Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 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
Physicians /100k
99,583
4
4.0
Physician Need
14
Status Deficit: -10
10
Deficit: -6
9
Deficit: -5
9
Deficit: -5
6
Deficit: -2
4
Adequate 0
9
Deficit: -5
7
Deficit: -3
8
Deficit: -4
2015 Projected
Population 108,025
Physician Need 15 10 10 10 6 4 10
8
8
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
99,583
2
2.0
Physician Need
7
Status Deficit: -5
5
Deficit: -3
5
Deficit: -3
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
4
Deficit: -2
3
Deficit: -1
4
Deficit: -2
3
Deficit: -1
2015 Projected
Population 108,025
Physician Need 8 6 5 3 3 2 3
4 3 5 4
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 2
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
99,583
1
1.0
Physician Need
4
Status Deficit: -3
3
Deficit: -2
3
Deficit: -2
3
Deficit: -2
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
3
Deficit: -2
2
Deficit: -1
2015 Projected
Population 108,025
Physician Need 4 3 3 3 3 3 3 2 2 2 3 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
99,583
9
9.0
Physician Need
10
Status Deficit: -1
5
Surplus: 4
5
Surplus: 4
5
Surplus: 4
7
Surplus: 2
5
Surplus: 4
3
Surplus: 6
12
Deficit: -3
6
Surplus: 3
2015 Projected
Population 108,025
Physician Need 11 6 6 6 7 6
3
13 7
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 3
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
99,583
17
17.1
Physician Need
31
Status Deficit: -14
45
Deficit: -28
42
Deficit: -25
25
Deficit: -8
17
Adequate 0
11
Surplus: 6
9
Surplus: 8
16
Surplus: 1
22
Deficit: -5
24
Deficit: -7
2015 Projected
Population 108,025
Physician Need 34 49 46 27 18 12
10
18 24 25
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
99,583
3
3.0
Physician Need
4
Status Deficit: -1
3
Adequate 0
3
Adequate 0
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
3
Adequate 0
2
Surplus: 1
2015 Projected
Population 108,025
Physician Need 5 3
3 2 2
1
4 3
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 4
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
99,583
1
1.0
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 108,025
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
Physicians /100k
99,583
22
22.1
Physician Need
53
Status Deficit: -31
21
Surplus: 1
20
Surplus: 2
29
Deficit: -7
28
Deficit: -6
30
Deficit: -8
17
Surplus: 5
11
Surplus: 11
19
Surplus: 3
22
Adequate 0
2015 Projected
Population 108,025
Physician Need 57 23 22 31 30 33
18
12 21 24
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 5
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
99,583
2
2.0
Physician Need
3
Status Deficit: -1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2015 Projected
Population 108,025
Physician Need 3 2 1 1 1 1 1
1 1
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
99,583
1
1.0
Physician Need
5
Status Deficit: -4
2
Deficit: -1
2
Deficit: -1
3
Deficit: -2
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
1
Adequate 0
2
Deficit: -1
2
Deficit: -1
2015 Projected
Population 108,025
Physician Need 5 3 2 4 1 2 1
2 2 2 2
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 6
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
99,583
8
8.0
Physician Need
14
Status Deficit: -6
12
Deficit: -4
11
Deficit: -3
10
Deficit: -2
12
Deficit: -4
11
Deficit: -3
10
Deficit: -2
9
Deficit: -1
8
Adequate 0
8
Adequate 0
10
Deficit: -2
10
Deficit: -2
2015 Projected
Population 108,025
Physician Need 15 13 12 11 13 12 11 10 9 9 11 11
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
99,583
2
2.0
Physician Need
6
Status Deficit: -4
6
Deficit: -4
5
Deficit: -3
5
Deficit: -3
2
Adequate 0
3
Deficit: -1
5
Deficit: -3
3
Deficit: -1
3
Deficit: -1
5
Deficit: -3
4
Deficit: -2
2015 Projected
Population 108,025
Physician Need 6 6 6 5 3 3 5
4 3 5 5
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 7
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
99,583
2
2.0
Physician Need
8
Status Deficit: -6
7
Deficit: -5
6
Deficit: -4
6
Deficit: -4
6
Deficit: -4
4
Deficit: -2
7
Deficit: -5
3
Deficit: -1
6
Deficit: -4
4
Deficit: -2
6
Deficit: -4
5
Deficit: -3
2015 Projected
Population 108,025
Physician Need 9 7 7 6 6 5 7 3 6 5 7 6
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
99,583
1
1.0
Physician Need
3
Status Deficit: -2
3
Deficit: -2
3
Deficit: -2
3
Deficit: -2
2
Deficit: -1
3
Deficit: -2
3
Deficit: -2
2015 Projected
Population 108,025
Physician Need 4 3
3 4 3 3
3
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 8
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 /100k
99,583
1
1.0
Physician Need
6
Status Deficit: -5
2
Deficit: -1
2
Deficit: -1
6
Deficit: -5
3
Deficit: -2
2
Deficit: -1
4
Deficit: -3
3
Deficit: -2
2015 Projected
Population 108,025
Physician Need 7 2 2 7 4 2
4
3
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
99,583
12
12.1
Physician Need
25
Status Deficit: -13
17
Deficit: -5
15
Deficit: -3
12
Adequate 0
12
Adequate 0
16
Deficit: -4
10
Surplus: 2
8
Surplus: 4
14
Deficit: -2
13
Deficit: -1
2015 Projected
Population 108,025
Physician Need 27 18 17 13 13 17
11
8 15 14
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 9
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
99,583
5
5.0
Physician Need
14
Status Deficit: -9
8
Deficit: -3
7
Deficit: -2
15
Deficit: -10
5
Adequate 0
4
Surplus: 1
7
Deficit: -2
4
Surplus: 1
6
Deficit: -1
7
Deficit: -2
2015 Projected
Population 108,025
Physician Need 15 8 8 17 6 4
8 4 6 8
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
99,583
2
2.0
Physician Need
3
Status Deficit: -1
2
Adequate 0
2
Adequate 0
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
1
Surplus: 1
2015 Projected
Population 108,025
Physician Need 4 2 2 2 2 1 2
2
1 2
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 10
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
99,583
7
7.0
Physician Need
11
Status Deficit: -4
14
Deficit: -7
14
Deficit: -7
8
Deficit: -1
8
Deficit: -1
5
Surplus: 2
8
Deficit: -1
8
Deficit: -1
9
Deficit: -2
2015 Projected
Population 108,025
Physician Need 12 15 15 8 9 5 8
9
10
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
99,583
6
6.0
Physician Need
12
Status Deficit: -6
9
Deficit: -3
9
Deficit: -3
10
Deficit: -4
7
Deficit: -1
6
Adequate 0
6
Adequate 0
4
Surplus: 2
10
Deficit: -4
4
Surplus: 2
6
Adequate 0
7
Deficit: -1
2015 Projected
Population 108,025
Physician Need 14 10 10 10 8 7 6 5 10 4 6 8
Georgia Physician Workforce: PCSA Reports - 2008
37 PCSA Physician Standard Report
Included Counties: Butts, Pike, Spalding
Page 11
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
99,583
2
2.0
Physician Need
3
Status Deficit: -1
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
3
Deficit: -1
2015 Projected
Population 108,025
Physician Need 4 4 4 3 4 2 3
3 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.