186,613 9 4.8 Physician Need 5 Status Surplus: 4 3 Surplus: 6 2 Surplus: 7 2 Surplus: 7 1 Surplus: 8 1 Surplus: 8 2 Surplus: 7 1 Surplus: 8 2 Surplus: 7 2015 Projected Population 204,495 Physician Need 5 3 3 2 1 1 2 1 2 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 7 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 186,613 4 2.1 Physician Need 4 Status Adequate 0 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 3 Surplus: 1 1 Surplus: 3 1 Surplus: 3 2 Surplus: 2 2015 Projected Population 204,495 Physician Need 4 2 2 2 1 1 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 186,613 5 2.7 Physician Need 9 Status Deficit: -4 4 Surplus: 1 4 Surplus: 1 6 Deficit: -1 2 Surplus: 3 3 Surplus: 2 2 Surplus: 3 4 Surplus: 1 3 Surplus: 2 3 Surplus: 2 4 Surplus: 1 2015 Projected Population 204,495 Physician Need 10 5 5 7 3 3 2 4 3 4 4 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 8 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 186,613 23 12.3 Physician Need 26 Status Deficit: -3 23 Adequate 0 21 Surplus: 2 18 Surplus: 5 22 Surplus: 1 21 Surplus: 2 19 Surplus: 4 16 Surplus: 7 16 Surplus: 7 15 Surplus: 8 19 Surplus: 4 19 Surplus: 4 2015 Projected Population 204,495 Physician Need 29 25 23 20 24 24 20 18 17 16 21 21 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 186,613 13 7.0 Physician Need 11 Status Surplus: 2 11 Surplus: 2 10 Surplus: 3 9 Surplus: 4 4 Surplus: 9 6 Surplus: 7 9 Surplus: 4 7 Surplus: 6 6 Surplus: 7 9 Surplus: 4 8 Surplus: 5 2015 Projected Population 204,495 Physician Need 12 12 11 9 6 6 10 7 7 10 9 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 9 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 186,613 32 17.1 Physician Need 15 Status Surplus: 17 13 Surplus: 19 12 Surplus: 20 11 Surplus: 21 11 Surplus: 21 8 Surplus: 24 13 Surplus: 19 6 Surplus: 26 11 Surplus: 21 8 Surplus: 24 11 Surplus: 21 10 Surplus: 22 2015 Projected Population 204,495 Physician Need 17 14 13 12 9 9 14 6 12 9 13 11 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 186,613 8 4.3 Physician Need 6 Status Surplus: 2 6 Surplus: 2 6 Surplus: 2 6 Surplus: 2 4 Surplus: 4 6 Surplus: 2 6 Surplus: 2 2015 Projected Population 204,495 Physician Need 7 7 7 5 5 6 6 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 10 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 186,613 7 3.8 Physician Need 12 Status Deficit: -5 4 Surplus: 3 3 Surplus: 4 12 Deficit: -5 6 Surplus: 1 3 Surplus: 4 8 Deficit: -1 6 Surplus: 1 2015 Projected Population 204,495 Physician Need 13 4 4 13 4 4 8 7 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 186,613 31 16.6 Physician Need 46 Status Deficit: -15 31 Adequate 0 29 Surplus: 2 23 Surplus: 8 22 Surplus: 9 30 Surplus: 1 18 Surplus: 13 14 Surplus: 17 26 Surplus: 5 24 Surplus: 7 2015 Projected Population 204,495 Physician Need 51 34 32 25 33 33 20 16 28 27 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 11 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 186,613 7 3.8 Physician Need 4 Status Surplus: 3 2 Surplus: 5 1 Surplus: 6 1 Surplus: 6 2 Surplus: 5 4 Surplus: 3 4 Surplus: 3 2 Surplus: 5 2015 Projected Population 204,495 Physician Need 5 2 1 2 5 5 2 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 186,613 29 15.5 Physician Need 25 Status Surplus: 4 14 Surplus: 15 13 Surplus: 16 29 Adequate 0 10 Surplus: 19 8 Surplus: 21 13 Surplus: 16 7 Surplus: 22 11 Surplus: 18 13 Surplus: 16 2015 Projected Population 204,495 Physician Need 28 16 15 31 8 8 15 8 12 15 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 12 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 186,613 3 1.6 Physician Need 7 Status Deficit: -4 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 2015 Projected Population 204,495 Physician Need 7 4 4 3 2 2 3 3 3 3 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 186,613 24 12.9 Physician Need 21 Status Surplus: 3 25 Deficit: -1 26 Deficit: -2 14 Surplus: 10 16 Surplus: 8 9 Surplus: 15 14 Surplus: 10 15 Surplus: 9 17 Surplus: 7 2015 Projected Population 204,495 Physician Need 23 28 28 16 10 10 16 16 19 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 13 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 186,613 2 1.1 Physician Need 3 Status Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2015 Projected Population 204,495 Physician Need 3 2 2 1 1 1 1 1 3 2 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 186,613 22 11.8 Physician Need 23 Status Deficit: -1 18 Surplus: 4 16 Surplus: 6 18 Surplus: 4 13 Surplus: 9 12 Surplus: 10 11 Surplus: 11 8 Surplus: 14 18 Surplus: 4 8 Surplus: 14 11 Surplus: 11 13 Surplus: 9 2015 Projected Population 204,495 Physician Need 26 19 18 20 13 13 12 9 20 8 12 15 106 Georgia Physician Workforce: County Reports - 2008 Muscogee County Physician Standard Report Page 14 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 186,613 3 1.6 Physician Need 3 Status Adequate 0 1 Surplus: 2 0 Surplus: 3 1 Surplus: 2 2015 Projected Population 204,495 Physician Need 3 2 1 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 186,613 9 4.8 Physician Need 7 Status Surplus: 2 7 Surplus: 2 6 Surplus: 3 6 Surplus: 3 6 Surplus: 3 4 Surplus: 5 5 Surplus: 4 5 Surplus: 4 4 Surplus: 5 5 Surplus: 4 5 Surplus: 4 2015 Projected Population 204,495 Physician Need 7 7 7 6 5 5 6 5 4 6 6 106 Georgia Physician Workforce: County Reports - 2008 Page 15 Muscogee 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.