Georgia Physician Workforce: SCSA Reports - 2008 Page 1 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 3 /100k 0.8 Physician Need 5 5 5 3 6 4 4 Status Deficit: -2 Deficit: -2 Deficit: -2 Adequate 0 Deficit: -3 Deficit: -1 Deficit: -1 5 Deficit: -2 6 Deficit: -3 5 Deficit: -2 2015 Projected Population 360,010 Physician Need 5 5 5 3 6 4 4 5 6 5 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 358,829 24 /100k 6.7 Physician Need 50 35 33 32 21 14 32 Status Deficit: -26 Deficit: -11 Deficit: -9 Deficit: -8 Surplus: 3 Surplus: 10 Deficit: -8 25 Deficit: -1 27 Deficit: -3 2015 Projected Population 360,010 Physician Need 50 35 33 32 21 14 32 25 27 Georgia Physician Workforce: SCSA Reports - 2008 Page 2 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 16 /100k 4.5 Physician Need 27 19 18 11 11 6 10 Status Deficit: -11 Deficit: -3 Deficit: -2 Surplus: 5 Surplus: 5 Surplus: 10 Surplus: 6 13 Surplus: 3 9 Surplus: 7 15 Surplus: 1 13 Surplus: 3 2015 Projected Population 360,010 Physician Need 27 19 18 11 11 6 10 13 9 15 13 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 358,829 6 /100k 1.7 Physician Need 13 10 9 10 9 9 9 6 5 8 11 9 Status Deficit: -7 Deficit: -4 Deficit: -3 Deficit: -4 Deficit: -3 Deficit: -3 Deficit: -3 Adequate 0 Surplus: 1 Deficit: -2 Deficit: -5 Deficit: -3 2015 Projected Population 360,010 Physician Need 13 10 9 10 9 9 9 6 5 8 11 9 Georgia Physician Workforce: SCSA Reports - 2008 Page 3 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 33 /100k 9.2 Physician Need 38 20 19 19 24 19 Status Deficit: -5 Surplus: 13 Surplus: 14 Surplus: 14 Surplus: 9 Surplus: 14 10 Surplus: 23 44 Deficit: -11 22 Surplus: 11 2015 Projected Population 360,010 Physician Need 38 20 19 19 24 19 10 45 22 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 358,829 118 /100k 32.9 Physician Need 113 164 153 90 60 39 Status Surplus: 5 Deficit: -46 Deficit: -35 Surplus: 28 Surplus: 58 Surplus: 79 33 Surplus: 85 58 Surplus: 60 81 Surplus: 37 85 Surplus: 33 2015 Projected Population 360,010 Physician Need 113 164 153 91 60 40 33 58 81 85 Georgia Physician Workforce: SCSA Reports - 2008 Page 4 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 12 /100k 3.3 Physician Need 15 11 Status Deficit: -3 Surplus: 1 11 Surplus: 1 6 Surplus: 6 6 Surplus: 6 5 Surplus: 7 13 Deficit: -1 9 Surplus: 3 2015 Projected Population 360,010 Physician Need 15 11 12 6 6 5 13 9 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 358,829 3 /100k 0.8 Physician Need 8 3 2 3 4 3 2 Status Deficit: -5 Adequate 0 Surplus: 1 Adequate 0 Deficit: -1 Adequate 0 Surplus: 1 3 Adequate 0 2015 Projected Population 360,010 Physician Need 8 3 2 3 4 3 2 3 Georgia Physician Workforce: SCSA Reports - 2008 Page 5 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 86 /100k 24.0 Physician Need 191 77 72 103 101 109 Status Deficit: -105 Surplus: 9 Surplus: 14 Deficit: -17 Deficit: -15 Deficit: -23 60 Surplus: 26 41 Surplus: 45 68 Surplus: 18 79 Surplus: 7 2015 Projected Population 360,010 Physician Need 191 77 72 104 101 109 60 41 68 79 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 358,829 9 /100k 2.5 Physician Need 9 5 5 4 3 3 3 Status Adequate 0 Surplus: 4 Surplus: 4 Surplus: 5 Surplus: 6 Surplus: 6 Surplus: 6 3 Surplus: 6 4 Surplus: 5 2015 Projected Population 360,010 Physician Need 9 5 5 4 3 3 3 3 4 Georgia Physician Workforce: SCSA Reports - 2008 Page 6 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 8 /100k 2.2 Physician Need 7 4 4 4 5 Status Surplus: 1 Surplus: 4 Surplus: 4 Surplus: 4 Surplus: 3 1 Surplus: 7 3 Surplus: 5 4 Surplus: 4 2015 Projected Population 360,010 Physician Need 7 4 4 4 5 1 3 4 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 358,829 7 /100k 2.0 Physician Need 18 9 8 12 5 6 4 Status Deficit: -11 Deficit: -2 Deficit: -1 Deficit: -5 Surplus: 2 Surplus: 1 Surplus: 3 8 Deficit: -1 5 Surplus: 2 6 Surplus: 1 7 Adequate 0 2015 Projected Population 360,010 Physician Need 18 9 8 12 5 6 4 8 5 6 7 Georgia Physician Workforce: SCSA Reports - 2008 Page 7 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 39 /100k 10.9 Physician Need 51 43 41 36 42 41 36 32 30 29 36 37 Status Deficit: -12 Deficit: -4 Deficit: -2 Surplus: 3 Deficit: -3 Deficit: -2 Surplus: 3 Surplus: 7 Surplus: 9 Surplus: 10 Surplus: 3 Surplus: 2 2015 Projected Population 360,010 Physician Need 51 44 41 36 42 41 36 32 30 29 37 37 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 358,829 17 /100k 4.7 Physician Need 22 21 20 17 9 11 18 Status Deficit: -5 Deficit: -4 Deficit: -3 Adequate 0 Surplus: 8 Surplus: 6 Deficit: -1 13 Surplus: 4 11 Surplus: 6 17 Adequate 0 15 Surplus: 2 2015 Projected Population 360,010 Physician Need 22 21 20 17 9 11 18 13 12 17 15 Georgia Physician Workforce: SCSA Reports - 2008 Page 8 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 38 /100k 10.6 Physician Need 30 24 23 22 21 15 24 11 21 15 22 20 Status Surplus: 8 Surplus: 14 Surplus: 15 Surplus: 16 Surplus: 17 Surplus: 23 Surplus: 14 Surplus: 27 Surplus: 17 Surplus: 23 Surplus: 16 Surplus: 18 2015 Projected Population 360,010 Physician Need 30 24 23 22 21 15 24 11 21 15 22 20 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 358,829 9 /100k 2.5 Physician Need 12 11 Status Deficit: -3 Deficit: -2 11 Deficit: -2 12 Deficit: -3 9 Adequate 0 11 Deficit: -2 11 Deficit: -2 2015 Projected Population 360,010 Physician Need 12 12 12 12 9 11 11 Georgia Physician Workforce: SCSA Reports - 2008 Page 9 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 18 /100k 5.0 Physician Need 23 7 6 23 12 6 Status Deficit: -5 Surplus: 11 Surplus: 12 Deficit: -5 Surplus: 6 Surplus: 12 15 Surplus: 3 11 Surplus: 7 2015 Projected Population 360,010 Physician Need 23 7 6 23 12 6 15 12 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 358,829 50 /100k 13.9 Physician Need 89 60 56 44 43 57 Status Deficit: -39 Deficit: -10 Deficit: -6 Surplus: 6 Surplus: 7 Deficit: -7 35 Surplus: 15 27 Surplus: 23 50 Adequate 0 47 Surplus: 3 2015 Projected Population 360,010 Physician Need 90 60 56 45 43 58 35 27 50 47 Georgia Physician Workforce: SCSA Reports - 2008 Page 10 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 5 /100k 1.4 Physician Need 9 Status Deficit: -4 4 Surplus: 1 1 Surplus: 4 1 Surplus: 4 4 Surplus: 1 8 Deficit: -3 8 Deficit: -3 4 Surplus: 1 2015 Projected Population 360,010 Physician Need 9 4 1 1 4 8 8 4 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 358,829 35 /100k 9.8 Physician Need 49 28 26 55 19 15 Status Deficit: -14 Surplus: 7 Surplus: 9 Deficit: -20 Surplus: 16 Surplus: 20 26 Surplus: 9 14 Surplus: 21 21 Surplus: 14 25 Surplus: 10 2015 Projected Population 360,010 Physician Need 49 28 26 55 19 15 26 14 21 26 Georgia Physician Workforce: SCSA Reports - 2008 Page 11 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 6 /100k 1.7 Physician Need 13 7 7 5 5 4 5 Status Deficit: -7 Deficit: -1 Deficit: -1 Surplus: 1 Surplus: 1 Surplus: 2 Surplus: 1 5 Surplus: 1 5 Surplus: 1 5 Surplus: 1 2015 Projected Population 360,010 Physician Need 13 7 7 5 5 4 5 5 5 5 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 358,829 38 /100k 10.6 Physician Need 41 49 49 28 31 17 28 Status Deficit: -3 Deficit: -11 Deficit: -11 Surplus: 10 Surplus: 7 Surplus: 21 Surplus: 10 29 Surplus: 9 33 Surplus: 5 2015 Projected Population 360,010 Physician Need 41 49 49 28 31 17 28 29 33 Georgia Physician Workforce: SCSA Reports - 2008 Page 12 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 2 /100k 0.6 Physician Need 5 4 4 3 1 3 3 Status Deficit: -3 Deficit: -2 Deficit: -2 Deficit: -1 Surplus: 1 Deficit: -1 Deficit: -1 1 Surplus: 1 5 Deficit: -3 3 Deficit: -1 2015 Projected Population 360,010 Physician Need 5 4 4 3 1 3 3 1 5 3 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 358,829 34 /100k 9.5 Physician Need 45 34 32 35 25 22 21 15 35 15 22 25 Status Deficit: -11 Adequate 0 Surplus: 2 Deficit: -1 Surplus: 9 Surplus: 12 Surplus: 13 Surplus: 19 Deficit: -1 Surplus: 19 Surplus: 12 Surplus: 9 2015 Projected Population 360,010 Physician Need 45 34 32 35 25 22 21 15 35 15 22 26 Georgia Physician Workforce: SCSA Reports - 2008 Page 13 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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 358,829 1 /100k 0.3 Physician Need 5 Status Deficit: -4 3 Deficit: -2 0 Surplus: 1 2 Deficit: -1 2015 Projected Population 360,010 Physician Need 5 3 0 2 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 358,829 12 /100k 3.3 Physician Need 13 13 12 11 12 8 10 Status Deficit: -1 Deficit: -1 Adequate 0 Surplus: 1 Adequate 0 Surplus: 4 Surplus: 2 9 Surplus: 3 7 Surplus: 5 10 Surplus: 2 10 Surplus: 2 2015 Projected Population 360,010 Physician Need 13 13 12 11 12 8 10 9 7 10 10 Georgia Physician Workforce: SCSA Reports - 2008 Page 14 10 SCSA Physician Standard Report Included Counties: Baker, Calhoun, Colquitt, Decatur, Dougherty, Early, Grady, Lee, Miller, Mitchell, Seminole, Terrell, Thomas, Worth 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.