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.