Physician workforce 2000

The Georgia Board for Physician Workforce State of Georgia

PHYSICIAN PROFILE
Distribution of Physicians, U.S. 1998*
per 100,000population

The 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) identrfy 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, in Georgia many areas are considered to have an adequate number of physicians.

Physician Supply
Georgia vs. United States
Rate per 100,000

There have been major changes in the growth of population and of physicians in the last decade. The population in Georgia increased by 26.4% from 1990to 2000. In 1990the population was 6,478,216 and in 2000 it was 8,186,453. The rate of physician increase during
the decade was 23.1%, slightly less than the population growth. In the U.S. the population increased by 13.2%
during the decade, while the physician rate increased by
21.1%. Obviously, Georgia has outpaced the country in
population growth, yet only had a moderate increase in the rate of physician growth compared to the U.S.

"

1990

1994

1998

1992

1996

2000

* Source: www.cdc.pov/nchs . Rankings are quattiled.

I

Georgia U.S.

I

MALDISTRIBUTION OF PHYSICIANS

LOCATION
URBAN 2000
1992 RURAL 21090900

PHYSICIANS IN GEORGIA
Rate*, Selected Specialties, UrbanlRural, 1990-2000
Specialties by Rate

Family Internal
20 22

nGeneral Other 10

27

26

10

STATE 2000

7

3 8

E0lTotal Rate**
pq

1990
* Rates are per 100,000 population
*
Generalists vs. Specialists
The number of generalists increasedfiom 31.7%in 1990to 36.9%in 2000. Between 1998 and 2000 there was a 1.0% increase in generalists.
Rates incaeased for I n t d Medicine; Pediatrics remained constant;Family Practice, OBIGYN and General Surgery rates have not changed signif~cantlysince 1994.
There has been an increase in the rate of "otherspecialists"from 1990to 1994; however, since that time the rate has decreased.

12

10

164

10

10

I

. 1 ** Totals may not equal, due to rounding.
Other Specialties k$! OBIGYN Internal Medicine
General Surgery Pediatrics Family Practice

1990
2

1992

1994

1996

1998

2000

*Line rep-esents the distinction between generalists and specialists.

DISTRIBUTION OF PHYSICIANS, GEORGIA*
Excellent (>l25) Good (78-125) Fair (43-77) Poor (<43)

u

per 100,000 population.

PHYSICIAN RATE
~n2000, Georgia's physicianrate per 100,000 population was 192;comparedto therate of 156 in 1990.
The distributionof physicians in Georgiais primarily concentratedin metropolitan counties. The ten highest ranking counties are:
1. Richmond 2. Fulton 3. Bibb 4. DeKalb 5. Thomas 6. Floyd 7. Baldwin 8. Clarke 9. Dougherty 10. Chatham
Sixty-fivepercent of all physicians are located in thenine countieswith a populationgreater than 150,000,which represents45%of the state's population.

PHYSICIANS IN GEORGIA, 1990 TO 2000

In Georgia, between 1990 & 2000 there was:
A 122.2%increase in the number of Pediatriciansfrom 631 to 1402; an increase in Internists of 97.9% (an increase of 1,120 physicians); and a 52.2%increase in the total number of physicians.

I TWTAL NUMBER
OF PHYSICIANS

Family Practice

Pediatrics

General Surgery

Internal Medicine

OBIGYN

0ther specialties

PHYSICIANS BY SPECIALTY

TOTAL PHYSICIANS BY SPECIALTY, GEORGIA, 2000
Number, Rate, and Practice Counties*

SPECIACTY

NUMBER OF RATE PER PRACTICE PHYSICIANS 100,000 COUNTIES

SPECIALTY

Abdominal Surgery Addiction Medicine Addiction Psychiatry Adolescent Medicine Aerospace Medicine Allergy Allergy and Immunology Anesthesiology Bloodbanking Broncho-Esophagology Cardiovascular Diseases Cardiovascular Surgery 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 Laryngology Legal Medicine Maxillofacial Surgery Neonatal-Perinatal Medicine Neoplastic Diseases Nephrology

13 14 2 5 10 18 53 783 6 2 387 47 23 14 1 26 244 2 12 265 732 63 2,143 2 217 49 771 19 184 3 2 28 3 7 98 2,264 0 5 11 26 7 105

0.16 0.17 0.02 0.06 0.12 0.22 0.65 9.56 0.07 0.02 4.73 0.57 0.28 0.17 0.01 0.32 2.98 0.02 0.15 3.24 8.94 0.77 26.18 0.02 2.65 0.60 9.42 0.23 2.25 0.04 0.02 0.34 0.04 0.09 1.20 27.66 0.00 0.06 0.13 0.32 0.09 1.28

7 Neurological Surgery 8 Neurology 2 Neuropathology 5 Nuclear Medicine 5 Nuclear Radiology 10 Nutrition 20 ObstetricdGynecology 63 Occupational Medicine 3 Oncology 2 Ophthalmology 38 Orthopedic Surgery 10 Other 10 Otology 7 Otorhinolaryngology 1 Pain Medicine 13 Pathology 40 PediatricAllergy 1 Pediatric Endocrinology 8 Pediatric Hematology-Oncol. 60 PediatricNephrology 95 Pediatric Neurology 13 Pediatric Radiology 151 Pediatric Surgery 2 Pediatrics 39 Physical Medicine & Rehab. 14 Plastic Surgery 94 Psychiatry 6 Psychoanalysis 41 Psychosomatic Medicine 3 Public Health 2 Pulmonary Diseases 8 Radioisotopic Radiology 3 Radiology 3 Rheumatology 16 Rhinology 133 TherapeuticRadiology 0 Thoracic Surgery 4 Traumatic Surgery 7 Urological Surgery 10 Unknown 5 28 STATETOTAL

NUMBER OF RATE PER PRACTICE PHYSICIANS 100,000 COUNTIES

110

1.34

20

26 1

3.19

3 5

1

0.01

I

11

0.13

5

3

0.04

2

6

0.07

6

986

12.04

80

89

1.09

19

129

1.58

24

389

4.75

53

556

6.79

66

113

1.38

26

4

0.05

4

255

3.1 1

53

14

0.17

7

369

4.51

46

3

0.04

3

8

0.10

5

2

0.02

2

4

0.05

3

I1

0.13

5

2

0.02

2

12

0.15

5

1,402

17.13

94

119

1.45

24

149

1.82

24

912

11.14

70

2

0.02

I

3

0.04

3

95

1.16

11

157

1.92

27

1

0.01

1

480

5.86

59

61

0.75

17

2

0.02

2

55

0.67

25

3 5

0.43

15

4

0.05

2

249

3.04

45

6

15,736

192.22

159

RANK ORDER OF TOP 10 SPECIALTIES, GEORGIA, 2000
Number, Rate, and Practice Counties*

SPECIALTY

PRACTICE NUMBER RATE COUNTIES

SPECIALTY

PRACTICE NUMBER RATE COUNTIES

1. Internal Medicine

2,264

27.7

133

6. Anesthesiology

783

9.6

63

2. FamilyIGeneral Practice 2,143

26.2

151

7. General Surgery

77 1

9.4

94

3. Pediatrics

1,402

17.1

94

8. Emergency Medicine

732

8.9

95

4. ObstetricdGynecology

986

12.0

15. Psychiatry

912

11.1

80

9. Orthopedic Surgery

1 70

10. Radiology

556

6.8

480

5.9

66
59 I

Representsthe number of countiesfor that practice specialty. For example, Family Physicians practice in 151of the 159counties,or there are 8 countieswithout a

Family Practitioner.

4

PHYSICIANS BY SPECIALTY

PHYSICIANS PRACTICING IN MORE THAN ONE COUNTY, 2000
Number and Percent of Total for Each Specialty

SPECIALTY

#

Yo

SPECIALTY

#

'Yo

SPECIALTY

#

%

Pediatric Endocrinology

5 62.50 Neurology

Internal Medicine

321 14.18

Allergy and Immunology

30 56.60 Physical Medicine & Rehab.

Plastic Surgery

21 14.09

Oncology

53 41.09 Dermatology

Occupational Medicine

12 13.48

Allergy

7 38.89 Emergency Medicine

Anesthesiology

104 13.28

Radiology

180 37.50 Endocrinology

General Preventive Medicine 6

12.24

Cardiovascular Diseases

137 35.40 Gastroenterology

FamilyIGeneral Practice

259 12.09

Otorhinolaryngology

89 34.90 Psychiatry

Rheumatology

7

11.48

Neonatal-Perinatal Medicine 9 34.62 General Surgery

Therapeutic Radiology

19 34.55 Pathology

Nephrology

36 34.29 Other

Orthopedic Surgery

189 33.99 Neurological Surgery

Ophthalmology

125 32.13 Pediatrics

Urological Surgery

77 30.92 Public Health

Colon & Rectal Surgery

8 30.77 Gynecology

Child Psychiatry

7 30.43 Pulmonary Diseases

Diagnostic Radiology

75 28.30 Cardiovascular Surgery

ObstetricsIGynecology

276 27.99 Infectious Disease

STATE TOTAL

3,409 21.7

Interpretation: 14.18%or 321 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 Specialties
Acce~tinf!Medicare and Medicaid *

DEMOGRAPHICS
Gender*

100

100

80

80

60

60

40

40

20
0
Medicare

Medicaid

20 0
Race

Male

Female

*Response rate in 2000 was 95.8%.

White

White

865% 7 g 8 4 . 9 %? g g 4 - l %

White

White

Tg80-2%

? - - White
g79.0%

Black 6.5%

Black 7.6%

Black 8.1%

Black 8.9%

103%

I

1 * Respolr~erate in 2000 was 92.9%.

DEMOGRAPHICS
Distriliution by Age and Specialty
TOTAL PHYSICIANS

Less than 35 35-39

40-44

45-49

50-54

55-59

60-64 65 and over

FAMILYIGENERAL PRACTICE

Less than 35 35-39

40-44
1 1992

45-49

50-54

55-59

1 1994 19% 1998 m2000

60-64 65 and over

INTERNAL MEDICINE

Less than 35 35-39

40-44

45-49

55-59

60-64 65 and over

Specialties

DEMOGRAPHICS
Distribution by Age and Specialty
PEDIATRICS

Less than 35 35-39

60-64 65 and over

Less than 35 35-39

40-44

45-49
-

50-54

55-59

60-64 65 and over

GENERAL SURGERY

Less than 35 35-39

40-44

45-49

50-54

55-59

60-64 65 and over

FAMZL Y PRACTICE

f

*\

COUNTIES WITHOUT A FULL-

TIME FAMILY PRACTICE

PHYSICIAN

Four of the top twenty counties for Family Practice physicians, when ranked by number, are in rural areas.
In Georgia, only eight of the state's 159 counties do not have a hll-time Family Practice physician.

TOP TWENTY COUNTIES BY NUMBER OF
FAMILY PRACTICE PHYSICIANS *

f

\

RANK

1 . Fulton (178)** 2. DeKalb (147) 3. Gwinnett (1 16) 4. Muscogee (105) 5. Cobb (99) 6. Richmond (98) 7. Bibb (76) 8. Chatham (76) 9. Floyd (61) 10. Clayton (47) 1 1. Dougherty (35) 12. Clarke (31) 13. Ha11 (30) 14. Henry (30) 15. Whitfieid (28) 16. Baldwin (27) 17. Bartow (25) 18. Cherokee (24) 19. Fayette (24) 20. Forsyth (23)

* Numbers correspond to county code.

L

J

** Numbers in parenthesesrepresent the number of physicians.

Physician Supply

In the ten year period (1990-2000), the number of Family Physicians in Georgia increased 43.2%.
Applying the Georgia Board for Physician Workforce standard, the current state supply of 2,143 Family Physicians is within the recommended range of 1,441 to 2,702.
Utilizing the Georgia Board for Physician Workforce standard of a +I- 0.5 standard deviation, there are 39 Georgia counties that have a deficit of Family Practitioners.

Physician Distribution - 2000: Deficit,
Adequate, and Surplus counties1
Adequate Surplus

Family Practice

*=Deficit < 1 physicianS

(1) A county is categorized as surplus, adequate, or deficit based on the Georgia Board for Physician Workforce standard of +I-0.5 standard deviation of the physician rate per 100,000 in 1998.
(2) The sum of the categorized counties does not equal the state total because all physician locations could not be determined.
(3) The range for physician need is based on the Georgia Board for Physician Workforce standard of +I- 0.5 standard deviation.
(4) Physician status is classifiedby comparingthe physician supply to the range as defined by the Georgia Board for Physician Workforce. For example, deficit counties show a supply of 240 physicians which is below the defined range (311-584).
(5) Not all deficit counties require a full-time physician.

FAMILY PHYSICIANS (by Gender)

GENDER Male
2000 1998 Female 2000

NUMBER
MSA NON-MSA

1013

612

1001

600

314

110

P- E-- R-C.- E-NT

I GENDER MSA NON-MSA

Male

I

* Ninety-four physicians failed to respond to
one or both questions.

INTERNAL MEDICINE

f

\

COUNTIES WITHOUT

A FULL-TIME INTERNIST

TOP TWENTY COUNTIES BY NUMBER
OF INTERNISTS *

f

\

RANK

For Internists, five of the top twenty counties ranked by number are in a rural area.
In Georgia, 26 of the state's 159 counties do not have a full-time Internist practicing in the county.

1. Fulton (523)** 2. DeKalb (335) 3. Richmond (176) 4. Cobb (122) 5. Gwinnett (80) 6. Chatham (76) 7. Bibb (66) 8. Dougherty (40) 9. Muscogee (40) 10. Clayton (36) 1 1 . Ha11 (33) 12. Houston (33) 13. Fayette (29) 14. Clarke (27) 15. Rockdale (26) 16. Lowndes (24) 17. Floyd (22) 18. Glynn (22) 19. Douglas (21) 20. Ware (21)
* Numbers correspond to county code

L

/

** Numbers in parenthesesrepresent the number of physicians

Physician Supply

In the ten year period (1990-2000), the number of Internists in Georgia increased 97.9%.
Applying the Georgia Board for Physician Workforce standard, the current state supply of 2,264 Internists is within the recommended range of 851 t o 3 , l l l .
Utilizing the Georgia Board for Physician Workforce standard of a +I- 0.5 standard deviation, there are 62 Georgia counties that have a deficit of Internists.

Physician Distribution - 2000: Deficit,
Adequate, and Surplus counties1
Adequate

Internal Medicine

*= Deficit < 1 physician5

INTERNISTS (by Gender)

GENDER Male

NUMBER
MSA NON-MSA

(1) A county is categorized as surplus, adequate, or deficit based on the Georgia Board for Physician Workforce standard of +I-.5 standard deviation of the physician rate per 100,000 in 1998.
(2) The sum of the categorized counties does not equal the state total because all physician locations could not be determined.
(3) The range for physician need is based on the Georgia Board for Physician Workforce standard of +I- .5 standard deviation.
(4) Physician status is classified by comparing the physician supply to the range as defined by the Georgia Board for Physician Workforce. For example, deficit counties show a supply of 89 physicians which is below the defined range (156-570).
(5) Not all deficit counties require a full-time physician.

Female 2000

GENDER Male
2000 1998 Female 2000 1998

PERCENT
MSA NON-MSA

73.9% 74.5%

87.5% 87.5%

26.1% 25.5%

12.5% 12.5%

* One hundred forty-one physicians failed to respond to

Male Female

one or both questions.

11

f

\

COUNTIES WITHOUT

A FULL-TIME PEDIATRICIAN

TOP TWENTY COUNTIES BY
NUMBER OF PEDIATRICIANS *

For Pediatricians, three counties of the top twenty, when ranked by number, are in rural areas.
In Georgia, 65 of the state's 159 counties do not have a full-time Pediatrician practicing in the county.

RANK
1. Fulton (293)** 2. DeKalb (220) 3. Cobb (1 12) 4. Richmond (106 5. Gwinnett (91) 6. Chatham (55) 7. Bibb (45) 8. Clayton (33) 9. Muscogee (26) 10. Ha11 (23) 1 1. Clarke (22) 12. Dougherty (20) 13. Douglas (17) 14. Whitfield (15) 15. Carroll (14) 16. Fayette (14) 17. Houston (13) 18. Cherokee (12) 19. Floyd (12) 20. Henry (1 1)

* Numbers correspond to county code.

** Numbers in parentheses representthe number of physicians.

Physician Supply

In the ten year period (1990-2000), the number of Pediatricians in Georgia increased 122%.
Applying the Georgia Board for Physician Workforce standard, the current state supply of 1,402 Pediatricians is within the recommended range of 581to 2,038.
Utilizing the Georgia Board for Physician Workforce standard of a +I-0.5 standard deviation, there are 93 Georgia counties that have a deficit of Pediatricians.

Physician Distribution - 2000: Deficit,
Adequate, and Surplus counties1
Adequate

Pediatrics

*= Deficit < 1 physicianS

PEDIATRICIANS (by Gender)

NUMBER

I GENDER MSA NON-MSA

Male

I

19981 621

114

Female I

(1) A county is categorized as surplus, adequate, or deficit based on the Georgia Board for Physician Workforce standard of +I-.5 standard deviation of the physician rate per 100,000 in 1998.
(2) The sum of the categorized counties does not equal the state total because all physician locations could not be determined.
(3) The range for physician need is based on the Georgia Board for Physician Workforce standard of +I-.5 standard deviation.
(4) Physician status is classified by comparing the physician supply to the range as defined by the Georgia Board for Physician Workforce. For example, deficit counties show a supply of 43 physicians which is below the defined range (134-471).
(5) Not all deficit counties require a full-time physician.

PERCENT

IGENDER

I I MSA NON-MSA

* Eighty-six physicians failed to respond to

one or both questions.

13

OBSTETMCS & GYnECOLOGY

TOP TWENTY COUNTIES BY
NUMBER OF OB/GYN1s*

\
RANK

For OBIGYN, four counties of the top twenty, when ranked by number, are in rural areas.
In Georgia, 79 of the state's 159 counties do not have a full-time practicing OBIGYN physician.

1. Fulton (240)**
2. DeKalb (74) 3. Cobb (71) 4. Richmond (60; 5. Chatham (49) 6. Gwinnett (49) 7. Bibb (45) 8. Clarke (25) 9. Clayton (21) 10. Ha11 (18) 1 1. Muscogee (1 8) 12. Dougherty (16' 13. Whitfield (16) 14. Floyd (15) 15. Fayette (12) 16. Glynn (12) 17. Henry (12) 18. Houston (12) 19. Cherokee (1 1) 20. Douglas (lo)
Numbers correspond to county code.

\

1

** Numbers in parenthesesrepresent the number of physicians.

Physician Supply

In the ten year period (1990-2000), the number of OBIGYN physicians in Georgia increased 55.5%.
Applying the Georgia Board for Physician Workforce standard, the current state supply of 986 OBIGYN physicians is within the recommended range of 377 to 1,490.
Utilizing the Georgia Board for Physician Workforce standard of a +I- 0.5 standard deviation, there are 90 Georgia counties that have a deficit of OBIGYN physicians.

Physician Distribution - 2000: Deficit,
Adequate, and Surplus counties1
Adequate Surplus

Obstetrics & Gynecology

*= Deficit < 1 ~h~sician'

(1) A county is categorized as surplus, adequate, or deficit based on the
Georgia Board for Physician Workforce standard of +I- .5 standard
deviation of the physician rate per 100,000 in 1998.
(2) The sum of the categorized counties does not equal the state total because all physician locations could not be determined.
(3) The range for physician need is based on the Georgia Board for
Physician Workforce standard of +I- .5 standard deviation.
(4) Physician status is classified by comparing the physician supply to the range as defined by the Georgia Board for Physician Workforce. For example, deficit counties show a supply of 18 physicians which is below the defined range (82-325).
(5) Not all deficit counties require a kll-time physician.

OBIGYN PHYSICIANS (by Gender)

GENDER Male
2000 1998 Female 2000 1998

NUMBER
MSA NON-MSA

507

160

503

151

245

33

226

20

P- - E- R. C--E-NT-

I GENDER MSA NON-MSA

Male

I

19981 69.0%
Female I

88.3%

* Forty-one physicians failed to respond to
one or both questions.

GENERAL SURGERY

f

\

COUNTIES WITHOUT A FULL-

TIME GENERAL SURGEON

TOP TWENTY COUNTIES BY
NUMBER OF GENERAL SURGEONS *

r

\

RANK

General Surgeon

For General Surgeons, six of the top twenty counties, when ranked by number, are in rural areas.
In Georgia, 65 of the state's 159 counties do not have a full-time practicing General Surgeon.

1 . Fulton (147)** 2. DeKalb (102) 3. Richmond (61) 4. Bibb (36) 5. Cobb (35) 6. Chatham (33) 7. Clayton (22) 8. Gwinnett (19) 9. Dougherty (16; 10. Ha11 (15) 1 1 . Muscogee (14) 12. Floyd (13) 13. Glynn (1 1) 14. Whitfield (lo) 15. Clarke (9) 16. Lowndes (9) 17. Cherokee (8) 18. Baldwin (7) 19. Carroll (7) 20. Coweta (7)

* Numbers correspondto county code.

\

J

** Numbers in parentheses representthe number of physicians.

Physician Supply

In the ten year period (1990-2000), the number of General Surgeons in Georgia increased 36.7%.
Applying the Georgia Board for Physician Workforce standard, the current state supply of 771 General Surgeons is within the recommended range of 221 to 1,220.
Utilizing the Georgia Board for Physician Workforce standard of a +I-0.5 standard deviation, there are 70 Georgia counties that have a deficit of General Surgeons.

General Surperv

Physician Distribution - 2000: Deficit,
Adequate, and Surplus counties1
Adequate Surplus

Population

Counties

PHYSICIAN
~an~e'
1 S U P P ~ Y ~ Low High

status4

- State ....8...,.1..8..6..,.4...5..3...-i.............1..5..9..1.........7...7..1.....i.......2...2...1...&....1...,.2..2...0....1:.......W....i.t.h..i.n...R...a..n.g..e........

Deficit

Counties ......1..,.3..2..0..,.4..9..4...-i................7..0..:..............7....-.1..........3..6....-1........1...9...7...f:.........B...e.l..o..w....R...a..n..g..e.....

Adequate
Counties ....4..,.6..0..0..,.5..9..2....1.*...............7...1..1..........3...3..7...*1........1...2...4..4........6...8..6....i........W....i.t..h..i.n..R...a..n...g..e.....

Surplus

1 Counties 2,265,367

181 4 2 2 i 6 1 1 3 3 8 : AboveRange

*= Deficit < 1 physician5

( I ) A county is categorized as surplus, adequate, or deficit based on the Georgia Board for Physician Workforce standard of +I- .5 standard deviation of the physician rate per 100,000 in 1998.
(2) The sum of the categorized counties does not equal the state total because all physician locations could not be determined.
(3) The range for physician need is based on the Georgia Board for Physician Workforce standard of +/- .5 standard deviation.
(4) Physician status is classified by comparingthe physician supply to the range as defined by the Georgia Board for Physician Workforce. For example, deficit counties show a supply of 7 physicians which is below the defined range (36-197).
(5) Not all deficit counties require a full-time physician.

SURGEONS (by Gender)

NUMBER

I GENDER

MSA NON-MSA

Male

I

97.2% 96.0% 95.6%

Female 2000 1998

PERCENT

1 GENDER

MSA NON-MSA

Male

I

Female

2.1% 2.4%

* Thirty-one physicians failed to respond to
one or both questions.

1 GEOGRAPHIC DISTMBUTZON

Primary Care

PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2000
Number, Rate and Rank

GEOGRAPHIC DZSTRIB UTION

Primary Care

PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2000
Number, Rate and Rank

County

Population

NUMBER OF PHYSICIANS BY SPECIALTY (1)

PRIMARY CARE (Generalists)

Family Practice Internal Medicine

Pediatrics

OBlGYN

TOTAL ALL General Surgery SPEC.

19

GEOGRAPHIC DISTRIBUTION

Primary Care

PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2000
Number, Rate and Rank

County

Population 2000

NUMBER OF PHYSICIANS BY SPECIALTY (1)

TOTAL

PRIMARY CARE (Generalists)

ALL

Family Practice Internal Medicine

# Rate (2) Rank (3) # Rate Rank

I

I

I

I

- Pediatrics

OBlGYN

General Surgery SPEC.

# Rate Rank # Rate Rank # Rate Rank #

I

I

I

I

I

I

GEOGRAPHIC DISTRIB UTZON

Primary Care

PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2000
Number, Rate and Rank

GEOGRAPHIC DZSTRTBUTZON

Primary Care

PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2000

Number, Rate and Rank

I nn

NUMBER OF PHYSICIANS BY SPECIALTY (1)

I

(1) Source: State Board of Medical Examiners, Georgia Physician Survey, 2000 (2) Rate per 100,000people (3) Ranked by Rate

GEORGIA
COUNTIES WITHOUT A FULL-TIME PRACTICING PHYSICIAN*
No Full-Time Physician

Echols

U

* While no physicians show these counties as their primary practice site, physicians in
other counties may provide care to the residents of these counties.

SELECTED STANDARDS
PHYSICIAN WORKFORCE STANDARDS BY SELECTED SPECIALTY*
Rates Per 100,000 Population

General Surgery

- 2.7 14.9 (70)

9.4 (120) 8.8 (113) 9.7 (122) 7.3 (103)

7.0

6.2

5.9

4.2

SPECIALISTS Allergy Anesthesiology Cardiology Dermatologv
Emereencv Medicine I
Endocrinology Hematology/Oncology Infectious Disease Nephrology Neurology
--
Neurosurgery Opthaltnology

----

1.5

1.4

0.8

1.3

1.7

1.2

1.1

----

---

9.7

9.1

8.9

7.8

5.9

3.9

9.0

----

----

5.4

5.0

3.1

3.5

3 .O

1.8

2.9

----

----

2.8

2.6

____I

5.5 1

5.2 1

2.8 5.41

2.5
5.6 1

2.5
6.7 1

2.4
5.3 1

_2_._6_ (

1.6
----

----

11.1

11.O

10.8

10.9

10.9

11.1 ----

0.61

----

2.5

2.4

3.6

2.4

2.3

1.8

1.6

2.6

----

0.7

0.6

0.9

0.8

1.2

0.7

0.6

----

----

1.4

1.3

1.1

1 .O

0.8

0.7

0.9

----

----

2.4

2.3

3.3

2.0

1.3

1.7

1.2

----

----

11.1

1.01

11.1

1.0)

1.41 ----

/0.4

----

5.91

15.5

4.61

14.4

12.4

13.1

15.0

--
Thoracic Surgery

----

---- ----

/0.8

/0.5

10.1

----

----

Urology

--

3.51

13.3

13.1

3.1 (

13.3

12.3

2.9 1

* Standards are presented as rates per 100,000 population.

** The number in ( ) representsthe number of counties that are below the standard. The New York State Model assessedphysician

workforce need in this manner."

24

SELECTED STANDARDS
(1) McClendon, B., R. Polizer, E. Christain, and E. Femandez. 1997. Downsizing the Physician Workforce. Public Health Reports. MayIJune 112:231-239.
(2) GraduateMedical Education National Advisory CommitteeSummary Report. 1981. Pub. No. (HRA) 81-651. Washington: Government Printing Office.
(3) American Medical Association. 1996. Physician Characteristicsand Distribution in the US., 1995/1996. Chicago.
(4) American OsteopathicAssociation. 1993. 1994 Yearbookand Directory ofOsteopathicPhysicians. 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. 155-70.
(6) Weiner, J.P. 1994. Forecasting the Effects of Health Reform on U.S. Physician Workforce Requirement. J A M 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 ofMedicine 328:148-152. See also, related NAPS Document 04998.
(9) Vansdow, N.A. The Physician Workforce: Issues for Academic Medical Centers. Forum on the Future ofAcademic Medicine. December 2, 1996.
(10) Forte, G.J., Dionne, M., Beaulieu, M., and Salsberg, E. Profie ofNew YorkState Physicians. Rensselaer, NY:Center
for Health Workforce Studies, School of Public Health, SUNY Albany. April 2001.
PHYSICIAN NEED BASED ON SELECTED RATIOS, GEORGIA
GMENAC (Graduate Medical Education National Advisory Committee) standards for physicians: 1:3,500 for Internists 1:4,000 for Family Physicians 1:8,000 for Pediatricians 1:10,000 for OBIGYN 1:10,000 for General Surgeons

GEORGIA
Northwest Geo
Southwest Georgia
Metropolitan Statistical Areas (MSA) (Urban) Non-Metropolitan Statistical Areas (Rural)

SOURCES AND ACKNOWLEDGEMENTS
SOURCES:
American Medical Association. Physician Characteristicsand Disttibution in the U.S. (2001-2002Edition). GeorgiaBoardfor Physician Wor~orcdJoinBt oard of Famly Practice, Physician Profile, Toward the Year 2000, March, 1991; December, 1993; April, 1995; August, 1997; and May, 2000. Georgia Oflce of Planning and Budget, 2000 U.S. Census Counts. Joint Board of Family Practice, Family Practice Physician Profile, Toward the Year2000, March 1991. Joint Board of Family Practice, OB/GYN Physician Profile, Toward the Year 2000, March, 1991. 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 Disiribution of Physicians in Georgia: A Disturbing Paradox, December, 1989. National Center of Health Statistics, Health, United States, 1998, Hyattsville, Maryland; Public Health Service. State Composite Board of Medical Examiners, 1990, 1992, 1994, 1996, 1998 and 2000 Physician Licensure data.
U.S. Department of Health and Human Services, GraduateMedical Education NationalAdvisory Committee (GMENAC)
Summary Report, Washington,D.C., US. Government Printing Ofice, 1980. US. Department of Health and Human Services, GraduateMedical Education National Advisory Committee (GMENAC)Summary Report, WashingtonGovernmentPrinting Oflce, 1981 Pub. No. (HRA)pp. 881-651.
U.S. Department of Health and Human Services, and Centersfor Disease Control,Health, UnitedStates, 1991 and Prevention
Profile, Table 96, pp. 243-244.
ACKNOWLEDGEMENTS: Appreciationto Karen Mason, Executive Director, State Composite Board of Medical Examiners, for her support of these efforts. Thanks to Donna M. Brantley, Georgia Board for Physician Workforce; Bruce Deighton, Ph.D., Georgia Board for Physician Workforce; G.E. Alan Dever, Ph.D., M.T., M.D. (Hon.), Mercer University School of Medicine; Leah T. Smith, Mercer University School of Medicine; and Bunnie V. Stamps, Mercer University School of Medicine.
Physician Workforce - 2000
August, 2001

I

3

Georgia Board for Physician Workforce
Two Northside 75, NW,Suite 220
Atlanta, Georgia 30318-7701 (404) 352-6476
FAX (404) 352-6021

August, 2001