Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd 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 Physician /100k 94,262 1 1.1 Physician Need 1 Status Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2015 Projected Population 94,889 Physician Need 1 1 1 1 2 1 1 1 2 1 Physician Specialty Anesthesiology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 14.0 9.7 9.1 8.9 5.9 3.9 9.0 7.0 7.6 2008 Actual Population Physician /100k 94,262 15 15.9 Physician Need 13 Status Surplus: 2 9 Surplus: 6 9 Surplus: 6 8 Surplus: 7 6 Surplus: 9 4 Surplus: 11 8 Surplus: 7 7 Surplus: 8 7 Surplus: 8 2015 Projected Population 94,889 Physician Need 13 9 9 8 6 4 9 7 7 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd 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 Physician /100k 94,262 13 13.8 Physician Need 7 Status Surplus: 6 5 Surplus: 8 5 Surplus: 8 3 Surplus: 10 3 Surplus: 10 2 Surplus: 11 3 Surplus: 10 3 Surplus: 10 2 Surplus: 11 4 Surplus: 9 3 Surplus: 10 2015 Projected Population 94,889 Physician Need 7 5 5 3 3 2 3 3 2 4 3 Physician Specialty Dermatology National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 3.7 2.8 2.6 2.8 2.5 2.4 2.6 1.6 1.4 2.1 3.1 2.4 2008 Actual Population Physician /100k 94,262 2 2.1 Physician Need 3 Status Deficit: -1 3 Deficit: -1 2 Adequate 0 3 Deficit: -1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 3 Deficit: -1 2 Adequate 0 2015 Projected Population 94,889 Physician Need 4 3 2 3 2 2 2 2 1 2 3 2 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd 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 Physician /100k 94,262 6 6.4 Physician Need 10 Status Deficit: -4 5 Surplus: 1 5 Surplus: 1 5 Surplus: 1 6 Adequate 0 5 Surplus: 1 3 Surplus: 3 12 Deficit: -6 6 Adequate 0 2015 Projected Population 94,889 Physician Need 10 5 5 5 6 5 3 12 6 Physician Specialty Endocrinology, Diabetes & Metabolism National Physician Standards* AMA Standard Phys/100,000 Pop. 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 Physician /100k 94,262 1 1.1 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 94,889 Physician Need 2 1 1 1 1 1 1 1 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd 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 Physician /100k 94,262 62 65.8 Physician Need 30 Status Surplus: 32 43 Surplus: 19 40 Surplus: 22 24 Surplus: 38 16 Surplus: 46 10 Surplus: 52 9 Surplus: 53 15 Surplus: 47 21 Surplus: 41 22 Surplus: 40 2015 Projected Population 94,889 Physician Need 30 43 40 24 16 10 9 15 21 22 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 Physician /100k 94,262 7 7.4 Physician Need 4 Status Surplus: 3 3 Surplus: 4 3 Surplus: 4 2 Surplus: 5 2 Surplus: 5 1 Surplus: 6 3 Surplus: 4 2 Surplus: 5 2015 Projected Population 94,889 Physician Need 4 3 3 2 2 1 3 2 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 5 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 Physician /100k 94,262 1 1.1 Physician Need 2 Status Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2015 Projected Population 94,889 Physician Need 2 1 1 1 1 1 1 1 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 Physician /100k 94,262 39 41.4 Physician Need 50 Status Deficit: -11 20 Surplus: 19 19 Surplus: 20 27 Surplus: 12 26 Surplus: 13 29 Surplus: 10 16 Surplus: 23 11 Surplus: 28 18 Surplus: 21 21 Surplus: 18 2015 Projected Population 94,889 Physician Need 50 20 19 27 27 29 16 11 18 21 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 6 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 Physician /100k 94,262 5 5.3 Physician Need 2 Status Surplus: 3 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 2015 Projected Population 94,889 Physician Need 2 1 1 1 1 1 1 1 1 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 Physician /100k 94,262 3 3.2 Physician Need 2 Status Surplus: 1 1 Surplus: 2 1 Surplus: 2 1 Surplus: 2 1 Surplus: 2 0 Surplus: 3 1 Surplus: 2 1 Surplus: 2 2015 Projected Population 94,889 Physician Need 2 1 1 1 1 0 1 1 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 7 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 Physician /100k 94,262 5 5.3 Physician Need 5 Status Adequate 0 2 Surplus: 3 2 Surplus: 3 3 Surplus: 2 1 Surplus: 4 2 Surplus: 3 1 Surplus: 4 2 Surplus: 3 1 Surplus: 4 2 Surplus: 3 2 Surplus: 3 2015 Projected Population 94,889 Physician Need 5 2 2 3 1 2 1 2 1 2 2 Physician Specialty OB/GYN National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement Standard Phys/100,000 Pop. 14.1 12.1 11.3 9.9 11.6 11.5 10.0 8.8 8.4 8.0 10.2 10.2 2008 Actual Population Physician /100k 94,262 13 13.8 Physician Need 13 Status Adequate 0 11 Surplus: 2 11 Surplus: 2 9 Surplus: 4 11 Surplus: 2 11 Surplus: 2 9 Surplus: 4 8 Surplus: 5 8 Surplus: 5 8 Surplus: 5 10 Surplus: 3 10 Surplus: 3 2015 Projected Population 94,889 Physician Need 13 11 11 9 11 11 9 8 8 8 10 10 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 8 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 Physician /100k 94,262 4 4.2 Physician Need 6 Status Deficit: -2 6 Deficit: -2 5 Deficit: -1 4 Adequate 0 2 Surplus: 2 3 Surplus: 1 5 Deficit: -1 3 Surplus: 1 3 Surplus: 1 4 Adequate 0 4 Adequate 0 2015 Projected Population 94,889 Physician Need 6 6 5 4 2 3 5 3 3 4 4 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 Physician /100k 94,262 13 13.8 Physician Need 8 Status Surplus: 5 6 Surplus: 7 6 Surplus: 7 6 Surplus: 7 6 Surplus: 7 4 Surplus: 9 6 Surplus: 7 3 Surplus: 10 6 Surplus: 7 4 Surplus: 9 6 Surplus: 7 5 Surplus: 8 2015 Projected Population 94,889 Physician Need 8 6 6 6 6 4 6 3 6 4 6 5 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 9 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 Physician /100k 94,262 6 6.4 Physician Need 3 Status Surplus: 3 3 Surplus: 3 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 3 Surplus: 3 3 Surplus: 3 2015 Projected Population 94,889 Physician Need 3 3 3 3 2 3 3 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 Physician /100k 94,262 5 5.3 Physician Need 6 Status Deficit: -1 2 Surplus: 3 2 Surplus: 3 6 Deficit: -1 3 Surplus: 2 2 Surplus: 3 4 Surplus: 1 3 Surplus: 2 2015 Projected Population 94,889 Physician Need 6 2 2 6 3 2 4 3 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 10 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 Physician /100k 94,262 14 14.9 Physician Need 23 Status Deficit: -9 16 Deficit: -2 15 Deficit: -1 12 Surplus: 2 11 Surplus: 3 15 Deficit: -1 9 Surplus: 5 7 Surplus: 7 13 Surplus: 1 12 Surplus: 2 2015 Projected Population 94,889 Physician Need 24 16 15 12 11 15 9 7 13 12 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 Physician /100k 94,262 5 5.3 Physician Need 2 Status Surplus: 3 1 Surplus: 4 0 Surplus: 5 0 Surplus: 5 1 Surplus: 4 2 Surplus: 3 2 Surplus: 3 1 Surplus: 4 2015 Projected Population 94,889 Physician Need 2 1 0 0 1 2 2 1 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 11 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 Physician /100k 94,262 22 23.3 Physician Need 13 Status Surplus: 9 7 Surplus: 15 7 Surplus: 15 15 Surplus: 7 5 Surplus: 17 4 Surplus: 18 7 Surplus: 15 4 Surplus: 18 5 Surplus: 17 7 Surplus: 15 2015 Projected Population 94,889 Physician Need 13 7 7 15 5 4 7 4 5 7 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 Physician /100k 94,262 6 6.4 Physician Need 3 Status Surplus: 3 2 Surplus: 4 2 Surplus: 4 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 1 Surplus: 5 2015 Projected Population 94,889 Physician Need 3 2 2 1 1 1 1 1 1 1 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 12 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 Physician /100k 94,262 17 18.0 Physician Need 11 Status Surplus: 6 13 Surplus: 4 13 Surplus: 4 7 Surplus: 10 8 Surplus: 9 4 Surplus: 13 7 Surplus: 10 8 Surplus: 9 9 Surplus: 8 2015 Projected Population 94,889 Physician Need 11 13 13 7 8 4 7 8 9 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 Physician /100k 94,262 2 2.1 Physician Need 1 Status Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 0 Surplus: 2 1 Surplus: 1 1 Surplus: 1 0 Surplus: 2 1 Surplus: 1 1 Surplus: 1 2015 Projected Population 94,889 Physician Need 1 1 1 1 0 1 1 0 1 1 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 13 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 Physician /100k 94,262 7 7.4 Physician Need 12 Status Deficit: -5 9 Deficit: -2 8 Deficit: -1 9 Deficit: -2 7 Adequate 0 6 Surplus: 1 6 Surplus: 1 4 Surplus: 3 9 Deficit: -2 4 Surplus: 3 6 Surplus: 1 7 Adequate 0 2015 Projected Population 94,889 Physician Need 12 9 8 9 7 6 6 4 9 4 6 7 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 Physician /100k 94,262 3 3.2 Physician Need 1 Status Surplus: 2 1 Surplus: 2 0 Surplus: 3 0 Surplus: 3 2015 Projected Population 94,889 Physician Need 1 1 0 0 Georgia Physician Workforce: MSA Reports - 2008 Rome MSA Physician Standard Report Included Counties: Floyd Page 14 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 Physician /100k 94,262 6 6.4 Physician Need 3 Status Surplus: 3 3 Surplus: 3 3 Surplus: 3 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 3 Surplus: 3 2 Surplus: 4 2 Surplus: 4 3 Surplus: 3 3 Surplus: 3 2015 Projected Population 94,889 Physician Need 3 3 3 3 3 2 3 2 2 3 3 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.