Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 1
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
138,719
3
2.2
Physician Need
19
Status Deficit: -16
13
Deficit: -10
13
Deficit: -10
12
Deficit: -9
8
Deficit: -5
5
Deficit: -2
12
Deficit: -9
10
Deficit: -7
11
Deficit: -8
2015 Projected
Population 181,961
Physician Need 25 18 17 16 11 7 16
13
14
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
138,719
7
5.0
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
4
Surplus: 3
6
Surplus: 1
5
Surplus: 2
2015 Projected
Population 181,961
Physician Need 14 10 9 6 5 3 5
7 5 8 6
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 2
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
138,719
4
2.9
Physician Need
5
Status Deficit: -1
4
Adequate 0
4
Adequate 0
4
Adequate 0
3
Surplus: 1
3
Surplus: 1
4
Adequate 0
2
Surplus: 2
2
Surplus: 2
3
Surplus: 1
4
Adequate 0
3
Surplus: 1
2015 Projected
Population 181,961
Physician Need 7 5 5 5 5 4 5 3 3 4 6 4
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
138,719
13
9.4
Physician Need
15
Status Deficit: -2
8
Surplus: 5
7
Surplus: 6
7
Surplus: 6
9
Surplus: 4
7
Surplus: 6
4
Surplus: 9
17
Deficit: -4
9
Surplus: 4
2015 Projected
Population 181,961
Physician Need 19 10 9 10 12 10
5
23 11
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 3
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
138,719
43
31.0
Physician Need
44
Status Deficit: -1
63
Deficit: -20
59
Deficit: -16
35
Surplus: 8
23
Surplus: 20
15
Surplus: 28
13
Surplus: 30
22
Surplus: 21
31
Surplus: 12
33
Surplus: 10
2015 Projected
Population 181,961
Physician Need 57 83 78 46 30 20
17
29 41 43
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
138,719
3
2.2
Physician Need
6
Status Deficit: -3
4
Deficit: -1
4
Deficit: -1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
5
Deficit: -2
3
Adequate 0
2015 Projected
Population 181,961
Physician Need 8 6
6 3 3
2
6 4
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 4
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
138,719
1
0.7
Physician Need
5
Status Deficit: -4
3
Deficit: -2
3
Deficit: -2
5
Deficit: -4
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
4
Deficit: -3
2
Deficit: -1
1
Adequate 0
3
Deficit: -2
2015 Projected
Population 181,961
Physician Need 6 5 4 7 4 3 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
138,719
1
0.7
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 181,961
Physician Need 4 1 1 2 2 1 1
1
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 5
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
138,719
29
20.9
Physician Need
74
Status Deficit: -45
30
Deficit: -1
28
Surplus: 1
40
Deficit: -11
39
Deficit: -10
42
Deficit: -13
23
Surplus: 6
16
Surplus: 13
26
Surplus: 3
31
Deficit: -2
2015 Projected
Population 181,961
Physician Need 97 39 36 52 51 55
30
21 35 40
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
138,719
1
0.7
Physician Need
4
Status Deficit: -3
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 181,961
Physician Need 5 3 2 2 1 1 2
1 2
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 6
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
138,719
1
0.7
Physician Need
3
Status Deficit: -2
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 181,961
Physician Need 3 2 2 2 3
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
138,719
1
0.7
Physician Need
7
Status Deficit: -6
3
Deficit: -2
3
Deficit: -2
5
Deficit: -4
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2015 Projected
Population 181,961
Physician Need 9 4 4 6 2 3 2
4 3 3 3
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 7
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
138,719
3
2.2
Physician Need
20
Status Deficit: -17
17
Deficit: -14
16
Deficit: -13
14
Deficit: -11
16
Deficit: -13
16
Deficit: -13
14
Deficit: -11
12
Deficit: -9
12
Deficit: -9
11
Deficit: -8
14
Deficit: -11
14
Deficit: -11
2015 Projected
Population 181,961
Physician Need 26 22 21 18 21 21 18 16 15 15 19 19
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
138,719
4
2.9
Physician Need
8
Status Deficit: -4
8
Deficit: -4
8
Deficit: -4
6
Deficit: -2
3
Surplus: 1
4
Adequate 0
7
Deficit: -3
5
Deficit: -1
4
Adequate 0
7
Deficit: -3
6
Deficit: -2
2015 Projected
Population 181,961
Physician Need 11 11 10 8 4 6 9
6 6 9 8
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 8
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
138,719
16
11.5
Physician Need
12
Status Surplus: 4
9
Surplus: 7
9
Surplus: 7
8
Surplus: 8
8
Surplus: 8
6
Surplus: 10
9
Surplus: 7
4
Surplus: 12
8
Surplus: 8
6
Surplus: 10
8
Surplus: 8
8
Surplus: 8
2015 Projected
Population 181,961
Physician Need 15 12 12 11 11 8 12 5 11 8 11 10
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
138,719
6
4.3
Physician Need
5
Status Surplus: 1
4
Surplus: 2
4
Surplus: 2
5
Surplus: 1
3
Surplus: 3
4
Surplus: 2
4
Surplus: 2
2015 Projected
Population 181,961
Physician Need 6 6
6 6 4 5
5
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 9
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
138,719
23
16.6
Physician Need
35
Status Deficit: -12
23
Adequate 0
22
Surplus: 1
17
Surplus: 6
17
Surplus: 6
22
Surplus: 1
14
Surplus: 9
11
Surplus: 12
19
Surplus: 4
18
Surplus: 5
2015 Projected
Population 181,961
Physician Need 45 30 28 23 22 29
18
14 25 24
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
138,719
3
2.2
Physician Need
3
Status Adequate 0
2
Surplus: 1
0
Surplus: 3
1
Surplus: 2
2
Surplus: 1
3
Adequate 0
3
Adequate 0
2
Surplus: 1
2015 Projected
Population 181,961
Physician Need 4
2 1
1
2 4 4 2
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 10
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
138,719
8
5.8
Physician Need
19
Status Deficit: -11
11
Deficit: -3
10
Deficit: -2
21
Deficit: -13
7
Surplus: 1
6
Surplus: 2
10
Deficit: -2
5
Surplus: 3
8
Adequate 0
10
Deficit: -2
2015 Projected
Population 181,961
Physician Need 25 14 13 28 9 7
13 7 10 13
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
138,719
3
2.2
Physician Need
5
Status Deficit: -2
3
Adequate 0
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 181,961
Physician Need 6 4 3 3 3 2 3
3
2 3
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 11
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
138,719
6
4.3
Physician Need
16
Status Deficit: -10
19
Deficit: -13
19
Deficit: -13
11
Deficit: -5
12
Deficit: -6
7
Deficit: -1
11
Deficit: -5
11
Deficit: -5
13
Deficit: -7
2015 Projected
Population 181,961
Physician Need 21 25 25 14 15 9 14
15
17
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
138,719
1
0.7
Physician Need
2
Status Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2015 Projected
Population 181,961
Physician Need 3 2 2 1 1 1 1
1
2 1
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 12
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
138,719
5
3.6
Physician Need
17
Status Deficit: -12
13
Deficit: -8
12
Deficit: -7
13
Deficit: -8
10
Deficit: -5
9
Deficit: -4
8
Deficit: -3
6
Deficit: -1
13
Deficit: -8
6
Deficit: -1
8
Deficit: -3
10
Deficit: -5
2015 Projected
Population 181,961
Physician Need 23 17 16 18 13 11 11 8 18 7 11 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
138,719
2
1.4
Physician Need
5
Status Deficit: -3
5
Deficit: -3
5
Deficit: -3
4
Deficit: -2
5
Deficit: -3
3
Deficit: -1
4
Deficit: -2
4
Deficit: -2
3
Deficit: -1
4
Deficit: -2
4
Deficit: -2
2015 Projected
Population 181,961
Physician Need 6 6 6 6 6 4 5
5 3 5 5
Georgia Physician Workforce: PCSA Reports - 2008
13 PCSA Physician Standard Report
Included Counties: Forsyth
Page 13
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.