The Joint Board of Family Practice $F+$S-tate of Georgia A PHYSICIAN PROFILE 1996 Toward the Year 2000 Distribution of Physicians*, U.S. 1995 per 100,000 population The bi-annual monitoring and understanding of the physician workforce provides for the examination of the geographic distribution of physicians in Georgia. This analysis offers an important tool to (1) determine funding for residency programs (Graduate Medical Education), (2) identify areas of need, (3) plan for health services, (4) locate facilities, and (5) monitor the number.of practicing physicians. Essentially, the national and state overview shown in this workforce analysis indicates a continual maldistribution problem, however, for the first time in Georgia we are beginning to experience a surplus of physicians in many specialties. Physician Supply Georgia vs. United States Rate per 100,000 350 For the'first time in Georgia history we are above the GMENAC standard of 191, the most liberal standard available. However, in 1996 there were not enough physicians in the majority of Georgia counties to meet the demand for medical services. The estimated population for the year 2000 will be 7,703,202, an increase of 494,030 from 1996. Applying the Graduate Medical Education National Advisory Committee (GMENAC) standard of 191 physicians per 100,000 population, an additional 868 medical doctors will be needed to provide services to the people of Georgia by the year 2000. However, by the year 2000 we are expected to add approximately 2,250 new physicians based on current trends. The result will be a surplus of physicians. MALDISTRIBUTION OF PHYSICIANS PHYSICIANS IN GEORGIA Rate* ,Selected Specialties,Urban/Rural, 1990-1996 1992 1990 2 1 1992 22 12 119 196 1992 * Rates are per 100,000 population 164 ** Totals may not equal, due to rounding. Generalists vs. Specialists The number of generalists decreased from 39% in 1986 to 33% in 1996. However, the 1996 percentage for generalists compared to 1994 increased by two percent. Rates for all specialties and areas increased between 1994 and 1996. However, for Family Physicians, Pediatricians, and General Surgeons in rural areas and for "other specialties" in urban areas, the rates did not improve. There has been an increase of "other specialists" in the last ten years, however the percentage did decrease for the first time from 1994 to 1996. Family Practice Pediatrics Internal Medicine - IDI OBIGYN General Surgery El Other Specialties 1986 1990 1992 1994 * Line represents the split between generalists and specialists. 1996 1996 GMENAC REQUIREMENTS GMENAC standard = 191 physicians per 100,000 population Below Standard Above Standard Sixty-five percent of all physicians are located in the eight counties with a population greater than 150,000, which represents 43% of the state's population. Only 15 of Georgia's 159 counties are above the GMENAC standard of 191 physicians per 100,000 population. They are: 1. Baldwin 2. Bibb 3. Chatham 4. Clarke 5. DeKalb 6. Dougherty 7. Floyd 8. Fulton 9. Glynn 10. Hall 11. Muscogee 12. Pulaski 13. Richmond 14. Thomas 15. Tift In 1996, Georgia's physician rate per 100,000population was 192; compared to the rate of 156 in 1990. For the first time in Georgia workforce history the rate is above the GMENAC standard of 191 per 100,000 population. 0 YEAR TRACK OF PHYSICIANS IN GEORGIA, 1986 TO 1996 In Georgia, between 1986 & 1996 there was: A 50.4% increase in the number of Pediatricians from 641 to 964; an increase in OBIGYN of 49.2% (an increase of 294 physicians); and a 54.3% increase in the total number of physicians. The slowest growing specialtiesbetween 1986 and 1996 were Family Practice (41%), General Surgery (22%), and Internal Medicine (13%). Internal Medicine has made a remarkable recovery since the major decrease of 1990. Since 1990, Internal Medicine has grown by 50%. 2,500 I0,WO TOTAL NUMBER OF PHYSICIANS 1986 = 8.975 Family Practice OBIGYN Pediatrics Internal Medicine General Surgery PROJECTED SUPPLY 1998 = 14,981 2000= 16,117 Other specialties PHYSICIANS BY SPECIALTY TOTAL PHYSICIANS BY SPECIALTY, GEORGIA, 1996 Number, Rate, and Practice Counties* SPECIALTY Abdominal Surgery Adolescent Medicine Aerospace Medicine Allergy Allergy and Immunology Anesthesiology Bloodbanking Cardiovascular Diseases Cardiovascular Surgery Child Neurology Child Psychiatry Clinical Pathology Clinical Pharmacology Colon and Rectal Surgery Dermatology Dermatopathology Diabetes Diagnostic Radiology Emergency Medicine Endocrinology FamilyIGeneral Practice Forensic Pathology Gastroenterology General Preventive Medicine General Surgery Geriatrics Gynecology Hand Surgery Head and Neck Surgery Hematology Hypnosis Immunology Infectious Disease Internal Medicine Laryngolog~ Legal Medicine Maxillofacial Surgery Naturopathology Neonatal-Perinatal Medicine Neoplastic Diseases NUMBER OF RATE PER PRACTICE PHYSICIANS 100,000 COUNTIES SPECIALTY NUMBER OF RATE PER PRACTICE PHYSICIANS 100,000 COUNTIES 6 0.08 13 0.18 5 Nephrology 10 Neurological Surgery 109 1.51 29 111 1.54 19 15 0.21 42 0.58 8 Neurology 13 Nuclear Medicine 243 3.37 3 5 12 0.17 4 29 0.40 10 Nuclear Radiology 1 0.01 1 737 10.22 62 Nutrition 8 0.11 5 6 0.08 3 Obstetrics and Gynecology 883 12.25 67 393 5.45 39 Obstetrics 8 0.11 6 74 1.03 12 Occupational Medicine 86 1.19 18 12 0.17 6 Oncology 122 1.69 28 44 0.61 11 Ophthalmology 373 5.17 42 14 0.19 6 Orthopedic Surgery 549 7.62 62 1 0.01 1 Other 89 1.23 20 45 0.62 10 Otology 7 0.10 6 215 2.98 38 Otorhinolaryngology 206 2.86 40 10 0.14 5 Pathology 317 4.40 47 16 0.22 7 Pediatrics 964 13.37 77 300 4.16 48 Pediatric Allergy 5 0.07 5 565 7.84 92 Pediatric Endocrinology 6 0.08 4 72 1.OO 15 Pediatric Hematology-Oncolog 16 0.22 5 1,894 26.27 151 Pediatric Nephrology 3 0.04 2 12 0.17 6 Pediatric Radiology 3 0.04 2 197 2.73 34 Pediatric Surgery 15 0.21 6 38 0.53 7 Physical Medicine and Rehab. 95 1.32 17 69 1 9.59 94 Plastic Surgery 146 2.03 22 16 0.22 8 Psychiatry 823 11.42 54 181 2.51 37 Psychoanalysis 14 0.19 5 9 0.12 8 Psychosomatic Medicine 8 0.11 6 5 0.07 3 Public Health 116 1.61 16 26 0.36 9 Pulmonary Diseases 146 2.03 3 0 4 0.06 3 Radioisotopic Radiology 0 0.00 0 1 0.01 1 Radiology 370 5.13 57 99 1.37 12 Rheumatology 60 0.83 14 1,718 23.83 117 Rhinology 0 0.00 0 2 0.03 2 Therapeutic Radiology 70 0.97 23 4 0.06 3 Thoracic Surgery 3 5 0.49 16 6 0.08 5 Traumatic Surgery 2 0.03 2 1 0.01 1 Urological Surgery 248 3.44 48 56 0.78 11 7 0.10 6 STATETOTAL 13,845 192.05 159 RANK ORDER OF TOP 10 SPECIALTIES, GEORGIA, 1996 Number, Rate, and Practice Counties* SPECIALTY PRACTICE NUMBER RATE COUNTIES SPECIALTY PRACTICE NUMBER RATE COUNTIES 1. FamilyIGeneral Practice 1,894 26.3 151 6. Anesthesiology 737 10.2 62 2. Internal Medicine 1,718 23.8 117 7. General Surgery 69 1 9.6 94 3. Pediatrics 964 13.4 77 8. Emergency Medicine 565 7.8 92 4. Obstetrics and Gyn. 89 1 12.4 73 9. Orthopedic Surgery 549 7.6 62 5. Psychiatry 823 11.4 54 10. Cardiovascular Diseases 393 5.5 12 * Represents the number of counties for that practice specialty. For example, Family Physicians practice in 151 of the 159 counties, or there are 8 counties without a Family Practitioner. PHYSICIANS B Y SPECIAL TY PHYSICIANS PRACTICING IN MORE THAN ONE COUNTY, 1996 * Number and Ranked Percent of Total in Each Specialty SPECIALTY # Yo SPECIALTY # Yo SPECIALTY # Yo Psychosomatic Medicine Ophthalmology General Preventive Med. 10 26.3 Allergy Neurological Surgery Dermatology 56 26.0 Pediatric Surgery Emergency Medicine Pulmonarv Diseases 38 26.0 Allergy and Immunology Plastic Surgery General Surgery 179 25.9 Nephrology Orthopedic Surgery Thoracic Surgery 9 25.7 Oncology Hematology Pathology 80 25.2 Neonatal-Perinatal Med. Diagnostic Radiology Gynecology 42 23.2 Diabetes Other Cardiovascular Diseases Infectious Disease Child Neurology Psychiatry Forensic Pathology Physical Med. and Rehab. Anesthesiology 129 17.5 Therapeutic Radiology Child Psychiatry Public Health 19 16.4 Urological Surgery Radiolog"v. 10torhinolaryngology Colon and Rectal Surgery 80 1 Rheumatolo-m. 38.8 Obstetrics and Gyn. Cardiovascular Surgery 1 248 27.8 11 14.9 Neurology 94 38.7 Endocrinology 20 27.8 -Gastroenterology 7 5 38.1 Pediatrics 255 26.5 STATE TOTAL 3,859 27.9 * Interpretation:19.7%or 338 of all Internal Medicine physicians practice in more than one county Specialties are not listed if less than five physicians practice in multiple counties. All S~ecialties Accepting Medicare and Medicaid * 100 100 DEMOGRAPHICS Gender 80 SO 60 40 20 20 0 Medicare * Response rate was 98.3%for both. Medicaid 0 Race Male Female DEMOGRAPHICS Distribution by Age and Specialty TOTAL PHYSICIANS 25 Specialties I Less than 35 35-39 40-44 45-49 50-54 55-59 60-64 65 and over 25 20 15 10 5 0 Less than 35 35-39 FAMILY PRACTICE 40-44 45-49 50-54 55-59 I 60-64 65 and over 20 15 10 5 0 Less than 35 35-39 INTERNAL MEDICINE 40-44 45-49 50-54 55-59 I 60-64 65 and over Specialties DEMOGRAPHICS Distribution by Age and Specialty PEDIATRICS 20 15 10 5 0 Less than 35 35-39 40-44 45-49 50-54 55-59 60-64 65 and over 20 15 10 5 0 Less than 35 35-39 40-44 45-49 50-54 55-59 60-64 65 and over GENERAL SURGERY 25 20 - 17.1% FAMIL Y PRACTICE PROFILE Physician Need 1996 'I' Physician Need 1994") Between 1992 and 1996 there was an increase in the number of counties not needing additional Family Practice physicians. In 1992,there were 39 counties that did not need additional physicians, in 1994,there were 54 counties, and in 1996, there were 58. Family Practice has increased by approximately 55 physicians per year in the last ten years (1986-1996). More Physicians Counties Needing More Physicians Physician Need 1992 (I) ) Need Based on Joint Board of Family Practice recornendation of 1 to 3,000. .To achieve a standard of one Family Physician per 3,000 persons, an additional 674 physicians will be needed by the year 2000. This increase will require approximately 170 more physicians per year for the next four years. Whereas, normal growth will probably add 75 physicians per year during the next four years. This is one of the few specialties where a deficit is projected by the year 2000. PHYSICIAN NEED 2000 Family Practice Supply vs. Requirements* In Georgia, comparing the projected supply and the requirement for Family Practice physicians in the year 2000, it is apparent a deficit will exist. Utilizing the standard of one Family Practice physician per 3,000 population, this translates into an approximate need of 500 physicians. Current growth indicates we would add about 75 Family Practitioners to the need in Georgia per year. To meet the projected requirement we would need to add about 170 Family Practice physicians per year, or an increase of 95 over the current growth rate. Thus, by 2000, the projection suggests a deficit of 380 Family Practitioners. 2,500 27000 1,500 1,000 500 o 1986 FAMILY PRACTICE NEED (by Area) 1990 1992 1994 1996 1998 2000 Supply Projected Supply Projected ~ e ~ u i r e m e n t * * Requirement based on growth standard of 1:3,000 COUNTY POPULATION NUMBER OF COUNTIES 2000 OBJECTIVE (minus) STATE TOTAL 0 - 9,999 10,000 - 19,999 20,000 - 49,999 50,000 - 149,999 Over 150,000 40 89 45 225 4 1 423 25 71 1 8 1120 METROPOLITAN STATISTICAL AREA (MSA) TOTAL 41 1772 Albany Athens Atlanta Augusta Chattanooga Columbus Macon Savannah 2 4 1 3 50 20 1253 2 101 3 43 3 79 5 105 3 100 NON-MSA TOTAL 118 796 Northwest Northeast Central Southwest Southeast 16 176 17 136 42 175 22 144 21 165 1996 SUPPLY 87 197 339 477 794 1217 27 3 0 708 110 3 0 107 123 82 677 160 117 163 124 113 (equals) - - - - - - - - - - - - - - - NUMBER NEEDED 2 2 8 84 234 326 17 14 20 545 -9 13 -28 -18 18 1 - 16 19 12 20 52 Family Practice PHYSICIAN NEED ADDITIONAL PHYSICIANS NEEDED BY THE YEAR 2000" NUMBER NEEDED U O n e to Four QFive to Nine Greater than Nine u * Based on Standard of 1:3,000 Of the 2,568 Family Practice physicians needed by the year 2000, 1,772 (69%) are projected to be needed in metropolitan statistical areas. An additional 796 (3 1% of the total need) Family Practice physicians will be needed in non-metropolitan statistical areas. Within the Atlanta metropolitan statistical area, an additonal 545 Family Practice physicians will be needed to serve the growing population. TOP 10 COUNTIES IN NEED Between 1996 and 2000, a 35% increase in the number of Family Practice physicians is projected. Counties are ranked in descending order (2000 objective minus 1996 I 1 COBB 1 1 I 2 DEKALB I 3 GWINNETT I supply). Cobb County will need 113 1 4 FULTON I additional Family Practitioners by the year 2000, making it the county 1 I 5 CLAYTON with the greatest need. 1 6 CHEROKEE I Currently, there are eight counties without a Family Practice physician. Further, these counties could be considered as having a greater need than the counties which do have a physician, but show a deficit. 1 I 7 DOUGLAS I 8 HENRY 1 1 9 COWETA 110 PAULDING 1 1996 SUPPLY 2000 NEEDED BY OBJECTIVE 2000 DEMOGRAPHICS Familv Practice Y FAMILY PRACTICE PHYSICIANS (by Average Age) The average age of Family Practice physicians in Georgia in the past ten years (1986-1996) has remained constant (48 years old). Family Practice physicians, 55 years and older, account for 27% (511) of all Family Physicians in Georgia. In Georgia, there are eight counties that do not have a Family Practice physician. However, it is possible that some physicians do practice in those counties that do not have a resident physician. In the last ten years (1986-1996) the average age of Family Practice physicians in metropolitan statistical areas increased slightly from 47 to 48 years old. In non-metropolitan statistical areas, the average age increased fiom 50 to 52 years. I * 1 No physician in the county FAMILY PRACTICE PHYSICIANS (by Gender) PERCENT * Thirteen physicians failed to respond. Family Practice DEMOGRAPHICS FAMILY PRACTICE PHYSICIANS (by Race) Black 11.2% The percentage of white Family Practice physicians decreased slightly from 1992 to 1996. The percentage of black Family Practice physicians increased from 9.8% in 1992 to 11.2% in 1996. From 1992 to 1996, a higher percentage of Asian Family Practice physicians practiced in nonmetropolitan statistical areas than in metropolitan statistical areas. UTILIZATION Familv Practice PHYSICIANS ACCEPTING MEDICAID, MEDICARE AND O.B. PATIENTS MEDICAID I I MEDICARE I I OBSTETRICS I ~l~~~~~ MSA TOTAL 1986 1990 1 1482 MEDICAID I 65.1% 67.8% MEDICARE 81.7% 82.3% OBSTETRICS 2 1.O% 14.7% % Change The percentage of Family Practice physicians accepting Medicaid and Medicare patients was higher in rural areas than in urban areas. A higher percentage of Family Practice physicians in metropolitan statistical areas accepted Medicare compared to Medicaid, whereas in non-metropolitan areas the difference in percentage of Medicaid and Medicare was minimal. There was a 3.6% increase in Obstetric patients seen by Family Practice physicians from 1994 to 1996,but an overall decrease in the last 10 years (1986-1996). ACCEPTING MEDICAID, MEDICARE, AND OB PATIENTS 2,000 " Medicaid Medicare Obstetrics INTERNAL MEDICINE PROFILE TOP TWENTY COUNTIES BY NUMBER OF INTERNISTS * f \ RANK Of the top twenty counties by number for Internists, only five counties are in rural areas. In Georgia, 42 of the state's 159 counties do not have an Internist practicing full-time in the county. 1. Fulton (433)* * 2. DeKalb (269) 3. Richmond (147) 4. Cobb (96) 5. Chatham (76) 6. Bibb (52) 7. Gwinnett (51) 8. Clayton (35) 9. Muscogee (34) 10. Dougherty (29) 11. Fayette (22) 12. Floyd (21) 13. Ha11 (20) 14. Clarke (17) 15. Rockdale (16) 16. Douglas (15) 17. Glynn (14) 18. s ~ a l d i n g(13) 19. Tift (13) 20. Coweta (12) * Numbers correspond to county code. L J ** Numbers in parentheses represent the number of physicians. Supply vs. Requirement S u p p l y Projected Supply UProjected Requirement Applying the GMENAC standard of one Internist per 3,500 persons, a total of 2,201 doctors will be needed in Georgia by the year 2000. In the ten year period (1986-1936), the number of Internists in Georgia increased 13.2%. In accordance with the GMENAC standard, by the year 2000, 121 more Internists will need to be added each year. At current growth rates, Georgia will add approximately 638 Internist by the year 2000. The result will be a surplus by the year 2000. INTERNAL MEDICINE NEED (by Area) COUNTY POPULATION NUMBER OF COUNTIES 2000 OBJECTIVE STATE TOTAL 159 220 1 0 - 9,999 40 76 10,000 - 19,999 45 193 20,000 - 49,999 4 1 3 62 50,000 - 149,999 25 610 Over 150,000 8 960 METROPOLITAN STATISTICALAREA (MSA) TOTAL 4 1 1519 Albany Athens Atlanta Augusta Chattanooga Columbus Macon Savannah 2 35 3 43 20 1074 2 86 3 3 7 3 68 5 90 3 86 NON-MSA TOTAL 118 682 Northwest Northeast Central Southwest Southeast 16 151 17 117 42 150 22 123 21 141 (minus) Internal Medicine 1996 SUPPLY 1718 19 59 159 330 1151 1410 30 18 1023 154 5 3 6 65 79 (equals) - - - - - - - - NUMBER NEEDED \ I 483 1 57 134 203 280 -191 - --- - - I I 109 - 5 - - 25 - 5 1 - - -68 - 32 - - 32 - - 25 - 7 308 - - I 374 I 73 - 78 57 - 60 60 - 90 57 - 66 6 1 - - 80 INTERNISTS (by Gender) NUMBER * 0 loo l O 0 I PERCENT GENDER MSA NON-MSA Male 1996 76.0% 90.8% 1994 79.2% + Female 90.0% 1996 24.0% 9.2% 1994 20.8% 10.0% * Sixteen physicians failed to respond. PEDIA T N C S PROFILE A FULL-TIME PEDIATRICIAN TOP TWENTY COUNTIES BY NUMBER OF PEDIATRICIANS * Of the top twenty counties by number for Pediatricians, only six counties are in rural areas. In Georgia, 82 of the state's 159 counties do not have a Pediatrician practicing full-time in the county. 20. Rockdale (7) * Numbers correspond to county code. **Numbers in parentheses represent the number of physicians. Supply vs. Requirement S u p p l y Projected Supply Projected Requirement Applying the GMENAC standard of one Pediatrician per 8,000 persons, a total of 963 doctors will be needed in Georgia by the year 2000. In the ten year period (1986-1996),the number of Pediatricians in Georgia increased 50%. In 1996,the number of Pediatricians exceeded the GMENAC standard for the year 2000 by one physician. By 2000, it is projected we will have 1,252 Pediatricians or an excess of 289. PEDIATRIC NEED (by Area) COUNTY POPULATION NUMBER OF COUNTIES 2000 OBJECTIVE STATE TOTAL 159 963 0 - 9,999 10,000 - 19,999 20,000 - 49,999 50,000 - 149,999 Over 150.000 METROPOLITAN STATISTICAL AREA (MSA) TOTAL 41 664 Albany Athens Atlanta Augusta Chattanooga Columbus Macon Savannah 2 15 3 19 20 470 2 38 3 16 3 29 5 3 9 3 3 8 NON-MSA - - - TOTAL 118 299 Northwest Northeast Central Southwest Southeast 16 66 17 5 1 42 66 22 54 21 62 (minus) 1996 SUPPLY 964 832 19 16 624 85 4 20 3 0 34 132 27 23 26 26 30 Pediatrics (equals) - - NUMBER NEEDED I -1 I - - I -168 - -4 - - 3 - - -154 - - -47 - - 12 - - 9 - - 9 - - 4 ---- - - I 167 I - 3 9 - - 28 - 40 - 28 - 32 PEDIATRICIANS (by Gender) NUMBER * 86.5% PERCENT MSA NON-MSA Male 1996 56.2% 67.4% 1994 60.4% 70.5% Female 1996 43.8% 1994 39.6% , 32.6% 29.5% * Nine physicians failed to respond. OBSTETRICS & GYNECOLOGY PROFILE f COUNTIES WITHOUT \ A FULL-TIME OBIGYN o f the top twenty counties by number for OBIGYN, only six counties are in rural areas. RANK * TOP TWENTY COUNTIES BY NUMBER OF OB/GYNts * Fulton (230)** DeKalb (79) Richmond (76: Cobb (54) Chatham (43) Gwinnett (4 1) Bibb (39) Clayton (23) Clarke (20) Dougherty (1 8'1 Floyd (16) Ha11 (1 6) Muscogee (16: Houston (1 3) Whitfield (1 3) Fayette (1 0) Douglas (9) Lowndes (9) Troup (9) Baldwin (8) In Georgia, 92 of the state's 159 counties do not have an OBIGYN physician practicing full-time. I I * Numbers correspond to county code. I ** Numbers in pareheres represent the number of physicians. 'I II Supply vs. Requirement S u p p l y OProjected Supply UProjected Requirement Applying the GMENAC standard of one OBIGYN per 10,000 persons, a total of 770 doctors will be needed in Georgia by the year 2000. In the ten year period (1986-1996), the number of OBIGYN physicians in Georgia increased 49%. In 1996, the number of OB/GYNtsexceeded the GMENAC standard for the year 2000 by 121 physicians. By 2000, the projected growth could produce an excess of 283 OB/GYN1s. Obstetrics & Gynecology OBIGYN NEED (by Area) COUNTY POPULATION : STATE TOTAL 0 - 9,999 10,000 - 19,999 20,000 - 49,999 50,000 - 149,999 Over 150,000 NUMBER OF COUNTIES 159 40 45 4 1 25 8 2000 OBJECTlVE 770 27 67 127 213 336 METROPOLITAN STATISTICAL AREA (MSA) TOTAL 41 53 1 Albany Athens Atlanta Augusta Chattanooga Columbus Macon Savannah NON-MSA TOTAL Northwest Northeast Central Southwest (minus) 1996 SUPPLY 89 1 9 11 83 226 562 726 - -- (equals) - - - - - - - NUMBER NEEDED I -121 I 18 56 44 -13 -226 I -195 1 OBIGYN PHYSICIANS (by Gender) NUMBER * GENDER , MSA NON-MSA Male 1996 523 144 1994 500 129 0 loo 1996 195 2 1 1994 162 15 PERCENT 72.8% 87.3% * Eight physicians failed to respond. GENERAL SURGERY PROFILE 1 TIME GENERAL SURGE Of the top twenty counties by number for General Surgeons, only eight counties are in rural areas. In Georgia, 65 of the state's 159 counties do not have a General Surgeon practicing full-time. * TOP TWENTY COUNTIES BY NUMBER OF GENERAL SURGEONS * RANK Fulton (137)** DeKalb (7 1) Richmond (57) Cobb (39) Bibb (35) Chatham (32) Clayton (19) Gwinnett (18) Muscogee (16) Ha11 (14) Coweta (13) Clarke (12) Dougherty (1 1: Floyd (10) Glynn (10) Lowndes (9) Baldwin (8) Whitfield (8) Henry (6) Houston (6) * Numbers correspond to county code. L J ** Numbers in parentheses represent the number of physicians. Supply vs. Requirements S u p p l y Projected Supply Projected Requirement Applying the GMENAC standard of one General Surgeon per 10,000 persons, a total of 770 doctors will be needed in Georgia by the year 2000. In the ten year period (1986-1996), the number of General Surgeons in Georgia increased 22%. In accordance with the GMENAC standard, by the year 2000, approximately 20 General Surgeons will need to be added each year. By 2000, the number of General Surgeons will exceed the GMENAC standard by approximately nine physicians. GENERAL SURGEON NEED (by Area) COUNTY POPULATION - - - - - NUMBER OF 2000 COUNTIES OBECTIVE STATE TOTAL 0 - 9,999 40 27 10,000 - 19,999 45 67 20,000 - 49,999 4 1 127 50,000 - 149,999 25 213 Over 150,000 8 336 METROPOLITAN STATISTICAL AREA (MSA) TOTAL Albany Athens Atlanta Augusta Chattanooga Columbus Macon Savannah 2 12 3 15 20 3 76 2 3 0 3 13 3 24 5 3 1 3 3 0 NON-MSA TOTAL 118 239 Northwest Northeast Central Southwest Southeast 16 53 17 4 1 42 52 22 43 21 50 (minus) General Surperv 1996 SUPPLY (equals) 10 - 27 - 90 - - 175 - 3 89 - - NUMBER NEEDED 17 40 3 7 38 -53 11 - 12 - - 338 - - 59 - - 4 - - 17 - 41 - 33 - - 176 - - 3 7 - 3 0 - 3 6 - 3 5 - 3 8 - 1 3 38 -29 9 7 -10 -3 63 1 16 11 16 8 12 SURGEONS (by Gender) NUMBER * PERCENT GENDER MSA NON-MSA Male 1996 94.9% 97.7% 1994 95.1% 98.3% Female 1996 5.1% 2.3% 1994 4.9% 1.7% * Four physicians failed to respond. GEOGRAPHIC DISTRIBUTION Primary Care PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 1996 Number, Rate and Rank GEOGRAPHIC DISTRIBUTION Priman, Care GEOGRAPHIC DISTRIBUTION Primarv Care GEOGRAPHIC DISTRIBUTION Primarv Care GEOGRAPHIC DISTRIBUTION Primarv Care (1) Source: State Board of Medical Examiners, Georgia Physician Survey, 1996 (2) Rate per 100,000 people (3) Ranked by Rate Northwest Geo GEORGIA 0Metropolitan Statistical Areas (MSA) Non-Metropolitan Statistical Areas Southwest Geor PHYSICIAN NEED BASED ON SELECTED RATIOS, GEORGIA GMENAC (Graduate Medical Education National Advisory Committee) standards for physicians: 1:4,000 for Family Physicians * 1:3,500 for Internists 1:8,000 for Pediatricians 1:10,000 for OBIGYN 1:10,000 for General Surgeons. * The Joint Board of Family Practice has recommended the standard of 1:3,000. SOURCES AND ACKNOWLEDGEMENTS SOURCES: Joint Board of Family Practice, Physician Projile, Toward the Year 2000, March, 1991; December, 1993; andApril, 1995. Joint Board of Family Practice, Family Practice Physician Projile, Toward the Year 2000, March 1991. Joint Board of Family Practice, OB/GYN Physician Profie, Toward the Year 2000, March, 1991. State Composite Board of Medical Examiners, 1986, 1990, 1992, 1994 and 1996 Physician Licensure data. Joint Board of Family Practice, State Board of Medical Examiners and Georgia Department of Human Resources, Georgia Physician Survey, 1990, September, 1990. Joint Board of Family Practice, Quality of Life and the Distribution of Physicians in Georgia: A Disturbing Paradox, December, 1989. Georgia Office of Planning and Budget, 1996 and 2000 Population Projections. U. S. Department of Health and Human Services, GraduateMedical Education National Advisory Committee (GMENAC) Summary Report, Washington, D. C., U.S. Government Printing Office, 1980. U S . Department of Health and Human Services, GraduateMedical Education National Advisory Committee (GMENAC) Summary Report, Washington Government Printing Office, 1981 Pub. No. (HRA)pp. 81-651. U. S. Department of Health and Human Services, and Centersfor Disease Control, Health, UnitedStates, 1991 and Prevention Projile, Table 96, pp. 243-244. .National Center of Health Statistics, Health, UnitedStates, 1993, Hyattsville, Maryland; Public Health Service, 1994, pp. 200-201. American Medical Association. Physician Characteristicsand Distribution in the U.S. (1996-97 Edition). ACKNOWLEDGEMENTS: Appreciation to Andrew Watry, Executive Director, State Composite Board of Medical Examiners, for his support of these efforts. Thanks to Donna Brantley of the Joint 'Board of Family Practice for preparing tables, charts and maps. Physician Workforce - 1996 Toward the Year 2000 Prepared by: G. E. Alan Dever, Ph.D., M.T. Associate Dean for Primary Care Mercer University School of Medicine Colette Sprinkel, M.A., Instructor Mercer University School of Medicine August, 1997 Joint Board of Family Practice Two Northside 75, NW, Suite 302 Atlanta, Georgia 30318-7701 # 1268 9/97 Printed by Medical College of Georgia Printing Services