Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon 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 49,645 5 10.1 Physician Need 7 Status Deficit: -2 5 Adequate 0 5 Adequate 0 4 Surplus: 1 3 Surplus: 2 2 Surplus: 3 4 Surplus: 1 3 Surplus: 2 4 Surplus: 1 2015 Projected Population 54,259 Physician Need 8 5 5 5 3 2 5 4 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 49,645 4 8.1 Physician Need 5 Status Deficit: -1 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 1 Surplus: 3 6 Deficit: -2 3 Surplus: 1 2015 Projected Population 54,259 Physician Need 6 3 3 3 4 3 1 7 3 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 2 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 49,645 19 38.3 Physician Need 16 Status Surplus: 3 23 Deficit: -4 21 Deficit: -2 13 Surplus: 6 8 Surplus: 11 5 Surplus: 14 5 Surplus: 14 8 Surplus: 11 11 Surplus: 8 12 Surplus: 7 2015 Projected Population 54,259 Physician Need 17 25 23 14 9 6 5 9 12 13 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 49,645 11 22.2 Physician Need 26 Status Deficit: -15 11 Adequate 0 10 Surplus: 1 14 Deficit: -3 14 Deficit: -3 15 Deficit: -4 8 Surplus: 3 6 Surplus: 5 9 Surplus: 2 11 Adequate 0 2015 Projected Population 54,259 Physician Need 29 12 11 16 15 16 9 6 10 12 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 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 49,645 5 10.1 Physician Need 7 Status Deficit: -2 6 Deficit: -1 6 Deficit: -1 5 Adequate 0 6 Deficit: -1 6 Deficit: -1 5 Adequate 0 4 Surplus: 1 4 Surplus: 1 4 Surplus: 1 5 Adequate 0 5 Adequate 0 2015 Projected Population 54,259 Physician Need 8 7 6 5 6 6 5 5 5 4 6 6 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 49,645 2 4.0 Physician Need 3 Status Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2015 Projected Population 54,259 Physician Need 3 3 3 2 1 2 3 2 2 3 2 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 4 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 49,645 2 4.0 Physician Need 4 Status Deficit: -2 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 3 Deficit: -1 1 Surplus: 1 3 Deficit: -1 2 Adequate 0 3 Deficit: -1 3 Deficit: -1 2015 Projected Population 54,259 Physician Need 5 4 3 3 3 2 4 2 3 2 3 3 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 49,645 5 10.1 Physician Need 12 Status Deficit: -7 8 Deficit: -3 8 Deficit: -3 6 Deficit: -1 6 Deficit: -1 8 Deficit: -3 5 Adequate 0 4 Surplus: 1 7 Deficit: -2 6 Deficit: -1 2015 Projected Population 54,259 Physician Need 14 9 8 7 6 9 5 4 8 7 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 5 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 49,645 1 2.0 Physician Need 1 Status Adequate 0 1 Adequate 0 0 Surplus: 1 0 Surplus: 1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 54,259 Physician Need 1 1 0 0 1 1 1 1 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 49,645 1 2.0 Physician Need 7 Status Deficit: -6 4 Deficit: -3 4 Deficit: -3 8 Deficit: -7 3 Deficit: -2 2 Deficit: -1 4 Deficit: -3 2 Deficit: -1 3 Deficit: -2 4 Deficit: -3 2015 Projected Population 54,259 Physician Need 7 4 4 8 3 2 4 2 3 4 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 6 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 49,645 1 2.0 Physician Need 6 Status Deficit: -5 7 Deficit: -6 7 Deficit: -6 4 Deficit: -3 4 Deficit: -3 2 Deficit: -1 4 Deficit: -3 4 Deficit: -3 5 Deficit: -4 2015 Projected Population 54,259 Physician Need 6 7 7 4 5 3 4 4 5 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 49,645 2 4.0 Physician Need 6 Status Deficit: -4 5 Deficit: -3 4 Deficit: -2 5 Deficit: -3 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 5 Deficit: -3 2 Adequate 0 3 Deficit: -1 4 Deficit: -2 2015 Projected Population 54,259 Physician Need 7 5 5 5 4 3 3 2 5 2 3 4 Georgia Physician Workforce: PCSA Reports - 2008 16 PCSA Physician Standard Report Included Counties: Gordon Page 7 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 49,645 2 4.0 Physician Need 2 Status Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 54,259 Physician Need 2 2 2 2 2 1 2 1 1 2 2 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.