Geriatrics Distribution

Robert C. Bowman, M.D. 12/12/05

The AMA Masterfile does have a listing for those who have geriatrics as their primary activity.

My primary database involves the 1987 - 2000 graduates, about 40% of the US physician workforce

90% of the FP and IM geriatricians graduating from 1987 - 1999 were in urban areas. This includes only those who listed Geriatrics as their primary activity. Including primary and secondary practice activity designations would increase the numbers, but not the distribution. The inclusion of more graduating classes would increase the total numbers beyond the current 38% of the workforce represented by the 1987 - 1999 grads, but would not change the percentage.

I have no knowledge of geriatric PA and NP folks regarding data sources and based on past contact with PA and NP folks as well as the NP psych areas, I doubt these exist.

Breaking down by state locations, there are very few rural geriatricians in any of the states, particularly in the rural states

1987 - 1999 Graduates of all medical schools in the Masterfile with Geriatric Designations    
FPG is family medicine geriatrics, IMG Is Internal Medicine Geriatrics, PYG is Geriatric Psychiatry  
Geriatric psychiatry would not be considered primary care geriatrics      
2005 Practice locations for these physicians using MMS OfficeMax determination to maximize practice location zip
bruca4all05 * primspecnum05 Crosstabulation          
Count           
  primspecnum05   Total
Birth Origins   FPG IMG PYG  
Born in Urban and Urban Focused 1 86 505 137 728
Large Rural Born 2 7 37 7 51
Born in Small Rural 3 6 17 7 30
Born in Isolated Rural 4 2 4 5 11
US Med School Foreign Born 10 14 101 19 134
Birth state only 11 2 6 2 10
Territory 12 19 23 11 53
Foreign Med School 13 77 809 229 1115
Military Base 15 2 7 1 10
Unknown Birth 99 4 21 7 32
  219 1530 425 2174
         
Rural Practice Locations          
         
         
  primspecnum05   Total
  FPG IMG PYG  
Urban or Urban Focused Practice Zip 0 201 1371 392 1964
Practicing in a rural area (RUCA) 1 18 159 33 210
  219 1530 425 2174
  0.917808219 0.896078431 0.922352941 0.903403864
         
         
  primspecnum05   Total
  FPG IMG PYG  
Not retained 0 153 1266 356 1775
Retained in same state as medical school 1 66 259 67 392
  219 1525 423 2167
         
         
         
  primspecnum05   Total
1970 Income level of birth county   FPG IMG PYG  
5000 1 6 0 7
6000 0 2 4 6
7000 3 8 3 14
8000 10 38 10 58
9000 11 66 26 103
10000 20 105 20 145
11000 19 111 29 159
12000 14 80 21 115
13000 12 58 16 86
14000 7 23 4 34
15000 3 24 9 36
16000 3 45 14 62
  103 566 156 825
         
         
         
  primspecnum05   Total
Birth County Pop per Sq Mile Category   FPG IMG PYG  
1 3 9 4 16
16 2 15 1 18
32 4 27 6 37
62 5 30 12 47
125 9 42 7 58
250 10 50 17 77
500 6 56 19 81
1000 34 144 38 216
2500 10 46 10 66
5000 3 34 9 46
10000 17 113 33 163
  103 566 156 825
         
         
         
         
    primspecnum05   Total
  FPG IMG PYG  
Urban Geriatrics   1 9 2 12
AK 1 1 0 2
AL 0 16 5 21
AR 0 26 1 27
AZ 6 17 2 25
CA 17 112 38 167
CO 1 30 2 33
CT 1 43 7 51
DC 2 9 2 13
DE 1 5 0 6
FL 9 105 26 140
GA 0 32 6 38
GU 0 3 0 3
HI 1 30 6 37
IA 2 5 0 7
ID 0 1 0 1
IL 3 70 9 82
IN 5 19 2 26
KS 1 5 0 6
KY 2 3 1 6
LA 0 7 2 9
MA 1 68 11 80
MD 5 47 8 60
ME 0 2 2 4
MI 3 35 9 47
MN 7 12 3 22
MO 7 35 8 50
MS 0 4 1 5
NC 8 28 9 45
ND 1 3 1 5
NE 0 4 4 8
NH 0 6 0 6
NJ 18 44 21 83
NM 0 10 2 12
NV 0 16 4 20
NY 7 205 78 290
OH 16 34 14 64
OK 1 13 1 15
OR 3 15 6 24
PA 23 61 29 113
PR 19 6 3 28
RI 0 6 6 12
SC 2 14 4 20
SD 0 1 1 2
TN 2 12 3 17
TX 13 65 19 97
UT 1 6 0 7
VA 5 21 14 40
WA 2 23 11 36
WI 2 25 6 33
WV 2 2 3 7
Total   201 1371 392 1964
         
Rural Geriatrics          
prstate AK 0 1 0 1
AL 0 2 0 2
AR 1 5 0 6
AZ 0 4 1 5
CA 0 5 0 5
CO 0 2 0 2
CT 0 2 0 2
DE 1 3 0 4
FL 0 7 1 8
GA 0 5 1 6
HI 0 2 0 2
IA 0 2 0 2
ID 0 1 1 2
IL 0 2 0 2
IN 0 5 1 6
KS 1 4 2 7
KY 2 8 0 10
LA 0 5 1 6
MA 0 1 0 1
MD 0 2 0 2
ME 1 4 2 7
MI 2 4 1 7
MN 2 4 0 6
MO 2 5 2 9
MS 0 2 0 2
MT 0 3 0 3
NC 1 10 3 14
ND 0 4 0 4
NE 0 1 0 1
NH 0 2 1 3
NM 0 4 1 5
NY 0 7 2 9
OH 0 7 0 7
OK 0 3 0 3
OR 1 3 1 5
PA 0 3 6 9
SC 0 2 0 2
TN 0 5 1 6
TX 1 3 0 4
VA 0 4 1 5
WA 0 2 0 2
WI 2 7 2 11
WV 1 2 2 5
Total   18 159 33 210

 

 


Other Careers for Recent FP Graduates
24119 All FP Graduates of all types from 1997 - 2003 (FP grad year not medical school grad year)
    537 Did not have a Primary Specialty as FP or 2.23% % Not Primary Specialty FP
        259 or about 1% in Fellowships
            130 FP Sports Med
            8 Other Sports Med
            68 FP Geriatrics 91% likely in urban areas
            51 IM Geriatrics 89% likely in urban areas
        278 or about 1% who have chosen other disciplines
            62 Internal Medicine
            48 Emergency Medicine
            35 Other types
            31 Ob -Gyn
            21 Gen Prev Medicine
            17 Gen Surgery
            14 Gen Practice
            13 Anesthesia
            12 Pediatrics
            11 Psychiatry
            8 Child Psychiatry
            6 Dermatology
            76 Unspecified or Unknown

The numbers of FPs will decrease slightly over time, but retention is 98% in the early phase, even for those who were "forced" to choose FP by health policy related to managed care which impacted this group. The medical school graduates of 1995, 1996, and 1997 or 1998 - 2001 FP grads in this group with impact on 1997 and 2002 also were impacted the most. Virtually this entire group.

86% of this group is in office based practice and more likely 92% when the not classified and non-responders are adjusted. This compares to 76% for office based general pediatrics and 50% for office based general internal medicine.

Email for Questions

Robert C. Bowman, M.D.
rbowman@unmc.edu

Sources of the Current US Physician Workforce - Essential specialty estimates and sources, geriatrics

Physician Workforce Studies

www.ruralmedicaleducation.org

 

lebron 12 kate spade outlet sport blue 6s louis vuitton outlet sport blue 6s wolf grey 3s michael kors uk lebron 11 sport blue 6s louis vuitton outlet louis vuitton outlet online coach outlet louis vuitton outlet jordan 3 wolf grey louis vuitton uk wolf grey 3s michael kors outlet cheap jordan shoes louis vuitton outlet retro jordans for sale