Physician Workforce core specialties based on 2006 licensure data [Dec. 2008]

PHYSICIAN WORKFORCCEE** Core Speciallttiieess
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Executive Summary
The 2006 Physician Workforce Profile marks the 20th year the Georgia Board for Physician Workforce (previously the Joint Board for Family Practice) has examined the supply and distribution of Georgia's physicians using data from license renewals. The physician data is analyzed by the GBPW and the resulting information is then reported on a biennial basis. This information is important in determining trends in workforce patterns (i.e. demographics, specialty, and geographical location) and to better monitor the healthcare needs of Georgia's citizens.
In 2006, more Georgia physicians were in specialized categories. At the same time, the workforce also experienced a decrease in primary care. This same trend has been noted across the country. The largest decrease in generalists occurred between 2004 and 2006 in Georgia.
Between 1996 and 2006, the population in Georgia increased by 26.4%. The rate of physician increase between 1996 and 2006 was 33.1% (slightly higher than the
population increase). The rates for family practice, internal medicine, pediatrics, OB/GYN and general surgery all
decreased between 2004 and 2006. The percentage of physicians practicing "other specialties" was the highest in 2006. In 2006, Georgia experienced the largest decrease in generalist physicians (family practice,
internal medicine, and pediatrics) from the previous cycle (37.3% in 2004 vs. 34.8% in 2006). In 2006, the rates of physicians in Metropolitan Statistical Areas (MSAs) were higher than in Non-Metropolitan Statistical Areas (Non-MSAs) in all of the core specialties (internal medicine, pediatrics, OB/GYN, and general surgery) except for family practice. Fifty-two percent of all Georgia's physicians are located in five Primary Care Service Areas (PCSAs). These five PCSAs represent 37.9% of the state's population.
Physician workforce demographics are important to note, as research has concluded that demographics play an important role in geographic distribution and hours worked per week.
Of the five "core" specialties, pediatrics has the highest percentage of female physicians. This is the only specialty where females constitute >50% of the workforce. General surgery has the lowest percentage of females (8.3%).
Female pediatricians are also more likely to be located in non-MSAs than female physicians in any of the other five core specialties.
The percentage of "White" physicians has decreased by 7.7% since 1996. The percentage of "Black/African American", "Asian", and "Other" physicians has increased between 1996 and 2006.
The physician workforce is aging. In 2006, 26.3% of the physician workforce was 55 and over. In 1996, 23.6% were 55 and over.
Of the five core specialties, general surgery had the largest percentage (31.5%) of physicians age 55 and over. Family practice had the second highest percentage of physicians 55 and over with 30.8%.
Pediatrics had the youngest cohort of physicians, with 16.0% being less than 35 years old. There was a slight decrease in the percentage of physicians accepting Medicaid and
Medicare between 2004 and 2006. Also in 2006, almost 30% of physicians said they are not accepting new Medicaid patients and 23.6% are not accepting new Medicare patients.

PHYSICIAN PROFILE
2006

Distribution of Physicians, U.S. 2006*
per 100,000 population

Excellent Good Fair Poor

In 2006 Georgia
ranked 39th among all states.

* Source: American Medical Association, Physician Characteristics and Distribution in the U.S. 2008 Edition. 2006. Rankings are quartiled.
Does not include District of Columbia.
Monitoring the supply and distribution of physicians by specialty and geographic location provides beneficial information to: (1) determine funding for graduate medical education, (2) identify areas of need, (3) plan for health services, (4) locate facilities, and (5) monitor and evaluate the number of practicing physicians. This latest workforce analysis indicates continued problems with physician distribution. For example, some areas of the state have an adequate or surplus supply of certain primary care physicians, while other areas have a deficit.

There have been major changes in the growth of the population and of the physician workforce. Between 1996 and 2006, the population in Georgia increased by 26.4%. The rate of physician increase during the same years was 33.1% (slightly higher than the population increase). To illustrate how Georgia compares to other states, Georgia's physician rate per 100,000 population was 202 for 2006 and the national rate was 303 physicians per 100,000 population.
Physician Supply in Georgia
1996-2006

Physicians in Georgia - Number

Georgia's Physician Supply - Rate*

Number 13,845 14,739 15,736 16,483 17,513 18,422
Rate

25,000 20,000 15,000 10,000
5,000 0
1996 1998 2000 2002 2004 2006

250 192
200

193 192 193 202 202

150

100

50

0 1996
* Rate per 100,000

1998

2000

2002

2004

2006

1

PHYSICIAN SPECIALTIES IN GEORGIA

Specialty

Georgia Board for Physician Workforce 2004 & 2006 Selected Specialties by MSA / Non-MSA Designation

2004

MSA

Non-MSA

Number Rate* Number Rate*

2006

MSA

Non-MSA

Number Rate* Number Rate*

Family Practice

1,633

23.4

660

38.4

1,835

24.8

556

32.3

Internal Medicine

2,122

30.5

530

30.8

2,109

28.5

362

21.0

Pediatrics

1,309

18.8

279

16.2

1,371

18.6

177

10.3

OB/GYN

1,027

14.7

254

14.8

1,145

15.1

146

8.5

General Surgery

579

8.3

154

9.0

582

7.9

117

6.8

*Rate per 100,000 population

Generalists vs. Specialists
The percentage of "other specialists" increased the most between 2004 and 2006 with 55.8% of the physician population being "other specialists".
Rates for family practice, internal medicine, pediatrics, OB/GYN and general surgery all decreased between 2004 and 2006.
The percentage of "other specialists" decreased steadily from 1996 to 2002. A slight increase occurred from 2002 to 2004 and then a larger increase was seen between 2004 and 2006.
The percentage of generalists was the lowest in 1996. Historically, the largest decrease in generalists occurred between 2004 and 2006.

Number

18,000 16,000 14,000 12,000 10,000
8,000 6,000 4,000 2,000
0

Generalists

Specialists

Percent of Generalists & Specialists by Year 1996-2006

55.5%
5.0% 6.4% 7.0% 12.4% 13.7%

53.2%
4.8% 6.1% 8.7% 13.4%
13.8%

51.9%
4.9% 6.3% 8.9% 14.4%
13.6%

51.2% 4.4% 6.9% 9.1% 15.2%
13.2%

51.8% 4.2% 6.7%
9.1% 15.1%
13.1%

55.8%
3.8% 5.6% 8.4% 13.4%
13.0%

1996

1998

2000

2002

2004

2006

Other Specialties General Surgery

OB/GYN Pediatrics

Internal Medicine Family Practice

2

PHYSICIAN RATE
DISTRIBUTION OF PHYSICIANS BY PCSA*

DADE CATOOSA

1**

2 WHIT-
FIELD

FANNIN
4 3

UNION
5

TOWNS
6

RABUN
7

WALKER

MURRAY GILMER

WHITE

HABERSHAM

Excellent (>158)

CHATTOOGA

GORDON
16

PICKENS
14

LUMPKIN

12

DAWSON

11

STEPHENS
10 8

FRANKLIN HART

9 BANKS

28

Good (117 - 158) Fair (88 - 116.9)

Poor (<88) FLOYD

CHEROKEE FORSYTH HALL

18 17 15 13 BARTOW

JACKSON

ELBERT MADISON

21 27 29 POLK PAULDING COBB
25 HARALSON

GWINNETT DEKALB

BARROW

CLARKE

OGLETHORPE

OCONEE

WALTON

WILKES

LINCOLN

19 20 22 23 24 26 30 31 CARROLL 41 4039 38 36 35 34 32 HEARD

DOUGLAS FULTON

ROCKDALE NEWTON MORGAN

GREENE TALIAFERRO

MCDU- COLUMBIA

CLAY-

FFIE

COWETA

FAYETTE

TON HENRY

SPALDING BUTTS

JASPER

PUTNAM

WARREN HANCOCK GLASCOCK

RICHMOND

37 33 BURKE

42 MERI-
TROUP WETHER

PIKE LAMAR MONROE

JONES

44 45

UPSON

BIBB 46

BALDWIN
47

JEFFERSON
49 WASHINGTON

WILKINSON

48
JOHNSON

50

JENKINS
54

SCREVEN
51

HARRIS

TALBOT

CRAWFORD

TWIGGS

EMANUEL

43
MUSCOGEE MARION
CHATTAHOOCHEE
STEWART WEB-

TAYLOR

PEACH
67

HOUSTON

MACON

BLECKLEY
63

57
LAURENS
60 TREUTLEN

55
CANDLER

53
BULLOCH EFFINGHAM

SCHLEY
68

66
DOOLY

PULASKI
64

DODGE
62

MONTGOMERY-

59
WHEELER

58

TOOMBS

56 EVANS TATTNALL

BRYAN
52 CHATHAM

69 STER

SUMTER

QUITMAN
70

TERRELL

LEE

RANDOLPH

WILCOX
65

CRISP TURNER

BEN HILL
87

TELFAIR
61

JEFF DAVIS
89

APPLING
91

LIBERTY LONG
92

76 CLAY CALHOUN

DOUGHERTY

EARLY

WORTH
77

79
TIFT

IRWIN
86
85

COFFEE
88

71

BAKER

MILLER
72

MITCHELL

78
COLQUITT

BERRIEN

ATKINSON

80
COOK

84 83
LANIER

SEMINOLE

CLINCH

THOMAS

DECATUR GRADY

BROOKS

LOWNDES

73

74

75 81

82
ECHOLS

BACON
90

WAYNE

MCINTOSH

PIERCE

94

93 GLYNN

BRANTLEY

WARE

CHARLTON
95

CAMDEN
96

Rates are per 100,000 population

In 2006 Georgia's physician rate per 100,000 population was 202; compared to the rate of 192 in 1996.
The distribution of physicians in Georgia is primarily concentrated in metropolitan areas. The top ten PCSAs are: 1. Area 31: Columbia, Lincoln, Richmond 2. Area 22: Fulton 3. Area 73: Decatur 4. Area 75: Thomas 5. Area 23: DeKalb 6. Area 47: Baldwin 7. Area 94: Pierce, Ware 8. Area 46: Bibb, Crawford, Jones, Peach, Taylor, Twiggs,
Wilkinson 9. Area 60: Laurens, Treutlen 10. Area 52: Bryan, Chatham, Effingham, Liberty
Fifty-two percent of all Georgia's physicians are located in five PCSAs. These five PCSAs represent 37.9% of the state's population.

* Primary Care Service Areas (PCSAs) are included as a geography in the 2006 profile. Ninety-six (96) areas were designated by the 30% rule using the Georgia Hospital Questionnaire. A PCSA was designated if at least 30% of the patients received care in their county of residency. If a county received less than 30% of its residents as patients, it was assigned to the county where the majority of its residents go for primary care.

Physicians in Georgia by Specialty 1996-2006

1,894 2,027 2,143 2,171 2,293 2,391
1,718 1,971 2,264 2,509 2,652 2,471
964 1,280 1,402 1,495 1,588 1,548
891 903
986 1,138 1,171
1,027 691 708
771 726 733 699
7,687 7,687 7,850 7,850
8,170 8,170
88,,444444 99,,007766 1100,,228866

3,000

2,500

2,000

1,500

1,000

500

0

Family Practice

Pediatrics

Internal Medicine

1996 2000 1998 2002

General Surgery OB/GYN
2004 2006

3

12,000 10,000
8,000 6,000 4,000 2,000
0

Other Specialties

Specialty

Georgia Physician Workforce: Specialty and Rate*, 1996-2006
1996 1998 2000 2002

2004

2006

Allergy & Immunology Anesthesiology Cardiovascular Diseases Dermatology
Emergency Medicine Endocrinology Family/General Practice
Gastroenterology General Surgery
Gynecology Infectious Disease Internal Medicine Neonatal-Perinatal
Medicine Nephrology Neurological Surgery Neurology Obstetrics/ Gynecology Oncology Ophthalmology Orthopedic Surgery Otorhinolaryngology Pain Medicine
Pathology (all Pathologies combined for 2006)
Pediatrics Physical Medicine &
Rehabilitation Plastic Surgery
Psychiatry Public Health Pulmonary Diseases
Radiology (Diagnostic Radiology
& Radiology combined) Rheumatology Therapeutic Radiology Thoracic Surgery Urological Surgery State Total**

0.98 10.22 5.45
2.98 7.84 1.00 26.27
2.73 9.59 2.51 1.37 23.83 0.77
1.51 1.54 3.37 12.25
1.69 5.17 7.62 2.86 Not Listed 4.40
13.37 1.31
2.03 11.42 1.60 2.03 9.29
0.83 0.97
0.49 3.44 192

0.83 9.84 4.83
2.94 8.41 0.86 26.52
2.55 9.26 2.66 1.32 25.79 0.23
1.41 1.53 3.35 11.82
1.57 4.92 7.20 3.02 Not Listed 4.41
16.75 1.45
1.87 11.04 1.52 1.92 8.97
0.76 0.86
0.42 3.42 193

0.87 9.56 4.73
2.98 8.94 0.77 26.18
2.65 9.42 2.23 1.20 27.66 0.31
1.28 1.34 3.19 12.04
1.58 4.75 6.79 3.11 0.17
4.51
17.13 1.45
1.82 11.14 1.16 1.92 9.10
0.75 0.67
0.43 3.04 192

1.24 8.93 4.28
2.88 8.81 0.80 25.36
2.10 8.48 1.41 1.56 29.30 0.71
1.43 1.39 3.22 13.29
1.75 4.64 6.89 2.88 0.79
4.43
17.46 Not Listed 2.13 10.45 0.80 1.67 8.32
0.60 1.06
1.08 3.06 193

1.31 9.52 4.75
3.16 9.62 0.89 26.40
2.38 8.44 1.26 1.71 30.53 0.86
1.70 1.48 3.48 13.48
2.08 4.67 7.04 3.12 0.79
4.55
18.28 0.28
2.31 10.53 0.86 1.89 8.50
0.72 1.09
1.08 2.97 202

0.98 9.06 6.74
3.01 9.61 1.44 26.24
3.60 7.67 2.89 2.26 27.12 1.25
2.62 1.50 3.31 11.27
2.57 4.70 7.47 3.07 1.24
3.80
16.99 1.40
2.29 11.15 1.25 2.92 8.60
0.96 1.40
0.74 3.04 202

* Rate per 100,000 population. Population for 1996-2006: Governor's Office of Planning and Budget (www.opb.state.ga.us). ** All physicians
4

R ater per 100,000

Physician Rates by Selected Specialties: 1996-2006

35

30

26.27

26.52

25

23.83

25.79

20

1 6. 75

15

1 3.37

1 1 .82

10

1 2. 25

5

9.59

9.26

0

1996

1998

27.66
26. 1 8 1 7. 1 3 1 2. 04 9.42

29.3
25.36 1 7. 46 1 3. 29 8.48

2000

2002

Year

30.53
26.4 1 8. 28 1 3. 48
8.44
2004

27.1 2 26.24
1 6. 99 11.27 7.67
2006

Family Practice Internal Medicine Pediatrics OB/GYN General Surgery

DEMOGRAPHICS

All Specialties

84.2 84.6 85.4 78.3 81.3 80.6 86.2 85.3 85.4 77.3 79.2 78.1

Accepting Medicare and Medicaid*

100%

80%

60%

40%

20%

0% Medicare
1996 1998 2000

2002

Medicaid 2004 2006

New Medicaid and Medicare Patients 2006

(Percent)

Accept New

Yes

No

Patients:

New Medicare

76.4

23.6

New Medicaid

70.7

29.3

81.6 80.0 79.0 79.1 79.4 73.9 18.4 20.0 21.0 20.9 20.6 26.1

Gender

100% 80% 60% 40% 20% 0%

Race

Ma l e
1996 1998 2000 2002 2004 2006

Fe male

84.1 80.2 79.0 77.4 77.1 74.8

8.1 8.9 10.3 11.9
12.7 13.4 6.9 7.8 8.1 7.7 6.8 7.2 0.9 3.1 2.6 3.0 3.4 4.6

10 0 % 80% 60% 40% 20%
0%

White

Black

As ian

19 9 6 2000 2004

19 9 8 2002 2006

Othe r

5

6

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

30% 25% 20% 15% 10%
5% 0%
Less than 35

15.5
26.0 26.2
13.2 15.3 14.3
20.5 19.8 19.9 17.6 17.5 19.2
19.5 18.4 17.9 17.7 17.5 17.8
14.3 13.4
15.0 18.0
15.9 15.8
8.4 7.7 8.0
14.6 15.7
14.4
5.6 5.3 5.0
7.3 8.0 9.2
3.5 2.9 3.1
5.4 4.9 4.0
8.1 8.5 4.9 6.2 5.2 5.2

INTERNAL MEDICINE

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

12.5 15.4 15.6 11.9 14.0 11.0
17.2 16.5 16.0 12.9 14.5 17.4
19.8 19.2 18.0 15.1 13.4 14.0
15.5 14.9
16.6 18.2 17.6
15.6
11.4 11.2 12.0
14.9 14.9 15.8
8.8 8.7 8.6 9.1
9.6 11.4
6.1 6.2 6.0 5.4 5.3
10.7
8.7 7.9 7.2
12.3 10.7 8.7

30% 25% 20% 15% 10%
5% 0%
Less than 35

FAMILY PRACTICE

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

30% 25% 20% 15% 10%
5% 0%
Less than 35

12.5 15.4 15.6 10.2 12.9 11.3
17.2 16.5 16.0 1144..97 15.0
19.8 19.2 18.0 17.4 16.4 15.3
15.5 14.9
16.6 18.5 17.4
16.7
11.4 11.2 12.0
14.1 14.2 15.4
8.8 8.7 8.6
9.9 9.8 10.9
6.1 6.2 6.0 6.8 6.6
7.0
8.7 7.9 7.2 8.6 7.8 8.4

TOTAL PHYSICIANS

DEMOGRAPHICS
Distribution by Age and Specialty

Specialties

7

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

30% 25% 20% 15% 10%
5% 0%
Less than 35

10.5 13.7 19.8 10.6 13.0
11.8
14.6 15.1 14.4 11.1 12.3 13.0
17.1 16.2 14.9 14.8 14.4 13.5
12.8 12.4 12.8
15.9 15.7 16.0
11.9 11.3 10.5 11.9
12.6 14.2
11.6 11.5 9.2 11.1 10.8 11.2
7.9 8.8 8.6 10.6 9.5 9.1 13.6 9.711.0 14.0 11.5 11.2

GENERAL SURGERY

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

30% 25% 20% 15% 10%
5% 0%
Less than 35

14.8 16.2 19.6
1114.7.0 11.9
19.6 18.8 17.4 16.6 17.3 18.9
18.9 20.6
18.7 18.1 16.9 18.1
14.3 13.1
14.6 17.1 16.8 16.6
13.6 12.5 11.1 11.8 12.3 13.1
8.4 8.2
9.1 10.9 9.5 10.6
4.8 5.7 4.6 6.4 7.0 6.6
5.6 4.8 5.0
7.4 6.3 4.2

OB/GYN

1996 1998 2000 2002 2004 2006

65 and Over

60-64

55-59

50-54

45-49

40-44

35-39

16.8 20.6 20.9
13.9 16.4 16.0
19.6 18.0 16.2 16.2 17.5 18.1
20.0 17.9 17.6 17.5 16.9 16.5
12.8 15.1 16.2 16.6 21.1 16.2
10.1 10.4 10.3
13.3 12.9 12.8
8.0 6.7 7.5
9.6 8.8 8.4
4.7 5.0 5.3 5.8
6.0 6.0
8.0 6.5 6.0 7.0 6.3 5.9

30% 25% 20% 15% 10% 5% 0%
Less than 35

Distribution by Age and Specialty
PEDIATRICS

Specialties

DEMOGRAPHICS

FAMILY PRACTICE
PROFILE - 2006
TOP 10 PRIMARY CARE SERVICE AREAS (PCSAs) BY NUMBER OF FAMILY PRACTICE PHYSICIANS

RANK*

1. Area 22: Fulton (233)** 2. Area 23: DeKalb (153) 3. Area 25: Gwinnett (136) 4. Area 43: Chattahoochee, Harris,
Marion, Muscogee, Talbot (130)

8

5

3

10

2

1

5. Area 21: Cobb, Paulding (129)

6. Area 31: Columbia, Lincoln, Richmond

(127)

9

7. Area 52: Bryan, Chatham, Effingham,

Liberty (107)

4

8. Area 18: Chattooga, Floyd, Polk (88)

9. Area 46: Bibb, Crawford, Jones, Peach,

Taylor, Twiggs, Wilkinson (84)

10. Area 27: Barrow, Clarke, Jackson,

Madison, Morgan, Oconee, Oglethorpe (74)

* Numbers correspond to rank. ** Numbers in parenthesis respresent the number of physicians.

6
7
PIERCE

Family Practice Physician Supply

3,000

2,500 2,000

1,894 2,027 2,143 2,171 2,293 2,391

Number

1,500

1,000

500

0

1996

2000

2004

1998

2002

2006

8

Between 1996 and 2006, the number of family practice physicians in Georgia increased 26.2%.
In 2006, there was at least one family practice physician in every PCSA.
The greatest increase in family practice physicians (in number) was between 1996 and 1998.
The top 10 PCSAs for number of practicing family physicians are all located in Metropolitan Statistical Areas.

Family Practice

Family Practice Physician Distribution - 2006 Deficit, Adequate, and Surplus PCSAs*

6 Dade

Catoosa Whitfield

Fannin

Towns Union

Rabun

1 2 3 4 5 7 Walker 12 10 8 Deficit Chattooga
18 1167 1154 13 11 9 28 ASudrepqluuaste Floyd

Murray Gordon
Bartow

Gilmer

Lumpkin

White

Habersham Stephens

Pickens Dawson
Cherokee Forsyth

Franklin Hart Banks Hall

Jackson

Elbert

Madison

27 29 Polk

Gwinnett Barrow Clarke

21Cobb 25 Paulding 23 Haralson

Walton

Oconee

Oglethorpe Wilkes

Lincoln

19 20 22 24 26 30 31 Carroll

Douglas Fulton Dekalb Clayton- Rockdale Newton

Morgan Greene Taliaferro

Columbia

McDuffie

41 40339738 36 35473433 32 50 Heard

Fayette Coweta

Henry

Jasper Putnam

Spalding Butts

Warren Hancock Glascock

Richmond Burke

Meriwether

Baldwin

Jefferson

Pike Lamar Monroe Jones

Washington

42 44 45 49 Troup 46 48 54 51 Harris

Upson

Bibb

Wilkinson

Talbot

Crawford

Twiggs

Jenkins Johnson Emanuel

Screven

43 57 53 Muscogee 67 60 55 Marion
63 Chattahoochee

Taylor Peach
Houston Macon

Bleckley

Laurens

Treutlen

Candler

Montgomery

Bulloch Effingham

66 59 58 56 Stewart

Schley

Pulaski Dodge Dooly

Wheeler

Toombs

Evans

Bryan Chatham

69 68 65 64 62 61 52 Quitman

Webster Sumter
Terrell Lee

Wilcox

Crisp

Ben Hill

Telfair Jeff Davis

Tattnall Appling

Liberty Long

70 87 89 91 92 Randolph

Turner

79 86 90 Clay Calhoun Dougherty Worth

71 76 77 85 88 94 93 Early

Baker

Irwin Tift
Berrien

78 80 Miller

Mitchell

Colquitt Cook

Coffee Atkinson

Bacon

Wayne

PPieIErRcCeE

Ware

Brantley

McIntosh Glynn

72 84 83 Seminole 95 96 Decatur

Grady Thomas

Lanier Clinch Brooks Lowndes

Charlton

Camden

73 74 75 81

82Echols

* A PCSA (Primary Care Service Area) is categorized as deficit, adequate, or surplus based on the +/-1 standard deviation of the physician rate per 100,000 in 2006.

In 2006, there are fewer areas of physician deficit.
The top three areas of surplus are: Area 4: Fannin Area 80: Cook Area 70: Quitman, Randolph
The bottom three areas of deficit are: Area 36: Jasper, Newton Area 86: Irwin Area 37: Pike, Spalding
The adequate range for family medicine physicians in PCSAs in 2006 (based on +/- 1.0 standard deviation) is 14.2 to 38.8.
In 2006, there was a slight decrease in the rate of family practice physicians per 100,000 population, but an increase in number.
Areas of surplus are fairly consistent between 2004 and 2006.
Most PCSAs have an adequate supply of family practice physicians, but geographic distribution continues to be a problem.

Family Practice Physicians (by Gender)

100% 81.3
80%

79.4

79.0

77.4

77.7 71.0

60%

40%

18.7

20.6

21.0

22.6

22.3

29.0

20%

0% 1996

1998

2000 Male

2002 2004 Female

2006
9

Family Practice Physicians by Gender, MSA/Non-MSA and Year (percent)

Gender
MSA Male
Female
Non-MSA Male
Female

2004 75.0 25.0
84.4 15.6

2006 68.2 31.8
79.8 20.2

INTERNAL MEDICINE
PROFILE - 2006
TOP 10 PRIMARY CARE SERVICE AREAS (PCSAs) BY NUMBER OF INTERNAL MEDICINE PHYSICIANS

RANK*
1. Area 31: Columbia, Lincoln, Richmond (144)**
2. Area 52: Bryan, Chatham, Effingham, Liberty (95)
3. Area 46: Bibb, Crawford, Jones, Peach, Taylor, Twiggs, Wilkinson (84)
4. Area 76: Baker, Calhoun, Clay, Dougherty, Lee, Mitchell, Terrell (49)
5. Area 22: Fulton (46) 6. Area 39: Clayton (46) 7. Area 11: Dawson, Hall, White (46) 8. Area 43: Chattahoochee, Harris, Marion,
Muscogee, Talbot (41) 9. Area 40: Fayette (38) 10. Area 67: Houston (34)
* Numbers correspond to rank. ** Numbers in parenthesis respresent the number of physicians.

7

2 56 9

3

8

10

4

1
2
PIERCE

Internal Medicine Physician Supply

Number

3,000 2,500 2,000

2,652

2,506

2,471

2,264

1,971 1,718

1,500

1,000

500

0 1996

2000

2004

1998

2002

2006

10

Between 1996 and 2006, the number of internal medicine physicians in Georgia increased 43.8%.
In 2006, there were five PCSAs that had no internal medicine physicians in their region. This includes the following counties: Early, Hancock, Quitman, Randolph, Stewart, Webster, and Wheeler.
The first time the physician workforce saw a decrease in number and rate from the previous renewal cycle was in 2006.
The top three PCSAs for number of practicing internal medicine physicians are in Metropolitan Statistical Areas.

Internal Medicine

Internal Medicine Physician Distribution - 2006 Deficit, Adequate, and Surplus PCSAs*

Dade CatoosaWhitfield

Fannin

Towns Rabun Union

1 2 3 4 5 6 7 Walker
16 14 12 11 10 8 Deficit Chattooga 18 17 15 13 9 28 ASudrepqluuaste Floyd

Murray Gilmer Gordon Pickens

White Habersham

Lumpkin

Stephens

Dawson

Hall Banks Franklin Hart

Bartow Cherokee Forsyth

Jackson

Elbert

Madison

27 29 Polk 21 Paulding Cobb
25 Haralson

Gwinnett Dekalb

Barrow Walton

Clarke Oconee

Oglethrope Wilkes

Lincoln

23 26 30 Douglas Fulton

Rockdale

19 20 22 24 31 Carroll

Clayton

Newton Morgan

Greene Taliaferro

Columbia

McDuffie

39 38 36 34 32 Coweta Fayette Henry

Jasper

41 40 Heard

Spalding Butts

Warren Putnam
Hancock Glascock

Richmond

42 37 3547 33 50 Meriwether Pike Lamar Monroe 49 Troup

Baldwin Jones

Jefferson Washington

Burke

44 45 46 48 54 51 Harris

Upson

Bibb

Wilkinson

Talbot

Crawford

Twiggs

Johnson

Jenkins Emanuel

Screven

43 67 57 55 53 Muscogee 63 60 Marion
Chattahoochee

Taylor

Peach

Houston Macon

Laurens Bleckley

Treutlen

Candler

Montgomery

Bulloch Effingham

66 59 58 56 Schley
Stewart
68 64 62 52 Webster Sumter

69 65 61 Quitman

Terrell Lee

Pulaski Dodge Dooly

Wilcox

Crisp

Ben Hill

Wheeler

Evans Toombs
Tatnall

Bryan

Telfair

Jeff Davis

Appling

Liberty Long

Chatham

70 87 89 91 92 Randolph

Turner

76 Clay Calhoun Dougherty

Early
71

Baker

Miller
72
Seminole

Mitchell

79 86 88 Worth

Irwin Tift

Coffee

77 85 Berrien Atkinson

78 80 83 Colquitt Cook

84 Lanier Clinch

Decatur Grady Thomas Brooks

Ba9co0n

Wayne

McIntosh

PPIiEeRrCcEe

94
Ware

93 Brantley

Glynn

Charlton
95

Camden 96

73

74

75

81

82 Lowndes Echols

* A PCSA (Primary Care Service Area) is categorized as deficit, adequate, or surplus based on the +/-1 standard deviation of the physician rate per 100,000 in 2006.

Between 2004 and 2006 there are the same number of PCSAs in deficit. Some areas improved from deficit to adequate, while some went from adequate to deficit.
The top three areas of surplus are: Area 73: Decatur Area 22: Fulton Area 31: Columbia, Lincoln, Richmond
The bottom three areas of deficit are: Area 33: Hancock Area 59: Wheeler Area 69: Stewart, Webster
The adequate range for internal medicine physicians in PCSAs in 2006 (based on +/- 1.0 standard deviation) is 16.1 to 37.2.
In 2006, there are fewer areas of surplus. This a result of the decrease in the number and rate of internal medicine physicians.

Internal Medicine Physicians (by Gender)
100%

Internal Medicine Physicians by Gender, MSA/Non-MSA and Year
(percent)

78.6

76.9

76.5

78.7

80%

60%

78.1 69.2

GENDER
MSA Male

2004 76.9

2006 67.3

Female

23.1

32.7

40%

30.8

Non-MSA Male

82.8

80.3

21.4

23.1

23.5

21.3

21.9

20%

Female

17.2

19.7

0% 1996

1998

2000 Male

2002

2004

Female

2006
11

PEDIATRICS
PROFILE - 2006
TOP 10 PRIMARY CARE SERVICE AREAS (PCSAs) BY NUMBER OF PEDIATRICIANS

RANK*
1. Area 22: Fulton (291)** 2. Area 23: Dekalb (213) 3. Area 25: Gwinnett (128) 4. Area 21: Cobb, Paulding (125) 5. Area 31: Columbia, Lincoln, Richmond (100) 6. Area 52: Bryan, Chatham, Effingham, Liberty (72) 7. Area 27: Barrow, Clarke, Jackson, Madison,
Morgan, Oconee, Oglethorpe (39) 8. Area 39: Clayton (36) 9. Area 46: Bibb, Crawford, Jones, Peach, Taylor,
Twiggs, Wilkinson (35) 10. Area 43: Chattahoochee, Harris, Marion,
Muscogee, Talbot (31)
* Numbers correspond to rank. ** Numbers in parenthesis respresent the number of physicians.

4

3

7

2

18

9 10

5
6
PIERCE

Number

Pediatrician Physician Supply

2,000 1,500

1,402 1,495 1,588 1,548 1,280

964
1,000

500

0

1996

2000

2004

1998

2002

2006 12

Between 1996 and 2006, the number of pediatricians in Georgia increased 60.6%.
In 2006, there were 19 PCSAs that had no pediatrician in their region (this is approximately 20% of the state's PCSAs and 3% of Georgia's population).
The first decrease in the number and rate of pediatricians in Georgia from the previous cycle occurred in 2006.
The top three PCSAs for number of practicing pediatricians are in the Atlanta Metropolitan Statistical Area.

Pediatrics

Pediatrics Physician Distribution - 2006 Deficit, Adequate, and Surplus PCSAs*

4 6 Dade

Catoosa Whitfield

Fannin

Towns Rabun Union

1 2 3 5 7 8 Deficit Walker 12 Adequate Chattooga

Murray Gordon

18 1167 1154 13 11 10 9 28 Surplus Floyd Bartow

Gilmer Pickens

White Habersham Lumpkin
Stephens

Dawson

Banks Franklin Hart

Cherokee Forsyth

Hall Jackson

Elbert Madison

27 29 Polk 21Cobb
Paulding
25 Haralson

Gwinnett Dekalb

Barrow Walton

Clarke Oglethorpe

Oconee

Wilkes

Lincoln

19 20 22 23 24 26 30 31 Carroll

Douglas Fulton

Rockdale

Clayton

Newton

Morgan GreeneTaliaferro

Columbia

McDuffie

41 40339738 36 35 34 33 32 Heard

Coweta Fayette Henry Spalding Butts Jasper

Warren Putnam Hancock
Glascock

Richmond

Baldwin

Jefferson

Burke

42 50 Meriwether Pike Lamar Monroe 44 45 47 49 Troup

Jones

Washington

48 Upson

Bibb

Wilkinson

Jenkins

46 54 51 Harris Talbot

Crawford

Twiggs

Johnson Emanuel

Screven

43 67 57 55 53 Muscogee

Taylor

63 60 Marion
Chattahoochee

Macon

66 59 56 Schley 68 64 62 58 52 Stewart
69 Webster Sumter

Peach Houston

Laurens Bleckley

Treutlen

Candler Bulloch Effingham

Dooly

Pulaski Wilcox

Dodge

Montgomery

Wheeler Telfair

Evans Tattnall Toombs

Bryan Liberty

Chatham

65 61 Quitman

Terrell Lee

Crisp

Ben Hill

Jeff Davis

Appling

Long

70 87 89 91 92 Randolph

Turner

76 Clay Calhoun Dougherty

Early

71

Baker

Miller
72
Seminole

Mitchell

79
Worth

Irwin
86

77 Tift 85

Coffee
88

78
Colquitt

Berrien
80

Atkinson

Cook

84
Lanier

83
Clinch

Decatur
73

Grady
74

Thomas Brooks

75

81 82 Lowndes Echols

Ba9co0n

Wayne

McIntosh

94 PPieIErRcCeE

93 Glynn

Brantley

Ware

Charlton
95

Camden
96

In 2006, there were 48 (50%) of the PCSAs in deficit. This improved slightly from 2004, which saw 50 areas in deficit (52%).
The top three areas of surplus: Area 73: Decatur Area 31: Columbia, Lincoln, Richmond Area 22: Fulton
The bottom three areas of deficit are: Area 6: Towns Area 28: Hart Area 29: Elbert
The adequate range for pediatric physicians in PCSAs in 2006 (based on +/- 1.0 standard deviation) is 9.9 to 23.9.

* A PCSA (Primary Care Service Area) is categorized as deficit, adequate, or surplus based on the +/-1 standard deviation of the physician rate per 100,000 in 2006.

Pediatrics also experienced a slight rise in surplus areas.

Pediatricians (by Gender)
100%

80%

57.7 60%

57.9

55.4

56.6

59.7

53.8

42.3

42.1

44.6

43.4

46.2 40.3

40%

20%

Pediatricians by Gender, MSA/Non-MSA and Year
(percent)

GENDER MSA
Male
Female Non-MSA
Male
Female

2004 59.7 40.3 59.5 40.5

2006 45.6 54.4 51.1 48.9

0% 1996

1998

2000

2002

Male Female

2004

2006

13

OB/GYN
PROFILE - 2006
TOP 10 PRIMARY CARE SERVICE AREAS (PCSAs) BY NUMBER OF OB/GYN PHYSICIANS

RANK*
1. Area 22: Fulton (247)** 2. Area 21: Cobb, Paulding (76) 3. Area 23: Dekalb (68) 4. Area 31: Columbia, Lincoln, Richmond (67) 5. Area 25: Gwinnett (51) 6. Area 52: Bryan, Chatham, Effingham, Liberty (46) 7. Area 46: Bibb, Crawford, Jones, Peach, Taylor,
Twiggs, Wilkinson (40) 8. Area 27: Barrow, Clarke, Jackson, Madison, Morgan,
Oconee, Oglethorpe (28) 9. Area 76: Baker, Calhoun, Clay, Dougherty, Lee,
Mitchell, Terrell (23) 10. Area 43: Chattahoochee, Harris, Marion, Muscogee,
Talbot (23)
* Numbers correspond to county code. ** Numbers in parenthesis respresent the number of physicians.

2

5

8

3

1

7
10

9

4
6
PIERCE

OB/GYN Physician Supply

1,500

1,138 1,171

986
1,000 891 903

1,027

Number

500

0 1996

2000

2004

1998

2002

2006

14

Between 1996 and 2006, the number of OB/GYN physicians in Georgia increased by 15.3%. This is only a modest increase when Georgia's population increased 26.4% between 1996 and 2006.
In 2006, there were 24 PCSAs that had no OB/GYN in their region (this is approximately 25% of the state's PCSAs and 4% of the state's population).
The top three PCSAs for number of practicing OB/GYN physicians are in the Atlanta Metropolitan Statistical Area.
The number and rate of OB/GYN physicians decreased between 2004 and 2006.

OB/GYN Physician Distribution - 2006 Deficit, Adequate, and Surplus PCSAs*

OB/GYN

4 6 Dade

Catoosa Whitfield

Fannin

Towns Union

Rabun

1 2 3 5 7 Deficit Walker 8 Adequate Chattooga
18 1167 1154 13 12 11 10 9 28 Surplus Floyd

Murray Gordon
Bartow

Gilmer

White Habersham

Lumpkin

Stephens

Pickens Dawson
Cherokee Forsyth

Banks Franklin Hart Hall

Jackson

Elbert

Madison

27 29 Polk 21 Paulding Cobb
25 Haralson

Gwinnett Dekalb

Barrow Walton

Clarke Oglethorpe

Oconee

Wilkes

Lincoln

19 20 22 23 24 26 30 31 Carroll

Douglas Fulton

Rockdale

Clayton

Newton Morgan

Greene Taliaferro

Columbia

McDuffie

41 4039 38 36 35 34 32 Heard

Coweta Fayette Henry Spalding Butts Jasper

Warren Putnam
Hancock Glascock

Richmond

37 33 Baldwin

Jefferson

Burke

42 50 Meriwether Pike Lamar Monroe 47 49 Troup

Jones

Washington

44 45 46 48 54 51 Harris

Upson

Bibb

Wilkinson

Talbot

Crawford

Twiggs

Johnson

Jenkins Emanuel

Screven

6943 68 66 6567 6463 62 6059 5857 5556 53 52 CMhuaSstttecaowhgoaeorteWchMeeabersiotenrSchlTeSayuymloMrtearconPDeoHaocolyhustoPnWulailBcsokleixckleDyodgeLauTreeWlnfashireeleTMrJreeoufnfttlegTnoomoemrybsCaTnadttlnearEllvaBnsullochLibBerEyrtafyfninghaCmhatham

61 Quitman

Terrell Lee

Crisp

Ben Hill

Davis Appling

Long

70 87 89 91 92 Randolph

Turner

76 Clay Calhoun Dougherty

Early
71

Baker

Miller
72 Seminole

Mitchell

79 86 88 Worth

Irwin Tift

Coffee

77 85 Berrien Atkinson

78 80 84 83 Colquitt

Cook

Lanier Clinch

Decatur
73

Grady
74

Thomas Brooks
75 81

Lowndes
82Echols

Bacon
90

Wayne

McIntosh

94 93 PPieIErRcCeE Brantley

Glynn

Ware

Charlton
95

Camden
96

* A PCSA (Primary Care Service Area) is categorized as deficit, adequate, or surplus based on the +/-1 standard deviation of the physician rate per 100,000 in 2006.

In 2006, there are 42 PCSAs in deficit (44%). This is an increase from 2004 where 37 areas (39%) of PCSAs were in deficit.
The top three areas of surplus are: Area 22: Fulton Area 31: Columbia, Lincoln, Richmond Area 72: Miller
The bottom three areas of deficit are: Area 3: Gilmer Area 5: Union Area 6: Towns
The adequate range for OB/GYN physicians in PCSAs in 2006 (based on +/- 1.0 standard deviation) is 6.9 to 16.0.
OB/GYN also saw a slight increase in areas of surplus in 2006.

OB/GYN Physicians (by Gender)
100%

80% 75.5 72.7

70.5

71.1

69.7

60.3 60%

39.7

40%

27.3

29.5

28.9

30.3

24.5

20%

0% 1996

1998

2000 Male

2002

2004

Female

2006

OB/GYN Physicians by Gender, MSA/Non-MSA and Year (percent)

GENDER MSA
Male
Female Non-MSA
Male
Female

2004 68.5 31.5 74.6 25.4

2006 58.6 41.4 71.8 28.2

15

GENERAL SURGERY
PROFILE - 2006
TOP 10 PRIMARY CARE SERVICE AREAS (PCSAs) BY NUMBER OF GENERAL SURGEONS

RANK*
1. Area 22: Fulton (115)** 2. Area 23: Dekalb (60) 3. Area 31: Columbia, Lincoln, Richmond (56) 4. Area 52: Bryan, Chatham, Effingham, Liberty (43) 5. Area 21: Cobb, Paulding (43) 6. Area 46: Bibb, Crawford, Jones, Peach, Taylor,
Twiggs, Wilkinson (32) 7. Area 25: Gwinnett (24) 8. Area 11: Dawson, Hall, White (23) 9. Area 43: Chattahoochee, Harris, Marion, Muscogee,
Talbot, (20) 10. Area 39: Clayton (14)
* Numbers correspond to rank. ** Numbers in parenthesis respresent the number of physicians.

8

5

7

2

1 10

6 9

3
4
PIERCE

General Surgery Physician Supply
1,000
691 708 771 726 733 699
500

Between 1996 and 2006, the number of general surgery physicians, in Georgia increased by 1.2%. This is the smallest increase of the core specialties examined in this document.
In 2006, there were 20 PCSAs with no general surgery physician in their region (this is approximately 21% of the state's PCSAs and 3% of the state's population).

Number

0 1996

2000

2004

1998

2002

2006

16

The top five PCSAs for number of practicing general surgery physicians are in Metropolitan Statistical Areas.
The number and rate of general surgery physicians decreased between 2004 and 2006.

General Surgery

General Surgery Physician Distribution - 2006 Deficit, Adequate, and Surplus PCSAs*

4 6 Dade

Catoosa Whitfield

Fannin

Towns Union

Rabun

1 2 3 5 7 Deficit Walker 8 Adequate Chattooga
18 1167 1145 1312 11 10 9 28 Surplus Floyd

Murray Gordon
Bartow

Gilmer

White Habersham

Pickens

Lumpkin Dawson

Stephens Banks Franklin Hart

Cherokee Forsyth Hall

Jackson

Elbert

Madison

27 29 Polk 21Cobb
Paulding
25 Haralson

Gwinnett Dekalb

Barrow Clarke Oglethorpe

Walton Oconee

Wilkes

Lincoln

19 20 22 23 24 26 34 30 31 Carroll

Douglas Fulton Clayton

Rockdale Newton Morgan

Greene

Taliaferro

Columbia

McDuffie

41 4039 38 36 35 32 Heard

Coweta Fayette

Henry

Jasper

Spalding Butts

Putnam

Warren Hancock Glascock

Richmond

42 37 33 50 Meriwether Pike Lamar Monroe 47 49 Troup

Baldwin Jones

Jefferson Washington

Burke

44 45 46 48 54 51 Harris

Upson

Talbot

Crawford

Bibb

Wilkinson

Twiggs

Johnson

Jenkins Emanuel

Screven

43 67 57 55 53 Muscogee 60 Marion

Taylor

Peach Houston Bleckley

Laurens

Treutlen

Candler Bulloch Effingham

63 Chattahoochee

Macon

66 59 56 Schley 69 68 65 64 62 58 52 Stewart Webster Sumter

Dooly

Pulaski Wilcox

Dodge

Montgomery

Wheeler

Telfair

Jeff

Toombs

Evans Tattnall

Bryan Chatham Liberty

61 Quitman

Terrell Lee

Crisp

Ben Hill

Davis Appling

Long

70 87 89 91 92 Randolph

Turner

79 86 90 Clay Calhoun Dougherty Worth

76 77 85 88 94 93 Early

Baker

Irwin Tift
Berrien

71 78 80 Miller

Mitchell

Colquitt

Cook

Coffee Bacon

Wayne

Atkinson

PPieIErRcCeE

Ware

Brantley

McIntosh Glynn

72 84 83 Seminole

Lanier Clinch

Charlton

Camden

73 74 75 81 82 95 96 Decatur Grady

Thomas Brooks Lowndes

Echols

* A PCSA (Primary Care Service Area) is categorized as deficit, adequate, or surplus based on the +/-1 standard deviation of the physician rate per 100,000 in 2006.

In 2006, there are 27 PCSAs in deficit (28%).
The top three areas of surplus are: Area 65: Crisp Area 31: Columbia, Lincoln, Richmond Area 75: Thomas
The bottom three areas of deficit are: Area 6: Towns Area 30: Taliaferro, Wilkes Area 33: Hancock
The adequate range for general surgery physicians in PCSAs in 2006 (based on +/1.0 standard deviation) is 4.0 to 11.4
General Surgery also saw a slight increase in areas of surplus in 2006 (14 in 2006 and 12 in 2004).

General Surgery Physicians (by Gender)

100% 95.6

94.2

92.2

80%

93.7

93.3

91.4

60%

40%

General Surgery Physicians by Gender, MSA/Non-MSA and Year (percent)

GENDER
MSA Male
Female Non-MSA
Male

2004 92.0 8.0 98.0

2006 89.8 10.2 99.1

Female

2.0

0.9

20%

4.4

5.8

7.8

6.3

6.7

8.6

0% 1996

1998

2000

2002

Male Female

2004

2006
17

GEOGRAPHIC DISTRIBUTION Primary Care
PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2006
Number, Rate and Rank
NUMBER OF PHYSICIANS BY SPECIALTY 1

County

Population

PRIMARY CARE (Generalists)

OB/GYN

TOTAL General Surgery ALL
SPEC.

Family Practice Internal Medicine

Pediatrics

2006 # Rate2 Rank3 # Rate Rank # Rate Rank # Rate Rank # Rate Rank #

Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb

17,737 4 22.6 7,970 1 12.5
10,294 5 48.6 3,998 1 25.0
45,576 19 41.7 15,955 1 6.3 59,437 14 21.9 88,277 27 30.6 17,221 8 46.5 16,638 6 36.1 154,492 67 43.4 11,984 4 33.4 15,286 2 13.1 16,127 4 24.8 27,827 4 14.4 63,587 13 20.4 22,872 8 35.0 22,483 3 13.3
6,048 5 82.7 46,049 7 15.2 10,096 5 49.5 104,567 22 21.0 59,756 18 30.1 10,595 5 47.2 240,261 80 33.3 11,969 11 91.9 25,939 7 27.0 183,123 43 23.5 109,341 30 27.4
3,164 0 0 265,503 41 15.4
7,052 1 14.2 663,714 117 17.6

92 8 45.1 9 2 11.3 123 1 12.5 83 0 0
19 4 38.9 12 1 9.7 80 0 0 108 0 0 28 18 39.5 10 8 17.6 135 2 12.5 83 0 0 95 6 10.1 89 6 10.1 56 17 19.3 54 5 5.7 22 3 17.4 63 1 5.8 40 1 6.0 100 0 0 24 79 51.1 5 35 22.7 47 3 25.0 36 1 8.3 121 0 0 108 1 6.5 82 1 6.2 98 1 6.2 118 6 21.6 46 2 7.2 101 11 17.3 64 8 12.6 45 3 13.1 81 1 4.4 120 2 8.9 93 2 8.9
3 1 16.5 68 0 0 114 13 28.2 28 7 15.2
17 1 9.9 91 0 0 99 18 17.2 65 19 18.2 58 11 18.4 59 9 15.1 20 3 28.3 27 1 9.4 48 76 31.6 20 58 24.1
2 1 8.4 95 0 0 72 1 3.9 103 0 0 89 25 13.7 78 20 10.9 70 37 33.8 18 22 20.1 136 1 31.6 20 0 0 113 46 17.3 64 36 13.6 119 2 28.4 26 1 14.2 109 150 22.6 40 123 18.5

47 3 16.9 15 2 11.3 82 0 0 80 0 0 57 1 9.7 40 1 9.7 82 0 0 80 0 0 26 6 13.2 27 7 15.4 82 0 0 80 0 0 54 3 5.0 65 1 1.7 77 5 5.7 62 6 6.8 76 1 5.8 61 1 5.8 82 0 0 80 0 0 11 40 25.9 3 32 20.7 64 1 8.3 49 1 8.3 74 0 0 80 0 0 75 0 0 80 0 0 71 2 7.2 54 0 0 43 9 14.2 23 4 6.3 79 1 4.4 68 0 0 61 0 0 80 0 0 82 1 16.5 18 1 16.5 31 3 6.5 57 4 8.7 82 0 0 80 0 0 22 10 9.6 41 6 5.7 32 7 11.7 31 7 11.7 58 1 9.4 43 1 9.4
9 39 16.2 20 38 15.8 82 2 16.7 17 1 8.4 82 1 3.9 71 0 0 49 17 9.3 44 3 1.6 16 24 21.9 6 11 10.1 82 0 0 80 0 0 38 23 8.7 47 14 5.3 35 0 0 80 0 0 20 75 11.3 32 42 6.3

21

32

72

3

28

15

72

1

8 125

72

5

68

51

45 116

52

21

72

11

3 588

36

13

72

3

72

6

72

16

49

89

72

20

72

10

6

12

34

73

72

7

53 176

20 135

29

16

7 727

35

22

72

12

69 184

25 355

72

2

55 358

72

6

49 1,138

18

GEOGRAPHIC DISTRIBUTION Primary Care
PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2006
Number, Rate and Rank
NUMBER OF PHYSICIANS BY SPECIALTY 1

County
Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene

Population

PRIMARY CARE (Generalists)

OB/GYN

TOTAL General Surgery ALL
SPEC.

Family Practice Internal Medicine

Pediatrics

2006 # Rate2 Rank3 # Rate Rank # Rate Rank # Rate Rank # Rate Rank #

39,184 43,459 102,350 16,291 108,921 12,623 21,775 15,892 19,686 27,984 719,412 19,613 11,648 95,211 112,465 12,014 4,102 46,371 20,654 22,047 11,271 21,777 102,662 94,262 138,719 21,495 934,242 27,240 2,616 71,480 49,645 24,287 15,451

12 30.6 15 34.5 28 27.4 10 61.4 17 15.6
3 23.8 6 27.6 7 44.0 7 35.6 12 42.9 153 21.3 7 35.7 3 25.8 36 37.8 17 15.1 6 49.9 1 24.4 13 28.0 8 38.7 7 31.8 4 35.5 16 73.5 27 26.3 62 65.8 40 28.8 10 46.5 233 24.9 10 36.7 4 152.9 20 28.0 19 38.3 8 32.9 6 38.8

56 8 20.4 49 6 15.3 46 7 16.1 71 3 6.9 70 18 17.6 61 8 7.8 10 1 6.1 99 0 0 112 18 16.5 68 8 7.3 88 0 0 108 0 0 69 6 27.6 30 4 18.4 23 4 25.2 35 3 18.9 43 1 5.1 102 2 10.2 25 21 75.0 1 12 42.9 97 279 38.8 13 213 29.6 42 7 35.7 17 5 25.5 75 3 25.8 34 1 8.6 36 43 45.2 8 20 21.0 115 20 17.8 60 17 15.1 16 0 0 108 0 0 85 0 0 108 0 0 68 6 12.9 82 0 0 32 5 24.2 37 0 0 52 3 13.6 79 0 0 44 1 8.9 93 1 8.9
5 3 13.8 77 4 18.4 74 38 37.0 16 23 22.4
8 37 39.3 11 14 14.9 63 23 16.6 67 24 17.3 22 5 23.3 39 2 9.3 81 544 58.2 3 291 31.1 39 5 18.4 59 2 7.3
1 1 38.2 14 0 0 68 15 21.0 47 11 15.4 35 11 22.2 43 6 12.1 49 4 16.5 68 0 0 31 3 19.4 53 2 12.9

30 4 10.2 72 3 6.9 67 2 2.0 82 1 6.1 70 6 5.5 82 0 0 21 3 13.8 19 0 0 53 0 0
2 5 17.9 5 68 9.5 8 2 10.2 62 1 8.6 15 21 22.1 32 9 8.0 82 0 0 82 0 0 82 1 2.2 82 0 0 82 1 4.5 61 1 8.9 21 2 9.2 13 10 9.7 33 12 12.7 27 2 1.4 59 2 9.3 4 247 26.4 70 0 0 82 0 0 29 12 16.8 45 3 6.0 82 3 12.4 40 1 6.5

36 4 10.2 56 3 6.9 75 1 1.0 59 0 0 63 7 6.4 80 0 0 25 4 18.4 80 1 6.3 80 0 0 12 4 14.3 43 60 8.3 36 1 5.1 48 0 0
4 13 13.7 51 5 4.4 80 0 0 80 0 0 74 2 4.3 80 1 4.8 67 2 9.1 46 1 8.9 45 2 9.2 40 10 9.7 28 7 7.4 78 5 3.6 44 1 4.7
2 115 12.3 80 2 7.3 80 0 0 16 9 12.6 60 2 4.0 29 2 8.2 57 1 6.5

24

68

44

59

70 119

72

13

48 107

72

3

5

33

49

18

72

13

10 113

36 2,234

56

34

72

10

11 291

60 124

72

6

72

1

61

31

58

19

31

22

32

12

30

38

28 183

41 307

64 159

59

26

17 3,894

42

26

72

5

15 198

63

59

37

19

47

17

19

GEOGRAPHIC DISTRIBUTION Primary Care
PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2006
Number, Rate and Rank
NUMBER OF PHYSICIANS BY SPECIALTY 1

County
Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether

Population

PRIMARY CARE (Generalists)

OB/GYN

TOTAL General Surgery ALL
SPEC.

Family Practice Internal Medicine

Pediatrics

2006 # Rate2 Rank3 # Rate Rank # Rate Rank # Rate Rank # Rate Rank #

720,076 136 18.9 104 138 19.2 55 128 17.8 24 51 7.1 55 24 3.3 65 913

39,396 8 20.3 102 11 27.9 29 5 12.7 42 2 5.1 64 4 10.2 24

42

165,621 38 22.9 91 45 27.2 31 23 13.9 37 21 12.7 28 22 13.3 13 346

9,454 5 52.9 13 0 0 108 0 0 82 0 0 80 0 0 72

5

28,144 9 32.0 51 4 14.2 75 0 0 82 0 0 80 1 3.6 64

19

27,368 2 7.3 133 2 7.3 97 0 0 82 0 0 80 0 0 72

7

23,881 9 37.7 37 4 16.7 66 0 0 82 0 0 80 3 12.6 15

20

11,246 1 8.9 132 0 0 108 0 0 82 0 0 80 0 0 72

1

167,171 39 23.3 90 19 11.4 86 22 13.2 39 17 10.2 36 6 3.6 64 193

125,975 26 20.6 100 34 27.0 33 13 10.3 52 13 10.3 35 7 5.6 54 179

10,126 1 9.9 129 1 9.9 91 1 9.9 56 1 9.9 39 0 0 72

4

52,010 11 21.1 98 3 5.8 101 4 7.7 68 1 1.9 76 0 0 72

23

13,023 2 15.4 113 4 30.7 22 0 0 82 0 0 80 1 7.7 40

10

13,039 4 30.7 55 4 30.7 22 0 0 82 0 0 80 2 15.3 9

11

16,648 6 36.0 41 4 24.0 38 2 12.0 46 0 0 80 1 6.0 51

18

8,587 2 23.3 90 1 11.6 85 0 0 82 0 0 80 0 0 72

3

8,905 2 22.5 93 2 22.5 41 0 0 82 0 0 80 0 0 72

5

26,684 4 15.0 116 0 0 108 0 0 82 0 0 80 0 0 72

7

16,604 4 24.1 86 1 6.0 100 0 0 82 2 12.0 30 0 0 72

11

7,416 2 27.0 72 2 27.0 33 0 0 82 0 0 80 0 0 72

6

46,680 20 42.8 26 22 47.1 7 6 12.9 40 9 19.3 8 6 12.9 14 122

30,867 3 9.7 131 1 3.2 106 1 3.2 80 0 0 80 0 0 72

10

63,021 10 15.9 111 7 11.1 87 12 19.0 18 4 6.3 58 3 4.8 58

64

8,179 2 24.5 84 0 0 108 0 0 82 0 0 80 0 0 72

2

10,905 0 0 136 0 0 108 0 0 82 0 0 80 0 0 72

0

98,594 26 26.4 73 22 22.3 42 8 8.1 66 10 10.1 37 12 12.2 18 185

24,833 8 32.2 50 3 12.1 84 2 8.1 66 2 8.1 50 2 8.1 38

26

13,554 5 36.9 38 2 14.8 73 0 0 82 1 7.4 52 1 7.4 41

15

27,245 5 18.4 106 1 3.7 104 3 11.0 48 0 0 80 0 0 72

9

7,016 5 71.3

6 0 0 108 0

0 82 0 0 80 0 0 72

5

21,416 6 28.0 68 4 18.7 56 2 9.3 59 0 0 80 1 4.7 59

22

10,928 2 18.3 107 0 0 108 1 9.2 60 0 0 80 0 0 72

3

22,838 6 26.3 74 4 17.5 62 0 0 82 1 4.4 68 1 4.4 60

19

20

GEOGRAPHIC DISTRIBUTION Primary Care
PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2006
Number, Rate and Rank
NUMBER OF PHYSICIANS BY SPECIALTY 1

County
Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall

Population

PRIMARY CARE (Generalists)

OB/GYN

TOTAL General Surgery ALL
SPEC.

Family Practice Internal Medicine

Pediatrics

2006 # Rate2 Rank3 # Rate Rank # Rate Rank # Rate Rank # Rate Rank #

6,100 5 82.0 23,497 7 29.8 23,599 6 25.4
8,876 1 11.3 17,296 2 11.6 40,191 5 12.4 188,672 112 59.4 85,813 6 7.0 29,308 8 27.3 13,444 4 29.8 111,191 12 10.8 24,543 7 28.5 28,178 7 24.8 17,173 5 29.1 15,974 2 12.5 40,303 19 47.1
9,659 5 51.8 19,666 5 25.4
2,599 1 38.5 16,151 5 31.0
7,343 5 68.1 196,944 97 49.3
78,000 22 28.2 3,948 0 0
15,189 3 19.8 9,098 2 22.0
61,126 6 9.8 25,076 6 23.9
4,803 2 41.6 32,408 7 21.6
6,593 0 0 1,857 0 0 22,890 15 65.5

4 1 16.4 69 59 2 8.5 94 76 2 8.5 94 127 2 22.5 41 125 3 17.3 64 124 4 10.0 90 11 38 20.1 50 134 19 22.1 44 71 6 20.5 48 59 0 0 108 128 4 3.6 105 65 4 16.3 70 82 8 28.4 26 61 0 0 108 123 0 0 108 21 3 7.4 96 14 3 31.1 21 76 3 15.3 72 33 0 0 108 54 3 18.6 57
7 0 0 108 18 126 64.0 2 67 29 37.2 15 136 0 0 108 103 2 13.2 80 94 2 22.0 45 130 18 29.4 24 87 5 19.9 51 29 0 0 108 96 7 21.6 46 136 0 0 108 136 0 0 108
9 3 13.1 81

1 16.4 2 8.5 00 00 00 3 7.5 31 16.4 7 8.2 4 13.6 00 2 1.8 00 3 10.6 00 00 00 1 10.4 2 10.2 00 1 6.2 00 92 46.7 14 17.9 00 00 2 22.0 5 8.2 6 23.9 00 4 12.3 00 00 00

28 1 16.4 19 0 0 63 1 4.3 69 0 0 82 0 0 80 0 0 82 0 0 80 0 0 82 0 0 80 1 5.8 69 1 2.5 73 1 2.5 28 21 11.1 33 19 10.1 65 4 4.7 66 2 2.3 38 0 0 80 0 0 82 0 0 80 0 0 81 1 0.9 79 1 0.9 82 0 0 80 0 0 50 3 10.6 34 3 10.6 82 0 0 80 0 0 82 0 0 80 0 0 82 0 0 80 1 2.5 51 2 20.7 7 0 0 53 1 5.1 64 0 0 82 0 0 80 0 0 75 0 0 80 2 12.4 82 0 0 80 1 13.6
1 65 33.0 1 55 27.9 23 11 14.1 24 6 7.7 82 0 0 80 0 0 82 0 0 80 0 0 14 2 22.0 5 2 22.0 65 10 16.4 19 6 9.8 10 4 16.0 22 3 12.0 82 0 0 80 0 0 44 6 18.5 11 2 6.2 82 0 0 80 0 0 82 0 0 80 0 0 82 0 0 80 0 0

72

9

72

16

72

11

72

3

52

11

66

17

25 497

67

77

72

29

72

5

71

29

72

15

23

30

72

6

72

2

66

30

72

19

72

15

72

1

16

18

12

6

1 1,289

40 148

72

0

72

5

2

11

27

84

19

41

72

3

50

48

72

0

72

0

72

25

21

GEOGRAPHIC DISTRIBUTION Primary Care
PHYSICIANS BY SPECIALTY BY COUNTY, GEORGIA, 2006
Number, Rate and Rank
NUMBER OF PHYSICIANS BY SPECIALTY 1

County
Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth GEORGIA

Population

PRIMARY CARE (Generalists)

OB/GYN

TOTAL General Surgery ALL
SPEC.

Family Practice Internal Medicine

Pediatrics

2006 # Rate2 Rank3 # Rate Rank # Rate Rank # Rate Rank # Rate Rank #

8,716 1 11.5 126 0 0 108 0 0

13,247 5 37.7 37 3 22.6 40 0 0

10,561 2 18.9 104 1 9.5 92 0 0

44,263 17 38.4 34 12 27.1 32 10 22.6

40,467 10 24.7 83 12 29.7 23 11 27.2

26,932 8 29.7 60 6 22.3 42 9 33.4

10,270 6 58.4 12 2 19.5 52 0 0

6,749 1 14.8 117 0 0 108 0 0

62,295 8 12.8 122 14 22.5 41 8 12.8

9,454 3 31.7 53 0 0 108 0 0

10,481 0 0 136 0 0 108 0 0

19,827 10 50.4 15 2 10.1 89 1 5.0

27,485 5 18.2 108 4 14.6 74 4 14.6

63,239 16 25.3 77 1 1.6 107 0 0

75,543 14 18.5 105 14 18.5 58 5 6.6

34,966 14 40.0 30 19 54.3 4 9 25.7

6,077 1 16.5 110 2 32.9 19 0 0

19,947 5 25.1 79 10 50.1 6 2 10.0

28,309 8 28.3 66 3 10.6 88 3 10.6

2,250 0 0 136 0 0 108 0 0

6,574 2 30.4 57 0 0 108 0 0

23,793 6 25.2 78 0 0 108 0 0

90,512 26 28.7 64 25 27.6 30 16 17.7

8,610 0 0 136 1 11.6 85 0 0

10,344 3 29.0 62 3 29.0 25 2 19.3

10,111 3 29.7 60 1 9.9 91 0 0

21,442 9 42.0 27 3 14.0 76 3 14.0

9,109,209

2,391

2,471

1,548

82 0 0 80 0 0

82 0 0 80 0 0

82 0 0 80 0 0

12 6 13.6 26 7 15.8

6 7 17.3 13 4 9.9

3 5 18.6 10 2 7.4

82 0 0 80 0 0

82 0 0 80 0 0

41 10 16.1 21 5 8.0

82 0 0 80 0 0

82 0 0 80 0 0

78 0 0 80 1 5.0

34 2 7.3 53 3 10.9

82 1 1.6 77 1 1.6

73 2 2.6 72 5 6.6

7 6 17.2 14 5 14.3

82 0 0 80 0 0

55 2 10.0 38 4 20.1

50 2 7.1 55 2 7.1

82 0 0 80 0 0

82 0 0 80 0 0

82 1 4.2 70 1 4.2

5 17 18.8 9 8 8.8

82 0 0 80 0 0

17 1 9.7 40 0 0

82 0 0 80 0 0

36 0 0 80 1 4.7

1,027

699

72

2

72

8

72

3

7 148

26

90

41

53

72

12

72

1

39 104

72

4

72

1

57

28

22

35

69

31

46

60

10 129

72

4

4

29

43

29

72

0

72

2

62

10

33 189

72

1

72

12

72

4

59

19

18,422

1 Source: Composite State Board of Medical Examiners, Georgia Physician Survey, 2006. 2 Rate per 100,000 population 3 Rate by Rank

22

Metropolitan and Non-Metropolitan Statistical Areas in Georgia

DADE

CATOOSA
WHITFIELD

WALKER

MURRAY

CHATTOOGA

GORDON

FANNIN

TOWNS UNION

RABUN

GILMER PICKENS

LUMPKIN

WHITE

HABERSHAM STEP-
HENS

DAWSON

FRANKLIN HALL BANKS

HART

FLOYD

BARTOW CHEROKEE FORSYTH

JACKSON

ELBERT MADISON

POLK PAULDING COBB
HARALSON

GWINNETT

BARROW CLARKE
WALTON OCONEE

OGLETHORPE

WILKES

LINCOLN

DOUGLAS FULTON DEKALB ROCKDALE

CARROLL

CLAYTON

NEWTON MORGAN

GREENE TALIAFERRO

COLUMBIA MCDU-
FFIE

FAYETTE COWETA

HENRY

JASPER PUTNAM

WARREN

RICHMOND

HEARD

SPALDING BUTTS

HANCOCK GLASCOCK

TROUP

MERIWETHER

PIKE LAMAR MONROE

BALDWIN JONES

JEFFERSON WASHINGTON

BURKE

HARRIS

UPSON

TALBOT

CRAWFORD

BIBB

WILKINSON

TWIGGS

JOHNSON

JENKINS EMANUEL

SCREVEN

MUSCOGEE

TAYLOR

PEACH

MARION

MACON

HOUSTON BLECKLEY

CHATTAHOOCHEE

SCHLEY

PULASKI DODGE

DOOLY

STEWART WEBSTER

SUMTER

WILCOX CRISP

QUITMAN

TERRELL

LEE

RANDOLPH

TURNER

BEN HILL

LAURENS TREUTLEN

CANDLER BULLOCH EFFINGHAM

MONTGOM-

EVANS

WHEELER ERY TOOMBS

TATTNALL

BRYAN

TELFAIR
JEFF DAVIS

APPLING

LIBERTY LONG

CHATHAM

CLAY CALHOUN

DOUGHERTY WORTH

IRWIN TIFT

COFFEE

EARLY

BAKER

BERRIEN ATKINSON

MILLER

MITCHELL

SEMINOLE DECATUR

GRADY

COLQUITT

COOK

LANIER

THOMAS

BROOKS LOWNDES

CLINCH

BACON

WAYNE

MCINTOSH

PIERCE

WARE

BRANTLEY

GLYNN

CHARLTON

CAMDEN

ECHOLS

Metropolitan Statistical Areas (MSA) (Urban)
Non-Metropolitan Statistical Areas (Non-MSA) (Rural)

23

Glossary of Terms
Adequate- Category of physician distribution meaning there are enough physicians in that specialty, based on the +/- 1 standard deviation of the physician rate per 100,000.
Core Specialties- Five specialties including: family practice, internal medicine, pediatrics, OB/GYN and general surgery.
Deficit- Category of physician distribution meaning there are not enough physicians in that specialty, based on the +/- 1 standard deviation of the physician rate per 100,000.
Generalist- Includes family practice, internal medicine and pediatrics. Same as "primary care". Metropolitan Statistical Area (MSA)- Contains a core urban area of 50,000 or more population. Defined by the U.S. Office of Management and Budget (OMB). Also referred to as urban.
Non-Metropolitan Statistical Area (Non-MSA)- The areas that are not defined as Metropolitan Statistical Areas as defined by the U.S. Office of Management and Budget (OMB). Also referred to as rural.
Primary Care- Group of specialties that include family practice, internal medicine and pediatrics.
Primary Care Service Area- Ninety-six (96) areas were designated by the 30% rule using the Georgia Hospital Questionnaire ie. (1) a PCSA was designated if at least 30% of the patients received care in their county of residence or (2) if a county received less than 30% of its residents as patients, it was assigned to the county where the majority of its residents go for primary care.
Specialist- All physician specialties other than family practice, internal medicine, and pediatrics.
Surplus- Category of physician distribution meaning there are more than and adequate amount of physicians in that specialty, based on the +/- 1 standard deviation of the physician rate per 100,000.
24

GEORGIA BOARD FOR PHYSICIAN WORKFORCE BOARD MEMBERS
Ralph Austin, Jr., M.D. Chairman Joe Sam Robinson, Jr., M.D. Vice Chairman
James R. Lowry Secretary/Treasurer Brian K. Burdette
Edward D. Conner, M.D. Jacinto del Mazo, M.D. J. Daniel Hanks, Jr., M.D. Thomas L. Hatchett, Jr., M.D. Gilbert S. Klemann, M.D. D. Wayne Martin, MBA E. Chandler McDavid, M.D. Reuben S. Roberts, Jr., M.D.
Cherri Tucker, Executive Director for the Georgia Board for Physician Workforce and the State Medical Education Board
BOARD STAFF Colette Caldwell, Usha Caudill, Carla Graves, Kim Jackson,
Olive Jones-Golden, and Kelly McNamara
ACKNOWLEDGMENTS The Board would like to thank G.E. Alan Dever, M.D., Ph.D., M.T. of Health Services Analysis, Inc. for his contributions to this report. The Board would also like to express appreciation to LaSharn Hughes, Executive Director of the Composite State Board of Medical Examiners (CSBME), and to the CSBME staff, for their support of these efforts.
1718 Peachtree St., N.W. Suite 683, Atlanta, GA 30308, www.gbpw.georgia.gov