Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 3 2.3 Physician Need 2 Status Surplus: 1 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2015 Projected Population 150,541 Physician Need 2 2 2 1 3 2 2 2 3 2 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 132,711 10 7.5 Physician Need 19 Status Deficit: -9 13 Deficit: -3 12 Deficit: -2 12 Deficit: -2 8 Surplus: 2 5 Surplus: 5 12 Deficit: -2 9 Surplus: 1 10 Adequate 0 2015 Projected Population 150,541 Physician Need 21 15 14 13 9 6 14 11 11 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 5 3.8 Physician Need 10 Status Deficit: -5 7 Deficit: -2 7 Deficit: -2 4 Surplus: 1 4 Surplus: 1 2 Surplus: 3 4 Surplus: 1 5 Adequate 0 3 Surplus: 2 6 Deficit: -1 5 Adequate 0 2015 Projected Population 150,541 Physician Need 11 8 8 5 5 3 4 5 4 6 5 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 132,711 3 2.3 Physician Need 5 Status Deficit: -2 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 3 Adequate 0 3 Adequate 0 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 4 Deficit: -1 3 Adequate 0 2015 Projected Population 150,541 Physician Need 6 4 4 4 4 4 4 2 2 3 5 4 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 17 12.8 Physician Need 14 Status Surplus: 3 7 Surplus: 10 7 Surplus: 10 7 Surplus: 10 9 Surplus: 8 7 Surplus: 10 4 Surplus: 13 16 Surplus: 1 8 Surplus: 9 2015 Projected Population 150,541 Physician Need 16 8 8 8 10 8 4 19 9 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 132,711 1 0.8 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 150,541 Physician Need 3 2 2 1 1 2 1 1 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 37 27.9 Physician Need 42 Status Deficit: -5 61 Deficit: -24 57 Deficit: -20 33 Surplus: 4 22 Surplus: 15 15 Surplus: 22 12 Surplus: 25 21 Surplus: 16 30 Surplus: 7 31 Surplus: 6 2015 Projected Population 150,541 Physician Need 47 69 64 38 25 17 14 24 34 36 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 132,711 3 2.3 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 150,541 Physician Need 6 5 5 3 3 2 5 4 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 1 0.8 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 150,541 Physician Need 3 1 1 1 2 1 1 1 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 132,711 21 15.8 Physician Need 70 Status Deficit: -49 28 Deficit: -7 27 Deficit: -6 38 Deficit: -17 37 Deficit: -16 40 Deficit: -19 22 Deficit: -1 15 Surplus: 6 25 Deficit: -4 29 Deficit: -8 2015 Projected Population 150,541 Physician Need 80 32 30 43 42 46 25 17 29 33 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 2 1.5 Physician Need 3 Status Deficit: -1 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 150,541 Physician Need 4 2 2 2 1 1 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 132,711 5 3.8 Physician Need 7 Status Deficit: -2 3 Surplus: 2 3 Surplus: 2 4 Surplus: 1 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 3 Surplus: 2 2 Surplus: 3 2 Surplus: 3 3 Surplus: 2 2015 Projected Population 150,541 Physician Need 8 4 3 5 2 3 2 3 2 3 3 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 10 7.5 Physician Need 19 Status Deficit: -9 16 Deficit: -6 15 Deficit: -5 13 Deficit: -3 15 Deficit: -5 15 Deficit: -5 13 Deficit: -3 12 Deficit: -2 11 Deficit: -1 11 Deficit: -1 13 Deficit: -3 14 Deficit: -4 2015 Projected Population 150,541 Physician Need 21 18 17 15 17 17 15 13 13 12 15 15 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 132,711 4 3.0 Physician Need 8 Status Deficit: -4 8 Deficit: -4 7 Deficit: -3 6 Deficit: -2 3 Surplus: 1 4 Adequate 0 7 Deficit: -3 5 Deficit: -1 4 Adequate 0 6 Deficit: -2 6 Deficit: -2 2015 Projected Population 150,541 Physician Need 9 9 8 7 4 5 8 5 5 7 6 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson 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 132,711 6 4.5 Physician Need 11 Status Deficit: -5 9 Deficit: -3 8 Deficit: -2 8 Deficit: -2 8 Deficit: -2 6 Adequate 0 9 Deficit: -3 4 Surplus: 2 8 Deficit: -2 6 Adequate 0 8 Deficit: -2 7 Deficit: -1 2015 Projected Population 150,541 Physician Need 12 10 10 9 9 6 10 5 9 6 9 8 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 132,711 7 5.3 Physician Need 5 Status Surplus: 2 4 Surplus: 3 4 Surplus: 3 5 Surplus: 2 3 Surplus: 4 4 Surplus: 3 4 Surplus: 3 2015 Projected Population 150,541 Physician Need 5 5 5 5 4 5 5 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson Page 9 Physician Specialty Pathology 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. 6.3 1.9 1.8 6.4 3.3 1.8 4.1 3.2 2008 Actual Population Physicians /100k 132,711 3 2.3 Physician Need 8 Status Deficit: -5 3 Adequate 0 2 Surplus: 1 8 Deficit: -5 4 Deficit: -1 2 Surplus: 1 5 Deficit: -2 4 Deficit: -1 2015 Projected Population 150,541 Physician Need 9 3 3 10 5 3 6 5 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 132,711 15 11.3 Physician Need 33 Status Deficit: -18 22 Deficit: -7 21 Deficit: -6 16 Deficit: -1 16 Deficit: -1 21 Deficit: -6 13 Surplus: 2 10 Surplus: 5 18 Deficit: -3 17 Deficit: -2 2015 Projected Population 150,541 Physician Need 37 25 23 19 18 24 15 11 21 20 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson Page 10 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 132,711 1 0.8 Physician Need 3 Status Deficit: -2 1 Adequate 0 0 Surplus: 1 1 Adequate 0 1 Adequate 0 3 Deficit: -2 3 Deficit: -2 2 Deficit: -1 2015 Projected Population 150,541 Physician Need 4 2 0 1 2 3 3 2 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 132,711 6 4.5 Physician Need 18 Status Deficit: -12 10 Deficit: -4 10 Deficit: -4 20 Deficit: -14 7 Deficit: -1 5 Surplus: 1 10 Deficit: -4 5 Surplus: 1 8 Deficit: -2 9 Deficit: -3 2015 Projected Population 150,541 Physician Need 20 12 11 23 8 6 11 6 9 11 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson Page 11 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 132,711 2 1.5 Physician Need 5 Status Deficit: -3 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2015 Projected Population 150,541 Physician Need 5 3 3 2 2 2 2 2 2 2 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 132,711 12 9.0 Physician Need 15 Status Deficit: -3 18 Deficit: -6 18 Deficit: -6 10 Surplus: 2 11 Surplus: 1 6 Surplus: 6 10 Surplus: 2 11 Surplus: 1 12 Adequate 0 2015 Projected Population 150,541 Physician Need 17 20 21 12 13 7 12 12 14 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson Page 12 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 132,711 1 0.8 Physician Need 2 Status Deficit: -1 1 Adequate 0 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 150,541 Physician Need 2 2 2 1 1 1 1 1 2 1 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 132,711 10 7.5 Physician Need 17 Status Deficit: -7 12 Deficit: -2 12 Deficit: -2 13 Deficit: -3 9 Surplus: 1 8 Surplus: 2 8 Surplus: 2 6 Surplus: 4 13 Deficit: -3 5 Surplus: 5 8 Surplus: 2 9 Surplus: 1 2015 Projected Population 150,541 Physician Need 19 14 13 15 11 9 9 6 15 6 9 11 Georgia Physician Workforce: PCSA Reports - 2008 19 PCSA Physician Standard Report Included Counties: Carroll, Haralson Page 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 132,711 3 2.3 Physician Need 5 Status Deficit: -2 5 Deficit: -2 4 Deficit: -1 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 3 Adequate 0 3 Adequate 0 4 Deficit: -1 4 Deficit: -1 2015 Projected Population 150,541 Physician Need 5 5 5 5 5 3 4 4 3 4 4 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.