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.