Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 1 0.4 Physician Need 4 Status Deficit: -3 4 Deficit: -3 4 Deficit: -3 2 Deficit: -1 5 Deficit: -4 3 Deficit: -2 3 Deficit: -2 3 Deficit: -2 5 Deficit: -4 3 Deficit: -2 2015 Projected Population 308,321 Physician Need 4 5 4 2 5 4 3 4 5 4 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 265,503 14 5.3 Physician Need 37 Status Deficit: -23 26 Deficit: -12 24 Deficit: -10 24 Deficit: -10 16 Deficit: -2 10 Surplus: 4 24 Deficit: -10 19 Deficit: -5 20 Deficit: -6 2015 Projected Population 308,321 Physician Need 43 30 28 27 18 12 28 22 23 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 14 5.3 Physician Need 20 Status Deficit: -6 14 Adequate 0 13 Surplus: 1 8 Surplus: 6 8 Surplus: 6 5 Surplus: 9 8 Surplus: 6 10 Surplus: 4 7 Surplus: 7 11 Surplus: 3 9 Surplus: 5 2015 Projected Population 308,321 Physician Need 23 17 15 10 9 6 9 11 8 13 11 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 265,503 2 0.8 Physician Need 10 Status Deficit: -8 7 Deficit: -5 7 Deficit: -5 7 Deficit: -5 7 Deficit: -5 6 Deficit: -4 7 Deficit: -5 4 Deficit: -2 4 Deficit: -2 6 Deficit: -4 8 Deficit: -6 6 Deficit: -4 2015 Projected Population 308,321 Physician Need 11 9 8 9 8 7 8 5 4 6 10 7 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 14 5.3 Physician Need 28 Status Deficit: -14 15 Deficit: -1 14 Adequate 0 14 Adequate 0 18 Deficit: -4 14 Adequate 0 7 Surplus: 7 33 Deficit: -19 16 Deficit: -2 2015 Projected Population 308,321 Physician Need 32 17 16 17 21 16 8 38 19 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 265,503 1 0.4 Physician Need 5 Status Deficit: -4 3 Deficit: -2 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 2015 Projected Population 308,321 Physician Need 6 3 3 2 3 3 2 3 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 32 12.1 Physician Need 84 Status Deficit: -52 121 Deficit: -89 113 Deficit: -81 67 Deficit: -35 44 Deficit: -12 29 Surplus: 3 24 Surplus: 8 43 Deficit: -11 60 Deficit: -28 63 Deficit: -31 2015 Projected Population 308,321 Physician Need 97 141 131 78 51 34 28 50 69 73 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 265,503 5 1.9 Physician Need 11 Status Deficit: -6 8 Deficit: -3 8 Deficit: -3 5 Adequate 0 5 Adequate 0 3 Surplus: 2 9 Deficit: -4 6 Deficit: -1 2015 Projected Population 308,321 Physician Need 13 10 10 5 5 4 11 7 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 3 1.1 Physician Need 6 Status Deficit: -3 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 2015 Projected Population 308,321 Physician Need 7 2 2 3 4 2 2 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 265,503 44 16.6 Physician Need 141 Status Deficit: -97 57 Deficit: -13 53 Deficit: -9 76 Deficit: -32 75 Deficit: -31 80 Deficit: -36 44 Adequate 0 30 Surplus: 14 50 Deficit: -6 58 Deficit: -14 2015 Projected Population 308,321 Physician Need 164 66 62 89 87 93 51 35 59 68 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton 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 265,503 5 1.9 Physician Need 7 Status Deficit: -2 4 Surplus: 1 3 Surplus: 2 3 Surplus: 2 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 2 Surplus: 3 3 Surplus: 2 2015 Projected Population 308,321 Physician Need 8 4 4 3 2 2 3 2 3 Physician Specialty Neurological 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. 1.9 1.1 1.0 1.1 1.4 0.4 0.7 1.0 2008 Actual Population Physicians /100k 265,503 1 0.4 Physician Need 5 Status Deficit: -4 3 Deficit: -2 3 Deficit: -2 3 Deficit: -2 4 Deficit: -3 1 Adequate 0 2 Deficit: -1 3 Deficit: -2 2015 Projected Population 308,321 Physician Need 6 3 3 3 4 1 2 3 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 7 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 265,503 7 2.6 Physician Need 13 Status Deficit: -6 6 Surplus: 1 6 Surplus: 1 9 Deficit: -2 3 Surplus: 4 5 Surplus: 2 3 Surplus: 4 6 Surplus: 1 4 Surplus: 3 5 Surplus: 2 5 Surplus: 2 2015 Projected Population 308,321 Physician Need 15 7 7 10 4 5 4 6 4 6 6 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 265,503 20 7.5 Physician Need 37 Status Deficit: -17 32 Deficit: -12 30 Deficit: -10 26 Deficit: -6 31 Deficit: -11 31 Deficit: -11 27 Deficit: -7 23 Deficit: -3 22 Deficit: -2 21 Deficit: -1 27 Deficit: -7 27 Deficit: -7 2015 Projected Population 308,321 Physician Need 43 37 35 31 36 35 31 27 26 25 31 31 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 8 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 265,503 8 3.0 Physician Need 16 Status Deficit: -8 16 Deficit: -8 15 Deficit: -7 12 Deficit: -4 6 Surplus: 2 8 Adequate 0 13 Deficit: -5 9 Deficit: -1 8 Adequate 0 13 Deficit: -5 11 Deficit: -3 2015 Projected Population 308,321 Physician Need 18 18 17 14 7 10 15 11 10 15 13 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 265,503 12 4.5 Physician Need 22 Status Deficit: -10 18 Deficit: -6 17 Deficit: -5 16 Deficit: -4 16 Deficit: -4 11 Surplus: 1 18 Deficit: -6 8 Surplus: 4 16 Deficit: -4 11 Surplus: 1 16 Deficit: -4 15 Deficit: -3 2015 Projected Population 308,321 Physician Need 26 21 20 18 18 13 21 9 18 13 19 17 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 9 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 265,503 8 3.0 Physician Need 9 Status Deficit: -1 8 Adequate 0 8 Adequate 0 9 Deficit: -1 6 Surplus: 2 8 Adequate 0 8 Adequate 0 2015 Projected Population 308,321 Physician Need 10 10 10 10 7 9 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 265,503 6 2.3 Physician Need 17 Status Deficit: -11 5 Surplus: 1 5 Surplus: 1 17 Deficit: -11 9 Deficit: -3 5 Surplus: 1 11 Deficit: -5 8 Deficit: -2 2015 Projected Population 308,321 Physician Need 19 6 6 20 10 6 13 10 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 10 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 265,503 37 13.9 Physician Need 66 Status Deficit: -29 44 Deficit: -7 41 Deficit: -4 33 Surplus: 4 32 Surplus: 5 42 Deficit: -5 26 Surplus: 11 20 Surplus: 17 37 Adequate 0 35 Surplus: 2 2015 Projected Population 308,321 Physician Need 77 51 48 38 37 49 30 23 43 40 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 265,503 1 0.4 Physician Need 6 Status Deficit: -5 3 Deficit: -2 1 Adequate 0 1 Adequate 0 3 Deficit: -2 6 Deficit: -5 6 Deficit: -5 3 Deficit: -2 2015 Projected Population 308,321 Physician Need 7 3 1 1 3 7 7 4 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 11 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 265,503 14 5.3 Physician Need 36 Status Deficit: -22 20 Deficit: -6 19 Deficit: -5 41 Deficit: -27 14 Adequate 0 11 Surplus: 3 19 Deficit: -5 10 Surplus: 4 15 Deficit: -1 19 Deficit: -5 2015 Projected Population 308,321 Physician Need 42 24 22 47 16 13 22 12 18 22 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 265,503 7 2.6 Physician Need 9 Status Deficit: -2 5 Surplus: 2 5 Surplus: 2 4 Surplus: 3 4 Surplus: 3 3 Surplus: 4 4 Surplus: 3 4 Surplus: 3 3 Surplus: 4 4 Surplus: 3 2015 Projected Population 308,321 Physician Need 11 6 6 4 4 3 4 4 4 5 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 12 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 265,503 16 6.0 Physician Need 30 Status Deficit: -14 36 Deficit: -20 36 Deficit: -20 20 Deficit: -4 23 Deficit: -7 12 Surplus: 4 20 Deficit: -4 21 Deficit: -5 24 Deficit: -8 2015 Projected Population 308,321 Physician Need 35 42 42 24 26 14 24 25 28 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 265,503 2 0.8 Physician Need 4 Status Deficit: -2 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 4 Deficit: -2 2 Adequate 0 2015 Projected Population 308,321 Physician Need 5 3 3 2 1 2 2 1 4 2 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 13 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 265,503 16 6.0 Physician Need 33 Status Deficit: -17 25 Deficit: -9 23 Deficit: -7 26 Deficit: -10 19 Deficit: -3 16 Adequate 0 16 Adequate 0 11 Surplus: 5 26 Deficit: -10 11 Surplus: 5 16 Adequate 0 19 Deficit: -3 2015 Projected Population 308,321 Physician Need 39 29 27 30 22 19 18 13 30 13 19 22 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 265,503 7 2.6 Physician Need 9 Status Deficit: -2 9 Deficit: -2 9 Deficit: -2 8 Deficit: -1 9 Deficit: -2 6 Surplus: 1 8 Deficit: -1 7 Adequate 0 5 Surplus: 2 8 Deficit: -1 8 Deficit: -1 2015 Projected Population 308,321 Physician Need 11 11 10 10 10 7 9 8 6 9 9 Georgia Physician Workforce: PCSA Reports - 2008 39 PCSA Physician Standard Report Included Counties: Clayton Page 14 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.