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.