Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
2
1.1
Physician Need
3
Status Deficit: -1
3
Deficit: -1
3
Deficit: -1
1
Surplus: 1
3
Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
3
Deficit: -1
2
Adequate 0
2015 Projected
Population 214,144
Physician Need 3 3 3 2 4 3 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
183,123
4
2.2
Physician Need
26
Status Deficit: -22
18
Deficit: -14
17
Deficit: -13
16
Deficit: -12
11
Deficit: -7
7
Deficit: -3
16
Deficit: -12
13
Deficit: -9
14
Deficit: -10
2015 Projected
Population 214,144
Physician Need 30 21 19 19 13 8 19
15
16
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
5
2.7
Physician Need
14
Status Deficit: -9
10
Deficit: -5
9
Deficit: -4
6
Deficit: -1
5
Adequate 0
3
Surplus: 2
5
Adequate 0
7
Deficit: -2
5
Adequate 0
8
Deficit: -3
6
Deficit: -1
2015 Projected
Population 214,144
Physician Need 16 12 11 7 6 4 6
8 6 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
183,123
2
1.1
Physician Need
7
Status Deficit: -5
5
Deficit: -3
5
Deficit: -3
5
Deficit: -3
5
Deficit: -3
4
Deficit: -2
5
Deficit: -3
3
Deficit: -1
3
Deficit: -1
4
Deficit: -2
6
Deficit: -4
4
Deficit: -2
2015 Projected
Population 214,144
Physician Need 8 6 6 6 5 5 6 3 3 4 7 5
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
6
3.3
Physician Need
19
Status Deficit: -13
10
Deficit: -4
10
Deficit: -4
10
Deficit: -4
12
Deficit: -6
10
Deficit: -4
5
Surplus: 1
23
Deficit: -17
11
Deficit: -5
2015 Projected
Population 214,144
Physician Need 22 12 11 12 14 11
6
27 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
183,123
1
0.5
Physician Need
3
Status Deficit: -2
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
2015 Projected
Population 214,144
Physician Need 4 2 2 2 2 2
1
2
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
39
21.3
Physician Need
58
Status Deficit: -19
84
Deficit: -45
78
Deficit: -39
46
Deficit: -7
31
Surplus: 8
20
Surplus: 19
17
Surplus: 22
30
Surplus: 9
41
Deficit: -2
43
Deficit: -4
2015 Projected
Population 214,144
Physician Need 67 98 91 54 36 24
20
35 48 51
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
183,123
2
1.1
Physician Need
8
Status Deficit: -6
6
Deficit: -4
6
Deficit: -4
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
6
Deficit: -4
4
Deficit: -2
2015 Projected
Population 214,144
Physician Need 9 7
7 4 4
3
7 5
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
1
0.5
Physician Need
4
Status Deficit: -3
1
Adequate 0
1
Adequate 0
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
1
Adequate 0
2015 Projected
Population 214,144
Physician Need 5 1 1 2 3 1 1
2
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
183,123
28
15.3
Physician Need
97
Status Deficit: -69
39
Deficit: -11
37
Deficit: -9
53
Deficit: -25
51
Deficit: -23
55
Deficit: -27
31
Deficit: -3
21
Surplus: 7
35
Deficit: -7
40
Deficit: -12
2015 Projected
Population 214,144
Physician Need 114 46 43 62 60 65
36
24 41 47
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
1
0.5
Physician Need
5
Status Deficit: -4
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
2015 Projected
Population 214,144
Physician Need 6 3 3 2 2 1 2
2 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
183,123
3
1.6
Physician Need
9
Status Deficit: -6
4
Deficit: -1
4
Deficit: -1
6
Deficit: -3
2
Surplus: 1
3
Adequate 0
2
Surplus: 1
4
Deficit: -1
3
Adequate 0
3
Adequate 0
3
Adequate 0
2015 Projected
Population 214,144
Physician Need 11 5 5 7 3 4 3
4 3 4 4
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
11
6.0
Physician Need
26
Status Deficit: -15
22
Deficit: -11
21
Deficit: -10
18
Deficit: -7
21
Deficit: -10
21
Deficit: -10
18
Deficit: -7
16
Deficit: -5
15
Deficit: -4
15
Deficit: -4
19
Deficit: -8
19
Deficit: -8
2015 Projected
Population 214,144
Physician Need 30 26 24 21 25 25 21 19 18 17 22 22
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
183,123
5
2.7
Physician Need
11
Status Deficit: -6
11
Deficit: -6
10
Deficit: -5
8
Deficit: -3
4
Surplus: 1
6
Deficit: -1
9
Deficit: -4
6
Deficit: -1
6
Deficit: -1
9
Deficit: -4
8
Deficit: -3
2015 Projected
Population 214,144
Physician Need 13 13 12 10 5 7 11
7 7 10 9
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
8
4.4
Physician Need
15
Status Deficit: -7
12
Deficit: -4
12
Deficit: -4
11
Deficit: -3
11
Deficit: -3
8
Adequate 0
12
Deficit: -4
5
Surplus: 3
11
Deficit: -3
8
Adequate 0
11
Deficit: -3
10
Deficit: -2
2015 Projected
Population 214,144
Physician Need 18 15 14 13 13 9 14 6 13 9 13 12
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
183,123
4
2.2
Physician Need
6
Status Deficit: -2
6
Deficit: -2
6
Deficit: -2
6
Deficit: -2
4
Adequate 0
5
Deficit: -1
5
Deficit: -1
2015 Projected
Population 214,144
Physician Need 7 7
7 7 5 6
6
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
22
12.0
Physician Need
46
Status Deficit: -24
30
Deficit: -8
28
Deficit: -6
23
Deficit: -1
22
Adequate 0
29
Deficit: -7
18
Surplus: 4
14
Surplus: 8
25
Deficit: -3
24
Deficit: -2
2015 Projected
Population 214,144
Physician Need 53 36 33 27 25 34
21
16 30 28
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
183,123
2
1.1
Physician Need
4
Status Deficit: -2
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
2
Adequate 0
4
Deficit: -2
4
Deficit: -2
2
Adequate 0
2015 Projected
Population 214,144
Physician Need 5
2 1
1
2 5 5 3
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
7
3.8
Physician Need
25
Status Deficit: -18
14
Deficit: -7
13
Deficit: -6
28
Deficit: -21
10
Deficit: -3
8
Deficit: -1
13
Deficit: -6
7
Adequate 0
10
Deficit: -3
13
Deficit: -6
2015 Projected
Population 214,144
Physician Need 29 16 15 33 11 9
15 8 12 15
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
183,123
3
1.6
Physician Need
6
Status Deficit: -3
4
Deficit: -1
3
Adequate 0
3
Adequate 0
3
Adequate 0
2
Surplus: 1
3
Adequate 0
3
Adequate 0
2
Surplus: 1
3
Adequate 0
2015 Projected
Population 214,144
Physician Need 7 4 4 3 3 2 3
3
3 3
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
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
183,123
5
2.7
Physician Need
21
Status Deficit: -16
25
Deficit: -20
25
Deficit: -20
14
Deficit: -9
16
Deficit: -11
9
Deficit: -4
14
Deficit: -9
15
Deficit: -10
17
Deficit: -12
2015 Projected
Population 214,144
Physician Need 24 29 29 16 18 10 16
17
19
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
183,123
4
2.2
Physician Need
23
Status Deficit: -19
17
Deficit: -13
16
Deficit: -12
18
Deficit: -14
13
Deficit: -9
11
Deficit: -7
11
Deficit: -7
8
Deficit: -4
18
Deficit: -14
8
Deficit: -4
11
Deficit: -7
13
Deficit: -9
2015 Projected
Population 214,144
Physician Need 27 20 19 21 15 13 13 9 21 9 13 15
Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee
Page 12
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
183,123
1
0.5
Physician Need
6
Status Deficit: -5
6
Deficit: -5
6
Deficit: -5
6
Deficit: -5
6
Deficit: -5
4
Deficit: -3
5
Deficit: -4
5
Deficit: -4
3
Deficit: -2
5
Deficit: -4
5
Deficit: -4
2015 Projected
Population 214,144
Physician Need 7 7 7 7 7 5 6
6 4 6 6
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.