Georgia physician workforce: SCSA reports, 2008 9 SCSA physician standard report, included counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

Georgia Physician Workforce: SCSA Reports - 2008

Page 1

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

12

/100k 4.8

Physician Need 35 24 23 22 15 10 22

Status Deficit: -23 Deficit: -12 Deficit: -11 Deficit: -10 Deficit: -3 Surplus: 2 Deficit: -10

17

Deficit: -5

19

Deficit: -7

2015 Projected
Population 249,383
Physician Need 35 24 23 22 15 10 22
17
19

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

249,398

5

/100k 2.0

Physician Need 19 13 12 8 7 4 7

Status Deficit: -14 Deficit: -8 Deficit: -7 Deficit: -3 Deficit: -2 Surplus: 1 Deficit: -2

9

Deficit: -4

6

Deficit: -1

11

Deficit: -6

9

Deficit: -4

2015 Projected
Population 249,383
Physician Need 19 13 12 8 7 4 7
9 6 11 9

Georgia Physician Workforce: SCSA Reports - 2008

Page 2

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

2

/100k 0.8

Physician Need 9 7 6 7 6 6 6 4 3 5 8 6

Status Deficit: -7 Deficit: -5 Deficit: -4 Deficit: -5 Deficit: -4 Deficit: -4 Deficit: -4 Deficit: -2 Deficit: -1 Deficit: -3 Deficit: -6 Deficit: -4

2015 Projected
Population 249,383
Physician Need 9 7 6 7 6 6 6 4 3 5 8 6

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

249,398

24

/100k 9.6

Physician Need 26 14 13 13 17 13

Status Deficit: -2 Surplus: 10 Surplus: 11 Surplus: 11 Surplus: 7 Surplus: 11

7

Surplus: 17

31

Deficit: -7

15

Surplus: 9

2015 Projected
Population 249,383
Physician Need 26 14 13 13 17 13
7
31 15

Georgia Physician Workforce: SCSA Reports - 2008

Page 3

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

80

/100k 32.1

Physician Need 79 114 106 63 42 27

Status Surplus: 1
Deficit: -34 Deficit: -26 Surplus: 17 Surplus: 38 Surplus: 53

23

Surplus: 57

40

Surplus: 40

56

Surplus: 24

59

Surplus: 21

2015 Projected
Population 249,383
Physician Need 79 114 106 63 42 27
23
40 56 59

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

249,398

3

/100k 1.2

Physician Need 10
8

Status Deficit: -7 Deficit: -5

8

Deficit: -5

4

Deficit: -1

4

Deficit: -1

3

Adequate 0

9

Deficit: -6

6

Deficit: -3

2015 Projected
Population 249,383
Physician Need 10 8
8 4 4
3
9 6

Georgia Physician Workforce: SCSA Reports - 2008

Page 4

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

1

/100k 0.4

Physician Need 5 2 1 2 3 2 1

Status Deficit: -4 Deficit: -1 Adequate 0 Deficit: -1 Deficit: -2 Deficit: -1 Adequate 0

2

Deficit: -1

2015 Projected
Population 249,383
Physician Need 5 2 1 2 3 2 1
2

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

249,398

64

/100k 25.7

Physician Need 132 53 50 72 70 76

Status Deficit: -68 Surplus: 11 Surplus: 14 Deficit: -8 Deficit: -6 Deficit: -12

42

Surplus: 22

28

Surplus: 36

47

Surplus: 17

55

Surplus: 9

2015 Projected
Population 249,383
Physician Need 132 53 50 72 70 76
42
28 47 55

Georgia Physician Workforce: SCSA Reports - 2008

Page 5

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

1

/100k 0.4

Physician Need 6 3 3 3 2 2 2

Status Deficit: -5 Deficit: -2 Deficit: -2 Deficit: -2 Deficit: -1 Deficit: -1 Deficit: -1

2

Deficit: -1

2

Deficit: -1

2015 Projected
Population 249,383
Physician Need 6 3 3 3 2 2 2
2 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

249,398

3

/100k 1.2

Physician Need 12 6 6 8 3 4 3

Status Deficit: -9 Deficit: -3 Deficit: -3 Deficit: -5 Adequate 0 Deficit: -1 Adequate 0

5

Deficit: -2

3

Adequate 0

4

Deficit: -1

5

Deficit: -2

2015 Projected
Population 249,383
Physician Need 12 6 6 8 3 4 3
5 3 4 5

Georgia Physician Workforce: SCSA Reports - 2008

Page 6

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

25

/100k 10.0

Physician Need 35 30 28 25 29 29 25 22 21 20 25 25

Status Deficit: -10 Deficit: -5 Deficit: -3 Adequate 0 Deficit: -4 Deficit: -4 Adequate 0 Surplus: 3 Surplus: 4 Surplus: 5 Adequate 0 Adequate 0

2015 Projected
Population 249,383
Physician Need 35 30 28 25 29 29 25 22 21 20 25 25

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

249,398

5

/100k 2.0

Physician Need 15 15 14 11 6 8 12

Status Deficit: -10 Deficit: -10 Deficit: -9 Deficit: -6 Deficit: -1 Deficit: -3 Deficit: -7

9

Deficit: -4

8

Deficit: -3

12

Deficit: -7

10

Deficit: -5

2015 Projected
Population 249,383
Physician Need 15 15 14 11 6 8 12
9 8 12 10

Georgia Physician Workforce: SCSA Reports - 2008

Page 7

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

10

/100k 4.0

Physician Need 21 17 16 15 15 10 17 7 15 10 15 14

Status Deficit: -11 Deficit: -7 Deficit: -6 Deficit: -5 Deficit: -5 Adequate 0 Deficit: -7 Surplus: 3 Deficit: -5 Adequate 0 Deficit: -5 Deficit: -4

2015 Projected
Population 249,383
Physician Need 21 17 16 15 15 10 17 7 15 10 15 14

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

249,398

4

/100k 1.6

Physician Need 8
8

Status Deficit: -4 Deficit: -4

8

Deficit: -4

8

Deficit: -4

6

Deficit: -2

7

Deficit: -3

7

Deficit: -3

2015 Projected
Population 249,383
Physician Need 8 8
8 8 6 7
7

Georgia Physician Workforce: SCSA Reports - 2008

Page 8

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

4

/100k 1.6

Physician Need 16 5 4 16 8 4

Status Deficit: -12 Deficit: -1 Adequate 0 Deficit: -12 Deficit: -4 Adequate 0

10

Deficit: -6

8

Deficit: -4

2015 Projected
Population 249,383
Physician Need 16 5 4 16 8 4
10
8

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

249,398

27

/100k 10.8

Physician Need 62 41 39 31 30 40

Status Deficit: -35 Deficit: -14 Deficit: -12 Deficit: -4 Deficit: -3 Deficit: -13

24

Surplus: 3

19

Surplus: 8

35

Deficit: -8

32

Deficit: -5

2015 Projected
Population 249,383
Physician Need 62 41 39 31 30 40
24
19 35 32

Georgia Physician Workforce: SCSA Reports - 2008

Page 9

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

19

/100k 7.6

Physician Need 34 19 18 38 13 10

Status Deficit: -15 Adequate 0 Surplus: 1 Deficit: -19 Surplus: 6 Surplus: 9

18

Surplus: 1

10

Surplus: 9

14

Surplus: 5

18

Surplus: 1

2015 Projected
Population 249,383
Physician Need 34 19 18 38 13 10
18 10 14 18

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

249,398

2

/100k 0.8

Physician Need 9 5 5 3 3 2 3

Status Deficit: -7 Deficit: -3 Deficit: -3 Deficit: -1 Deficit: -1 Adequate 0 Deficit: -1

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

2015 Projected
Population 249,383
Physician Need 9 5 5 3 3 2 3
3
3 4

Georgia Physician Workforce: SCSA Reports - 2008

Page 10

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

16

/100k 6.4

Physician Need 28 34 34 19 21 12 19

Status Deficit: -12 Deficit: -18 Deficit: -18 Deficit: -3 Deficit: -5 Surplus: 4 Deficit: -3

20

Deficit: -4

23

Deficit: -7

2015 Projected
Population 249,383
Physician Need 28 34 34 19 21 12 19
20
23

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

249,398

18

/100k 7.2

Physician Need 31 23 22 24 17 15 15 10 24 10 15 18

Status Deficit: -13 Deficit: -5 Deficit: -4 Deficit: -6 Surplus: 1 Surplus: 3 Surplus: 3 Surplus: 8 Deficit: -6 Surplus: 8 Surplus: 3 Adequate 0

2015 Projected
Population 249,383
Physician Need 31 23 22 24 17 15 15 10 24 10 15 18

Georgia Physician Workforce: SCSA Reports - 2008

Page 11

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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

249,398

1

/100k 0.4

Physician Need
4

Status Deficit: -3

2

Deficit: -1

0

Surplus: 1

1

Adequate 0

2015 Projected
Population 249,383
Physician Need 4
2 0
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

249,398

7

/100k 2.8

Physician Need 9 9 8 8 8 6 7

Status Deficit: -2 Deficit: -2 Deficit: -1 Deficit: -1 Deficit: -1 Surplus: 1 Adequate 0

6

Surplus: 1

5

Surplus: 2

7

Adequate 0

7

Adequate 0

2015 Projected
Population 249,383
Physician Need 9 9 8 8 8 6 7
6 5 7 7

Georgia Physician Workforce: SCSA Reports - 2008

Page 12

9 SCSA Physician Standard Report
Included Counties: Appling, Bleckley, Candler, Dodge, Emanuel, Jeff Davis, Johnson, Laurens, Montgomery, Telfair, Toombs, Treutlen, Wayne, Wheeler, Wilcox

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.