(b) The number of pharmacists in the contiguous area is less than or equal to the estimated requirement for pharmacists for the contiguous area (as computed above).

C. Determination of Degree of Shortage

The degree of shortage of a given geographic area, designated as having a shortage of pharmacy manpower, will be determined using the following procedure.

1. Grouping of Areas. Designated areas will first be assigned to groups, based on the ratio of the number of pharmacists available to the estimated pharmacist requirement, as follows:

Group 1-Areas with no pharmacists.

Group 2-Areas where the ratio of available pharmacists to pharmacists required is less than .5.

Group 3-Areas where the ratio of available pharmacists to pharmacists required is between .5 and 1.0.

All group 1 areas will be assumed to have a greater shortage than all group 2 areas, and all group 2 areas will be assumed to have a greater shortage than all group 3

areas.

2. Relative Shortage within a Group. In comparing any two areas within each group as defined above, the area with the larger computed shortage of pharmacists will be assumed to have the greater shortage. APPENDIX G-CRITERIA FOR THE DESIGNATION OF AREAS HAVING SHORTAGES OF VETERINARY MANPOWER

PART I-GEOGRAPHIC AREAS

A. Criteria for Food Animal Veterinary
Shortage

A geographic area will be designated as having a shortage of food animal veterinary manpower if the following three criteria are met:

1. It is a rational area for the delivery of veterinary services.

2. The ratio of veterinary livestock units to food animal veterinarians in the area is at least 10,000:1, and the computed food animal veterinary shortage to meet this ratio is at least .5, that is, rounds off to a need for at least one food animal veterinarian.

3. Food animal veterinarians in contiguous areas are overutilized or excessively distant from the population of the area under consideration.

B. Criteria for Companion Animal
Veterinary Shortage

A geographic area will be designated as having a shortage of companion animal veterinary manpower if the following three criteria are met:

1. It is a rational area for the delivery of veterinary services.

2. The ratio of resident civilian population to number of companion animal veterinarians in the area is at least 30,000:1 and the computed companion animal veterinary shortage to meet this ratio is at least .5, that is, rounds off to a need for at least one companion animal veterinarian.

3. Companion animal veterinarians in contiguous areas are overutilized or excessively distant from the population of the area under consideration.

C. Methodology for Determining Food Animal and Companion Animal Veterinary Manpower Shortages

In determining whether an area meets the criteria established by paragraphs A and B of this Part, the following methodology will be used:

1. Rational Areas for the Delivery of Veterinary Services.

(a) The following areas will be considered rational areas for the delivery of veterinary services:

(i) A county, or a group of contiguous counties whose population centers are within 60 minutes travel time of each other.

(ii) A portion of a county (or an area made up of portions of more than one county) which, because of topography, market or transportation patterns or other factors, has limited access to contiguous area resources, as measured generally by a travel time of greater than 60 minutes to such resources.

(b) The following distances will be used to estimate distances corresponding to 60 minutes travel time:

(i) Under normal conditions with primary roads available: 45 miles.

(ii) In mountainous terrain or in areas with only secondary roads available: 30 miles.

(iii) In flat terrain or in areas connected by interstate highways: 55 miles.

Within inner portions of metropolitan areas, the large variations in the scope of public transportation systems and traffic conditions do not permit standard mileage figures to be specified. In these areas information on the public transportation system will be used to determine the distance corresponding to 60 minutes travel time.

2. Determination of Number of Veterinary Livestock Units Requiring Care. Since various types of food animals require varying amounts of veterinary care. each type of animal has been assigned a weight indicating the amount of veterinary care it requires relative to that required by the milk cow. Those weights are used to compute the number of --Veterinary Livestock Units" (VLU), for which veterinary care is required.

The VLU is computed as follows:

Veterinary Livestock Units (VLU)=(number of milk cows)

+ .2 × (number of other cattle and calves)

+ .05 x (number of hogs and pigs)

+ .05 x (number of sheep)

+ .002 × (number of poultry)

3. Counting of Food Animal Veterinarians. The number of food animal veterinarians is determined by weighting the number of veterinarians within each of several practice categories according to the average proportion of practice time in that category which is devoted to food animal veterinary care, as follows:

Number of Food Animal Veterinarians=

(number of veterinarians in large animal practice, exclusively)

+ (number of veterinarians in bovine practice, exclusively)

+ (number of veterinarians in porcine practice, exclusively)

+ (number of veterinarians in poultry practice, exclusively)

+ .75 × (mixed practice veterinarians
with greater than 50 percent of prac-
tice in large animal care)

+.5 × (mixed practice veterinarians
with approximately 50 percent of
practice in large animal care)
+.25 × (mixed practice veterinarians
with less than 50 percent of practice in
large animal care)

4. Counting of Companion Animal Veterinarians (that is, those who provide services for dogs, cats, horses, and any other animals maintained as companions to the owner rather than for food animals). The number of full-time equivalent companion animal veterinarians is determined by weighting the number of veterinarians within each of several practice categories by the average pcrtion of their practice which is devoted to companion animal care by the practitioners within that category, as follows:

Number of Companion Animal Veterinarians =

(number of veterinarians in small animal practice, exclusively)

+ (number of veterinarians in equine practice, exclusively)

+ .75 × (mixed practice veterinarians
with greater than 50 percent of prac-
tice in small animal care)

+.5 × (mixed practice veterinarians
with approximately 50 percent of
practice in small animal care)
+.25 × (mixed practice veterinarians
with less than 50 percent of practice in
small animal care)

5. Size of Shortage Computation. The size of shortage will be computed as follows:

Food

animal

(a) veterinarian shortage (VLU/10,000)-(number of food animal veterinarians).

(b) Companion animal veterinarian shortage (resident civilian pop./30,000)——— (number of companion animal veterinarians).

6. Contiguous Area Considerations. Veterinary manpower in areas contiguous to an area being considered for designation will be considered excessively distant from the population of the area or overutilized if one of the following conditions prevails in each contiguous area:

(a) Veterinary manpower in the contiguous area are more than 60 minutes travel time from the center of the area being considered for designation (measured in accordance with paragraph C.1(b) of this part).

(b) In the case of food animal veterinary manpower, the VLU-to-food animal veterinarian ratio in the contiguous area is in excess of 5,000:1.

(c) In the case of companion animal veterinary manpower, the population-to-companion animal veterinarian ratio in the contiguous area is in excess of 15,000:1.

C. Determination of Degree of Shortage

The degree of shortage of a given geographic area, designated as having a shortage of veterinary manpower, will be determined using the following procedure:

1. Grouping of Areas. Designated areas will first be grouped as follows: Group 1Areas with a food animal veterinarian shortage and no veterinarians. Group 2-Areas (not included above), with a food animal veterinarian shortage and no food animal veterinarians. Group 3-All other food animal veterinarian shortage areas. Group 4-All companion animal shortage areas (not included above), having no veterinarians. Group 5-All other companion animal shortage areas.

All group 1 areas are assumed to have greater shortage than all group 2 areas, all group 2 areas are assumed to have a greater shortage than all group 3 areas, etc.

2. Relative Shortage within a Group. In comparing any two areas within group 1, or any two areas within group 2, the area with the larger number of VLU's will be assumed to have the greater shortage. In comparing any two areas within group 3, the area with the larger ratio of VLU's to food animal veterinarians will be assumed to have the greater shortage. In comparing any two areas within group 4, the area with the larger human population will be assumed to have the greater shortage. In comparing any two areas with group 5, the area with the higher ratio of population to companion animal veterinarians will be assumed to have the greater shortage.

PART 21-COMMISSIONED OFFICERS

Subpart A-Defmitions

Sec.

21.1 Meaning of terms.

Subpart B-Tifies

21.11 Officers other than medical officers. 21.12 Designation of specialities. 21.13 Military titles.

Subpart C-Appointment

PROVISIONS APPLICABLE BOTH TO REGULAR AND RESERVE CORPS

21.21 Meaning of terms. 21.22 Submission of application and evidence of qualifications.

21.23 False statements as disqualification. 21.24 Physical examinations.

21.25 Eligibility, junior assistant grade. 21.26 Eligibility; assistant grade. 21.27 Eligibility, senior assistant grade. 21.28 Age requirements, Regular Corps, senior assistant grade and below. 21.29 Eligibility, grades above senior assistant grade.

21.30 Determination of creditable years of educational and professional training and experience.

21.31 Eligibility, all grades; academic and professional education and professional training and experience.

21.32 Boards; appointment of; powers and duties.

21.33 General service.

21.34 Certification by candidate; requirement of new physical examination. PROVISIONS APPLICABLE ONLY TO REGULAR CORPS

21.41 Professional examinations, holding of; subjects to be included.

21.42 Examinations; junior assistant, assistant, or senior assistant grade. 21.43 Examination; full grade and above. 21.44 Clinical or other practical demonstration.

21.45 Rating values.

21.46 Merit roll.

21.47 Examination; anticipation of meeting qualifications.

PROVISIONS APPLICABLE ONLY TO RESERVE CORPS

21.51 Appointment of officers having specialized training or experience in administration and management.

30 113 0-79——6