Post on 13-Jun-2020
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐1-‐ June 2015
Primary Care Physicians Distribution This map shows the distribution of Wisconsin primary care physicians under age 65 as of 1-‐1-‐2012 and licensed in Wisconsin as of 3-‐15-‐2012. The map locates physicians in the zip code of their address of record with the Department of Safety and Professional Services (DSPS). For physicians under age 65, this is most likely to be within the service area of the physician’s practice, if not the specific practice location. Comparison to information provided in the 2011/12 Wisconsin Physician Survey and linked to the licensure data supports this assumption for rural areas and most other parts of the state. In the sub-‐areas of central Milwaukee, however, there is more variation between a physician’s address of record and primary practice location. The Wisconsin Health Service Area (HSA) geography overlays the zip code information on the map. The Health Service Areas were developed by Wisconsin AHEC for health workforce data analysis. They also provide a useful geography for monitoring local program outcomes related to health workforce development and population health status. Each Wisconsin HSA consists of a hub city with healthcare services and surrounding municipalities. With some exceptions (in northern Wisconsin and border communities) each service area has a population of at least 10,000, with most of the service area population within 30 minutes travel time of the hub city. While most hubs include a hospital, inclusion of a municipality in a service area is determined by travel time to the hub, not actual hospital or clinic utilization data. A zip code version of the service areas has also been developed. For more information on the development of the service area geography, see Introduction to Wisconsin Health Service Areas, www.ahec.wisc.edu/healthserviceareas . The website also has maps and data related to the HSAs available for download. Primary Care Physicians Primary care physicians are those who listed their practice specialty as general practice, family medicine, general internal medicine, pediatrics, med-‐peds or geriatrics, without a medical subspecialty. Overall, about 38% of Wisconsin physicians are in primary care specialties. Trainees are excluded from the data in the attached tables, as well as physicians 65 or older. Basic physician information is from a database of all physicians drawn from the licensure records on 3-‐15-‐2012. Additional information is from the 2011/12 Wisconsin Physician Survey. Survey results were weighted for age, sex, specialty and urban-‐rural location in order to arrive at an estimate for the population as a whole. The survey had a 30% response rate from the 14,722 Wisconsin-‐based physicians, yielding a margin of error of ±1% for all physicians and ±2% for the subgroup of 5599 primary care physicians. For details on both sources, see the October 2012 Wisconsin Physician Workforce Report (available at www.ahec.wisc.edu/workforce). Population totals for calculation of population to physician ratios are based on the 2010 U.S. Census. Tables 1 and 2 provide information on the mix of primary care specialties by region and service area type for all physicians under 65 identified as primary care in the licensure data, including those who work as hospitalists or in urgent care or residential facility settings only, and those with administrative, teaching and research responsibilities. Information on the principal practice setting for these primary care physicians in Chart A and estimates of the number of office-‐based primary care physicians presented in Table 3 are based on the results of the 2011/2012 Wisconsin Physician Survey. Tables 4, 5 and 6 are based on the estimates of office-‐based practice presented in Table 3. Information on hours of work by work setting from the 2011/12 Wisconsin Physician Survey (Tables 4 and 5) informed estimates of patient care hours and the FTE calculation in Tables 6 and 7. The estimated population to primary care physician ratios in Tables 6 and 7 include only physicians based in Wisconsin. Residents of several border areas in Wisconsin may use physicians in neighboring states as their regular source of care. In other areas, patients may travel from an adjacent state to see physicians in Wisconsin. The net effect on the population to physician ratio will vary depending on local circumstances in these areas. Table 8 provides information on the percentage of primary care physicians who completed medical school in Wisconsin or a neighboring state, the percentage of foreign medical graduates practicing in an area, and an estimate of the percentage who completed their residency training in Wisconsin. Table 9 provides the same data for each Health Service Area and totals by region. This information may be of interest in understanding patterns of local and regional primary care physician recruitment.
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐2-‐ June 2015
Service Area Regions For convenience in summarizing certain kinds of data, service areas are grouped into 17 regions around the closest source of tertiary care. With the exception of Rhinelander in northern Wisconsin, each region includes a city of greater than 50,000, or is adjacent to a metro-‐politan area in a neighboring state (Duluth, Minneapolis, Dubuque). Note that each region may include metro, urban and rural service areas. Summary data by region may obscure significant within-‐region variation.
Service Area Urban and Rural Types The service areas are identified by type using data on urban density from the 2010 U.S. Census. Urban Area (UA) and Urban Cluster (UC) population data was used to classify the service areas as "Metro" (> 50% of the population in UAs), "Urban" (<50% UA but >60% in UAs or UCs), "Mixed" (40% to 60% living in UAs and UCs), and "Rural ( <40% UA and UC population). Areas with high numbers of health professionals engaged in administration, research and teaching are identified for separate analysis.
For documentation and maps, see Introduction to Wisconsin Health Service Areas at www.ahec.wisc.edu/workforce
Table 1. Primary Care Physicians by Specialty, by Region (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees) Region Service Area
Population1 All Primary Care Family Medicine/
General Practice General Internal Medicine
General Pediatrics
Medicine-‐Pediatrics
Green Bay 428,055 301 147 (48.8%) 108 (35.9%) 43 (14.3%) 3 (1.0%) Sheboygan 196,867 116 64 (55.2%) 35 (30.2%) 17 (14.7%) -‐ Appleton 293,325 244 143 (58.6%) 60 (24.6%) 41 (16.8%) -‐ Oshkosh 162,242 109 65 (59.6%) 29 (26.6%) 13 (11.9%) 2 (1.8%) Fond du Lac 172,043 108 68 (63.0%) 27 (25.0%) 11 (10.2%) 2 (1.9%) Milwaukee 1,328,682 1,414 511 (36.1%) 581 (41.1%) 296 (20.9%) 26 (1.8%) Waukesha 274,040 239 106 (44.4%) 68 (28.5%) 51 (21.3%) 14 (5.9%) Southeast 469,599 234 126 (53.8%) 71 (30.3%) 37 (15.8%) -‐ Madison 667,420 813 383 (47.1%) 278 (34.2%) 145 (17.8%) 7 (0.9%) Janesville 246,150 158 83 (52.5%) 48 (30.4%) 26 (16.5%) 1 (0.6%) Southwest 66,166 24 24 (100%) -‐ -‐ -‐ La Crosse 290,009 328 206 (62.8%) 88 (26.8%) 34 (10.4%) -‐ Eau Claire 352,965 313 202 (64.5%) 74 (23.6%) 34 (10.9%) 3 (1.0%) West Central 174,159 115 99 (86.1%) 10 (8.7%) 5 (4.3%) 1 (0.9%) Superior 69,465 42 32 (76.2%) 8 (19.0%) 2 (4.8%) -‐ Rhinelander 114,310 87 44 (50.6%) 35 (40.2%) 8 (9.2%) -‐ Wausau 381,489 413 169 (40.9%) 175 (42.4%) 64 (15.5%) 5 (1.2%) Statewide totals 5,686,986 5,058 2,472 (48.9%) 1,695 (33.5%) 827 (16.4%) 64 (1.3%)
Table 2. Primary Care Physicians by Specialty, by Service Area Type (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees) Service Area Type Service Area
Population1 All Primary Care Family Medicine/
General Practice General Internal Medicine
General Pediatrics
Medicine-‐Pediatrics
Type 1a: Metro, academic 647,023 932 301 (32.3%) 391 (42.0%) 229 (24.6%) 11 (1.2%) Type 1b: Metro, all other 2,990,734 2760 1271 (46.1%) 967 (35.0%) 477 (17.3%) 45 (1.6%) Type 2: Other Urban 555,454 339 205 (60.5%) 95 (28.0%) 37 (10.9%) 2 (0.6%) Type 3a: Mixed-‐L, Marshfield* 49,163 134 14 (10.4%) 89 (66.4%) 30 (22.4%) 1 (0.7% Type 3b: Mixed-‐L, hub>10,000 183,612 135 80 (59.3%) 40 929.6%) 15 (11.1%) (0%) Type 4: Mixed-‐M, hub <10,000 211,040 175 122 (69.7%) 38 (21.7%) 14 (8.0%) 1 (0.6%) Type 5: Rural-‐M, hub >2500 775,372 430 364 (84.7%) 46 (10.7%) 18 (4.2%) 2 (0.5%) Type 6: Rural-‐S, hub < 2500 274,588 153 11 (75.2%) 29 (19.0%) 7 (4.6%) 2 (1.3%) ALL METRO & URBAN (74% of pop) 4,193,211 4,031 1,777 (44.1%) 1,453 (36.0%) 743 (18.4%) 58 (1.4%) ALL MIXED (8% of pop) 443,815 444 216 (49.6%) 167 (38.6%) 59 (13.3%) 2 (0.5%) ALL RURAL (18% of pop) 1,049,960 583 479 (82.2%) 75 (13.9%) 25 (4.3%) 4 (0.7%) STATEWIDE TOTAL 5,686,986 5,058 2,472 (48.9%) 1,695 (33.5%) 827 (16.4%) 64 (1.3%) * Marshfield is a special case among the more rural service areas, with a high proportion of physicians engaged in teaching, research and administration at the Marshfield Clinic.
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐3-‐ June 2015
Chart A
Table 3. Estimated Number of Patient Care Primary Care Physicians, by Service Area Type (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees)
Service Area Type
Primary care physicians
under age 65 as of
1-‐1-‐2012
Estimated % primary care
physicians who do not have a patient practice
Estimated number patient care primary care
physicians under age 65
Estimated % primary care pt care physicians who do not have an office-‐based practice
Est. number office-‐based primary care physicians
under age 65
Academic* 1066 9.0% 970 34.8% 633
Type 1: Metro, all other 2760 7.1% 2564 23.5% 1961
Type 2: Other Urban 339 5.3% 321 13.4% 278
Type 3: Mixed-‐L, hub > 10,000 135 4.6% 129 30.8% 89
Type 4: Mixed-‐M, hub <10,000 175 16.5% 146 10.7% 131
Type 5: Rural-‐M, hub >2500 430 6.7% 401 10.6% 359
Type 6: Rural-‐S, hub < 2500 153 14.5% 131 19.9% 105
STATEWIDE 5058 7.8% 4662 23.8% 3555 *Includes Marshfield, a Mixed type service area with a hub city >10,000 which shares many of the characteristics of an academic hub. Survey response rate for the Marshfield service area was too low to permit estimation of this data for Marshfield alone, but the pattern can be presumed to be similar to that for an Academic service area Primary care physicians providing care available to the general public are supplemented by physicians in other office-‐based specialties who report providing a significant amount of primary care. These specialties include OB/Gyn (26% of patient care time providing primary care), occupational medicine (38% of time in primary care) and other specialties such as addiction medicine, pain medicine, sleep medicine and sports medicine (25% primary care). Subspecialists in medicine and pediatrics, as well as psychiatrists and other specialties also report some primary care hours, but generally no more than 10%. Overall, counting the office-‐based patient care hours of primary care physicians (both those based in Wisconsin and those from neighboring states practicing in Wisconsin on a regular basis) and the primary care hours reported by subspecialty physicians provides an estimate of about 3800 FTE physicians providing care to the general public in Wisconsin in 2012, or an effective statewide population to physician ratio of about 1500:1. However, primary care physician shortages are well documented in rural areas and in central city Milwaukee, Beloit, Kenosha and several other cities. As of July 2012, the Health Resources and Services Administration (HRSA) estimated that Wis consin needed at least 228 additional primary care physicians in rural and urban areas where shortages had been documented, in order to reach a population to provider ratio of 2000:1 in those areas.
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐4-‐ June 2015
Office-‐based primary care physicians have a variety of other patient care and administrative responsibilities. Note that the amount of time these physicians spend in non-‐office based settings (see Table 4, below) rises for those in small communities, reflecting the fact that they are the only specialists available to fill these essential roles. Although these physicians work longer hours overall, these other responsibilities still reduce the average amount of time each physician is available for office-‐based primary care practice. . In addition, there are very few other specialists in these small communities who may be providing some primary care for their patients. Thus, very rural areas require a somewhat higher number of primary care physicians relative to the population to provide access equivalent to that in larger communities with more specialists. Table 4. Office-‐Based Patient Care Primary Care Physicians: Hours of Work in various Work Settings
Est. number office-‐based primary care physicians
Total average hrs/wk
Office-‐based primary care
Long-‐term care, home visits, corrections
Inpatient & ER
Specialty & other patient care
Admin, research, teaching, other non-‐patient care
Service Area Type Academic* 633 52.6 hrs 33.0 hrs 0.9 hrs 4.5 hrs 3.4 hrs 10.9 hrs Type 1: Metro, all other 1961 50.6 hrs 38.4 hrs 1.0 hrs 3.9 hrs 2.7 hrs 4.5 hrs Type 2: Other Urban 278 52.5 hrs 38.4 hrs 1.0 hrs 7.0 hrs 2.3 hrs 3.9 hrs Type 3: Mixed-‐L, hub > 10,000 89 51.2 hrs 38.2 hrs 0.7 hrs 3.9 hrs 1.5 hrs 6.8 hrs Type 4: Mixed-‐M, hub <10,000 131 51.0 hrs 37.3 hrs 1.2 hrs 6.5 hrs 2.5 hrs 3.5 hrs Type 5: Rural-‐M, hub >2500 359 54.0 hrs 36.2 hrs 3.3 hrs 8.3 hrs 2.6 hrs 3.6 hrs Type 6: Rural-‐S, hub < 2500 105 57.3 hrs 34.9 hrs 1.1 hrs 15.7 hrs 1.0 hrs 4.6 hrs STATEWIDE AVERAGE 3555 51.7 hrs 37.0 hrs 1.1 hrs 5.1 hrs 2.7 hrs 5.6 hrs *Includes Marshfield, a Mixed type service area with a hub city >10,000 which shares many of the characteristics of an academic hub. Since patterns of work vary considerably by service area type, adjustment factors were determined for each service area type in order to estimate the effective FTE of office-‐based care for physicians under age 65. This primary care patient care FTE calculation excludes the estimated number of physicians not providing any patient care, along with those who work only in hospital-‐based practice (hospitalists), emergency room, or other facility–based practice (nursing homes, prisons). The estimate was further adjusted for the patterns of time spent in administration, teaching and research characteristic of each service area type. Table 5. Number of primary care physicians needed to produce one FTE (40 hours/week) of office-‐based primary care (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees)
All primary care physicians under age 65 as of 1-‐1-‐2012
Estimated # primary care physicians with office-‐based primary care practice
Average office-‐based primary care patient care hours per week
Primary care physicians per 40 hr FTE office-‐based primary care
Service Area Type
Academic* 1066 633 33.0 hrs/wk 2.0
Type 1: Metro, all other 2760 1961 38.4 hrs/wk 1.5
Type 2: Other Urban 339 278 38.4 hrs/wk 1.3
Type 3: Mixed-‐L, hub > 10,000 135 89 38.2 hrs/wk 1.6
Type 4: Mixed-‐M, hub <10,000 175 131 37.3 hrs/wk 1.4
Type 5: Rural-‐M, hub >2500 430 359 36.2 hrs/wk 1.3
Type 6: Rural-‐S, hub < 2500 153 105 34.9 hrs/wk 1.7
STATEWIDE 5058 3555 37.0 hrs/wk 1.5 *Marshfield, a Mixed type service area with a hub city >10,000 which shares many of the characteristics of an academic hub, is included in the Academic group for this calculation.
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐5-‐ June 2015
Table 6. Estimated Population to Primary Care Physician Ratio (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees) Total
Population All Primary Care
Physicians Office-‐Based Patient Care Primary Care Physicians Only
40 hr/wk Patient Care FTE
Service Area Type Type 1a: Metro, academic 647,017 694:1 1170:1 1416:1 Type 1b: Metro, all other 2,990,740 1084:1 1525:1 1587:1 Type 2: Other Urban 555,454 1639:1 1998:1 2080:1 Type 3a: Mixed-‐L Marshfield* 49,163 367:1 618:1 748:1 Type 3b: Mixed-‐L**, hub > 10,000 183,612 1360:1 2059:1 2150:1 Type 4: Mixed-‐M, hub <10,000 211,040 1206:1 1617:1 1735:1 Type 5: Rural-‐M, hub >2500 775,372 1803:1 2161:1 2391:1 Type 6: Rural-‐S, hub < 2500 274,588 1795:1 2622:1 3005:1 ALL METRO & URBAN (74% of pop) 4,193,211 1040:1 1502:1 1607:1 ALL MIXED (8% of pop) 443,815 1000:1 1483:1 1627:1 ALL RURAL (18% of pop) 1,049,960 1801:1 2265:1 2526:1 STATEWIDE TOTAL 5,686,986 1124:1 1600:1 1725:1 *Marshfield is a special case among rural service areas, with a high proportion of physicians engaged in teaching, research and administration at the Marshfield Clinic. It is also possible that the licensure record does not reflect subspecialty practice for some Marshfield Clinic physicians in internal medicine and pediatrics, resulting in their being counted as primary care; or that some of their patient care time is in other service areas in the region. It is not possible to determine this from the licensure record alone. The pattern for academic service areas (Tables 4, 5 and 6) was used to estimate the population to primary care physician ratio for Marshfield. **Note that the Mixed, hub >10,000 group includes the Platteville service area, an area with a relatively high population to primary care physician ratio (3769:1). This area is served in part by physicians in Dubuque IA who are not included in the ratio. The ratios for the other Type 3 service areas (Menomonie, Marinette and Portage are more similar to the ratio for Type 2 and Type 4 service areas . The population to provider ratios in other border areas do not take into account activity that crosses state borders: physicians residing in other states who practice in Wisconsin on a regular basis, and patients whose primary care physician is located in another state. Ratios for these service areas could be higher or lower depending upon the local circumstances. All primary care physicians FTE Office-‐Based Patient Care only standardized to 40 hr/wk=1 FTE
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐6-‐ June 2015
Table 7. Estimated Population to Primary Care Physician Ratio, by region (Wisconsin-‐based physicians under age 65 as of 1-‐1-‐2012, excluding trainees) Total
Population All Primary Care
Physicians Office-‐Based Patient Care Primary Care Physicians Only
40 hr/wk Patient Care FTE
Green Bay 428,055 1422:1 1938:1 2044:1 Sheboygan 196,867 1697:1 2259:1 2362:1 Appleton 293,325 1202:1 1672:1 1748:1 Oshkosh 162,242 1488:1 2002:1 2131:1 Fond du Lac 172,043 1593:1 2084:1 2189:1 Milwaukee 1,328,682 940:1 1384:1 1490:1 Waukesha 274,040 1147:1 1591:1 1656:1 Southeast 469,599 2007:1 2695:1 2804:1 Madison 667,420 821:1 1269:1 1459:1 Janesville 246,150 1558:1 2118:1 2206:1 Southwest 66,166 2757:1 3460:1 3856:1 La Crosse 290,009 884:1 1185:1 1259:1 Eau Claire 352,965 1128:1 1558:1 1659:1 West Central 174,159 1514:1 2004:1 2181:1 Superior 69,465 1654:1 2086:1 2264:1 Rhinelander 114,310 1314:1 1846:1 2069:1 Wausau 381,489 924:1 1330:1 1457:1 Statewide totals 5,686,986 1124:1 1600:1 1725:1 Information available for all physicians in the Wisconsin licensure data includes medical school location and date of initial licensure in Wisconsin. When broken down by service area type and region, this provides insight into patterns of physician recruitment in different areas of the state. Newly graduated physicians must complete one year of post-‐graduate training in order to be eligible for a license in Wisconsin. Residency training programs (also know as graduate medical education, or GME) generally require their trainees to obtain the license in their second post-‐graduate year. Thus, the license granted data relative to a physician’s MD granted date provides an estimate of physicians currently practicing in Wisconsin who completed the first three years of their post-‐graduate training in the state. Table 8. All Primary Care Physicians: Medical School and Date of First Licensure in Wisconsin (Physicians under age 65 as of 1-‐1-‐2012) Medical school location When WI license issued
Primary Care Physicians under age 65 as of 1-‐1-‐2012
UW & MCW
graduates
MN, IA, IL, MI
graduates
US citizen graduates of offshore medical schools
(USFMGs)
International Medical
Graduates (IMGs)
< 3 yrs after degree: Likely to have
completed PG1-‐3 in WI
3-‐10 years after degree
>10 years after degree
Service Area Type Type 1a: Metro, academic 932 33% 20% 1% 15% 48% 40% 11% Type 1b: Metro, all other 2,760 34% 25% 3% 19% 47% 40% 12% Type 2: Other Urban 339 32% 28% 4% 11% 51% 40% 9% Type 3: Mixed-‐L, hub > 10,000* 269 17% 21% 2% 33% 30% 55% 15% Type 4: Mixed-‐M, hub <10,000 175 33% 34% 2% 10% 55% 35% 10% Type 5: Rural-‐M, hub >2500 430 28% 34% 2% 11% 47% 41% 11% Type 6: Rural-‐S, hub < 2500 153 29% 31% 3% 8% 44% 41% 13% ALL METRO & URBAN 4,031 33% 24% 3% 18% 48% 40% 11% ALL MIXED 444 24% 26% 2% 24% 40% 47% 13% ALL RURAL 583 28% 34% 2% 10% 46% 41% 11% STATEWIDE TOTAL-‐ PRIMARY CARE
5,058 32% 25% 3% 17% 47% 41% 12%
STATEWIDE TOTAL-‐ ALL PHYSICIANS
14,722 31% 25% 2% 16% 37% 46% 16%
*Note that service area type 3 (Mixed, hub >10,000) includes Marshfield, which shares many of the workforce characteristics of an academic hub.
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐7-‐ June 2015
Table 9. Individual Service Area Data: Primary Care Physicians by Discipline (Physicians under age 65 as of 1-‐1-‐2012) Medical school location When WI license issued
Primary Care Physicians under age 65
UW & MCW
graduates
MN, IA, IL, MI
graduates
US citizen graduates of
offshore medical schools (USFMGs)
International Medical Graduates (IMGs)
< 3 yrs after degree:
Likely to have completed PG1-‐3 in WI
3-‐10 years after degree
>10 years after degree
GREEN BAY REGION 301 35% 23% 2% 21% 38% 49% 13% 1 Green Bay 148 43% 22% 1% 18% 41% 50% 9% 2 De Pere-‐Hobart 47 32% 28% 2% 23% 26% 57% 15% 3 Pulaski 3 33% 0% 0% 67% 33% 0% 0% 4 Shawano 22 41% 18% 0% 14% 55% 41% 5% 5 Keshena/Menominee 2 0% 0% 0% 0% 50% 50% 0% 6 Oconto 4 0% 25% 25% 25% 75% 0% 25% 7 Oconto Falls 5 20% 40% 0% 40% 40% 20% 40% 8 Marinette 30 13% 17% 3% 40% 20% 60% 20% 9 Sturgeon Bay 17 12% 59% 6% 24% 53% 29% 18% 10 Kewaunee 7 71% 0% 0% 0% 57% 14% 29% 11 Two Rivers 16 38% 13% 0% 13% 25% 56% 19% SHEBOYGAN REGION 116 40% 25% 4% 11% 48% 46% 5% 12 Sheboygan 74 42% 24% 4% 14% 50% 45% 5% 13 Manitowoc 34 32% 24% 6% 9% 38% 56% 6% 14 Chilton 8 50% 38% 0% 0% 75% 13% 0% APPLETON REGION 244 34% 26% 2% 13% 52% 40% 8% 15 Appleton 140 37% 24% 1% 16% 51% 42% 7% 16 Kaukauna 24 29% 38% 0% 4% 79% 17% 4% 17 Neenah 63 27% 27% 3% 11% 46% 46% 8% 18 New London 13 46% 31% 0% 8% 54% 23% 23% 19 Seymour 4 25% 25% 0% 0% 50% 50% 0% OSHKOSH REGION 109 39% 28% 0% 16% 41% 40% 17% 20 Oshkosh 74 34% 28% 0% 20% 32% 43% 22% 21 Waupaca 20 50% 25% 0% 10% 70% 25% 5% 22 Berlin 10 40% 40% 0% 0% 50% 50% 0% 23 Wautoma-‐Wild Rose 5 80% 20% 0% 0% 40% 40% 20% FOND DU LAC REGION 108 28% 25% 1% 14% 40% 43% 17% 24 Fond du Lac 57 28% 32% 2% 11% 37% 44% 19% 25 Waupun 6 17% 0% 0% 33% 50% 33% 17% 26 Beaver Dam 30 33% 20% 0% 13% 50% 33% 13% 27 Ripon 15 20% 20% 0% 20% 27% 60% 13% MILWAUKEE REGION 1414 34% 20% 4% 25% 49% 38% 12% 28 Milwaukee -‐ downtown,
north & northwest 114 26% 23% 3% 28% 41% 49% 8% 29 Milwaukee/West Allis -‐
central south of I-‐94 109 33% 17% 4% 27% 50% 35% 15% 30 Milwaukee-‐Greenfield,
Franklin & south suburbs 180 28% 20% 6% 34% 53% 34% 13% 31 Milwaukee-‐Wauwatosa 201 34% 16% 2% 26% 46% 44% 9% 32 Milwaukee-‐Shorewood,
Brown Deer, Glendale 167 43% 28% 1% 13% 49% 39% 11% 33 Milwaukee-‐Whitefish By,
Fox Pt, Bayside, Rvr Hills 68 34% 16% 3% 15% 46% 31% 21% 34 Brookfield 259 29% 17% 4% 38% 41% 44% 15% 35 Menomonee Falls 117 43% 18% 5% 17% 64% 30% 5% 36 Mequon 106 34% 24% 4% 16% 55% 31% 13% 37 Grafton 27 44% 22% 7% 7% 56% 41% 0% 38 West Bend 52 42% 23% 8% 15% 67% 27% 4% 39 Hartford 14 43% 7% 7% 21% 50% 43% 7%
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐8-‐ June 2015
Medical school location When WI license issued
Primary Care Physicians under age 65
UW & MCW graduates
MN, IA, IL, MI
graduates
US citizen graduates of
offshore medical schools (USFMGs)
International Medical
Graduates (IMGs)
< 3 yrs after degree:
Likely to have completed PG1-‐3 in WI
3-‐10 years after degree
>10 years after degree
WAUKESHA REGION 239 45% 24% 3% 8% 55% 36% 8% 40 Waukesha 131 47% 21% 2% 11% 53% 38% 8% 41 Oconomowoc 61 43% 25% 5% 10% 52% 38% 10% 42 Delafield-‐Summit 25 48% 28% 4% 0% 72% 20% 8% 43 Watertown 22 41% 32% 5% 0% 59% 41% 0% SOUTHEAST WI REGION 234 26% 30% 6% 21% 43% 47% 10% 44 Racine 79 23% 37% 4% 14% 35% 57% 8% 45 Kenosha 82 21% 26% 7% 33% 37% 49% 13% 46 Burlington 18 39% 28% 11% 6% 67% 22% 11% 47 Elkhorn 31 42% 32% 0% 13% 61% 29% 6% 48 Lake Geneva 24 25% 25% 13% 25% 46% 46% 8% MADISON REGION 813 35% 23% 1% 7% 51% 38% 10% 49 Madison 549 34% 21% 1% 8% 50% 38% 11% 50 Cottage Grove 10 30% 40% 0% 0% 70% 30% 0% 51 De Forest 9 44% 33% 0% 0% 67% 11% 11% 52 Sun Prairie 29 48% 34% 0% 0% 28% 72% 0% 53 Verona 38 34% 26% 3% 11% 42% 39% 18% 54 Waunakee 8 50% 13% 0% 0% 63% 38% 0% 55 Cross Plains-‐Arena 7 57% 43% 0% 0% 57% 29% 14% 56 Oregon 19 42% 26% 0% 0% 79% 16% 5% 57 Stoughton 13 46% 23% 0% 15% 46% 31% 23% 58 Portage 21 19% 29% 0% 19% 29% 52% 19% 59 Mt. Horeb 7 29% 14% 0% 0% 71% 29% 0% 60 Dodgeville 17 29% 29% 6% 0% 76% 24% 0% 61 Baraboo 25 36% 32% 0% 0% 56% 40% 4% 62 Wis Dells-‐Lake Delton 8 13% 13% 0% 13% 50% 25% 25% 63 Sauk City-‐Prairie du Sac 26 42% 31% 8% 0% 65% 35% 0% 64 Reedsburg 13 62% 38% 0% 0% 69% 23% 8% 65 New Glarus 6 0% 33% 0% 0% 17% 67% 17% 66 Columbus 8 50% 25% 0% 13% 38% 50% 13% JANESVILLE REGION 158 25% 23% 10% 18% 45% 39% 15% 67 Janesville 59 22% 17% 12% 15% 41% 37% 20% 68 Edgerton 9 11% 11% 33% 22% 56% 22% 22% 69 Fort Atkinson 36 36% 33% 3% 8% 67% 33% 0% 70 Monroe 20 20% 25% 0% 25% 30% 60% 10% 71 Beloit 34 24% 24% 15% 29% 35% 41% 21% SOUTHWEST WI REGION 24 29% 21% 4% 0% 54% 38% 8% 72 Platteville 8 38% 13% 13% 0% 50% 50% 0% 73 Lancaster 5 40% 0% 0% 0% 40% 60% 0% 74 Darlington 6 33% 17% 0% 0% 83% 0% 17% 75 Boscobel 5 0% 60% 0% 0% 40% 40% 20% LA CROSSE REGION 325 33% 35% 2% 8% 52% 38% 10% 76 La Crosse 174 31% 33% 2% 10% 53% 32% 14% 77 Onalaska 40 50% 38% 0% 5% 50% 45% 5% 78 Mauston 18 50% 33% 0% 0% 50% 44% 6% 79 Viroqua 18 22% 61% 0% 0% 39% 61% 0% 80 Tomah 16 25% 31% 6% 19% 25% 50% 25% 81 Sparta 11 45% 36% 0% 0% 82% 18% 0% 82 Black River Falls 19 16% 16% 5% 5% 42% 58% 0% 83 Richland Center 14 29% 36% 7% 0% 64% 36% 0% 84 Prairie du Chien 12 33% 42% 0% 8% 67% 17% 17% 85 Hillsboro 3 0% 67% 0% 0% 33% 67% 0% 86 Arcadia 3 67% 0% 0% 0% 33% 33% 33% 87 Alma 0 na na na na na na na
Wisconsin AHEC Health Workforce Data Brief
www.ahec.wisc.edu/workforce -‐9-‐ June 2015
Medical school location When WI license issued
Primary Care Physicians under age 65
Number of UW & MCW
graduates
Number of MN, IA, IL,
MI graduates
US citizen graduates of
offshore medical schools (USFMGs)
Number of International
Medical Graduates (IMGs)
< 3 yrs after degree:
Likely to have completed PG1-‐3 in WI
3-‐10 years after degree
>10 years after degree
EAU CLAIRE REGION 313 21% 36% 2% 17% 42% 44% 13% 88 Eau Claire 131 20% 27% 4% 27% 36% 44% 20% 89 Chippewa Falls 39 23% 38% 3% 10% 62% 33% 5% 90 Bloomer 8 50% 0% 0% 13% 25% 63% 13% 91 Stanley 5 0% 40% 0% 40% 40% 60% 0% 92 Menomonie 22 14% 59% 0% 5% 50% 50% 0% 93 Barron 10 20% 50% 0% 0% 40% 40% 20% 94 Rice Lake 33 30% 45% 0% 15% 39% 45% 15% 95 Cornell 2 50% 0% 0% 0% 100% 0% 0% 96 Ladysmith 13 31% 38% 0% 15% 54% 46% 0% 97 Cumberland 6 33% 50% 0% 0% 50% 33% 17% 98 Durand 3 33% 33% 0% 0% 33% 67% 0% 99 Whitehall 2 0% 0% 0% 50% 0% 50% 50% 100 Osseo 9 33% 33% 0% 0% 67% 22% 11% 101 Shell Lake 3 0% 33% 0% 33% 33% 67% 0% 102 Spooner 13 0% 62% 0% 0% 31% 54% 0% 103 Hayward 14 14% 43% 0% 7% 29% 57% 7% WEST CENTRAL REGION 115 18% 54% 2% 3% 43% 45% 12% 104 Hudson 28 18% 39% 0% 4% 43% 46% 11% 105 River Falls 15 20% 67% 0% 0% 33% 67% 0% 106 Baldwin 8 0% 75% 0% 13% 25% 50% 25% 107 New Richmond 14 50% 36% 0% 0% 57% 29% 14% 108 Prescott 4 0% 100% 0% 0% 50% 25% 25% 109 Osceola 9 0% 78% 0% 11% 22% 56% 22% 110 St. Croix Falls 21 10% 52% 10% 5% 33% 57% 10% 111 Amery 11 27% 55% 0% 0% 82% 9% 9% 112 Grantsburg 5 20% 40% 0% 0% 40% 40% 20% 113 Bay City 0 na na na na na na na SUPERIOR WI REGION 42 10% 52% 0% 10% 48% 38% 12% 114 Superior 14 7% 43% 0% 21% 36% 50% 14% 115 Ashland 28 11% 57% 0% 4% 54% 32% 11% RHINELANDER REGION 87 34% 22% 2% 17% 48% 34% 14% 116 Rhinelander 24 17% 21% 0% 29% 42% 46% 8% 117 Tomahawk 6 17% 33% 0% 17% 67% 33% 0% 118 Park Falls 8 25% 25% 0% 38% 25% 38% 25% 119 Phillips 4 100% 0% 0% 0% 75% 25% 0% 120 Eagle River 8 25% 50% 0% 0% 38% 25% 38% 121 Woodruff & Minocqua 28 50% 14% 7% 11% 54% 29% 18% 122 Crandon 4 50% 25% 0% 25% 0% 75% 0% 123 Alvin/Tipler/Long Lake 0 na na na na na na na 124 Florence/Niagara 3 33% 33% 0% 0% 100% 0% 0% 125 Hurley/Mercer 2 0% 0% 0% 0% 100% 0% 0% WAUSAU REGION 413 23% 21% 3% 30% 36% 48% 16% 126 Wausau 76 36% 29% 4% 12% 47% 38% 14% 127 Weston 50 20% 24% 4% 36% 36% 44% 20% 128 Antigo 13 31% 38% 0% 23% 31% 54% 15% 129 Merrill 20 20% 25% 5% 15% 55% 35% 10% 130 Medford 23 26% 13% 4% 30% 35% 43% 22% 131 Neillsville 9 11% 33% 11% 22% 44% 56% 0% 132 Marshfield* 134 18% 11% 1% 47% 25% 58% 16% 133 Stevens Point 50 26% 22% 4% 22% 36% 48% 16% 134 Wisconsin Rapids 35 20% 23% 6% 17% 37% 43% 20% 135 Adams -‐Friendship 3 33% 33% 0% 33% 33% 33% 33% STATEWIDE TOTALS 5,058 32% 25% 3% 17% 47% 41% 12%