Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
3
2.3
Physician Need
2
Status Surplus: 1
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 140,825
Physician Need 2 2 2 1 2 2 2
2
2 2
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
130,703
7
5.4
Physician Need
18
Status Deficit: -11
13
Deficit: -6
12
Deficit: -5
12
Deficit: -5
8
Deficit: -1
5
Surplus: 2
12
Deficit: -5
9
Deficit: -2
10
Deficit: -3
2015 Projected
Population 140,825
Physician Need 20 14 13 13 8 5 13
10
11
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
7
5.4
Physician Need
10
Status Deficit: -3
7
Adequate 0
7
Adequate 0
4
Surplus: 3
4
Surplus: 3
2
Surplus: 5
4
Surplus: 3
5
Surplus: 2
3
Surplus: 4
6
Surplus: 1
5
Surplus: 2
2015 Projected
Population 140,825
Physician Need 11 8 7 4 4 3 4
5 4 6 5
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
130,703
5
3.8
Physician Need
5
Status Adequate 0
4
Surplus: 1
3
Surplus: 2
4
Surplus: 1
3
Surplus: 2
3
Surplus: 2
3
Surplus: 2
2
Surplus: 3
2
Surplus: 3
3
Surplus: 2
4
Surplus: 1
3
Surplus: 2
2015 Projected
Population 140,825
Physician Need 5 4 4 4 4 3 4 2 2 3 4 3
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
8
6.1
Physician Need
14
Status Deficit: -6
7
Surplus: 1
7
Surplus: 1
7
Surplus: 1
9
Deficit: -1
7
Surplus: 1
4
Surplus: 4
16
Deficit: -8
8
Adequate 0
2015 Projected
Population 140,825
Physician Need 15 8 7 8 9 7
4
17 9
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
130,703
1
0.8
Physician Need
2
Status Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 140,825
Physician Need 3 2 1 1 1 2
1
1
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
34
26.0
Physician Need
41
Status Deficit: -7
60
Deficit: -26
56
Deficit: -22
33
Surplus: 1
22
Surplus: 12
14
Surplus: 20
12
Surplus: 22
21
Surplus: 13
29
Surplus: 5
31
Surplus: 3
2015 Projected
Population 140,825
Physician Need 44 64 60 35 24 15
13
23 32 33
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
130,703
5
3.8
Physician Need
5
Status Adequate 0
4
Surplus: 1
4
Surplus: 1
2
Surplus: 3
2
Surplus: 3
2
Surplus: 3
5
Adequate 0
3
Surplus: 2
2015 Projected
Population 140,825
Physician Need 6 4
5 2 2
2
5 3
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
1
0.8
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 140,825
Physician Need 3 1 1 1 2 1 1
1
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
130,703
27
20.7
Physician Need
69
Status Deficit: -42
28
Deficit: -1
26
Surplus: 1
38
Deficit: -11
37
Deficit: -10
40
Deficit: -13
22
Surplus: 5
15
Surplus: 12
25
Surplus: 2
29
Deficit: -2
2015 Projected
Population 140,825
Physician Need 75 30 28 41 40 43
24
16 27 31
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
4
3.1
Physician Need
3
Status Surplus: 1
2
Surplus: 2
2
Surplus: 2
1
Surplus: 3
1
Surplus: 3
1
Surplus: 3
1
Surplus: 3
1
Surplus: 3
1
Surplus: 3
2015 Projected
Population 140,825
Physician Need 4 2 2 2 1 1 1
1 1
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
130,703
2
1.5
Physician Need
2
Status Adequate 0
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2015 Projected
Population 140,825
Physician Need 3 2 1 2 2
1
1
1
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
3
2.3
Physician Need
7
Status Deficit: -4
3
Adequate 0
3
Adequate 0
4
Deficit: -1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 140,825
Physician Need 7 3 3 5 2 2 2
3 2 3 3
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
130,703
19
14.5
Physician Need
18
Status Surplus: 1
16
Surplus: 3
15
Surplus: 4
13
Surplus: 6
15
Surplus: 4
15
Surplus: 4
13
Surplus: 6
12
Surplus: 7
11
Surplus: 8
10
Surplus: 9
13
Surplus: 6
13
Surplus: 6
2015 Projected
Population 140,825
Physician Need 20 17 16 14 16 16 14 12 12 11 14 14
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
7
5.4
Physician Need
8
Status Deficit: -1
8
Deficit: -1
7
Adequate 0
6
Surplus: 1
3
Surplus: 4
4
Surplus: 3
7
Adequate 0
5
Surplus: 2
4
Surplus: 3
6
Surplus: 1
5
Surplus: 2
2015 Projected
Population 140,825
Physician Need 8 8 8 6 3 4 7
5 5 7 6
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
130,703
6
4.6
Physician Need
11
Status Deficit: -5
9
Deficit: -3
8
Deficit: -2
8
Deficit: -2
8
Deficit: -2
5
Surplus: 1
9
Deficit: -3
4
Surplus: 2
8
Deficit: -2
5
Surplus: 1
8
Deficit: -2
7
Deficit: -1
2015 Projected
Population 140,825
Physician Need 12 10 9 8 8 6 9 4 8 6 9 8
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
5
3.8
Physician Need
4
Status Surplus: 1
4
Surplus: 1
4
Surplus: 1
4
Surplus: 1
3
Surplus: 2
4
Surplus: 1
4
Surplus: 1
2015 Projected
Population 140,825
Physician Need 5 5
5 5 3 4
4
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
130,703
2
1.5
Physician Need
8
Status Deficit: -6
2
Adequate 0
2
Adequate 0
8
Deficit: -6
4
Deficit: -2
2
Adequate 0
5
Deficit: -3
4
Deficit: -2
2015 Projected
Population 140,825
Physician Need 9 3 3 9 5 3
6
5
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
19
14.5
Physician Need
33
Status Deficit: -14
22
Deficit: -3
20
Deficit: -1
16
Surplus: 3
16
Surplus: 3
21
Deficit: -2
13
Surplus: 6
10
Surplus: 9
18
Surplus: 1
17
Surplus: 2
2015 Projected
Population 140,825
Physician Need 35 23 22 17 17 23
14
11 20 18
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
130,703
2
1.5
Physician Need
3
Status Deficit: -1
1
Surplus: 1
0
Surplus: 2
1
Surplus: 1
1
Surplus: 1
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
2015 Projected
Population 140,825
Physician Need 3
2 0
1
2 3 3 2
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
11
8.4
Physician Need
18
Status Deficit: -7
10
Surplus: 1
9
Surplus: 2
20
Deficit: -9
7
Surplus: 4
5
Surplus: 6
9
Surplus: 2
5
Surplus: 6
7
Surplus: 4
9
Surplus: 2
2015 Projected
Population 140,825
Physician Need 19 11 10 22 7 6
10 5 8 10
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
130,703
3
2.3
Physician Need
5
Status Deficit: -2
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 140,825
Physician Need 5 3 3 2 2 1 2
2
2 2
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
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
130,703
8
6.1
Physician Need
15
Status Deficit: -7
18
Deficit: -10
18
Deficit: -10
10
Deficit: -2
11
Deficit: -3
6
Surplus: 2
10
Deficit: -2
10
Deficit: -2
12
Deficit: -4
2015 Projected
Population 140,825
Physician Need 16 19 19 11 12 7 11
11
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
130,703
10
7.7
Physician Need
16
Status Deficit: -6
12
Deficit: -2
12
Deficit: -2
13
Deficit: -3
9
Surplus: 1
8
Surplus: 2
8
Surplus: 2
5
Surplus: 5
13
Deficit: -3
5
Surplus: 5
8
Surplus: 2
9
Surplus: 1
2015 Projected
Population 140,825
Physician Need 18 13 12 14 10 9 8 6 14 6 8 10
Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield
Page 13
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
130,703
4
3.1
Physician Need
5
Status Deficit: -1
5
Deficit: -1
4
Adequate 0
4
Adequate 0
4
Adequate 0
3
Surplus: 1
4
Adequate 0
3
Surplus: 1
2
Surplus: 2
4
Adequate 0
4
Adequate 0
2015 Projected
Population 140,825
Physician Need 5 5 5 4 5 3 4
4 3 4 4
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.