Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
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
112,465
7
6.2
Physician Need
16
Status Deficit: -9
11
Deficit: -4
10
Deficit: -3
10
Deficit: -3
7
Adequate 0
4
Surplus: 3
10
Deficit: -3
8
Deficit: -1
9
Deficit: -2
2015 Projected
Population 119,235
Physician Need 17 12 11 11 7 5 11
8
9
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
112,465
4
3.6
Physician Need
8
Status Deficit: -4
6
Deficit: -2
6
Deficit: -2
3
Surplus: 1
3
Surplus: 1
2
Surplus: 2
3
Surplus: 1
4
Adequate 0
3
Surplus: 1
5
Deficit: -1
4
Adequate 0
2015 Projected
Population 119,235
Physician Need 9 6 6 4 4 2 3
4 3 5 4
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
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
112,465
2
1.8
Physician Need
4
Status Deficit: -2
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
4
Deficit: -2
3
Deficit: -1
2015 Projected
Population 119,235
Physician Need 4 3 3 3 3 3 3 2 2 3 4 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
112,465
5
4.4
Physician Need
12
Status Deficit: -7
6
Deficit: -1
6
Deficit: -1
6
Deficit: -1
8
Deficit: -3
6
Deficit: -1
3
Surplus: 2
14
Deficit: -9
7
Deficit: -2
2015 Projected
Population 119,235
Physician Need 13 7 6 6 8 6
3
15 7
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
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
112,465
20
17.8
Physician Need
35
Status Deficit: -15
51
Deficit: -31
48
Deficit: -28
28
Deficit: -8
19
Surplus: 1
12
Surplus: 8
10
Surplus: 10
18
Surplus: 2
25
Deficit: -5
27
Deficit: -7
2015 Projected
Population 119,235
Physician Need 38 54 51 30 20 13
11
19 27 28
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
112,465
3
2.7
Physician Need
5
Status Deficit: -2
3
Adequate 0
4
Deficit: -1
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
4
Deficit: -1
3
Adequate 0
2015 Projected
Population 119,235
Physician Need 5 4
4 2 2
2
4 3
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 4
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
112,465
22
19.6
Physician Need
60
Status Deficit: -38
24
Deficit: -2
22
Adequate 0
32
Deficit: -10
32
Deficit: -10
34
Deficit: -12
19
Surplus: 3
13
Surplus: 9
21
Surplus: 1
25
Deficit: -3
2015 Projected
Population 119,235
Physician Need 63 26 24 34 34 36
20
13 23 26
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
112,465
2
1.8
Physician Need
3
Status Deficit: -1
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2015 Projected
Population 119,235
Physician Need 3 2 2 1 1 1 1
1 1
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 5
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
112,465
3
2.7
Physician Need
6
Status Deficit: -3
3
Adequate 0
3
Adequate 0
4
Deficit: -1
1
Surplus: 2
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 119,235
Physician Need 6 3 3 4 2 2 1
3 2 2 2
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
112,465
9
8.0
Physician Need
16
Status Deficit: -7
14
Deficit: -5
13
Deficit: -4
11
Deficit: -2
13
Deficit: -4
13
Deficit: -4
11
Deficit: -2
10
Deficit: -1
9
Adequate 0
9
Adequate 0
11
Deficit: -2
11
Deficit: -2
2015 Projected
Population 119,235
Physician Need 17 14 13 12 14 14 12 10 10 10 12 12
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 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
112,465
6
5.3
Physician Need
7
Status Deficit: -1
7
Deficit: -1
6
Adequate 0
5
Surplus: 1
3
Surplus: 3
3
Surplus: 3
6
Adequate 0
4
Surplus: 2
4
Surplus: 2
5
Surplus: 1
5
Surplus: 1
2015 Projected
Population 119,235
Physician Need 7 7 7 5 3 4 6
4 4 6 5
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
112,465
1
0.9
Physician Need
9
Status Deficit: -8
8
Deficit: -7
7
Deficit: -6
7
Deficit: -6
7
Deficit: -6
5
Deficit: -4
8
Deficit: -7
3
Deficit: -2
7
Deficit: -6
5
Deficit: -4
7
Deficit: -6
6
Deficit: -5
2015 Projected
Population 119,235
Physician Need 10 8 8 7 7 5 8 4 7 5 7 7
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 7
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
112,465
4
3.6
Physician Need
4
Status Adequate 0
4
Adequate 0
4
Adequate 0
4
Adequate 0
3
Surplus: 1
3
Surplus: 1
3
Surplus: 1
2015 Projected
Population 119,235
Physician Need 4 4
4 4 3 4
4
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
112,465
1
0.9
Physician Need
7
Status Deficit: -6
2
Deficit: -1
2
Deficit: -1
7
Deficit: -6
4
Deficit: -3
2
Deficit: -1
5
Deficit: -4
4
Deficit: -3
2015 Projected
Population 119,235
Physician Need 8 2 2 8 4 2
5
4
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 8
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
112,465
23
20.5
Physician Need
28
Status Deficit: -5
19
Surplus: 4
17
Surplus: 6
14
Surplus: 9
13
Surplus: 10
18
Surplus: 5
11
Surplus: 12
9
Surplus: 14
16
Surplus: 7
15
Surplus: 8
2015 Projected
Population 119,235
Physician Need 30 20 18 15 14 19
12
9 17 16
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
112,465
5
4.4
Physician Need
15
Status Deficit: -10
9
Deficit: -4
8
Deficit: -3
17
Deficit: -12
6
Deficit: -1
5
Adequate 0
8
Deficit: -3
4
Surplus: 1
6
Deficit: -1
8
Deficit: -3
2015 Projected
Population 119,235
Physician Need 16 9 9 18 6 5
9 5 7 8
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 9
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
112,465
2
1.8
Physician Need
4
Status Deficit: -2
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
2
Adequate 0
2015 Projected
Population 119,235
Physician Need 4 2 2 2 2 1 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
112,465
3
2.7
Physician Need
13
Status Deficit: -10
15
Deficit: -12
15
Deficit: -12
9
Deficit: -6
10
Deficit: -7
5
Deficit: -2
9
Deficit: -6
9
Deficit: -6
10
Deficit: -7
2015 Projected
Population 119,235
Physician Need 14 16 16 9 10 6 9
10
11
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 10
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
112,465
5
4.4
Physician Need
14
Status Deficit: -9
11
Deficit: -6
10
Deficit: -5
11
Deficit: -6
8
Deficit: -3
7
Deficit: -2
7
Deficit: -2
5
Adequate 0
11
Deficit: -6
5
Adequate 0
7
Deficit: -2
8
Deficit: -3
2015 Projected
Population 119,235
Physician Need 15 11 10 12 8 7 7 5 12 5 7 8
Physician Specialty Thoracic 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.
1.5
0.8 0.1
0.5
2008 Actual
Population
Physicians /100k
112,465
1
0.9
Physician Need
2
Status Deficit: -1
1
Adequate 0
0
Surplus: 1
1
Adequate 0
2015 Projected
Population 119,235
Physician Need 2
1 0
1
Georgia Physician Workforce: PCSA Reports - 2008
20 PCSA Physician Standard Report
Included Counties: Douglas
Page 11
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
112,465
2
1.8
Physician Need
4
Status Deficit: -2
4
Deficit: -2
4
Deficit: -2
3
Deficit: -1
4
Deficit: -2
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
3
Deficit: -1
2015 Projected
Population 119,235
Physician Need 4 4 4 4 4 3 3
3 2 3 3
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.