Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 1 0.6 Physician Need 2 Status Deficit: -1 3 Deficit: -2 2 Deficit: -1 1 Adequate 0 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2 Deficit: -1 2015 Projected Population 211,828 Physician Need 3 3 3 2 4 3 2 3 4 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 167,171 7 4.2 Physician Need 23 Status Deficit: -16 16 Deficit: -9 15 Deficit: -8 15 Deficit: -8 10 Deficit: -3 7 Adequate 0 15 Deficit: -8 12 Deficit: -5 13 Deficit: -6 2015 Projected Population 211,828 Physician Need 30 21 19 19 12 8 19 15 16 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 5 3.0 Physician Need 13 Status Deficit: -8 9 Deficit: -4 8 Deficit: -3 5 Adequate 0 5 Adequate 0 3 Surplus: 2 5 Adequate 0 6 Deficit: -1 4 Surplus: 1 7 Deficit: -2 6 Deficit: -1 2015 Projected Population 211,828 Physician Need 16 11 11 7 6 4 6 8 6 9 7 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 167,171 7 4.2 Physician Need 6 Status Surplus: 1 5 Surplus: 2 4 Surplus: 3 5 Surplus: 2 4 Surplus: 3 4 Surplus: 3 4 Surplus: 3 3 Surplus: 4 2 Surplus: 5 4 Surplus: 3 5 Surplus: 2 4 Surplus: 3 2015 Projected Population 211,828 Physician Need 8 6 6 6 5 5 6 3 3 4 7 5 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 7 4.2 Physician Need 18 Status Deficit: -11 9 Deficit: -2 9 Deficit: -2 9 Deficit: -2 11 Deficit: -4 9 Deficit: -2 5 Surplus: 2 21 Deficit: -14 10 Deficit: -3 2015 Projected Population 211,828 Physician Need 22 12 11 11 14 11 6 26 13 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 167,171 2 1.2 Physician Need 3 Status Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2015 Projected Population 211,828 Physician Need 4 2 2 2 2 2 1 2 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 44 26.3 Physician Need 53 Status Deficit: -9 76 Deficit: -32 71 Deficit: -27 42 Surplus: 2 28 Surplus: 16 18 Surplus: 26 15 Surplus: 29 27 Surplus: 17 38 Surplus: 6 39 Surplus: 5 2015 Projected Population 211,828 Physician Need 67 97 90 53 35 23 19 34 48 50 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 167,171 8 4.8 Physician Need 7 Status Surplus: 1 5 Surplus: 3 5 Surplus: 3 3 Surplus: 5 3 Surplus: 5 2 Surplus: 6 6 Surplus: 2 4 Surplus: 4 2015 Projected Population 211,828 Physician Need 9 7 7 4 4 3 7 5 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 5 Physician Specialty Hematology/Oncology 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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2 1.1 2.1 2008 Actual Population Physicians /100k 167,171 1 0.6 Physician Need 6 Status Deficit: -5 4 Deficit: -3 4 Deficit: -3 6 Deficit: -5 4 Deficit: -3 3 Deficit: -2 3 Deficit: -2 4 Deficit: -3 2 Deficit: -1 2 Deficit: -1 4 Deficit: -3 2015 Projected Population 211,828 Physician Need 7 5 5 8 5 4 3 6 3 2 4 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 167,171 18 10.8 Physician Need 89 Status Deficit: -71 36 Deficit: -18 33 Deficit: -15 48 Deficit: -30 47 Deficit: -29 51 Deficit: -33 28 Deficit: -10 19 Deficit: -1 32 Deficit: -14 37 Deficit: -19 2015 Projected Population 211,828 Physician Need 112 45 42 61 60 64 35 24 40 47 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 3 1.8 Physician Need 4 Status Deficit: -1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2015 Projected Population 211,828 Physician Need 6 3 3 2 2 1 2 2 2 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 /100k 167,171 1 0.6 Physician Need 3 Status Deficit: -2 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 2 Deficit: -1 2015 Projected Population 211,828 Physician Need 4 2 2 2 3 1 1 2 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 7 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 167,171 5 3.0 Physician Need 8 Status Deficit: -3 4 Surplus: 1 4 Surplus: 1 6 Deficit: -1 2 Surplus: 3 3 Surplus: 2 2 Surplus: 3 4 Surplus: 1 2 Surplus: 3 3 Surplus: 2 3 Surplus: 2 2015 Projected Population 211,828 Physician Need 11 5 5 7 3 4 3 4 3 4 4 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 167,171 16 9.6 Physician Need 24 Status Deficit: -8 20 Deficit: -4 19 Deficit: -3 17 Deficit: -1 19 Deficit: -3 19 Deficit: -3 17 Deficit: -1 15 Surplus: 1 14 Surplus: 2 13 Surplus: 3 17 Deficit: -1 17 Deficit: -1 2015 Projected Population 211,828 Physician Need 30 26 24 21 25 24 21 19 18 17 22 22 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry 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 167,171 11 6.6 Physician Need 14 Status Deficit: -3 11 Adequate 0 11 Adequate 0 10 Surplus: 1 10 Surplus: 1 7 Surplus: 4 11 Adequate 0 5 Surplus: 6 10 Surplus: 1 7 Surplus: 4 10 Surplus: 1 9 Surplus: 2 2015 Projected Population 211,828 Physician Need 18 14 14 13 12 9 14 6 12 9 13 12 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 167,171 4 2.4 Physician Need 6 Status Deficit: -2 5 Deficit: -1 5 Deficit: -1 6 Deficit: -2 4 Adequate 0 5 Deficit: -1 5 Deficit: -1 2015 Projected Population 211,828 Physician Need 7 7 7 7 5 6 6 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 9 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 167,171 4 2.4 Physician Need 11 Status Deficit: -7 3 Surplus: 1 3 Surplus: 1 11 Deficit: -7 6 Deficit: -2 3 Surplus: 1 7 Deficit: -3 5 Deficit: -1 2015 Projected Population 211,828 Physician Need 13 4 4 14 7 4 9 7 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 167,171 21 12.6 Physician Need 42 Status Deficit: -21 28 Deficit: -7 26 Deficit: -5 21 Adequate 0 20 Surplus: 1 27 Deficit: -6 16 Surplus: 5 13 Surplus: 8 23 Deficit: -2 22 Deficit: -1 2015 Projected Population 211,828 Physician Need 53 35 33 26 25 34 21 16 29 28 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 10 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 167,171 2 1.2 Physician Need 4 Status Deficit: -2 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 4 Deficit: -2 4 Deficit: -2 2 Adequate 0 2015 Projected Population 211,828 Physician Need 5 2 1 1 2 5 5 3 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 167,171 13 7.8 Physician Need 23 Status Deficit: -10 13 Adequate 0 12 Surplus: 1 26 Deficit: -13 9 Surplus: 4 7 Surplus: 6 12 Surplus: 1 7 Surplus: 6 10 Surplus: 3 12 Surplus: 1 2015 Projected Population 211,828 Physician Need 29 16 15 33 11 9 15 8 12 15 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 11 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 167,171 2 1.2 Physician Need 6 Status Deficit: -4 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 2 Adequate 0 3 Deficit: -1 2015 Projected Population 211,828 Physician Need 7 4 4 3 3 2 3 3 3 3 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 167,171 2 1.2 Physician Need 19 Status Deficit: -17 23 Deficit: -21 23 Deficit: -21 13 Deficit: -11 14 Deficit: -12 8 Deficit: -6 13 Deficit: -11 13 Deficit: -11 15 Deficit: -13 2015 Projected Population 211,828 Physician Need 24 29 29 16 18 10 16 17 19 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 12 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 /100k 167,171 1 0.6 Physician Need 3 Status Deficit: -2 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2015 Projected Population 211,828 Physician Need 3 2 2 1 1 1 1 1 3 2 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 167,171 6 3.6 Physician Need 21 Status Deficit: -15 16 Deficit: -10 15 Deficit: -9 16 Deficit: -10 12 Deficit: -6 10 Deficit: -4 10 Deficit: -4 7 Deficit: -1 16 Deficit: -10 7 Deficit: -1 10 Deficit: -4 12 Deficit: -6 2015 Projected Population 211,828 Physician Need 26 20 19 21 15 13 12 9 21 9 13 15 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 13 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 /100k 167,171 1 0.6 Physician Need 3 Status Deficit: -2 1 Adequate 0 0 Surplus: 1 1 Adequate 0 2015 Projected Population 211,828 Physician Need 3 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 /100k 167,171 5 3.0 Physician Need 6 Status Deficit: -1 6 Deficit: -1 6 Deficit: -1 5 Adequate 0 6 Deficit: -1 4 Surplus: 1 5 Adequate 0 4 Surplus: 1 3 Surplus: 2 5 Adequate 0 5 Adequate 0 2015 Projected Population 211,828 Physician Need 7 7 7 7 7 5 6 6 4 6 6 Georgia Physician Workforce: PCSA Reports - 2008 38 PCSA Physician Standard Report Included Counties: Henry Page 14 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.