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.