28 Georgia Physician Workforce: County Reports - 2008
Cherokee 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

203,890

2

1.0

Physician Need
3

Status Deficit: -1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

2

Adequate 0

2

Adequate 0

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2015 Projected
Population 264,285
Physician Need 4 4 4 2 3 3 3
3
5 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

203,890

4

2.0

Physician Need
29

Status Deficit: -25

20

Deficit: -16

19

Deficit: -15

18

Deficit: -14

12

Deficit: -8

8

Deficit: -4

18

Deficit: -14

14

Deficit: -10

15

Deficit: -11

2015 Projected
Population 264,285
Physician Need 37 26 24 24 10 10 24
18
20

28 Georgia Physician Workforce: County Reports - 2008
Cherokee 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

203,890

5

2.5

Physician Need
15

Status Deficit: -10

11

Deficit: -6

10

Deficit: -5

6

Deficit: -1

6

Deficit: -1

4

Surplus: 1

6

Deficit: -1

7

Deficit: -2

5

Adequate 0

9

Deficit: -4

7

Deficit: -2

2015 Projected
Population 264,285
Physician Need 20 14 13 8 5 5 8
10 7 11 9

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

203,890

2

1.0

Physician Need
8

Status Deficit: -6

6

Deficit: -4

5

Deficit: -3

6

Deficit: -4

5

Deficit: -3

5

Deficit: -3

5

Deficit: -3

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

6

Deficit: -4

5

Deficit: -3

2015 Projected
Population 264,285
Physician Need 10 7 7 7 6 6 7 4 4 6 8 6

28 Georgia Physician Workforce: County Reports - 2008
Cherokee 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

203,890

6

2.9

Physician Need
21

Status Deficit: -15

11

Deficit: -5

11

Deficit: -5

11

Deficit: -5

14

Deficit: -8

11

Deficit: -5

6

Adequate 0

25

Deficit: -19

13

Deficit: -7

2015 Projected
Population 264,285
Physician Need 28 15 14 14 14 14
7
33 16

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

203,890

1

0.5

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 264,285
Physician Need 5 3 3 2 3 3
2
2

28 Georgia Physician Workforce: County Reports - 2008
Cherokee 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

203,890

39

19.1

Physician Need
64

Status Deficit: -25

93

Deficit: -54

87

Deficit: -48

51

Deficit: -12

34

Surplus: 5

22

Surplus: 17

19

Surplus: 20

33

Surplus: 6

46

Deficit: -7

48

Deficit: -9

2015 Projected
Population 264,285
Physician Need 83 121 113 67 29 29
24
43 60 62

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

203,890

2

1.0

Physician Need
9

Status Deficit: -7

6

Deficit: -4

7

Deficit: -5

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

7

Deficit: -5

5

Deficit: -3

2015 Projected
Population 264,285
Physician Need 11 8
8 4 4
3
9 6

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

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 Physicians /100k

203,890

1

0.5

Physician Need
4

Status Deficit: -3

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 264,285
Physician Need 6 2 2 2 2 2 2
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 /100k

203,890

28

13.7

Physician Need
108

Status Deficit: -80

44

Deficit: -16

41

Deficit: -13

59

Deficit: -31

57

Deficit: -29

62

Deficit: -34

34

Deficit: -6

23

Surplus: 5

39

Deficit: -11

45

Deficit: -17

2015 Projected
Population 264,285
Physician Need 140 57 53 76 80 80
44
30 50 58

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

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 Physicians /100k

203,890

1

0.5

Physician Need
5

Status Deficit: -4

3

Deficit: -2

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 264,285
Physician Need 7 4 3 3 2 2 2
2 3

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

203,890

3

1.5

Physician Need
10

Status Deficit: -7

5

Deficit: -2

5

Deficit: -2

7

Deficit: -4

3

Adequate 0

3

Adequate 0

2

Surplus: 1

4

Deficit: -1

3

Adequate 0

4

Deficit: -1

4

Deficit: -1

2015 Projected
Population 264,285
Physician Need 13 6 6 9 4 4 3
6 4 5 5

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 7

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

203,890

11

5.4

Physician Need
29

Status Deficit: -18

25

Deficit: -14

23

Deficit: -12

20

Deficit: -9

24

Deficit: -13

23

Deficit: -12

20

Deficit: -9

18

Deficit: -7

17

Deficit: -6

16

Deficit: -5

21

Deficit: -10

21

Deficit: -10

2015 Projected
Population 264,285
Physician Need 37 32 30 26 30 30 26 23 22 21 27 27

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

203,890

5

2.5

Physician Need
12

Status Deficit: -7

12

Deficit: -7

11

Deficit: -6

9

Deficit: -4

5

Adequate 0

6

Deficit: -1

10

Deficit: -5

7

Deficit: -2

7

Deficit: -2

10

Deficit: -5

9

Deficit: -4

2015 Projected
Population 264,285
Physician Need 16 16 15 12 8 8 13
9 8 12 11

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 8

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

203,890

8

3.9

Physician Need
17

Status Deficit: -9

14

Deficit: -6

13

Deficit: -5

12

Deficit: -4

12

Deficit: -4

9

Deficit: -1

14

Deficit: -6

6

Surplus: 2

12

Deficit: -4

9

Deficit: -1

12

Deficit: -4

11

Deficit: -3

2015 Projected
Population 264,285
Physician Need 22 18 17 16 11 11 18 8 16 11 16 15

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

203,890

4

2.0

Physician Need
7

Status Deficit: -3

7

Deficit: -3

7

Deficit: -3

7

Deficit: -3

5

Deficit: -1

6

Deficit: -2

6

Deficit: -2

2015 Projected
Population 264,285
Physician Need 9 8
8 6 6 8
8

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 9

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

203,890

22

10.8

Physician Need
51

Status Deficit: -29

34

Deficit: -12

32

Deficit: -10

25

Deficit: -3

24

Deficit: -2

33

Deficit: -11

20

Surplus: 2

15

Surplus: 7

28

Deficit: -6

27

Deficit: -5

2015 Projected
Population 264,285
Physician Need 66 44 41 33 42 42
26
20 37 34

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

203,890

2

1.0

Physician Need
5

Status Deficit: -3

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

5

Deficit: -3

5

Deficit: -3

2

Adequate 0

2015 Projected
Population 264,285
Physician Need 6
3
1
3 6 6 3

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 10

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

203,890

7

3.4

Physician Need
28

Status Deficit: -21

16

Deficit: -9

15

Deficit: -8

31

Deficit: -24

11

Deficit: -4

8

Deficit: -1

15

Deficit: -8

8

Deficit: -1

12

Deficit: -5

14

Deficit: -7

2015 Projected
Population 264,285
Physician Need 36 20 19 41 11 11
19 10 15 19

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

203,890

3

1.5

Physician Need
7

Status Deficit: -4

4

Deficit: -1

4

Deficit: -1

3

Adequate 0

3

Adequate 0

2

Surplus: 1

3

Adequate 0

3

Adequate 0

3

Adequate 0

3

Adequate 0

2015 Projected
Population 264,285
Physician Need 9 5 5 4 3 3 4
4
3 4

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 11

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

203,890

5

2.5

Physician Need
23

Status Deficit: -18

28

Deficit: -23

28

Deficit: -23

16

Deficit: -11

17

Deficit: -12

10

Deficit: -5

16

Deficit: -11

16

Deficit: -11

19

Deficit: -14

2015 Projected
Population 264,285
Physician Need 30 36 36 20 12 12 20
21
24

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

203,890

4

2.0

Physician Need
25

Status Deficit: -21

19

Deficit: -15

18

Deficit: -14

20

Deficit: -16

14

Deficit: -10

13

Deficit: -9

12

Deficit: -8

9

Deficit: -5

20

Deficit: -16

8

Deficit: -4

12

Deficit: -8

14

Deficit: -10

2015 Projected
Population 264,285
Physician Need 33 25 23 26 16 16 16 11 26 11 16 19

28 Georgia Physician Workforce: County Reports - 2008
Cherokee County Physician Standard Report

Page 12

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

203,890

1

0.5

Physician Need
7

Status Deficit: -6

7

Deficit: -6

7

Deficit: -6

6

Deficit: -5

7

Deficit: -6

5

Deficit: -4

6

Deficit: -5

5

Deficit: -4

4

Deficit: -3

6

Deficit: -5

6

Deficit: -5

2015 Projected
Population 264,285
Physician Need 9 9 9 8 6 6 8
7 5 8 8

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.