1. Rational Areas for the Delivery of Pharmacy Services. (a) The following areas will be considered rational areas for the delivery of pharmacy services: (i) A county, or a group of contiguous counties whose population centers are within 30 minutes travel time of each other; and (ii) A portion of a county, or an area made up of portions of more than one county, whose population, 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 30 minutes to these resources. (b) The following distances will be used as guidelines in determining distances corresponding to 30 minutes travel time: (i) Under normal conditions with primary roads available: 20 miles. (ii) In mountainous terrain or in areas with only secondary roads available: 15 miles. (iii) In flat terrain or in areas connected by interstate highways: 25 miles. Within inner portions of metropolitan areas, information on the public transportation system will be used to determine the area corresponding to 30 minutes travel time. 2. Counting of Pharmacists. All active pharmacists within the area will be counted, except those engaged in teaching, administration, or pharmaceutical research. 3. Determination of Estimated Requirement for Pharmacists. (a) Basic estimate. The basic estimated requirement for pharmacists will be calculated as follows: (a) Pharmacy manpower in contiguous areas are more than 30 minutes travel time from the center of the area under consideration, or (b) The number of pharmacists in each contiguous area is less than or equal to the estimated requirement for pharmacists for that contiguous area (as computed above). C. Determination of Degree-of-Shortage. Designated areas will be assigned to degree-of-shortage groups, based on the proportion of the estimated requirement for pharmacists which is currently available in the area, as follows: Group 1-Areas with no pharmacists. Group 2-Areas where the ratio of available pharmacists to pharmacists required is less than 0.5. Group 3-Areas where the ratio of available pharmacists to pharmacists required is between 0.5 and 1.0. 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. The area 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 veterinarian shortage to meet this ratio is at least 0.5. 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. The area 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 0.5. 3. Companion animal veterinarians in contiguous areas are overutilized or excessively distant from the population of the area under consideration. C. Methodology. 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 40 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 and/ or transportation patterns or other factors, has limited access to contiguous area resources, as measured generally by a travel time of greater than 40 minutes to these resources. (b) The following distances will be used as guidelines in determining distances corresponding to 40 minutes travel time: (i) Under normal conditions with primary roads available: 25 miles. (ii) In mountainous terrain or in areas with only secondary roads available: 20 miles. (iii) In flat terrain or in areas connected by interstate highways: 30 miles. 2. Determination of Number of Veterinary Livestock Units (VLU) 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 a 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) +.2x(number of other cattle and calves) 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 fraction 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 poultry practice, exclusively) +.75x(mixed practice veterinarians with greater than 50% of practice in large animal care) +.5x(mixed practice veterinarians with approximately 50% of practice in large animal care) +.25(mixed practice veterinarians with less than 50% 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 as 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 portion of their practice which is devoted to companion animal care by the practitioners within that category, 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-com panion animal veterinarian ratio in the contiguous area is in excess of 15,000: 1. C. Determination of Degree-of-Shortage. Designated areas will be assigned to degree-of-shortage groups as follows: Group 1-Areas 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. 21.22 Submission of application and evi dence 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. Subpart C-Involuntary Child and Spousal Support Allotments Applicability and scope. Definitions. 21.73 Policy. 21.74 Responsibilities. § 21.1 Meaning of terms. As used in this part, the term: (a) "Act" means the Public Health Service Act, 58 Stat. 682, as now or hereafter amended. (b) "Department" means the Department of Health and Human Services. (c) "Secretary" means the Secretary of Health and Human Services. (d) "Service" means the Public Health Service. (e) "Surgeon General" means the Surgeon General of the Public Health Service. (f) "Commissioned officer" or "officer", unless otherwise indicated, means either an officer of the Regular Corps or an officer of the Reserve Corps. (Sec. 215, 58 Stat. 690, as amended; 42 U.S.C. 216) [21 FR 9806, Dec. 12, 1956] Subpart B-Appointment AUTHORITY: Sec. 215, 58 Stat. 690, as amended; 42 U.S.C. 216; sec. 208, 58 Stat. 685, as amended; 42 U.S.C. 209. SOURCE: 21 FR 9806, Dec. 12, 1956. Redesignated at 44 FR 46846, Aug. 6, 1979, unless otherwise noted. PROVISIONS APPLICABLE BOTH TO REGULAR AND RESERVE CORPS § 21.21 Meaning of terms. The terms "approved school", "approved college", "approved postgraduate school", or "approved training 33-147 0-84--6 course" means, except as otherwise provided by law: (a) A school, college, postgraduate school, or training course which has been accredited or approved by a professional body or bodies recognized by the Surgeon General for such purpose, or which, in the absence of such a body, meets generally accepted professional standards as determined by the Surgeon General, or (b) In the case of a candidate who is applying for appointment as a medical officer, any non-approved medical school provided that the candidate has passed examinations given by a professional body or bodies recognized by the Surgeon General for such purpose. [24 FR 1790, Mar. 12, 1959. Redesignated at 44 FR 46846, Aug. 6, 1979] § 21.22 Submission of application and evidence of qualifications. (a) Application form. Every candidate for examination for appointment as an officer shall submit a written application on such form as may be prescribed by the Surgeon General. (b) Documentary evidence. The application shall be accompanied by such documentary evidence as may be required by the Surgeon General. § 21.23 False statements as disqualification. Willfully false statements shall be cause for rejection of the application or, as provided in Subpart N of this part, for dismissal. § 21.24 Physical examinations. Every candidate for appointment as an officer shall undergo such physical examination as the Surgeon General may direct, and no candidate who is not found to be physically qualified shall be appointed as an officer. § 21.25 Eligibility; junior assistant grade. (a) Requirements; all candidates. Except as provided in § 21.54, and as otherwise provided in this section, every candidate for examination for appointment in the grade of junior assistant: (1) Shall be a citizen of the United States; (2) Shall be at least 18 years of age; and (3) Shall have been granted an academic or professional degree from an approved school, college, or postgraduate school, and, unless the required professional training has been otherwise obtained from an approved school, college, or postgraduate school, shall have majored in the profession in which the examination is being held. (b) [Reserved] (c) Special requirement; therapists. Every candidate for examination for appointment as a therapist shall have received a certificate from an approved school of physical therapy or an approved school of occupational therapy. [21 FR 9806, Dec. 12, 1956, as amended at 30 FR 9437, July 29, 1965. Redesignated at 44 FR 46846, Aug. 6, 1979] § 21.26 Eligibility; assistant grade. (a) Requirements; all candidates. Except as otherwise provided in this section every candidate for examination for appointment in the grade of assistant: (1) Shall meet the requirements for eligibility for examination for appointment in the grade of junior assistant; (2) Shall be at least 21 years of age; and (3) Shall have had at least 7 years of educational and professional training or experience subsequent to high school, except that a candidate who applies for examination for appointment in the Reserve Corps to serve as a medical or dental intern may be examined for such appointment upon the completion of 6 years of such education, training, or experience. (b) Additional requirements; dietitians. Every candidate for examination for appointment as a dietitian shall have successfully completed an approved training course for dietetic interns. § 21.27 Eligibility; senior assistant grade. Every candidate for examination for appointment in the grade of senior assistant shall meet the requirements for eligibility for examination for appointment in the grade of assistant |