Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
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
78,000
2
2.6
Physician Need
1
Status Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2015 Projected
Population 82,028
Physician Need 1 1 1 1 1 1 1
1
1 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
78,000
7
9.0
Physician Need
11
Status Deficit: -4
8
Deficit: -1
7
Adequate 0
7
Adequate 0
5
Surplus: 2
3
Surplus: 4
7
Adequate 0
5
Surplus: 2
6
Surplus: 1
2015 Projected
Population 82,028
Physician Need 11 8 7 7 5 3 7
6
6
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
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
78,000
5
6.4
Physician Need
6
Status Deficit: -1
4
Surplus: 1
4
Surplus: 1
2
Surplus: 3
2
Surplus: 3
1
Surplus: 4
2
Surplus: 3
3
Surplus: 2
2
Surplus: 3
3
Surplus: 2
3
Surplus: 2
2015 Projected
Population 82,028
Physician Need 6 4 4 3 2 1 2
3 2 3 3
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
78,000
2
2.6
Physician Need
3
Status Deficit: -1
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
2
Adequate 0
2
Adequate 0
2
Adequate 0
2015 Projected
Population 82,028
Physician Need 3 2 2 2 2 2 2 1 1 2 3 2
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
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
78,000
6
7.7
Physician Need
8
Status Deficit: -2
4
Surplus: 2
4
Surplus: 2
4
Surplus: 2
5
Surplus: 1
4
Surplus: 2
2
Surplus: 4
10
Deficit: -4
5
Surplus: 1
2015 Projected
Population 82,028
Physician Need 9 5 4 4 5 4
2
10 5
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
78,000
21
26.9
Physician Need
25
Status Deficit: -4
36
Deficit: -15
33
Deficit: -12
20
Surplus: 1
13
Surplus: 8
9
Surplus: 12
7
Surplus: 14
13
Surplus: 8
18
Surplus: 3
18
Surplus: 3
2015 Projected
Population 82,028
Physician Need 26 37 35 21 14 9
8
13 18 19
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 4
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
78,000
5
6.4
Physician Need
3
Status Surplus: 2
2
Surplus: 3
2
Surplus: 3
1
Surplus: 4
1
Surplus: 4
1
Surplus: 4
3
Surplus: 2
2
Surplus: 3
2015 Projected
Population 82,028
Physician Need 3 3
3 1 1
1
3 2
Physician Specialty Hematology/Oncology
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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2
1.1 2.1
2008 Actual
Population
Physicians /100k
78,000
1
1.3
Physician Need
3
Status Deficit: -2
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
1
Adequate 0
1
Adequate 0
2
Deficit: -1
1
Adequate 0
1
Adequate 0
2
Deficit: -1
2015 Projected
Population 82,028
Physician Need 3 2 2 3 2 1 1 2 1
1 2
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 5
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
78,000
33
42.3
Physician Need
41
Status Deficit: -8
17
Surplus: 16
16
Surplus: 17
22
Surplus: 11
22
Surplus: 11
24
Surplus: 9
13
Surplus: 20
9
Surplus: 24
15
Surplus: 18
17
Surplus: 16
2015 Projected
Population 82,028
Physician Need 44 18 16 24 23 25
14
9 16 18
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
78,000
1
1.3
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
1
Adequate 0
2015 Projected
Population 82,028
Physician Need 2 1 1 1 1 1 1
1 1
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 6
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
78,000
3
3.8
Physician Need
4
Status Deficit: -1
2
Surplus: 1
2
Surplus: 1
3
Adequate 0
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
2
Surplus: 1
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
2015 Projected
Population 82,028
Physician Need 4 2 2 3 1 1 1
2 1 1 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
78,000
11
14.1
Physician Need
11
Status Adequate 0
9
Surplus: 2
9
Surplus: 2
8
Surplus: 3
9
Surplus: 2
9
Surplus: 2
8
Surplus: 3
7
Surplus: 4
7
Surplus: 4
6
Surplus: 5
8
Surplus: 3
8
Surplus: 3
2015 Projected
Population 82,028
Physician Need 12 10 9 8 10 9 8 7 7 7 8 8
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 7
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
78,000
3
3.8
Physician Need
5
Status Deficit: -2
5
Deficit: -2
4
Deficit: -1
4
Deficit: -1
2
Surplus: 1
2
Surplus: 1
4
Deficit: -1
3
Adequate 0
2
Surplus: 1
4
Deficit: -1
3
Adequate 0
2015 Projected
Population 82,028
Physician Need 5 5 5 4 2 3 4
3 3 4 3
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
78,000
4
5.1
Physician Need
6
Status Deficit: -2
5
Deficit: -1
5
Deficit: -1
5
Deficit: -1
5
Deficit: -1
3
Surplus: 1
5
Deficit: -1
2
Surplus: 2
5
Deficit: -1
3
Surplus: 1
5
Deficit: -1
4
Adequate 0
2015 Projected
Population 82,028
Physician Need 7 6 5 5 5 3 5 2 5 3 5 5
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 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
78,000
3
3.8
Physician Need
3
Status Adequate 0
2
Surplus: 1
2
Surplus: 1
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 82,028
Physician Need 3 3
3 3 2 2
2
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
78,000
2
2.6
Physician Need
5
Status Deficit: -3
1
Surplus: 1
1
Surplus: 1
5
Deficit: -3
3
Deficit: -1
1
Surplus: 1
3
Deficit: -1
2
Adequate 0
2015 Projected
Population 82,028
Physician Need 5 2 1 5 3 1
3
3
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
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
78,000
13
16.7
Physician Need
19
Status Deficit: -6
13
Adequate 0
12
Surplus: 1
10
Surplus: 3
9
Surplus: 4
12
Surplus: 1
8
Surplus: 5
6
Surplus: 7
11
Surplus: 2
10
Surplus: 3
2015 Projected
Population 82,028
Physician Need 20 14 13 10 10 13
8
6 11 11
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
78,000
1
1.3
Physician Need
2
Status Deficit: -1
1
Adequate 0
0
Surplus: 1
0
Surplus: 1
1
Adequate 0
2
Deficit: -1
2
Deficit: -1
1
Adequate 0
2015 Projected
Population 82,028
Physician Need 2
1 0
0
1 2 2 1
Georgia Physician Workforce: PCSA Reports - 2008
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Included Counties: Rockdale
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
78,000
6
7.7
Physician Need
11
Status Deficit: -5
6
Adequate 0
6
Adequate 0
12
Deficit: -6
4
Surplus: 2
3
Surplus: 3
6
Adequate 0
3
Surplus: 3
4
Surplus: 2
6
Adequate 0
2015 Projected
Population 82,028
Physician Need 11 6 6 13 4 3
6 3 5 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
78,000
4
5.1
Physician Need
9
Status Deficit: -5
11
Deficit: -7
11
Deficit: -7
6
Deficit: -2
7
Deficit: -3
4
Adequate 0
6
Deficit: -2
6
Deficit: -2
7
Deficit: -3
2015 Projected
Population 82,028
Physician Need 9 11 11 6 7 4 6
7
7
Georgia Physician Workforce: PCSA Reports - 2008
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Included Counties: Rockdale
Page 11
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
78,000
7
9.0
Physician Need
10
Status Deficit: -3
7
Adequate 0
7
Adequate 0
8
Deficit: -1
5
Surplus: 2
5
Surplus: 2
5
Surplus: 2
3
Surplus: 4
8
Deficit: -1
3
Surplus: 4
5
Surplus: 2
6
Surplus: 1
2015 Projected
Population 82,028
Physician Need 10 8 7 8 6 5 5 3 8 3 5 6
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
78,000
4
5.1
Physician Need
3
Status Surplus: 1
3
Surplus: 1
3
Surplus: 1
2
Surplus: 2
3
Surplus: 1
2
Surplus: 2
2
Surplus: 2
2
Surplus: 2
1
Surplus: 3
2
Surplus: 2
2
Surplus: 2
2015 Projected
Population 82,028
Physician Need 3 3 3 3 3 2 2
2 2 2 2
Georgia Physician Workforce: PCSA Reports - 2008
24 PCSA Physician Standard Report
Included Counties: Rockdale
Page 12
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.