121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 1 Physician Specialty Allergy & Immunology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 1.4 1.5 1.4 0.8 1.7 1.2 1.1 1.3 1.7 1.3 2008 Actual Population Physicians /100k 197,322 13 6.6 Physician Need 3 Status Surplus: 10 3 Surplus: 10 3 Surplus: 10 2 Surplus: 11 3 Surplus: 10 2 Surplus: 11 2 Surplus: 11 3 Surplus: 10 3 Surplus: 10 3 Surplus: 10 2015 Projected Population 209,633 Physician Need 3 3 3 2 3 3 2 3 4 3 Physician Specialty Anesthesiology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 14.0 9.7 9.1 8.9 5.9 3.9 9.0 7.0 7.6 2008 Actual Population Physicians /100k 197,322 71 36.0 Physician Need 28 Status Surplus: 43 19 Surplus: 52 18 Surplus: 53 18 Surplus: 53 12 Surplus: 59 8 Surplus: 63 18 Surplus: 53 14 Surplus: 57 15 Surplus: 56 2015 Projected Population 209,633 Physician Need 29 20 19 19 8 8 19 15 16 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 2 Physician Specialty Cardiovascular Diseases National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 7.5 5.4 5.0 3.1 3.0 1.8 2.9 3.6 2.6 4.2 3.5 2008 Actual Population Physicians /100k 197,322 61 30.9 Physician Need 15 Status Surplus: 46 11 Surplus: 50 10 Surplus: 51 6 Surplus: 55 6 Surplus: 55 4 Surplus: 57 6 Surplus: 55 7 Surplus: 54 5 Surplus: 56 8 Surplus: 53 7 Surplus: 54 2015 Projected Population 209,633 Physician Need 16 11 10 6 4 4 6 8 5 9 7 Physician Specialty Dermatology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.7 2.8 2.6 2.8 2.5 2.4 2.6 1.6 1.4 2.1 3.1 2.4 2008 Actual Population Physicians /100k 197,322 17 8.6 Physician Need 7 Status Surplus: 10 6 Surplus: 11 5 Surplus: 12 6 Surplus: 11 5 Surplus: 12 5 Surplus: 12 5 Surplus: 12 3 Surplus: 14 3 Surplus: 14 4 Surplus: 13 6 Surplus: 11 5 Surplus: 12 2015 Projected Population 209,633 Physician Need 8 6 5 6 5 5 5 3 3 4 7 5 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 3 Physician Specialty Emergency Medicine National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 10.5 5.5 5.2 5.4 6.7 5.3 2.7 12.4 6.2 2008 Actual Population Physicians /100k 197,322 72 36.5 Physician Need 21 Status Surplus: 51 11 Surplus: 61 10 Surplus: 62 11 Surplus: 61 13 Surplus: 59 10 Surplus: 62 5 Surplus: 67 24 Surplus: 48 12 Surplus: 60 2015 Projected Population 209,633 Physician Need 22 12 11 11 11 11 6 26 13 Physician Specialty Endocrinology, Diabetes & Metabolism National Physician Standards* Standard Phys/100,000 Pop. AMA 1.8 Two Mature HMO 1.1 Adjusted FTE 1.0 GMENAC 0.8 Kaiser Portland 0.9 7 Kaiser Plans 1.1 GHC Seattle Three HMOs 0.6 Goodman Hicks & Glenn Solucient Average Requirement 0.9 2008 Actual Population Physicians /100k 197,322 10 5.1 Physician Need 4 Status Surplus: 6 2 Surplus: 8 2 Surplus: 8 2 Surplus: 8 2 Surplus: 8 2 Surplus: 8 1 Surplus: 9 2 Surplus: 8 2015 Projected Population 209,633 Physician Need 4 2 2 2 2 2 1 2 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 4 Physician Specialty Family Practice National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 31.5 45.6 42.6 25.2 16.7 11.0 9.2 16.2 22.5 23.6 2008 Actual Population Physicians /100k 197,322 106 53.7 Physician Need 62 Status Surplus: 44 90 Surplus: 16 84 Surplus: 22 50 Surplus: 56 33 Surplus: 73 22 Surplus: 84 18 Surplus: 88 32 Surplus: 74 44 Surplus: 62 47 Surplus: 59 2015 Projected Population 209,633 Physician Need 66 96 89 53 23 23 19 34 47 49 Physician Specialty Gastroenterology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 4.2 3.1 3.2 1.7 1.7 1.3 3.5 2.4 2008 Actual Population Physicians /100k 197,322 22 11.1 Physician Need 8 Status Surplus: 14 6 Surplus: 16 6 Surplus: 16 3 Surplus: 19 3 Surplus: 19 3 Surplus: 19 7 Surplus: 15 5 Surplus: 17 2015 Projected Population 209,633 Physician Need 9 6 7 4 4 3 7 5 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 5 Physician Specialty Hematology/Oncology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.5 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2 1.1 2.1 2008 Actual Population Physicians /100k 197,322 4 2.0 Physician Need 7 Status Deficit: -3 5 Deficit: -1 5 Deficit: -1 7 Deficit: -3 5 Deficit: -1 4 Adequate 0 3 Surplus: 1 5 Deficit: -1 2 Surplus: 2 2 Surplus: 2 4 Adequate 0 2015 Projected Population 209,633 Physician Need 7 5 5 8 4 4 3 5 3 2 4 Physician Specialty Infectious Disease National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 2.2 0.7 0.6 0.9 1.2 0.7 0.6 0.8 2008 Actual Population Physicians /100k 197,322 16 8.1 Physician Need 4 Status Surplus: 12 1 Surplus: 15 1 Surplus: 15 2 Surplus: 14 2 Surplus: 14 1 Surplus: 15 1 Surplus: 15 2 Surplus: 14 2015 Projected Population 209,633 Physician Need 5 1 1 2 1 1 1 2 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 6 Physician Specialty Internal Medicine National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 53.1 21.4 20.0 28.8 28.1 30.3 16.7 11.3 19.0 22.0 2008 Actual Population Physicians /100k 197,322 118 59.8 Physician Need 105 Status Surplus: 13 42 Surplus: 76 39 Surplus: 79 57 Surplus: 61 55 Surplus: 63 60 Surplus: 58 33 Surplus: 85 22 Surplus: 96 38 Surplus: 80 43 Surplus: 75 2015 Projected Population 209,633 Physician Need 111 45 42 60 64 64 35 24 40 46 Physician Specialty Nephrology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 2.6 1.4 1.3 1.1 0.8 0.7 0.9 0.7 1.0 2008 Actual Population Physicians /100k 197,322 30 15.2 Physician Need 5 Status Surplus: 25 3 Surplus: 27 3 Surplus: 27 2 Surplus: 28 2 Surplus: 28 1 Surplus: 29 2 Surplus: 28 1 Surplus: 29 2 Surplus: 28 2015 Projected Population 209,633 Physician Need 5 3 3 2 1 1 2 2 2 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 7 Physician Specialty Neurological Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 1.9 1.1 1.0 1.1 1.4 0.4 0.7 1.0 2008 Actual Population Physicians /100k 197,322 17 8.6 Physician Need 4 Status Surplus: 13 2 Surplus: 15 2 Surplus: 15 2 Surplus: 15 3 Surplus: 14 1 Surplus: 16 1 Surplus: 16 2 Surplus: 15 2015 Projected Population 209,633 Physician Need 4 2 2 2 1 1 2 Physician Specialty Neurology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 5.0 2.4 2.3 3.3 1.3 1.7 1.2 2.1 1.4 1.8 1.9 2008 Actual Population Physicians /100k 197,322 38 19.3 Physician Need 10 Status Surplus: 28 5 Surplus: 33 5 Surplus: 33 7 Surplus: 31 3 Surplus: 35 3 Surplus: 35 2 Surplus: 36 4 Surplus: 34 3 Surplus: 35 4 Surplus: 34 4 Surplus: 34 2015 Projected Population 209,633 Physician Need 10 5 5 7 4 4 3 4 3 4 4 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 8 Physician Specialty OB/GYN National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 14.1 12.1 11.3 9.9 11.6 11.5 10.0 8.8 8.4 8.0 10.2 10.2 2008 Actual Population Physicians /100k 197,322 62 31.4 Physician Need 28 Status Surplus: 34 24 Surplus: 38 22 Surplus: 40 20 Surplus: 42 23 Surplus: 39 23 Surplus: 39 20 Surplus: 42 17 Surplus: 45 17 Surplus: 45 16 Surplus: 46 20 Surplus: 42 20 Surplus: 42 2015 Projected Population 209,633 Physician Need 30 25 24 21 24 24 21 18 18 17 21 21 Physician Specialty Opthalmology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 6.0 5.9 5.5 4.6 2.4 3.1 5.0 3.5 3.2 4.7 4.2 2008 Actual Population Physicians /100k 197,322 33 16.7 Physician Need 12 Status Surplus: 21 12 Surplus: 21 11 Surplus: 22 9 Surplus: 24 5 Surplus: 28 6 Surplus: 27 10 Surplus: 23 7 Surplus: 26 6 Surplus: 27 9 Surplus: 24 8 Surplus: 25 2015 Projected Population 209,633 Physician Need 13 12 12 10 6 6 10 7 7 10 9 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 9 Physician Specialty Orthopedic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 8.3 6.8 6.4 6.0 5.9 4.2 6.7 3.0 5.9 4.2 6.1 5.5 2008 Actual Population Physicians /100k 197,322 50 25.3 Physician Need 16 Status Surplus: 34 13 Surplus: 37 13 Surplus: 37 12 Surplus: 38 12 Surplus: 38 8 Surplus: 42 13 Surplus: 37 6 Surplus: 44 12 Surplus: 38 8 Surplus: 42 12 Surplus: 38 11 Surplus: 39 2015 Projected Population 209,633 Physician Need 17 14 13 13 9 9 14 6 12 9 13 12 Physician Specialty Otolaryngology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.4 3.2 3.2 3.4 2.4 3.0 3.0 2008 Actual Population Physicians /100k 197,322 16 8.1 Physician Need 7 Status Surplus: 9 6 Surplus: 10 6 Surplus: 10 7 Surplus: 9 5 Surplus: 11 6 Surplus: 10 6 Surplus: 10 2015 Projected Population 209,633 Physician Need 7 7 7 5 5 6 6 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 10 Physician Specialty Pathology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 6.3 1.9 1.8 6.4 3.3 1.8 4.1 3.2 2008 Actual Population Physicians /100k 197,322 35 17.7 Physician Need 12 Status Surplus: 23 4 Surplus: 31 4 Surplus: 31 13 Surplus: 22 7 Surplus: 28 4 Surplus: 31 8 Surplus: 27 6 Surplus: 29 2015 Projected Population 209,633 Physician Need 13 4 4 13 4 4 9 7 Physician Specialty Pediatrics National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 24.9 16.6 15.5 12.4 11.9 16.0 9.8 7.6 13.9 13.0 2008 Actual Population Physicians /100k 197,322 88 44.6 Physician Need 49 Status Surplus: 39 33 Surplus: 55 31 Surplus: 57 24 Surplus: 64 23 Surplus: 65 32 Surplus: 56 19 Surplus: 69 15 Surplus: 73 27 Surplus: 61 26 Surplus: 62 2015 Projected Population 209,633 Physician Need 52 35 32 26 34 34 21 16 29 27 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 11 Physician Specialty Plastic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 2.4 1.1 0.3 0.4 1.1 2.3 2.2 1.2 2008 Actual Population Physicians /100k 197,322 15 7.6 Physician Need 5 Status Surplus: 10 2 Surplus: 13 1 Surplus: 14 1 Surplus: 14 2 Surplus: 13 5 Surplus: 10 4 Surplus: 11 2 Surplus: 13 2015 Projected Population 209,633 Physician Need 5 2 1 2 5 5 3 Physician Specialty Psychiatry National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 13.6 7.7 7.2 15.4 5.2 4.1 7.2 3.9 5.7 7.1 2008 Actual Population Physicians /100k 197,322 63 31.9 Physician Need 27 Status Surplus: 36 15 Surplus: 48 14 Surplus: 49 30 Surplus: 33 10 Surplus: 53 8 Surplus: 55 14 Surplus: 49 8 Surplus: 55 11 Surplus: 52 14 Surplus: 49 2015 Projected Population 209,633 Physician Need 29 16 15 32 9 9 15 8 12 15 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 12 Physician Specialty Pulmonary Diseases National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.5 2.0 1.9 1.4 1.4 1.0 1.4 1.4 1.3 1.5 2008 Actual Population Physicians /100k 197,322 24 12.2 Physician Need 7 Status Surplus: 17 4 Surplus: 20 4 Surplus: 20 3 Surplus: 21 3 Surplus: 21 2 Surplus: 22 3 Surplus: 21 3 Surplus: 21 3 Surplus: 21 3 Surplus: 21 2015 Projected Population 209,633 Physician Need 7 4 4 3 2 2 3 3 3 3 Physician Specialty Radiology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 11.4 13.6 13.7 7.7 8.5 4.7 7.7 8.0 9.1 2008 Actual Population Physicians /100k 197,322 57 28.9 Physician Need 22 Status Surplus: 35 27 Surplus: 30 27 Surplus: 30 15 Surplus: 42 17 Surplus: 40 9 Surplus: 48 15 Surplus: 42 16 Surplus: 41 18 Surplus: 39 2015 Projected Population 209,633 Physician Need 24 29 29 16 10 10 16 17 19 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 13 Physician Specialty Rheumatology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 1.5 1.1 1.0 0.7 0.4 0.7 0.7 0.4 1.3 0.8 2008 Actual Population Physicians /100k 197,322 12 6.1 Physician Need 3 Status Surplus: 9 2 Surplus: 10 2 Surplus: 10 1 Surplus: 11 1 Surplus: 11 1 Surplus: 11 1 Surplus: 11 1 Surplus: 11 3 Surplus: 9 2 Surplus: 10 2015 Projected Population 209,633 Physician Need 3 2 2 1 1 1 1 1 3 2 Physician Specialty General Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 12.5 9.4 8.8 9.7 7.0 6.2 5.9 4.2 9.7 4.1 6.0 7.1 2008 Actual Population Physicians /100k 197,322 53 26.9 Physician Need 25 Status Surplus: 28 19 Surplus: 34 17 Surplus: 36 19 Surplus: 34 14 Surplus: 39 12 Surplus: 41 12 Surplus: 41 8 Surplus: 45 19 Surplus: 34 8 Surplus: 45 12 Surplus: 41 14 Surplus: 39 2015 Projected Population 209,633 Physician Need 26 20 18 20 13 13 12 9 20 9 13 15 121 Georgia Physician Workforce: County Reports - 2008 Richmond County Physician Standard Report Page 14 Physician Specialty Thoracic Surgery National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 1.5 0.8 0.1 0.5 2008 Actual Population Physicians /100k 197,322 4 2.0 Physician Need 3 Status Surplus: 1 2 Surplus: 2 0 Surplus: 4 1 Surplus: 3 2015 Projected Population 209,633 Physician Need 3 2 1 Physician Specialty Urology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.5 3.5 3.3 3.1 3.3 2.3 2.9 2.6 1.9 2.9 2.9 2008 Actual Population Physicians /100k 197,322 16 8.1 Physician Need 7 Status Surplus: 9 7 Surplus: 9 7 Surplus: 9 6 Surplus: 10 7 Surplus: 9 5 Surplus: 11 6 Surplus: 10 5 Surplus: 11 4 Surplus: 12 6 Surplus: 10 6 Surplus: 10 2015 Projected Population 209,633 Physician Need 7 7 7 6 5 5 6 5 4 6 6 121 Georgia Physician Workforce: County Reports - 2008 Page 15 Richmond County Physician Standard Report Report created by Georgia Board for Physician Workforce, State of Georgia *Standards are presented as rates per 100,000 population (1) McClendon, B., R.Polizer, E. Christain, and E. Fernandez. 1997. Downsizing the Physician Workforce. Public Health Reports. May/June 112:231-239. (2) Graduate Medical Education National Advisory Committee Summary Report. 1981. Pub. No. (HRA) 81-651. Washington: Government Printing Office. (3) American Medical Association. 1996. Physician Characteristics and Distribution in the US: 1995/1996. Chicago. (4) American Osteopathic Association. 1993. 1994 Yearbook and Directory of Osteopathic Physicians. Chicago. (5) Hart, L., E. Wagner, J. Parzada, A.Nelson, and R.Rosenblah. 1997. Physician Staffing Ratios in Staff- Model HMO's: A Cautionary Tale, Health Affairs 16, no. 1:55-70. (6) Weiner, J.P. 1994 Forecasting the Effects of Health Reform on U.S. Physician Workforce Requirement. JAMA 272, no. 3:222-230. (7) Steinwachs, D., J.P. Weiner, S. Shapiro, et al. 1986. A Comparison of the Requirements for Primary Care Physicians in with Projections Made by the Graduate Medical National Advisory Committee. New England Journal of Medicine 314:217-222. (8) Kronick, R., D.C. Goodman, J. Wennberg, and E.Wagner. 1993. The Marketplace in Health Care Reform: The Demographic Limitations of Managed Competition. New England Journal of Medicine 328:1480152. See also, related NAPS Document 04998. (9) Vansdow, N.A. The Physician Workforce: Issues for Academic Medical Centers. Forum on the Future of Academic Medicine. December 2, 1996. (10) Forte, G.J., Dionne, M., Beaulieu, M., and Salsberg, E. Profile of New York State Physicians. Rensselaer, NY: Center for Health Workforce Studies, School of Public Health, SUNY Albany. April 2001. (11) A Review of Physician-to-Population Ratios. Merritt Hawkins & Associates. GMENAC, Goodman (Dec. 11, 1996 JAMA), Hicks & Glenn (1989 Journal of Health Care Management), Solucient (2003). (12) American Medical Association. Physician Characteristics and Distribution in the US, 2010 Edition; 2010.