ED 105 183 TITLE INSTITUTION REPORT NO PUB DATE NOTE tVAILABLE FROM EDRS PRICE DESCRIPTORS IDENTIFIERS DOCUMENT RESUME CE 003 464 Podiatry Manpower: Characteristics of Clinical Practice United States--1970. Vital and Health Statistics--Series 14, No. 11. National Center for Health Statistics (DHEW), Rockville, Md. DHEW-HRA-74-1806 Mar 74 78p. Superintendent of Documents, U. S. Government Printing Office, Washington, D. C. 20402 ($1.15) MF-$0.76 HC-$4.43 PLUS POSTAGE *Health Personnel; *Health Services; National Surveys; Statistical Data; *Tables (Data) *Podiatry ABSTRACT The report on the clinical practice of podiatry is the product of a national survey of podiatrists conducted by the National Center for Health Statistics with the cooperation of the American Podiatry Association during the period January--March 1970. The survey was conducted by a self-administered questionnaire (a facsimile of which comprises an appendix) that was mailed to all of the approximately 8,300 pediatrists in the United States, of whom over 7,000 responded. The report, supported by 22 detailed tables which cover 46 pages, consists of three parts. The first part gives a general demographic and professional profile of the ovezall podiatrist population in 1970. The second part describes the characteristics of clinical practice generally and relative to the volume of clinical activity in terms of: hours per week devoted to patient care, number of patient visits per week, number of patients seen per week, and number of full-time and part-time helpers employed to assist in practice. The third part describes the nature of clinical activity with respect to: podiatrist's primary and secondary clinical activities; range of clinical services rendered; and clinical setting in which patient services were rendered (that is, office, hospital inpatient, hospital outpatient, clinic, nursing home, or patient's home. (JR)
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Podiatry Manpower: Characteristics of Clinical Practice ... · PODIATRY MANPOWER: CHARACTERISTICS OF CLINICAL PRACTICE. lIugo K. Koch and Hazel M. Phillips, Division of Health Resources
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ED 105 183
TITLE
INSTITUTION
REPORT NOPUB DATENOTEtVAILABLE FROM
EDRS PRICEDESCRIPTORS
IDENTIFIERS
DOCUMENT RESUME
CE 003 464
Podiatry Manpower: Characteristics of ClinicalPractice United States--1970. Vital and HealthStatistics--Series 14, No. 11.National Center for Health Statistics (DHEW),Rockville, Md.DHEW-HRA-74-1806Mar 7478p.Superintendent of Documents, U. S. GovernmentPrinting Office, Washington, D. C. 20402 ($1.15)
ABSTRACTThe report on the clinical practice of podiatry is
the product of a national survey of podiatrists conducted by theNational Center for Health Statistics with the cooperation of theAmerican Podiatry Association during the period January--March 1970.The survey was conducted by a self-administered questionnaire (a
facsimile of which comprises an appendix) that was mailed to all ofthe approximately 8,300 pediatrists in the United States, of whomover 7,000 responded. The report, supported by 22 detailed tableswhich cover 46 pages, consists of three parts. The first part gives ageneral demographic and professional profile of the ovezallpodiatrist population in 1970. The second part describes thecharacteristics of clinical practice generally and relative to thevolume of clinical activity in terms of: hours per week devoted topatient care, number of patient visits per week, number of patientsseen per week, and number of full-time and part-time helpers employedto assist in practice. The third part describes the nature ofclinical activity with respect to: podiatrist's primary and secondaryclinical activities; range of clinical services rendered; andclinical setting in which patient services were rendered (that is,office, hospital inpatient, hospital outpatient, clinic, nursinghome, or patient's home. (JR)
DATA ON NATIONAL HEALTH RESOURCES
Podiatry Manpower:
Characteristicsof Clinical Practice
United States-1970
Series 14Number 11
U S.OEPARTMENT OF HEALTH.EOUCATION &WELFARE
NATIONAL INSTITUTE OFEOUCATION
THIS occumENr HAS SEEN REPROOUCED EXACTLY AS RECEIVED RRO.THE PERSON OR ORGANIZATION ORIGINArms° IT POINTS OF VIEW OR OPINIONSSTATED DO NOT NECESSARILY REPRESENT OFFICIAL NATIONAL INSTITUTE OFEOUCATION POSITION OR POLICY
From information collected in a national survey of podiatrists conductedby the National Center for Health Statistics, statistics are presenteddescribing the clinical practice of podiatry in the United States in 1970.Patient-care activity is described in terms of its volume and its nature.Indicators of volume are number of hours per week spent in patient care,number of patient visits, actual number of patients seen a week, andnumber of full-time and part-time helpers employed. Indicators of thenature of clinical activity are the practitioner's primary and secondaryclinics' specialties, range and types of clinical services rendered, and clinical
setting (such as office, hospital, and nursing home) in which services wererendered.
DHEW Publication No. (HRA) 74-1806
U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFAREPublic Health Service
Health Resources AdministrationNational Center for Health Statistics
Rockville, March 1974
NATIONAL CENTER FOR HEALTH STATISTICS
EMMET B. PERRIN, Ph.D., Director
PHILIP S. LAWRENCE, Sc.D., Deputy Director
GAIL F. FISHER, Assistant Director for Health Statistics Development
JAMES E. KELLY, D.D.S., Dental Advisor
EDWARD E. MINTY, !Executive Officer
ALICE HAYWOOD, Information Officer
DIVISION OF HEALTH RESOURCES STATISTICS
SIEGFRIED A. HOERMANN, Director
PETER L. HURLEY, Deputy Director
HENRY S. MOUNT, Chief, Health Manpower Statistics Branch
G. GLORIA HOLLIS, Chief, Health Facilities Statistics Branch
PETER L. HURLEY-Icting Chief, Family Planning Statistics Branch
WILLIAM F. STEWART, Acting Chief, Hospital Discharge Survey Branch
Vital and Health Statistics-Series 14-No. 11
DHEW Publication No. (HRA) 74-1806
Library of Congress Catalog Card Number 73. 600256
4
Introduction
CONTENTS
Page
The Podiatrist in Profile 2
Characteristics of Clinical Practice 3
General 3
Volume of Clinical Activity 3Nature of Clinical Activity 10
List of Detailed Tables 17
Appendix I. Technical Procedures 64Background. 1970 Survey of Podiatrists 64Data Collection and Processing 64Rounding 65Ratios to Population 65
Appendix II. Definitions of Certain Terms Used in This Report 68
Appendix III. Survey Questionnaire 69
Data not available
SYMBOLS
Category not applicable
Quantity zero
Quantity more than 0 but less than 0.05
Figure does not meet standards ofreliability or precision
0.0
*
6
PODIATRY MANPOWER:CHARACTERISTICS OF CLINICAL PRACTICE
lIugo K. Koch and Hazel M. Phillips, Division of Health Resources Statistics
INTRODUCTION
This report, on the clinical practice of podia-try, is the second in a series of reports onpodiatric activity in the United States in 1970.Statistics reported here are chiefly the productof a national survey of podiatrists conducted bythe National Center for Health Statistics withthe cooperation of the American Podiatry Asso-ciation during the period January-March 1970.The survey was conducted by a self-administeredquestionnaire that was roiled to all licensedpodiatrists in the United States. (A facsimile ofthe questionnaire is shown as appendix III.)
The professional population that forms thestatistical base for this analysis is the 7,078podiatrists who were "clinically active" in thepractice of their profession. A podiatrist desig-nated clinically active is one who devotes somepart of his weekly professional efforthoweversmall to the direct diagnosis and treatment ofpodiatric patients. The figure 7,078 is itself anestimate, reflecting the application of a statisti-cal adjustment designed to compensate forvarious types of nonresponse to the survey (seeappendix I). This figure represents a goodapproximation of the actual number of podia-trists who were engaged in caring for podiatricpatients at the time of the survey in 1970.
The first report of the series, "PodiatryManpower: A General Profile," presents .t statis-tical perspecti% c of the national resource in
7
podiatrists who were active and inactive in theirprofession at the time of the survey.a A thirdreport will focus on the podiatric patient andwill describe these patients statistically frominformation supplied by the podiatrists whotreated them at the time of the 1970 survey.
The present report, supported by 22 detailedtables, is composed of the ''flowing parts:
1. A general demographic and professionalprofile of the overall podiatrist populationin 1970a review of the first report.
2. Characteristics of clinical practice, includ-inga. General features (tables 1-3).b. Volume of clinical activity in terms of
Hours per week devoted to patientcare (tables 4-6).Number of patient visits per week(tables 7-9).Number of patients seen per week(tables 10-12).Number of full-time and part-timehelpers employed to assist in practice(tables 14-19).
aNational Ccntcr for Health Statistics: Podiatry Manpower:A General Profile. Vital and Health Statistics, Series 14No. 10.DIIEW Pub. No. (IIRA) 74-1805. Ilcalth Rcsourccs Administra-tion. Washington. U.S. Government Printing Office, Aug. 1973.
1
c. Nature of clinical activity in terms ofPodiatrist's primar and secondaryclinical activities (tables 3, 6, 9. 12.13, 18, 19, and 22).Range of clinical services rendered(13 types are considered) (tables 3.6, 9, 12, 13. 18, 19, and 22).Clinical setting in which patientservices were renderedLe.. office;hospital, inpatient; hospital. out-patient; clinic; nursing home; orpatient's home(tables 3, 6, 9, 12,13, and [8-22).
Three appendixes support the report. Appen-dix I describes the technical procedures thatwere used in the collection and processing of thesurvey responses. especially the various adjust-ments applied to the raw data to compensate fornonresponse. Definitions of terms used in thereport appear in appendix II. Appendix III is afacsimile of the survey questionnaire that wasmailed to all licensed podiatrists in the UnitedStates.
THE PODIATRIST IN PROFILE
The following are selected .findings from thefirst report on podiatry manpower (see footnotea).
1. There were an estimated 8,017 podiatristsactive and inactive in their profession at the timeof the 1970 survey. Of these, 7,113 (or about 89percent) were actively engaged in professionalpodiatric activities. clinical and nonclinical.
2. About I I percent of the total (904) wereinactive in their profession, 370 by reason ofretirement and 533 for other reasons. Therelatively large proportion that was inactive butnot retired (about 7 percent) suggested anexisting resource in professional podiatric skillsthat was not being fully exploited.
3. Characteristics of the 7,113 podiatristsactive in their profession in 1970 are as follows:
The national ratio of active podiatriststo population was about 3.5 podiatristsper 100,000 population.
82
Podiatrists tended to concentrate inareas of the greatest population density.Five StatesNew York, California,Pennsylvania, Illinois, and Ohioaccounted for more than one-half of thetotal number of active podiatrists.Regionally, the Northeast had thehighest concentration of active podia-trists (6.1 per 100,000 population); theSouth had the lowest (1.6 per 100,000).About 96 percent of active podiatristswere male.Median age was about 51 years; mediannumber of years active in podiatry wasabout 21.About 94 percent were self-employed.A substantial majority (about 85percent) were engaged in solo practice.About 69 percent held active licenses inonly one State.The median volume of time devoted toall professional activities (by all practi-tioners, full-time and part-time) was 48weeks per year or more and about 39hours per week. A substantial 21 per-cent were in the part-time group whodevoted fewer than 35 hours per weekto podiatric activities. As already notedfor the nonretired inactives, this sug-gested a considerable resource in podi-atric skills that was not being fullyexploited.An analysis of nonclinical activities re-vealed that about 31/2 percent of activepodiatrists devoted some time to teach-ing in colleges of podiatry; about 7percent engaged to some degree inpodiatric research; and about 11 percentwere at least partially active in adminis-trative duties other than those con-nected with the care of patients (e.g.,podiatry associations and collegeadministration).More than 99 percent of all activepodiatrists engaged to some extent inthe direct care of podiatric patients. It isthis clinical universe, an estimated 7,078in number, that supplied the statisticalbase for the tables and textual analysisof the present report.
CHARACTERISTICS OF CLINICALPRACTICE
General
Podiatrists who engaged in patient care weredistributed regionally as follows:
Geographic location
Populationin
Number of Percent
thousands'podiatrists distribution
United States .... 203.235 7,078 100.0
Nort;.east Region , 49,051 2,991 42.3
North Cenral Region . 56,577 2.059 29.1
South Region ,, . . 62,798 989 14,0
West Region 34,809 1,038 14,7
' U.S. Bureau of the Census U.S. Census of population, 1970.Number of Inhabitants, Final Report PC(11A1, United StatesSummar:. Washington, U.S. Government Printing Office. Dec. 1971.
Clearly, podiatrists preferred the Northeast:Re-gion by a substantial margin. Within the regions,podiatrists showed a distinct tendency to con-centrate in areas of the greatest populationdensity, especially in and around the largermetropolitan areas. More than one-half of practi-tioners were to be found in the five States inwhich moss of the metropolitan areas werelocated; together, these five States accounted for35 percent of the total U.S. population.
State
Populationin
thousands
Number ofpodiatrists
Percent ofnational
total
Total 71,754 3,807 53.8
New York 18,241 1,233 17.4
California 19,953 728 10.3
Pennsylvania 11,794 696 (1.8
Illinois 11,114 622 8.8
Ohio 10,652 527 7.4
The age distribution of practicing podiatristsmay be summarized as follows:
AgePercent
distribution
All ages 100.0
Under 35 years 13.3
35-44 years 20.6
45.54 years 28.7
55-64 years 27.2
65 years and over 10.1
9
Most podiatrists fell in the age group 45-54years, with the median age located at 50.5 years.
A substantial majority of practitioners (about69 percent) held an active license in only oneState. About 23 percent were licensed in twoStates, while only about 8 percent reportedlicensure by three States or more.
In terms of their principal form of employ-ment, clinically active pediatrists showed thefollowing distribution:.
Principal form ofemployment
Number ofpodiatrists
Percentdistribution
Total
Self-employed:Solo practicePartnershipGroup practice
Salaried:Government organizations
(including military)Nongovernment organizations
(including otherpodiatrists)
Other
7,078 100.0
6,063458129
141
140
147
85.76.51.8
2.0
2.0
2.1
It is clear that by far the greater part of allpediatric care rendered in the Nation at the timeof the survey was provided by podiatrists whowere self-employed and engaged in solo practice.
Volume of Clinical Activity
flours per week worked.-An analysis of thehours per week that the practitioner devoted tothe direct care of patients, excluding the hoursthat he spent in teaching, research, and othernonclinical activities, revealed the followingdistribution:
Hours per week workedNumber of Percent
podiatrists distribution
Total 7,078 100.0
Less than 35 hours 2,129 30.1
35-40 hours 2,632 37.2
41-49 hours 1,362 19.2
50 hours or more 955 13.5
Median hours per week spent in patient care inall clinical settings was calculated to be 38.2
3
hours. Perhaps the most noteworthy aspect ofthis distribution is that roughly one-third of allpractitioners reported less than 35 hours perweek of patient-care actiNitx . The subduedclinical effort of this relatiNely large groupfunctional to depress the median experience foiall practitioners and suggests a potential fortreating podiatric patients that was not beingexploited in the Nttion at the time of thesurvey.
The relationships between hours spent inpatient care a.td other descriptors of the podia-trist and his activity were analyzed by deter-mining for each category to be examined (e.g.,age interval and number of patients) the propor-tion of practitioners in that category whodevoted 35 hours per week or more to patientcare. When this index of clinical volume wasdetermined foi each of the census regions, thefoil o, i n g gcogiaphic distribution becameapparent:
Geographic location
Number ofPodiatrists
per 100,000Population
Percent ofregional totalwho devoted35 hours or
more topatient care
United States 3.5 70
Northeast Region 6.1 69North Central Region 3.7 70
South Region 1.6 74
West Region 3.0 69
No maked regional sensitivities are evident forthe three regions that reported the highestconcentrations of 'active podiatrists, i.e., theNortheast, North Central, and West Regions.The South, however, reported a relativelygreater proportion of podiatrists who devoted aweekly total of 35 hours or more to patient care(almost 74 percent). Note that the South alsohad the lowest ratio of podiatrists to generalpopulation. Assuming a need for podiatric serv-ices that NS .to ml) distributed throughoutthe regions of the United States, this mightmcan that more Southern podiatrists N cre ex-tending their patient-Laic effort to partiallycompensate foi then retake scalcit) %it hin'thatregion.
4
As one might expect, the age of the practi-tioner had its effect on this index of clinical\ 01 ume. Note in the following table that thevolume of activity peaked among podiatristsaged 45-54 years (median age in the Nation wasabout 31 ) cars) and &upped markedly amongthose 65 years and over.
Age
Percent whodevoted 35 hoursor more per week
to patient care
Under 35 years 6935-44 years 7445.54 years 755564 years 7165 years and over 45
There was a tendency for the female podia-trist to work a substantially shorter clinical weekthan her male counterpart. Only about 43percent of the 314 female podiatrists reportedthat they devoted more than 35 hours per weekto patient care as opposed to about 71 percentof the 6,764 male practitioners.
Applying this index of clinical volume to thepodiatrist's principal form of employmentproduced the following result:
The t\ pical self-employ cd podiatrist tended todo ote more time to patient care than did his,ilaried colleagues; and among the self-
employ ed. the largest proportions reporting 35hours of more of patient-care actikity were thoseengaged in multiple-member forms of practice.
Patient visits. To determine clinical volumeby the rate of patient visits, survey respondentswere asked in item 19 o1 the questionnaire:"Approximately how many patient visits didyou have last week? (Include office visits andvisits in other settings.)" A tabulation of thenational experience for patient visits per weekreveals the following:
Number of patient visitsper week
Number ofpodiatrists
Percentdistribution
Total 7,078 100.0
Fewer than 50 visits 2,189 30.950.99 visits 3,184 45.0100.149 visits 1,272 18.0150 visits or more 433 6.1
'l'hc national median for patient visits was 71visits per week for the typical practitioner. Aninteresting regional variation appeared, as evi-denced in the following table:
Geographic location
Number ofpodiatrists
per 100.000population
Mediannumber of
patientvisits per week
United States 3.5 71
Northeast Region 6.1 70
North Central Region 3.7 69South Region 1.6 80West Region 3.0 71
Here, as with hours per week devotcd to patientcare, the typical Southern podiatrist seemed tobe partially compensating for his relative scar-city in that region by demonstrating anotherindication of greater clinical workload. In thiscase, the expanded workload amounted to aboutnine visits per week more than the nationalmedian experience.
Figure I shows the relationship betweenpatient visits per week and age of thepractitioner.Clinical activity in terms of patient visits perweek is seen to peak at about 84 visits in the agegroup 35-44 years and to decelerate with in-creasing tempo until, among podiatrists over (35years, the median experience was about 39 visitsper week.
11
85
75
65
55
45
35
0 i--II"Ull""!Under 35 44 4554 55 64 65
35 and over
AGE IN YEARS
Figure 1. Median number of patient visits per week by age ofpodiatrist: United States, 1970.
With a median experience of about 41 visitsper week, female podiatrists reported a clinicalworkload substantially smaller than the 72 visitsper week reported by the typical malepractitioner.
The following table reveals the relation thatexisted between this measure of clinical volumeand the principal form of practice eng. gd in byself-employed podiatrists.
Principal form of practice
Mediannumber of
patientvisits per week
Solo practice 70
Partnership 84
Group practice 89
5
As in the case of hours per week devoted topatient care, it is again evident that podiatristswho engaged in the multiple-member forms ofpractice experienced a clinical workload thatwas higher than that of solo practitioners.Nationally, however, such podiatrists were in thedecided minority, with only 458 of their num-bers practicing in partnerships and only 129engaged in group practice. The estimated 6.063solo practitioners (about 86 percent of thenational resource in podiatrists), with theirmedian experience of 70 visits per week, pro-vided by far the greatest bulk of professionalservice to podiatric patients in the United Statesat the time of the survey.
Survey findings revealed a direct relationshipbetween number of patient visits and number ofhours per week spent in patient care. Anincrease in the one was accompanied by aroughly proportionate increase in the other(figure 2).
Median experience of about 38 hours perweek devoted to patient care and 71 patientvisits suggests that the typical patient visit lastedroughly one-half hour.
Patients seen. To determine clinical volumeby the rate of patients seen per week, surveyrespondents were asked to report the actualnumber of patients represented by the numberof patient visits that they had experienced in thepreceding week. Patients with multiple visitswere to be counted only once.
The national experience in patients seenduring the preceding week is shown in thefollowing table:
Patients seen last weekNumber of
activepodiatrists
Percentdistribution
Total 7,078 100.0
Fewer than 50 patients 2,665 37.650.99 patients 3,204 45.3100.149 patients 944 13.3150 patients or more 265 3.8
The national median for number of patients seenper week was 64 patients.
A tabulation for the census regions shows thesame regional variation that has already ap-
6
1.2
loo
so
80
70
GO
50
40
0Under 35-40 41.49 50
35 or more
HOURS PER WEEK WORKED
Figure 2. Median number of patient visits per week by numberof hours per week devoted to patient care: United States19/0.
peared in discussions of other measures ofclinical volume:
Geographic location
Number ofPodiatrists
per 100,000PGpulation
Mediannumber ofpatients
seen per week
United States 64
Northeast Region 6.1 63North Central Region 3.7 "2South Region 1.6 ;1West Region 3.0 .33
Here, as with hums per c%cck and patient cisits,rite typical Southern podiatrist seemed to becompensating at least pattiall fur his relatkescarcity in that legion b c..rry ing a greaterclinical workload than did his colleagues in theother regions. The expanded c%orkload flu theSouth Regioa amouoted to about sewn patientsper week mot:e than the national medianexperience.
Figure 3 shows the relation between numberof patieens seen Der week and the age of thepractitioner.
Figure 3. Median number of patients seen per week by age ofpodiatrist: United States, 1970.
Clinical acnkit in lulus of patients seen perweek is seen to peak at about 7-1 patients in theage group 35-41 cars and to decelerate withincreasing tempo until. among podiatrists 65
cars and ocer, the median experienec was about36 patients per week.
With a median expericnoe of about 39 pa-tients seen per week, female podiatrists reported
13
a clinical workload that was only slightly morethan half the load of 65 patients per weekreported bt the typical male practitioner.
The following table reveals the relationshipthat cdsted between this measnre of clinical%dilute and the principal form of practiceengaged in by the self-employed podiatrist.
7111111010,
Principal form of practice
Mediannumber ofpatients
seen per week
Solo practice 63/artnership 75Group practice 77
The typical podiatrist who engaged in one of themultiple-member forms of practice saw morepatients per week than did his colleague in solopractice. Podiatrists who engaged in partnershipor group practice, however, were a decidedminority of the national total. It was theestimated 6.063 solo practitioners, constitutingabout 86 percent of the national resource inpodiatrists, who, with their median experienceof 63 patients per week, provided by far thegreatest bulk of professional service to podiatricpatients in the United States at the time of thesurvey.
Median experiences of about 61 for thenumber of patients seen per week and about 71for the weekly number of patient visits suggestthat multiple patient visits during a single weekwere relatively uncommon among typicalpractitioners.
NumbLr of assistants. One of the most re-vealing indicators of the podiatrist's clinicalvolume was the number of assistants that heemployed. The survey responder' was asked:"In your principal form of employtoent, do youemploy office assistants other than podiatrists toassist you? (Include receptionists. secretaries,technical assistants, nurses, etc.)" (See question16, appendix III.) Ile was asked to report thenumber he employed and to specify whether heemployed these assistants on a full-time basis(35 hours per week or more) or on a part-timebasis (less than 35 hours per week).
7
120
100
80
1111 Patient visits per week
nPatients seen per week
2
NUMBER OF ASSISTANTS
3Or more
Figure 4. Median number of patient visits and number ofpatients seen per week by number of assistants employed:United States, 1970.
About 62 percent of the Nation's podiatristsemployed assistants. The typical employer wassubstantially younger (median of about 48 yearsof age) than the typical nonemployer (median ofabout 56 years of age). Where assistants wereemployed, there was always a greater volume ofclinical activity (figure 4). For example, wherepractitioners with no assistants reported mediansof about 41 patients and about 46 visits perweek, the typical practitioner who employedassistants reported about 75 patients per weekand about 84 visits. Where or,ly about 40percent of non-users reported a working week of35 hours or more, the proportion was about 60percent for podiatrists who used assistants,reflecting a median workweek of about 36-37hours for the non-user and about 39 hours forthe user.
Of the Nation's 7,078 podiatrists who en-gaged in patient care, about 32 percent (2,287)employed one assistant; about 19 percent
14
(1,328) employed two; only about 11 percent(762) employed three or more. The greater thenumber of assistants, the greater was the numberof patient visits and patients seen. For example,the typical practitioner with one assistant sawabout 66 patients per week; the practitionerwith three or more assistants saw about 101.The typical practitioner with one assistantreported about 73 patient visits per week; thepractitioner with three assistants or morereported 120.
There is similarly a direct relationship be-tween number of assistants and hours per weekdevoted to patient care, as the following tableshows:
Number of assistants
No assistants1 assistant2 assistants3 assistants
Mediannumber ofhours per
week spent inpatient care
36.738.439.440.5
Percent ofemployers who
devoted 40 hourspa: week or more
to patient care
26324047
Of the 7,078 podiatrists engaged in patientcare at the time of the survey, about 48 percent(3,361) employed full-time assistants; about 32percent (2,293) employed part-time assistants.Typically, if a podiatrist employed only oneassistant, it tended to be on a full-time basis; ifhe employed two assistants, the most popularcombination was one full-time helper and onepart-time; if he reported three or more assist-ants, he tended to use about three full-timeassistants for every two part-time employees.
Utilization of office assistants by census,region is shown as follows:
Geographic location
Percent whoemployedfull.timeassistants
Percent whoemployedpart-timeassistants
United States 48 32
Northeast Region 34 29North Central Region 51 35South Region 69 32
West Region 59 36
Southern podiatrists employed substantiallymore full-time assistants than did podiatrists inother regions. The percentage of full-time em-ployers in the Sou* more than doubled thepercentage for the Northeast Region. Perhapsthis reflected another attempt on the part of theSouthern practitioners to compensate for theirrelative scarcity in that region. If that was true,their compensatory effort obviously did notextend to any marked increase above the na-tional tendency in the employment of part-timeassistants.
For self-employed podiatrists, the percentagesutilizing full-time and part-tune assistants wereas follows:
Form of practice
Percent whoemployedfull-timeassistants
Percent whoemployedpart-timeassistants
Solo practice 45 32Partnership 79 51
Group practice 83 47
Podiatrists in the multiple-member forms ofpractice showed the most pronounced tendencyto employ both full-time and part-time assist-ants. The highest rate of full-time employmentoccurred among the relatively few (129) podia-trists in group practice. It is perhaps significantthat podiatrists practicing in partnerships (458)showed the most distinct preference for part-time assistants. But it was still the 2,738 solopractitioners with full-time assistants and the1,910 solo practitioners with part-time assistantswho accounted for the largest, absolute numbersof supplementary podiatric personnel employedin the United States at the time of the survey.Solo practice was the clinical setting where byfar the greatest number of podiatric assistantswere active.
The age of the podiatrist was reflected in histendency to employ assistants. Both full-timeand part-time employment showed roughly par-allel reactions to variations in age (figure 5).Peak usage of both full-time and part-timeassistants occurred in the age group 35-44 years;from age 45 on, usage diminished until, amongpodiatrists aged 65 and over, only about 22
15
100
80
60
cc
40
20
0
1111 Percent who employedfull-time assistants
ElPercent who employedpart time assistants
Under35
3544 4554 55 64 65and over
AGE IN YEARS
Figure 5. Percent of podiatrists who employed full-time assist-ants and percent who employed r urt-time assistants by age of
Figure 4 showed the direct relationship thatexisted between an increase in number ofassistants (whether full-time, part-time or both)and the volume of clinical activity as measuredin patient visits and patients seen per week.Figure 6 shows that these tendencies wereapparent when full-time employment and part-time employment were analyzed separately.Using patient visits per week as- thecontrastingindicator of clinical volume, the tendency toemploy full-time assistants varied in direct pro-portion with the number of patient visits re-ported. The tendency to employ part-time assist-ants also increased with an increase in patientvisits, although not in like proportions as forfull-time helpers nor necessarily at the same rateof increase.
f-
uJ
100
80
60
40
20
IIPercent who employed
tolltime assistants
ElPercent who employedpart hme assistants
100.149 160 andmore
NUMBER OF VISITS PER WEEK
Figure 6. Percent of podiatrists who employed full-time assist-ants and percent who employed part-time assistants bynumber of patient visits per week: United States, 1970.
Nature of Clinical Activity
Number and percent distribution of podiatristsactive in patient care by primary and secondaryclinical activity are shown in the table above.Clearly, practicing podiatrists showed no markedtendency to specialize. About 90 percent oftheir numbers engaged in general practice astheir primary clinical activity. A substantial 22percent reported no secondary activity; when asecondary activity was reported, it was mostfrequently either surgery or foot orthopedics,two close clinical adjuncts to the general prac-tice of podiatry.
Of the remaining secondary activities, podo-geriatrics was the one most commonly engaged
10 16
Clinical activity Number ofpodiatrists
Percentdistribution
Primary activity
Total 7,0i8 100.0
General practice 6,361 89.9Surgery 406 5.7Foot orthopedics 179 2.5Other 131 1.8
in. About one-third of all active respondentsdevoted at least a part of their weekly clinicalactivity to treatments in nursing homes.
Figure 7 shows median ages of podiatristsengaged in the various primary and secondaryactivities.Youngest among practitionersmedian age ofabout 38 yearswas the podiatrist who reportedsurgery as his primary clinical activity. Podia-trists primarily active in general practice or lootorthopedics were typically older than surgeons;they tended to cluster around the nationalmedian age of about 51 years.
Like the practitioners who declared surgery asa primary clinical activity, those who reported itas a secondary activity tended to be markedlyyounger than their colleagues who reportedother secondary activities. As a group, podia-trists who engaged in secondary activities weretypically about 10 years younger (at about 48years of age) than the 22 percent of the nationaltotal who reported no secondary activity.Median age for the latter group was 58-59 years.
Survey findings revealed that podiatrists whoengaged in four of the six secondary activitieswere typically younger than the national medianage of about 51 years. Only when the secondary
Primary clinical activity
General practice
Surgery
Foot orthopedics
Secondary clinical activity
None
General practice
Surgery
Podogenatrics
Podopediatrics
Paleatric dermatology
Foot orthopedics
Median national age (50 5 years)
f38 40 42
I I
44 46 48 50
MEDIAN AGE IN YEARS
52 54 56 58 60
Figure 7. Median age of podiatrists by primary and secondary clinical activities: United States, 1970.
activity was podiatric dermatology or foot or-thopedics did the typical age of the participantexceed the national median.
Figure 8 shows how participation in a specificprimary or secondary activity was associatedwith volume of clinical activity as measured inpatient visits and patients seen per week.With a median experience of 79 visits per week,podiatrists with surgery as their primary activityshowed a rate in weekly visits that was substan-tially higher than that of podiatrists whoseprimary activity was general practice or footorthopedics.
At a median of 78 visits per week, podiatristswho reported that they engaged in secondaryclinical activities were markedly more activethan their colleagues who did not report asecondary activity. For the !atter group, the
median experience in patient visits was onlyabout 50 per week. Further, in five of the sixsecondary activities participants equalled or ex-ceeded the national median of 71 visits perweek. Only those few podiatrists (115) whoengaged secondarily in podiatric dermatologyfell below the national medians in both patientvisits and patients seen per week, a findingprobably due more to patient scarcity than toanything unique about the practitioner of podi-atric dermatology or about the clinical activityitself.
When surgery was reported as the podiatrist'ssecondary activity, there was the same tendencytoward a greater clinical volume as when it wasreported as a primary activity. For those whospecialized secondarily in surgery, the medianrate ,both in patient visits (83 per week) and in
11
Primary ctimealactwity
General practice
Surgery
Foot orthopedics
Secondary clinical
activity
None
General practice
Surgery
Podogerranies
Podopethatrics
Podiatricdermatology
Foot orthopedics
Patients seen per week
Patient visits per week
National median
(patients)
National median
(visits)
I
I I
I I b
4C 50 60 70 80 90
MEDIAN NUMBER OF VISITS AND PATIENTSSEEN PER WEEK
Figure 8. Median number of patient visits per week and numbeof patients seen per week by primary and secondary clinicaactivity; United States, 1970.
patients seen (74 per week) was higher than therates fur podiatrists engaged in an of the ,,hersecondar} activities. With a median experienceof 81 'visits per week and 73 patients seen,
12 18
podiatrists whose secondary activity was podo-pediatrics ran a close second to surgeons.
For each of the primary and secondaryactivities, the following table shows the percentof participants in the activity who employedassistants on a full-time basis. This table furthershows the impact of clinical specialization.
Clinical activityNumber ofpodiatrists
Percent whoemployedfull-timeassistants
Primary activity
General practice 6,361 46
Surgery 406 70
Foot orthopedics 179 59
Secondary activity
None 1,577 27
General practice 358 64
Surgery 2,103 66
Podogeriatrics 666 42
Podopediatrics 194 58
Podiatric dermatology 115 35
Foot orthopedics 1,915 44
Podiatrists with surgery as their primary clinicalactivity, duplicating their experience with num-ber of visits and patients seen, showed a
markedly stronger tendency to employ full-timeassistants than did podiatrists whose primaryactivity was general practice or foot orthopedics.In number, however, such "primary" surgeonswere vastly fewer than their colleagues in generalpractice. It was these 6,361 general practi-tioners, almost 90 percent of the national totalwho, though their tendency to employ full-timehelpers was substantially less pronounced thanthat of their colleagues, still accounted for thevast majority of full-time assistants active in theNation at the time of the survey.
Of the podiatrists with no secondary clinicalactivity, only about 27 percent employed full-time assistants. That proportion was almostdoubled by podiatrists who engaged in a second-ary activity; an average of about 51 percent oftheir numbers employed full-time assistants. Thetendency was not uniform, however, throughoutall six secondar} activities. Of the national total(7,078), the o}erall proportion of podiatrists
who employed full-time assistants was about 48percent. This national percentage was exceededby podiatrists in three of the secondary activ-ities: general practice. surgery and podopedi-atrics. It was not equaled by podiatrists whoengaged secondarily in podogeriatrics and footorthopedics norby the most substantialmarginby those whose secondary specialty waspodia tric dermatology.
Clinical services rendered (by type).Thirteenspecific types of clinical service were listed onthe survey questionnaire. Respondents wereasked to check those rendered by them or undertheir direction. The following table ranks these13 services in descending order, from the mostpopularly rendered to the le; st:
Type of serviceNumber ofpodiatrists
Percent ofnational
total0,0781
More commonly provided
Palliative services 6,921 98
Orthopedic services 6,386 90
Prescription of drugs 6,187 87
Physical therapy treatment 5,686 80
Xray services 5,593 79
Office surgery 5,437 77
Whirlpool baths 4,976 70
Ultrasonic treatment 4,524 64
Fitting special shoes 3,703 52
Less commonly provided
Low-voltage treatment 2,584 37
Hospital surgery 2,148 30
Ultraviolet lamp treatment 2,123 30
Diathermy 2,046 29
The typical practitioner provided nine of theseservices, in most instances the nine services listedfirst. The other four services were less com-monly provided; substantially fewer than one-half of the Nation's practitioners rendered eachof these services.
A ranking of the 13 services by the medianage of the podiatrists who performed themyielded the following:
51-50 yearsDiathermy
19
Palliative servicesLow-voltage treatment
49 yearsOrthopedic servicesUltraviolet lamp treatmentPrescription of drugsPhysical therapy treatmentWhirlpool bathsFitting special shoes
Few distinctive age tendencies were evidentamong providers of the different services. Theprevious discussion has indicated the relativeyouthfulness of podiatrists who reported surgeryas a primary or secondary specialty. Thus, it wasnot unusual to find that practitioners whoperformed hospital surgery were typically theyoungest among their colleagues. Median agesranged from a low of 43.2 years for podiatristsperforming hospital surgery to a high of 51.2years for those who listed diathermy among theservices they provided. Predictably, the greatnumber who performed palliative services (98percent of all podiatrists) showed a median agethat closely approximated the national medianof 50.4 years.
When the providers of the different servicesare ranked in descending order according to thenumber of patient visits (for all purposes) thatthey experienced per week, the result follows:
Type of service
Mediannumber of
patient visitsfor all purposes
Hospital surgery 84Ultrasonic treatment; Lowvoltage treatment;
Ultraviolet lamp treatment 80Fitting special shoes 79
When providers are ranked according to num-ber of patients seen per week (for all types oftreatment), the results closely parallel the rank-ing for patient visits.
A comparison of median %isits and medianpatients seen suggests that the tendency for apatient to make multiple %isits within the sameweek did not appear strong, regardless of thetype of service that he sought.
Each of the 13 services was examined regard-ing the tendency of its providers to make use ofassistants in their practice. (It is not implied thatthe assistants were employed solely to help withthe provision of that particular service.) The firstlist that follows ranks the services in descendingorder by the extent to which its providersemployed full-time assistants. The second listdoes the same for the tendency to employpart-time assistants.
Diathermy; Prescription of drugs 36Orthopedic services 35Palliative services 33
Clinical setting of patient-care activity:Survey respondents were requested to take thetotal that they had reported for patients seen inthe preceding week and analyze it further forthe approximate number of treatments renderedin each of six specific settings: private office;hospital (inpatient); hospital (outpatient); clinic(not associated with a hospital); nursing home(home for the aged, domiciliary, and so forth);and patient's home.
National experience appeared as follows:
Setting Number ofpodiatrists
Percent ofnational
totali7,078)
Private office 6,611 93Hospital (inpatient) 1,637 23Hospital (outpatient) 685 10Clinic 255 4Nursing home 2,354 33Patient's home 2.495 35
Predictably, the private office was by far themost popular clinical setting used by the Na-tion's podiatrists. Not so predictable, however,was the noteworthy tendency to provide treat-ments in nursing homes and in the patient'shome, a tendency perhaps partly supported bythe finding that 666 practitioners reportedpodogeriatrics to be their secondary clinicalspecialty.
In the clinical setting of the private office, themedian number of treatments performed perweek was about 50. In the other five clinical
settings stir. ey ed, the typical practitioner per-formed substantially fewer than 25 treatmentsper week.
The following table shows for each clinicalsetting the median age of podianists who treatedpatients in that setting.
Setting
Medianage of
podiatrists(years)
Private office .. 50.6Hospital (inpatient) 45.9Hospital (outpatient) 45.0Clinic 41.2Niirsing home 49.3Patient's home 50.3
At a median age that approaches the overallmedian age for the Nation's 7,078 clinicallyactive podiatrists, practitioners who treated inthe private office and in the patient's home werethe oldest among their colleagues; those whoprovided treatments in hospitals and clinics weresubstantially younger.
In terms of patient visits and patients seen perweek, practitioners who did not confine theirtreatments to the private office were markedlymore active than those who did. Figure 9 showsthis increased volume of clinical activity.
90
85
80
75
70
65
60'
Patients seen per week
Patient visits per week
mr--1 1117 soriPrivate Hospital Hospital
office (inpatient) (outpatient)
Clinic 'Nursing Patients
home home
CLINICAL SETTING
Figure 9. Median number of patient visits and number of patients seen per week by clinical setting employed by the podiatrist:United States, 1970,
2115
LIST OF DETAILED TABLES
Table 1. Number and percent distribution of podiatrists active in patient care by age, according to area of practice: UnitedStates, 1970
2. Number and percent distribution of podiatrists active in patient care by age, according to geographic location andselected general characteristics of the podiatrist: United States, 1970 21
3. Number and percent distribution of podiatrists active in patient care by age, according to selected clinicalcharacteristics of the podiatrist: United States,1970
4. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care,according to area of practice: United States, 1970
5. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care,according to geographic location and selected general characteristics of the podiatrist: United States, 1970 . . . 27
6. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care,according to selected clinical characteristics of the podiatrist: United States, 1970 29
7. Number and percent distribution of podiatrists active in patient care by number of patient visits last week,according to area of practice: United States, 1970
8. Number and percent distribution of podiatrists active in patient care by number of patient visits last week,according to geographic location and selected general characteristics of the podiatrist: United States, 1970 . . . 33
9. Number and percent distribution of podiatrists active in patient care by number of patient visits last week,according to <elected clinical characteristics 0 the podiatrist: United States, 1970 34
10. Number and percent distribution of podiatrists active in patient care by number of patients seen last week,according to area of practice: United States, 1970
11. Number and percent distribution of podiatrists active in patient care by number of patients seen last week,according to geographic Iccation and selected general characteristics of the podiatrist: United States, 1970 . . . . 38
12. Number and percent distribution of podiatrists active in patient care by number of patients seen last week,according to selected clinical characteristics of the podiatrist: United States, 1970 40
13. Number and percent distribution of podiatrists active in patient care by number of patient services provideL,according to geographic location and selected general characteristics: United States, 1970 42
14. Number and percent distribution of podiatrists active in patient care by the number of full-time office assistantsthey employ, according to area of practice: United States, 1970
15. Number and percent distribution of podiatrists active in patient care by the number of part-time office assistantsthey employ, according to area of practice: United States, 1970
16. Number and percent distribution of podiatrists active in patient care by the raimber of full-time office assistantsthey employ, according to geographic location and selected general characteristics of the podiatrist: United States,1970
17. Number and percent distribution of podiatrists active in patient care by the number of part-time office assistantsthey employ, according to geographic location and selected general characteristics of the podiatrist: United States,1970
2Z
LIST OF DETAILED TABLESCon.
Page
Table 18. Number and percent distribution of podiatrists active in patient care by the number of fulltime office assistantsthey employ, according to selected clinical characteristics of the podiatrist: United States, 1970 54
19. Number and percent distribution of podiatrists active in patient care by the number of parttime office assistantsthey employ, according to selected clinical characteristics of the podiatrist: United States, 1970
20. Numovr and percent distribution of podiatrists active in patient care by number of treatments rendered in theoffice setting, according to area of practice: United States, 1970
21. Number and percent distribution of podiatrists active in patient care by number of treatments rendered in theoifice setting, according to geographic location and selected general characteristics of the podiatrist: United States,1970
56
58
60
22. Number and percent distribution of podiatrists active in patient care by number of treatments rendered in theoffice setting, according to selected clinical characteristics of the podiatrist: United States, 1970 62
2318
Table 1. Number and percent distribution of podiatrists active in patient care by age, according to area of practice: United States,1970
Table 2. Number and peruent distribiaion of podiatrists active in patient care by age, according to geographic location and selected general characteristicsof the podiatrist: United States, 1970
Geographic location and selected general characteristics
Totalpodiatrists
active inpatient care
Under35 years
35 .44
years45.54years
55.64years
65 yearsand over
United States , , ,
Geographic location
Geographic region:NortheastNorth Central ,SouthWest
Geographic divisionNew EnglandMiddle AtlanticEast North Central ,
West North CentralSouth AtlanticEast South CentralWest South CentralMountainPacific
Standard Federal Administrative Region:Arnim, (Boston)Region II (New York City)Region III (Philadelphia)Region IV (Atlanta)Region V (Chicago)Region VI (Dallafort Worth)Region VII (Kansas City)Region VIII (Denver)Region IX (San Francisco)Region X (Seattle)
Selected general characteristics
Sex:MaleFemale
Years active in podiatry.0.9 years10-19 years20.29 years30.39 years40 years and over
Number of States licensed in:1 State2 States3 States or more
Principal form of practice or employment:Self-employed:
Solo practicePartnershipGroup practice
Salaried:Government organizations (including military)Nongovernment organizations ( including other podiatrists)
Table 2. Number and percent distribution ul podiatrists active in patient care by age, according to geographic location and selected general characteristics01 the podiatnw United States. 1970-Con.
Geographic location and selected general characteristics
Totalpodiatristsactive in
patont care
Under35 years
35 .44
years
45.54years
55-64years
65 yearsand over
Percent distribution
United States . . - 100.0 13.3 20.6 28.7 27.2 10.11 .......
Geographic location
Geographic regionNortheast .. 100.0 It 9.9 17.8 29.9 32.3 10.1
North Central . 100.0 13.6 22.5 27.8 25.0 11.2
South . 100 0 17.7 24.2 30.2 19.5 8.4
West . . 100.0 18.6 21.7 25.5 24.2 10.0
Geographic divisionNew England , 100,0 4.8 19.0 30.6 34.7 10.9
Middle Atlantic 100.0 r 11,5 17.4 29.7 31.6 9.8
East North Central ........ 100.0 14.5 22.6 27.4 24.7 10.8
West North Central 100,0 9.1 22.2 29.3 26.2 13.0
South Atlantic . ...... 100.0 18.0 25.7 29.2 20.4 6.8
East South Central 100.0 9.8 13.3 41.9 18.8 16.2
West South Central . ....... 100.0 20.4 25.6 27.7 17.8 8.5
Mountain _ .......-
100.0 16.6 24.2 22.0 23.7 13.5
Pacific 100.0 19.1 21.0 26.4 24.3 9.1
Standard Federal Administrative Region:Region I (8oston) .. 100.0 4.8 19,0 30.6 34.7 10.9
Region II (New York City) . . .. ......... .. 100.0 12.7 1E.,' 0 26.3 32.6 10.4
Region III (Philadelphia) . ........... ....... 100.0 10.7 17.5 36.1 27.5 8.1
Region IV (Atlanta) . - ... . . ..... ........ 100.0 16.9 25.5 30.3 18.2 9.Z
Region V (Chicago) ....... . .......... 100.0 14.3 22.7 27.6 24.7 10.8
Region VI (DallasFort Worth) 100.0 20.6 26.3 27.4 17.4 8.3
Region VII (Kansas City) . . . . ......... . ....... 100.0 9.1 20.6 29.4 28.1 12.8
Region VIII (Denver) . . . ......... ..... 100.0 14.1 22.1 23.0 24.7 16.1
Region IX (San Francisco) 100.0 20.4 22.2 24.2 24.3 8.9
Region X (Seattle) ..... . . ................. 100,0 8.4 16.8 37.4 23.4 14.0
Selected general characteristics
Sex.Male 100.0 13.8 21.1 28.7 26.8 9.6
Female 100.0 2.8 9.7 28.7 36.0 22.8
Years active in podiatry....... ......0 9 years 1003 70.2 24.9 3.9 0.9 0.1
Tobie 3. Number and percent distribution of podiatrists active in patient care by age, according to selected clinical characteristics of th podiatrist United States, 1970
Selected clinical characteristics
United States
Primary clinical activity.General practiLe
Foot orthopedics .
Secondary clinical actenty
General practiceSurgeryPodogeriatrics . .
Podoperliatrics . .
Podiatric dermatologyFoot orthopedicsOther
Office assistants employedNo assistants .
1 assistant2 assistants -3 assistants or more
Hours spent last week in patient care'Under 35 hours3540 hours .....4149 hours , , .
50 hours or more .....Number of patient visits last week.
Under 50 visits .....50 99 visits100.149 ,150 visits or more .
Number of patients seen last week:Under 50 patients .50 99 patients -100.149 patients150 patients or more ..
Number of types of patient services tendered;1.3 services4.6 services -7.9 services . .
10 services or more
Types of patient service rendered''Palliative servicesHospital surgery ...Of free surgeryPrescription of drugs .
Physical therapy treatmentOrthopedic servicesWhirlpool baths . -Fitting special shoes .
)(ay services ,
Ultrasonic treatmentDiathermy ,
Low voltage treatmentUltraviolet lamp treatment
Setting of treatments rendered'Office treatments , .
Table 3, Number and percent distribution of podiatrists active in patient care by age, according to selected clinical characteristics of the podiatrist. United S aces, 1970-Con.
'Number values for these items will not cumulate vertically to yield 7,078 (the total number of podiatrists active in patient care).
24
Table 4. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care, according toarea of practice: United States, 1970
Table 4. Numbar and percent distribution of podiatrists active in patient care by hours spent last week in patient care, according toarea of practice: United States, 1970-Con.
Area
=11110M
Total Number of hours spent last week in patient carepodiatristsactive in
patient care
United States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinois .
Table 5. Number and percent distribution of podiatrists active in patent care by hours spent last week in patient care. according to geographic location and selected
general characteristics of the podiatrist United States, 1970
United States .
Geographic region.Northeast ..North Central
Geographic divisionNew England .Middle AtlanticEast North Central .
West North Central ,
South Atlantic ,
East South CentralWest South Central .
Mountain ...Pacific
Geographic location and selected general characteristics
Standard Federal Administrative RegionRegion I (Boston)Region II (New York City)Region III (Philadelphia)Region IV (Atlanta)Region V (Chicago)Region VI 10allasFort Worth)Region VII (Kansas City)Region VIII (Denver) .
Region IX (San Francisco) ...... .
Region X (Seattle)
Sex.Male ,Female .
Geographic location
Selected general characteristics
.......
...............
..... ..... -
.......
........ .
.........Age:
Under 35 years . . ....3544 years . .......45 54 years55-64 years . , .
65 years and over ,
Years active in podiatry,0 9 years ......10.19 years
.....
20.29 year.. ........ . ............ ...........30 39 y ears40 years and over ,
Number of States licensed in:IState . .......... . . .................. .........2 States3 States or more
mNongovement organizations (including other podiatrists)
Other
t
Totalpodiatristsactive in
patient care
Number of hours spent last week in pa
Under
35 hours35-40hours
Number
41-49hours
7,078 2,129 2,632 1,362
2,9912,059
9891.038
6972,2951,698
361
588115286207831
6971,598
968431
1,774306264136
789114
6.764314
944
1,4602,0301,925
718
1,3142,0401,5421.693
488
4,8721.659
546
6.063458129
141
140147
917628259324
23368454583
146387563
261
233452311
105556
846640
25329
1,949180
292375513557392
418534393533250
1,557445127
1,818116
25
4864
58
1,064771
398398
25880663513724649
10377
322
2585823391806661059657
29850
2,55378
336581764749202
475803578630146
1,759640232
2,279166
41
593650
590385211
177
115475293
91
127
156944
132
115334187
56314
75
6922
12921
1,327
35
154
295444
38981
215420326342
59
919339104
1,184111
26
14
17
10
lent care
50 hoursor more
955
421
275120139
92329225
5068133923
116
92230131
50238
41
3417
10914
93520
16321030923043
206282245188
34
63823483
7836437
202329
27
Table 5. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care, according to geographic location and selectedgeneral characteristics of the podiatrist. United States, 1970-Con.
Geographic location and selected general characteristics
Geographic division"New England 100.0 33.4 37.0 16.5 13.2Middle Atlantic 100.0 29.8 35.1 20.7 14,3East North Central 100 0 32.1 37.4 17.3 13.3West North Central 100.0 22.9 37.9 25 3 13.9South Atlantic . 100.0 24.9 41.9 21.6 11.6East South Central 100.0 33.2 42.3 12.8 11,6West South Central 100.0 26.2 36 0 24.3 13.5Mountain 100,0 306 37.0 21.3 11.1Pacific 100 0 31.4 38.7 15.9 14,0
Standard Federal Administrative Region.Regon I (6oston) ..... 100.0 33.4 37.0 16.5 13.2Region II (New York City) 100 0 28,3 36 4 20.9 14,4Region III (Philadelphia) 7. 100 0 32.1 35,1 19.3 13.5Region IV (Atlanta)
......100 0 24.5 41.8 22.2 11.5
Region V (Chicago) . . 100.0 31,4 37.5 17.7 13.4Region VI (CiallasFort Worth) ... 100.0 27.6 34.5 24.6 13.4Region VII (Kansas City) .. 100.0 24.8 36.3 26.1 12,8Region VIII (Denver) . ..... 100.0 29 4 42.2 16.1 12,4Region IX (San Francisco) 100.0 32.0 37.7 16.4 13,9Region X (Seattle) . . 100 0 25.2 44.0 18.7 12.1
Table 6. Number and percent distribution of podiatrists active in patient care by hours spent last week in patient care, according to selected clinical
characteristics of the podiatrist United States. 1970
Selected clinical characteristics
Totalpodiatristsactive in
patient care
Number of hours spent last week in p tierit care
Under35 hours
35.40hours
4149hours
50 hoursOr more
Number
United States7,078 2,129 2,632 1.362 955
Primary clinical activity:General practice ..... 6.361 1.897 2,380 1,258 827
Surgery , ..... 406 116 138 61 91
Foot orthopedics 179 63 70 25 21
Other ... 131 53 44 18 16
Secondary clinical activity,1.577 648 527 244 159
General practice . 358 118 127 49 64
Surgery ,2,103 511 851 461 280
Podogenattics . ....... 666 158 249 139 120
Podopediatrics194 48 71 37 39
Podiatric dermatology 115 38 35 24 18
Foot orthopedics 1,915 557 724 386 24C
150 51 48 22 29
Office assistants employed:No assistants
2,700 1,083 909 433 275
1 assistant2,287 613 954 430 290
2 assistants1,328 283 513 323 209
3 assistants or more762 149 256 176 181
Number of patient visits last week:Under 50 visits 2,189 1,234 646 207 102
50.99 visits 3.184 696 1,387 70/ 394
100.149 visits 1,272 164 474 330 304
150 visits or more 433 35 125 11n 154
Number of patients seen last week:Under 50 patients .
2.665 1.384 855 275 151
50.99 patients ..... .3.204 618 1.393 753 441
100.149 patients944 111 314 262 257
150 patients or more 265 17 69 73 107
Types of patient service rendered.'Palliative services
Treatments in patient's home 2.495 576 887 603 428
See footnote at end of table.
34 29
Table 6. Number end percent distribution of podiatrists active in patient care by hours spent last week in patient care, according to selected clinicalcharacteristics of the podiatrist. United States. 1970-Con.
M=12.13,
Selected clinical characteristics
Total Number o hours spent last week in patient carepodiatristsactive in
Clinic treatments (not associated with hospital) 100.0 22.0 37.1 19.4 21.5Treatments in nursing homes 100.0 22.7 37.2 22.9 17.1
Treatments in patient's home 100.0 23.1 35.6 24.2 17.2
30
'Number values for these items Will not cumulate vertically to yield 7,078 (the total number of podiatr sts active in patient care).
.75
Table / Number eta di,t4am. ul pudidtt4,1$ to.e ur patient care by number of ;rata nt visits last week, according to area ofpractice United Slates. 1970
Area
United States
AlabaniaAlaskaArizonaArkansas , ,
CaliforniaColorado ,ConnecticutDelawareDistrict of ColumuraFfonda .
Total Numbe of pattent visits' last weekpodiatrists
active inpatient ear e
Under 1
50 visits50.99visits
100.149 150 visitsa: mote
Number
7.078 2,189 3,184 1,272 433
21 7 7 5 2
2 1 1
38 10 14 13 1
18 8 8 1
728 204 351 128 4670 26 33 10 1
182 70 76 30 621 4 8 6 3
61 10 21 18 12
190 44 86 12
59 18 15 14 12
2 2 1
16 6 10
622 263 246 86 27149 54 74 18 3
95 28 19 1043 8 21 13 1
53 18 21 14
39 15 16 6 1
22 7 12 3
91 19 34 22 16
412 158 171 64 18
264 59 120 56 2976 17 38 18 2
9 5 2 1 1
85 20 36 18 11
14 5 7 2
41 12 22 5 1
18 10 4 2 2
21 2 15 3
365 111 174 58 2220 6 7 5 2
1,233 351 576 229 7754 11 23 16 4
6 2 4
527 165 237 99 2645 11 24 5 5
34 12 19 2 1
696 241 303 114 3354 18 25 8 2
14 3 2 5 3
15 6 7 1
32 6 16 5 6184 41 98 35 10
24 7 10 6 1
8 3 4 1
55 6 24 17 7
63 18 27 15 3
44 17 17 7 3
136 39 72 19 7
4 1
31
Table 7. Number and -. ..1.1.b.buouu ,1 puifidtriSts .n.tive in patient c.are by number of patient visits last week, according to area ofpractice United States, 1970-Con.
Area
Total Numbel of patient visits' last weekpodiatrists
Includes office visits and visits in other settings.
32
Table 8 Number and percent that awl.)a of podiatrais active In patient cafe by number of patient vism fait week. according to geographic location and selected general chaise.
tenures 01 the podiatrist' United States, 1970
Cien4r4Ptudt0C41,00 3041
selected general characteristics
ToutPodiatristsactive in
patient Care
Number of patient tart week Total Number of patient visas' last week
Under50 soils
50 99V.$111,
100.149 1 150 visits
11411S 01 more
P0(1..41,414,
04100 rnpatient Ore
Under50 visas I
50-99 100 149visas vrnIs
150 wadsor MC10
Number Percent distribut
11,10.1e1d States 7,078 2,189 3,184 1,272 433 100 0 I 30.9 45.0 18.01 6.1
Includes off.ce vain and shuts srt other settings.
33
Tat*. 9 Numoer and perLeut of puitoticas :mom rn patient care by number of patient Willi WS; week,accolding to selected clinicaltharactelistics of the podiatrist United States, 1970
Selech.t1 clinical characteristics
United States .
Pr onat y choreal activityGeneral practiceSurgery .
Setting of treatments rendered:'Office treatments ..Inpatient hospital treatmentsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home
See footnotes at end of table.
34
Table 9. Number and percent distribution of podiatrists active on patient care by number of patient visits last week.aecerding to selected clinical
characteristics of the podiatrist United S ates. 1970 -Con.
Number of patients seen last week,:Under 50 patients50.99 patients100.149 patients150 patients or more
Types of patient service rendered:2Palliative servicesHospital surgeryOffice surgeryPrescription of drugsPhysical therapy treatmentOrthopedic servicesWhirlpool bathsFitting special shoesXray servicesUltrasonic treatmentDiathermyLovvvoltage treatmentUltraviolet lamp treatment
Setting of treatments rendere'Office treatments ..Inpatient hospital t, ,ntsOutpatient hospital tr runtsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's homa
Percent distribution
100.0 30.9 45.0 18.0 6.1
100.0 31,2 45.3 17.9 5,6
100.0 24.1 45.4 18.8 11.7
100.0 33.7 36.9 20.9 8.5100.0 33.9 41.1 15.9 9.1
100.0 50.3 36.6 9.5 3.7
100.0 26.5 44.3 19.4 9 8
100.0 19.4 46.9 25.1 8.7100.0 26.5 49.3 17.9 6.3
100.0 19.3 49.0 23.8 7.9
100.0 42.8 35.4 18.0 3.8
100.0 30.0 49.1 16.4 4.5
103.0 37.5 39..' 16.9 5.9
100.0 54.3 38.1 5.9 1.7
100.0 23.9 57.3 16.2 2.5
100.0 9.3 46.8 35.4 8.5
100.0 6.9 29.1 35.5 28.5
100.0 82.1 17.2 0.5 0.2100.0 85.1 14.5 0.4
100.0 84.0 16.0
100.0 100.0
100.0 30.3 45.3 18.3 6.1
100.0 18.4 46.8 24.5 10,2
100.0 24.8 46.8 21.2 7,3
100.0 26.3 46.9 20.1 6.7
100.0 25.8 46.5 20.8 6.9
100.0 27.4 46.5 19.5 6.6
100.0 24.9 46.7 21.2 7.2
100.0 24.0 45.4 23.0 7.6
100.0 23.8 47.8 21.2 7.2
100.0 21.7 47.6 23.0 7.8
100.0 25.5 45.3 19.8 9.3
100.0 21.9 46.9 22.9 8.3100.0 23.2 44.2 23.4 9.1
100.0 30.3 46.0 17.9 5.8
100.0 14.5 45.2 27.5 17.8
100.0 15.6 45.4 28.2 10.8
100.0 13.3 46.3 27.6 12.8
100.0 21.5 48.7 22.7 7.1
100.0 22.9 49.4 21.6 6.1
' Inch:Jes office visits and visits in other settings.'Number values for these items will not cumulate vertically to yield 7.078 (the total number of podiatrists active in patient care).
35
40
Table 10. Number and percent distribution of podiatrists active in patient care by number of patients wan last week, according to area of pin.tire: United States. 1970
Area
United States
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelaware ,District of ColumbiaFloridaGeorgia .Hawaii ...... . . , .........IdahoIllinoisIndianaIowaKansas
Under 50.99 100.149 150 patientspatient care 50 patients patients Patients Or more
Number
7.078 2.665 3.204 94z, 265
41
21 8 7 5 1
2 1 1
38 12 2018 10 7 1 -
728 258 358 82 31
70 36 26 7 1
182 86 73 21 2
21 4 10 5 2
61 11 24 18 7
190 55 96 35 459 21 18 9 10
5 2 3 -
16 10 6
622 307 234 67 15
149 I 71 64 12 2
95 31 41 19 4
43 12 21 10 1
53 18 25 9
39 19 16 322 9 10 391 22 40 18 11
412 179 165 52 15
264 75 128 40 2076 18 41 15 1
9 6 2 1
85 23 41 13 814 6 7 1
41 16 18 6
18 12 2 2 1
2: 5 13 2
365 132 179 36 18
20 8 7 5
1.233 438 581 172 4354 13 30 10 1
6 2 4
527 201 240 68 18
45 15 22 5 3
34 15 16 1 1
696 275 303 103 1554 22 25 5 1
14 5 3 3 2
15 7 7
32 9 17 2 3
184 58 98 21 7
24 9 9 5 1
8 3 5
55 9 28 11 6
63 22 30 7 3
44 22 13 6 2
136 51 65 16 3
7 4 1 1 -
Table 10. Number and percent distribution of podiatrists active in oatient care by number of patients seen last week, according to area of prac
tice: United States, 1970-Con.
Area
Totalpodiatristiactive in
patient care
Number of patients seen last week
Under50 patients
50.99patients
100.149patients
150 patientsor more
Percent distribution
Urated States100.0 " 37.6 45.3 13.3 I 3.8
Alabama100.0 38.9 33.3 22.2 5.6
Alaska100.0 50.0 50.0
Arizona100.0 30.3 51.5 18.2
Arkansas100.0 53.3 40.0 6.7
California100.0 35.5 49.1 11.2 4.2
Colorado100.0 51.6 37.5 9.4 1.6
Connecticut100.0 47.3 40.0 11.5 1.2
Delaware100.0 19.0 476 23.8 9.5
Dist. ict of Columbia100.0 18.0 40.0 30.0 12.0
Florida100.0 28.7 50.6 18.4 2.3
Georgia100.0 36.5 30.8 15.4 17.3
Hawaii100.0 40.0 60.0
Idaho100.0 60.0 40.0
Illinois100.0 49.3 37.5 10.8 2.4
Indiana100.0 47.4 42.9 8.3 1.5
Iowa100.0 32.6 43.0 19.8 4.7
Kansas100.0 26.8 48.8 22.0 2.4
Kentucky100.0 34.0 48.0 18.0
Louisiana100.0 50.0 41.7 8.3
Maine100.0 40.0 45.0 15.0
Maryland100.0 24.4 44.2 19.8 11.6
Massachusetts100.0 43.5 40.2 12.7 3.6
Michigan100.0 28.5 48.6 15.3 7.6
Minnesota100.0 24.3 54,3 20.0 1.4
Mississippi100.0 62.5 25.0 12.5
Missouri100.0 27.3 48.1 15.6 9.1
Montana100.0 42.9 50.0 7.1
Nebraska100.0 39.5 44.7 15.8
Nevada100.0 66.7 13.3 13.3 6.7
New Hampshire100.0 26.3 63.2 10.5
New Jersey100.0 36.1 49.1 9.9 4.8
New Mexico100.0 41.2 35.3 23.5
New York100.0 35,5 47.1 13.9 3.5
North Carolina100.0 24.0 56.0 18.0 2.0
North Dakota100.0 33.3 66.7
Ohio100.0 38,2 45.5 12.9 3.3
Oklahoma100.0 33.3 47.6 11.9 7.1
Oregon100.0 45.2 48.4 3.2 3.2
Pennsylvania100.0 39.5 43.4 14.8 2.2
Rhode Island100.0 41.2 47.1 9.8 2.0
South Carolina100.0 33.3 25.0 25.0 16.7
South Dakota100.0 50.0 50.0 - -
Tennessee100.0 28.6 53.6 7.1 10.7
Texas100.0 31.7 53.3 11.4 3.6
Utah100.0 37.5 37.5 20.8 4.2
Vermont100.0 33.3 66.7 - -
Virginia100.0 17.3 51,9 19.2 11.5
Washington100.0 35.6 47.5 11.9 5.1
West Virginia100.0 51.3 30.8 12.8 5.1
Wisconsin100.0 37.6 48.0 12.0 2.4
Wyoming100.0 60.0 20.0 20.0
37
42
Table 11 Number and sxr.. is 411i 41 ItAolsu patient care by number of patients seen last week, aeroi ding to geographic location and selected generalcharactetatics of the podiatrist United Stat s, 19/0
Geographic iocation and selected general characteristicspotion sts
Total
active inPatient care
Number of patients seen last weer.
Under50 patients
b0 99patients
100.149patients
150 patientsor more
United States
Geogiaphic regionNortheastNorth Central ,South .
West .
Geographic divisionNew Enr,tandMiddle AtlanticEast North GenitalWest North CentralSouth Atlantic ,
East South CentralWest South CentralMountain .
Pacific
Standard Federal Administrative RegionRegion I (Boston) .
Region 11 (New York City)Region III (Philadelphia) ,
Region IV (Atlanta) .
Region V (Chicago)Region VI 10allasFort Worth)Region VII (Kansas City) ..Region VIII (Denver) .
Region IX (San Francisco) ..Region X (Seattle) . . . , ..... .
Geographic location
Sex,Male .
Female , .
AyeUnder 45 years , .3544 years4554 years55-64 years .
65 years and over
Years active : podiatry0 9 years1049 years20.29 yearn30 39 years ,
40 years and over
........Selected general characteristics
.............. .....
...... ........
.....
.....
........
Number of States licensed in:1 State2 States .3 States or more .. . , .
x ...... t
, ...... ............
...Principal form of employment:
Self employed.Soto practice . ...............Partnership .....Group practice , ,
fable 11 Number and osiceni distribution of podiatrists ar.lisie in patient care by .ourntrer of km:lents seen last a vek, ai,s.ordilin to geographic. I0catiOn and selected generaldialacteristics of do tfodiallist United States, 1970 Con,
Georaph,c fixation aad selected general characteristics
United States
GeO lf,101116 region
NortlniastNorth CentralSouthWell
Geographic divisonNew Englandfd.ddle AtlanticFast North CentralWest North i:entratSouth AtlanticEast Sooth CentralWest South CentralAlcuntainNorio .
Standard Federal Administrative RegionRegion I (Boston) .
Region If (New York City)Region III (Philadelphia)Region IV (Atlanta)Region V (Chicago) .Region VI (Dallas Fort Worth)Rogan) VII (Kansas City)ttegion VIII (Denver) .Region IX (San Francisco)Region X (Seattle) .
Sex'Male
Female
AgeUnder 35 years3544 years45 54 years5564 years ,
65 years and Over
Years active in podiatry09 years . .
10.19 years20 29 years3039 years ,
40 years and over .
Number of States licensed in1 State2 States - .
3 States cr more
Geographic location
Selected general characteristics
Total Numtrer of palientS seer last vseel,podiatriPsactive in Under 50 99 100.149 150 patients
patient care 50 patients or more
.......
Principal form of employment.Self employed:
Soto ;Yacht° .
Partnership , . , .....Group practice . . ...... .
Salaried'Government organizations (inducting military)NongOvernment orgamtatiOnS (including Other podiatrists) .
Table 12 Number and pment tintiamt.con ut pochatusts active if. patient care by number of patients seen last week, according to selectedclinical characteristics of the podiatrist: United States, 1970
Setting of treatments rendered:'Office treatmentsInpatient hospital treatmentsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home .
Treatments in nursing homes 100.0 27.5 50.5 17.9 4.1
TrItinents in patient's home 100.0 28.3 51.3 16,9 3.5
Number values for these items will not cumulate vertically to yield 7,078 (the total number of podiatr sts active in patient ca e).
41
46
Table 13. Number and per..ent distribution of podiatrists active in patient care by number of patient services provided, according togeographic location and selected gene.al characteristics: United States, 1970
Geographic location and szlected general characteristics
Age:Under 35 years 944 7 68 399 4713544 years 1,460 17 130 519 79545.54 years 2,030 119 260 711 93955.64 years 1,925 255 393 644 63265 years and over 718 251 168 178 122
See footnote at end of table.
42 47
Table 13. Number and percent distribution of podiatrists active in patient care by number of patient services provided, according to
geographic location and selocted general characteristics. United States, 1970- -Con.
Geographic location and selected general characteristics
Totalpodiatristsactive in
patient care
Number of patient services' rendered
1.3
services
4.6services
7.9services
10 servicesOr more
Selected general characteristics-Con. Number
Y.,-ars active in podiatry:0.9 years 1.314 22 106 541 646
10.19 years . 2,040 59 218 739 1,025
2029 years 1,542 135 235 504 669
30.39 years 1.693 259 367 536 531
40 years and over 488 173 95 132 89
Number of States licensed in:1 State 4,872 544 782 1,687 1,859
Table 13. Number and percent distribution of podiatrists active in patient care by number of patient services provided, according togeographic location and selected general characteristics: United States. 1970-Con.
Geographic location and selected genera! characteristics
Totalpodia tristsactive M
pat:en t care
Number of patient services' rendered
1.3 1
services
4.6services
7.9services
10 servicesor more
1
Geographic location-Con. Percent distribution
Geographic division:New England 100.0 14.6 22,0 38.4 25.0
Middle Atlantic 100.0 8.6 14.4 32.3 44.7
East North Central 100.0 8.8 12.7 2't .7 43.7
West North Central 100.0 10.5 16.0 ..6 32.9
South Atlantic 100,0 6.4 10.5 35.1 48.0
East South Central 100.0 11.7 11.4 35.2 41.7
West South Central 100.0 7.4 B.5 32.3 51.8
Mountain 100.0 7.6 1E.5 30.6 46.3
Pacific 100.0 8.8 15,6 36.7 38.7
Standard Federal Administrative Region:flegion I (Boston) 100.0 14 6 22.0 38.4 25.0
Region II (New York City) 100.0 7 ''' 14.2 32.1 46.0
Region III (Philadelphia) 100.0 9.9 14.0 33.6 42.5
Region IV (Atlanta) 100.0 7.2 9.6 34.6 48.6
Region V (Chicago) 100,0 8.9 12.7 35.3 43.2
Region VI (DallasFort Worth) 100.0 7.3 8.3 30.9 53.4
Region Vii (Kansas City) 100.0 11.1 16.6 38.3 34.0
Region VIII (Denver) 100.0 8.0 2 i.5 32.5 37.9
Region IX (San Francisco) 100.0 9.2 14.7 35.9 40.3
Region X (Seattle) 100.0 4.6 19.6 41.2 34.5
Selected general characteristics
Sex:Male 100,0 II 8.2 14.1 I 35.1 42.7
Female 100.01 30.4 21.4 25.4 22.8
Age:Under 35 years 100.0 0.7 7.2 42.2 49.9
35-44 years 100,0 1.1 8.9 35.5 54.4
45.54 years 100.0 5.9 12.8 35.0 46.3
55.64 years 100.0 13,2 20.4 33.5 32.9
65 years and over 100.0 35.0 23.3 24.8 16.9
Years active in podiatry:0.9 years 100.0 1.7 8.0 41.2 49.1
10.19 years 100.0 2.9 10.7 36.2 50.2
20.29 years 100.0 8.8 15.2 32.7 43.4
30.39 years 100.0 15.3 21.7 31.7 31.4
40 years and over 100.0 35.4 19.4 27.0 18.2
Number of States licensed in:1 State 100,0 11.2 16.0 34.6 38.2
2 States 100.0 5.4 11.5 35.8 47.3
3 States or more 100.0 2.7 8.8 31.1 57.5
See footnote at end of table.
44
49
Table 13. Number and percent distribution of podiatrists active in patient care by number of patient services provided, according to
geographic location and selected general characteristics: United States, 1970-Con.
Geographic location and selected general 3racteristics
Totalpodiatristsactive in
patient care
1Number of patient services' rendered
1-3services
4.6services
7.9services
10 services
or more
Selected general characteristics-Con. Percent distribution
' Types of services are listed in item 15 of the survey questionnaire, appendix Ill.
50 45
Table 14, Nom be, d..(1 aostibutun of podiatrists active ill patient care by the number of fuii-time office assistants they employ, according toarea of practice: United States, 1970
Area
United States
Alabama ,
AlaskaArizona .ArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdaho , .
' "Office assistants" designates personnel other than podiatrists employed to assist in practice (includes receptionists, secretaries, nu ses, technical
assistants, and so forth).
52
..
47
United States
Table 15 Number and percent distribution If podiatrists active in patient care by :he number of part-time office assistants they employ, according toarea of practice: United States, 1970
1 I 2 3 assistantsaassistant assistants or more
Area
Totalpodiatristsactive in
patient care
Neitherpart-time
nor fulltimeassistants
employed
Number of part-time assistants' employed
Noassistants
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutOelawareDistrict of ColumbiaFlwidaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansas
Table 15. Number and percent distribution of podiatrists active in patient care by the number of part time office assistants they employ, according toarea of practice. United States, 1970-Con.
Area
Totalpodiatristsactive in
patient care
Neitherparttime
nor fullmeassistants
employed
Number of parttane assistants' employes:
3 assistantsor more
Noassistants
1
assistant
2
assistants
United States
AlabamaAlaskaArizonaArkansas .
..... + ....., ..............
...California ..... ........ColoradoConnecticutDelaware . ,District of Columbia . - ... .....Florida . .
' Office assistants designates peisonnel other than podiatiists employed to as ist in practice (includes receptionists ..-.cretaries, nu ses, technical
assistants, and so forth).
5449
Table 16, Number and Percent dithilnition of podiatrists active in patient are by the number of full time office assistants they employ, according to geographic location andselected general characte.isties of the podiatrist: United States, 1970
Geographic location and selected general chatacte ..... cs
United States . , . .
Geographic location
Geographic regionNortheast , ...... .North Central ......South . ..........
East South CentralWest South CentralMountainPacific .
Standard Federal Administrative Region.Region I 113oston! . ..Region II (New York City)Region III (Philadelphia)Region IV (Atlanta) . . .Region V (Chicago) ,
Region VI (Dallas Fort Worth) ,
Region VII (Kansas City)Region VIII (Denver) . ,
Region IX (San Francisco) . ...Region X (Seattle)
See:Mate . .
Female ,
Age,Under 35 years3544 years .
45 54 years ,
55 64 years r65 years and over . .
Years Mille in podiatry,0 9 years104 9 years2049 years30 30 years ,40 years and over
Selected general thitaCtetiStICS
..........
1 ............
Number of States licensed in1 State2 Stairs . .....3 States or more
Principal form of employment'Seller4z.loyed,
Solo practice ,Partnership .
GrOup practice .....Salaried:
Government organizations (including military) ......Nongovernment organizations (including other podiatrists)
Other . ....
...
...... .....
See foot' ar. at end of table.
50 55
Table 16. Number and percent distribution of podiatrists active 4n .xstient care by the number of full time office assistants they employ,according to geographic location and
selected general characteristics of the podiatrist: United States, 1970-Con.
Geographic location and selected general characteristics
Total
Podiatristsactive in
Patient care
Neitherpart.time
nor full timeassistants
employed
Number of ulltime assistants' employed
Noassistants
1
assistant
2
assistants
3 assistantsor more
United States
Geographic location
Geographic regionNortheast .
North Central .South . ,
West
Geographic division.New EnglandMiddle AtlanticEast North CentralWell North CentralSouth Atlantic .
East South CentralWest South CentralMountainPacific ......
Standard Federal AdministraDve RegionRegion I (Boston) . . , .
Region II (New Yurk City) . .
Region HI (Philadelphia) ,
Region IV (Atlanta) .. . . -
Region V (Chicago)
Years active , "Why
VI (DatlasFort Worth)
Number of States licensed in
VII (Kansas Crtyl .
Principal form of employment
Male
Region VIII (Denver) . ,
45-54 years . , .. , .
5564 years , . .
20 29 years .. ,
40 years and Over
3 States or more
Self employed:
Salaried,
OtherRegion
IX (San Francisco)
Under 35 years3544 years
65 years and over .
30,39 years , .
2 States .... ..
Region X (Seattle) ...
Female ,
1 State . ... . . ,
"'Office assistants" designates personnel other than podiatrists emplcied to assist in practice (includes receptionists. secrete ies, nurses, technical ass slants, and so forth)
0 9 years , . - .
10.19 years
Solo practice .......Partnership .. , .Group poem.
Government organizations lincluding military) .Nongovernment organizations (including other podiatrists) .. , . . .
Table 17. Number and percent dist, ibutiun of podiatrists active in patient care by the numbe of part time office assistants they employ, according togeographic location andselected general characteristics of the podiatrist: United States. 1970
Geographic location and selected general characteristics
Totalpodiatristsactive in
patient care
Neitherpart-time
nor full.timeassistantsemployed
Number of part time assistants' employed
No I 1 I 2assistants assistant assistants
3 assistantsOf more
United States
Geographic location
Geographic region..Northeast , . .
North Central _
Geographic division.New England ,
Middle Atlantic , . _East North CentralWest North CentralSouth AtlanticEast South CentralWest South CentralMountain . ,
Standard Federal Administrative RegionRegion 1 (Boston)Region II (New York City) ..Region III (Philadelphia) , .
Region IV (Atlanta)Region V (Chicago) ....Region VI (ClallasFort Worth) . .
Region VII (Kansas City) ,
Region VIII (Denver)Region IX (San Francisco)Region X (Seattle) . ...... ......
Selected general characteristics
Sex'Male
Female
Age:
Under 35years .....35.44 years45 54 years55 64 years .
65 years and over
Years active is podiatry.09 years10.19 years ..20.29 years30-39 years40 years and over
Number of States licensed inf1 State . . - -
3 States or more . ,
...
Principal form of employment:Self.employed:
Solo practice .....Partnership .Group practice . . _ .......
Salaried;Government organizations (including military)Nongovernment organizations (including other podiatrists)
Table 17, Number and percent distribution of podiatrists active in patient care by the number of part time of lice assistants theyemploy. accordm 9 to geographic location 'id
selected general characteristics of the podiatrist: United States. 1970 -Con.
Geographic location and selected general characteristics
Totalpodiatristsactive its
Patient care
Neitherpar 1.1 ime
nor 1 ull.time
assistantsemployed
Number of partime assistants' employed
Noassistants
1
assistant
2
assistants
3 assistantsor more
United States 100 0
Percent
38 2
distribution
29.4 24.2 6.4 18
Geographic location
Geographic region
Northeast . ,100 0 49 8 20.9 20.9 6.3 2,0
Nor th Central 100,0 34.2 30.5 26.5 7.3 1.5
South 100 0 21,9 458 24.2 6.1 2.1
West 100.0 27.9 36 4 29.1 5,1 1.6
Geographic divisionNew England 100 0 55.9 18.4 21.3 3.7 0.6
Middle Atlantic 100.0 48 0 21.7 20 8 7.1 2.4
East North Central 100 0 36.1 29.2 25.7 7.4 L7
Wes: North Central 100 0 25.3 36.7 30.7 66 06
South Atlantic 100.0 21 9 43 6 24.4 7.6 2.5
East Sown Central . 100 0 26,7 52.1 19.3 1.0 1.0
West South Central . ,100 0 20.0 47.7 25 8 50 1.5
Mountain . 100.0 26 4 34.6 33 9 4,1 1.0
Pacific .100 0 28 2 36.9 27.9 5,4 1.7
Standard federal Administrative Region,Region I (Boston) , , 100 0 55.9 184 21.3 3.7 0.6
Region II (New York City) 100 0 45.9 21.6 21.5 2.9
Region III (Philadelphia) .. 100 0 45.3 27.4 19.2 58 2.3
Region IV (Atlanta) . . .100 0 20.4 47.0 26 5 5,3 08
Region V (Chicago) . .100.0 35.2 29.5 26 0 7,7 1,6
Region VI (DallasFort Worth) . 100 0 20.2 46 5 26 8 4.7 1,8
Region VII (Kansas City) .loo 28.1 37.6 29 0 4,6 08
Region VIII (Denver) Ica 0 29.6 34.5 29 0 62 0.7
Region IX (San Francisco) .160 0 27 0 37.8 28 8 4.7 1.7
Region X (Seattle) ... . - 100 0 32 8 28.9 30.9 6.5 0.9
Selected general characteristics
Sex
Male 100 0 37.1 30,1 24.4 6 5 1.9
Ferna'e100 0 60.3 16,4 19.5 3 2 0.7
Agry'
Under 35 years . ..... 100.0 26 6 33 0 29.3 7.3 3.8
3544 yea: 100.0 22.9 31.4 32.7 10.4 2.6
4 5 54 years100 0 33 2 31.9 26.3 69 1.8
55 64 years 100 0 49 6 28.1 17.9 3,7 0.7
65 years and over . .100.0 67.7 17.6 11.6 28 0.3
Years active in podiatry0.9 years
100.0 25 8 32.6 30.5 7.6 3.5
10.19 years 100 0 28 9 31,9 28.2 8.8 2.2
20,29 years ,100 0 38,4 29.1 25.1 6.1 1,3
30.39 years ,100.0 50.7 27.6 17.0 38 1.0
40 years and over 100,0 65.3 18.1 13.0 30 0.2
Number of States licensed in1 State .. . 100 0 42.6 27.3 22,4 60 1.8
"Office assistants" designates per snnnel other than podiatrists employed to assist in practice(includes receptionists. secretaries, nurses, technical assistants, and so forth)
ss53
Table 18. Number and percent distribution of podiatrists active in patient care by the number of full-time office assistants they employ, according to selectedclinical characteristics of the podiatrist: United States, 1970
Number of patio nt visits last week'Under 50 visits50 99 visits100. i 49 visits150 visits or more
Number of patients seen last week:Under 50 patients50-99 patients100.149 patients150 patients or more
Types of patient service endered:'Palliative servicesHospital surgeryOffice surgeryPrescription of drugsPhysical therapy treatmentOrthopedic servicesWhirlpool bathsFitting special shoesX -ray services
Setting of treatments rendered:3Office treatmentsInpatient hospital treatmeutsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home
Table 18. Number and percent distribution of podiatrists active in patient care by the number of full-time office assistants they employ, according to selectedclinical characteristics of the podiatrist: United States, 1970-Con.
Office assistants employed:No assistants1 assistant2 assistants3 assistants or more
Number of patient visits last week:Under 50 visits50.99 visits100.149 visits150 visits or more
Number of patients seen last week.Under 50 patients50.99 patients100.149 patients150 patients or more
Types of patient service rendered:'Palliative servicesHospital surgeryOffice surgeryPrescription of drugsPhysical therapy treatmentOrthopedic sen.r:eesWhirlpool bathsFitting special shoesX-ray servicesUltrasonic treatmentDiathermyLowvoitagi treatmentUltraviolet lamp treatment
Setting of treatments rendered:'Office treatmentsInpatient hospital treatmentsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home
"Office assistants" designates personnel other than podiatrists employed to assist in ;arse ice (includes receptionists, secretaries, nurses, technical assistants,
and so forth).21Womber yokes, for these items will not cumulate vertically to yield 7,078 (the total number of podiatrists active in patient care).
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60
Table 19. Number and percent distribution of podiatrists active in patient care by the number of part-time office assistants they employ, according to selectedclinical characteristics of the podiatrist: United States, 1970
Office assistants employed:No assistants1 assistant2 assistants3 assistants or more
Number of patient visits last week:Under 50 visits50-99 visits100.149 visits150 visits or more
Number of patients seen last week:Under 80 patients50-99 patients100.149 pe:ients150 patients or more
Types of patient service rendered:2Palliative servicesHospital surgeryOffice surgeryPrescription of drugsPhysical therapy treatmentOrthopedic servicesWhirlpool bathsFitting special shoesXray servicesUltrasonic treatmentDiathermyLowvottage treatmentUltraviolet lamp treatment
Setting of treatments rendered:2Office treatmentsInpatient hospital treatmentsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home
Table 19. Number and percent distribution of podiatrists active in patient care by the number of part-time office assistants they employ, according to selectedclinical characteristics of the pod'atrist: United States, 1970-Con.
Office assistants employed:No assistants1 assistant2 assistants3 assistants or more
Number of patient visits last week:Under 50 visits50-99 visits100.149 visits150 visits or more
Number of patients seen last week:Under 50 patients50-99 patients100.149 patients150 patients or more
Types of patient service rendered:2ralhative servicesHospital surgeryOffice surgeryPrescription of drugsPhysical therapy treatmentOrthopedic servicesWhirlpool bathsFitting special shoesXray servicesUltrasonic treatmentDiathermyLow-voltage treatmentUltraviolet lama treatment
Setting of treatments rendered:2Office treatmentsInpatient hospital treatmentsOutpatient hospital treatmentsClinic treatments (not associated with hospital)Treatments in nursing homesTreatments in patient's home
"Office assistants" designates personnel other than podiatrists employed to assist in practice (includes receptionists, secretaries, nurses, technical assistants,
and so forth).2 Number values for these items wall not cumulate vertically to yield 7,078 (the total number of podiatrists active in patient care).
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62
Table 20. N.Antaei and fervent distribution of podiatrists active in patient care by number of treatments rendered in the office setting, accordingto area of practice. United States. 1970
Area
Totalpodiatristsactive in
patient care
Number of treatments rendered in the office setting
Table 20. Number and percent distribution of podiatrists active in patient care by number of treatments rendered in the office setting, accordingto area of practice: United States, 1970-Con.
Area
Totalpodiatristsactive in
patient care
Number of treatments rendered in the office setting
Notreatments
1.24
treatments25.49
treatments50.74
treatments75.99
treatments100 treatments
Or more
Percent distribution
United States 100.0 6.6 I 14.4 29.7 24.5 14.1 I 103
New Hampshire - ....... 100.0 5.3 42.1 42.1 5.3 5.3
New Jersey 100.0 6.3 10.5 30.1 29.8 13.0 10.2
New Mexico 100.0 17.6 29.4 23.5 5.9 23.5
New York 100.0 5.0 13.0 32.0 25.4 13,5 11.1
North Carolina 100.0 14.0 10.0 14.0 32.0 18,0 12.0
North Dakota - ..... 100.0 16.7 33.3 16.7 33.3
Ohio 100.0 7.3 13.6 29.9 24.2 15.9 9.2
Oklahoma 100.0 214 28.6 31.0 4.8 14.3
Oregon ........ 100.0 6.5 12.9 45.2 19.4 12.9 3.2
Pennsylvania 100.0 6.2 16.0 31.9 23.4 13,1 9.5
Rhode Island 100.0 3.9 23.5 31.4 25.5 7.8 7,8
South Carolina , 100.0 41,7 8.3 8.3 8.3 163 16.7
South Dakota 100.0 7.1 14.3 28.6 35.7 14.3
Tennessee 100.0 14.3 14.3 35.7 25.0 10,7
Texas 100.0 7.2 10.2 25.1 26.9 21.6 9.0
Utah 100.0 8.3 12.5 25.0 20,8 12.5 20.8
Vermont 100.0 16.7 16.7 33.3 33.3
Virginia ..... 100,0 7.7 3,8 17.3 26.9 23:1 2 i.2
Washington .. 100.0 10.2 6.8 32.2 27.1 13.6 10.2
West Virginia . 100.0 5,1 23.1 30.8 10.3 15.4 15.4
Wisconsin 100.0 4.8 14.4 31.2 30,4 10.4 8.8
Wyoming 100.0 20.0 40.0 20.0 20.0
64 59
Table 21. Number and percent distribution of podiatrists active in patient care by number of treatments rendered in the office setting, according to geographic locationand selected general characteristics of the podiatrist: United States, 1970
Geographic location and selected general characteristics
Totalpodiatristsactive in
patient care
Number of treatments rendered in the office setting
Table 21. Number and percent distribution of podiatrists active in patient care by number of treatments rendered in the office seeing, according to geographic location
and selected general characteristics o the podiatrist: United States, 1970-Con,
Geographic location and selected general characteristics
Totalpodiatristsactive in
patient care
Number o treatments rendered in the office setting
Notreatments
1.24 I
treatments
2549treatments
I 50.74treatments
75 99treatments
1 100 treatmentsor more
Percent distribution
United States . . 100.0 6.6 14.4 29.7 24.5 14.1 10.7
other podiatrists) 100.0 26.7 28,4 18.2 13.3 5.5 7.9
Other100.0 41.7 26.2 12.7 7.5 1.5 10.4
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Table 22 Number and pert.em distribution of podiatrists active 'in patient care by number of treatments rendered in the off ice setting, according toselected clinical characteristics of the podiatrist: United States, 1970
Selected clinical characteristics
Totepodiatristsactive in
patient care
Number of treatments rendered in the office setting
Treatments IA nursing homes 100.0 7.3 11,6 31.7 24.3 14.1 11.0
Treatments in patient's home 100.0 6.0 92 30.4 26.8 15.7. 11.3
' Number values for these items will not cumule e vertically to yield 7.078(the total number of podiatris s active in patient care).
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APPENDIX I
TECHNICAL PROCEDURES
F3ackground: 1970 Survey of Podiatrists
Most statistir7t1 information used in this re-port is the product of a survey of podiatristsconducted January through March 1970 by theNa:ional Center for Health Statistics with thecooperation of the American Podiatry Associ-ation.
The survey was conducted by means of at:elf-administered questionnaire which was in-tended for mailing to all licensed podiatrists inthe United States. The questionnaire was de-signed to gather information from all licensedpodiatrists, actk e or inactk e, as to geographiclocation, ear of birth, States of licensure,numbs: of %ems actk c in podiatr, and whethercurrently actke or inacthe in podiatr. For alllicensed podiatrists who were acth c in podiatrthe questionnaire sought additional informationas to their principal form of emplomtait, thenumber of weeks il.ct worked in podiatricactkities during calendar year 1969, and thenumber of hours per week the} usuall (lootedto all their professional podiatric activities. FGrsure} respondents who indicated that the)spent any time whate%er in patient care, therewere questions designed to gather informationabout the services the rendered, their use ofpersonnel to assist them in their practice, theirprimar and secondal actin ities, the 'umbel ofpatient visits the experienced in the weekpreceding the week of reporting b age and sexof the patient and b the setting in which thepatient was treated.
A pretest was conducted (luring October andNo%ember 1969. The 100 scbjects for thepretest were chosen randomly from an alpha-betical list of licensed podiatrists supplied b theAmerican Podiatr Association. Two mallows ofthe proposed survey questionnaire were made.
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69
One telephone followup completed the pretesteffort, producing a total response rate of about91 percent. An analysis of pretest responsesresulted in minor changes in the wording of thequestionnaire and in the reordering of certainparts within one of the questions in the interestof greater clarity. The final, revised form of thequestionnaire appears as appendix Ill.
Data Collection and Processing
For the main sun e) effort, the total numberof podiatrists was defined as all persons holdinga license in podiatry in the United States. Theinitial mailing list was compiled 1) merging thelicensing lisis of the 50 States and the District ofColumbia. Lists were supplied by the AmericanPodiatr Association. The total number of podi-atrists generated from the lists was 9,235. Fromthis number were eliminated duplicate, (podia-trists licensed in than one State) as wellas podiatrists w ith foreign addresses, and to thelist were added the graduates of the five ac-credited colleges of podiatry for the 1968.69academic ear. This process of merging the 51lists, eliminating duplicates and podiatrists out-side the United States, and adding graduatesresulted in a mailing list of 8,290 potentialrespondents who were then cans,issed 1) mail.
The initial ir ;ling of the survey questionnairewas made in Januar 1970. Threc subsequentmailings to follow up on nonrespondents weremade in January and February 1970, the finalmailing 1) certified mail. The last effort at datacollection, a telephone followup, was conductedduring March 1970. The response rate, after allcollection efforts had been made and afterexcluding deceased and out of scopes, amountedto about 91 percent.
After eliminating the deceased, the duplicatesthat had not been discovered prior to mailing,and a few potential subjects who were out ofscope because they were no longer licensed, hadleft the United States. of had been mistakenlassumed to be podiatristst total of 8,016podiatrists remained within the scope of thesurvey. The further elimination of refusals,postmaster returns, and other nonresponses re-duced the usable universe to 7,274 "good"responses (table I). To approximate the totaluniverse of podiatrists as it would 1..he appearedhad there been no refusals, postmaster returns,or other nonresponses, a weighting or "infla-tion" factor was established for each State fromthe ratio of total podiatrists in that State(excluding deceased and out of scopes) to thenumber of usable (good) responses obtained(table II). Within each State, each good responsereceived the same inflated weight. When all theweighted records were cumulated, they yielded(after rounding) a weighted national figure of8,017 for total actives and inactives and a figureof 7,113 for podiatrists who w ere active in theirprofession at the time of the surrey.
For the purposes of the present report weselected as our statistical base those activepodiatrists who indicated that they devotedsome part of their weekly efforthoweversmallto the direct diagnosis and treatment ofpodiatric patients. In numbers, this "clinicallyactive" majority amounted to an estimated7,078 podiatrists. This figure is used as the basefor the tables and textual commentary in thisanals sis of the characteristics of the clinical
Table I. Number and percent flistributKm of surveyed podiatristpopulation by type of respondent or nonrespondent: UnitedStates, 1970
Type of respondent ornonrespondent
NumberPercent
distribution
All podiatrists surveyed,excluding deceased andout-of-scope 8,016 100.0
Good response 7,274 90.7
Refusal 121 1.5
Postmaster return 277 3.5
Nonresponse 344 4.3
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practice of podiatry in the United States in1970.
To compensate for partial nonresponse withinthe questionnaire. i.e., leaving items unanswered,a second type of adjustment was applied to thedata as received. In such cases, omitted itemswere randomly assigned the resr nse obtainedfrom respondents with similar caaracteristics,and the total figure for the item was adjusted toinclude this "imputation." Table III shows thatthe need for this kind of adjustment wasminimal; the item-nonresponse rate was less than2 percent for all items except for the final fouron the questionnaire, which requested infor-mation on number of patient visits and onnumber and characteristics of patients seen. (Seequestionnaire items 19, 20, 20a, 20b, appendixIII.) The comparatively high nonresponse ratefor these items (about 4-7 Fercent) partly maybe explained by the fact that the questionsappear last in the questionnaire and an appreci-able amount of respondent fatigue may have setin. Probably more provocative of nonresponse,however, was the rather demanding need toconsult records and to classify patients seen byage and sex as well as by the seven possiblesettings in which treatment could have occurred.
Rounding
Numbers that appear in the present reportwere independently rounded and may not addto totals. Percents were also independentlyrounded and may not always add to 100percent. Percents and rates were calculated onthe basis of original, unrounded figures and willnot necessarily agree with rates and percentsthat might be calculated from rounded data.
Ratios to Population
The denominators used to compute thefratesfor podiatrists per 100,000 population are 1970population figures published by the U.S. Bureauof the Census.b
bU.S. Bureau of the Census, U.S. Census of Population,1970, Number of Inhabitants, Final Report PC(1)-A 1, UnitedStates Summary, Washington, U.S. Government Printing Office,1971.
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Table II. Distribution of active. formally qualified podiatrist, by area of practice before and after application of adjustment ratios:United States, 1970
AreaResponding
activepodiatrists
Inflationfactor
Weightedestimate
of podiatrists
United States 7,274 1.10 8,016
Alabama 22 1.18 26
Alaska 5 1.00 5
Arizona 40 1.15 46Arkansas 19 1.21 23
California 783 1.09 853Colorado 71 1.10 78
Ccnnecticut 186 1.10 205
Delaware 22 1.00 22
District of Columbia 55 1.22 67Florida 224 1.09 244
Georgia 56 1.13 63
Hawaii 6 1.00 6
Idaho 16 1.06 17
Illinois 649 1.14 740
Indiana 140 1.12 157
Iowa 95 1.11 105
Kansas 47 1.06 50
Kentucky 57 1.05 60
Louisiana 39 1.08 42
Maine 22 1.09 24
Maryland 97 1.06 103
Massachusetts 439 1.14 500
Michigan 271 1.06 287
Minnesota 76 1.08 82
Mississippi 8 1.13 9
Missouri 87 1.10 90
Montana 14 1.00 14
Nebraska 42 1.07 45
Nevada 15 1.20 18
New Hampshire 24 1.08 26
New Jersey 380 1.10 418
New Mexico 18 1.17 21
New York 1.252 1.10 1.377
North Carolina 51 1.08 55
North Oakota 6 1.00 6
Ohio 514 1.10 565
Oklahoma 48 1.08 52
Oregon 35 1.09 38
Pennsylvania 693 1.10 762
Rhode Island 57 1.05 60
South Carolina 14 1.14 16
South Dakota 15 1.07 16
Tennessee 33 1.15 38
Texas 186 1.10 205
Utah 26 1.00 26
Vermont 6 1.33 8
Virginia 60 1.05 63
Washington 65 1.06 69
West Virginia 43 1.12 48
Wisconsin 139 1.09 152
Wyoming 6 1.33 8
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Table III. Item nonresponse rate for 1970 survey of podiatrists
Age.- Refers to the respondent's age in 1970.In all cases, age is calculated as the differencebetween 1970 and the respondent's year ofbirth.
Geographic area. -For the purpose of report.ing the data yielded by the 1970 PodiatrySurvey, the United States (the 50 States and theDistrict of Columbia) is divided into censusregions and divisions and into 10 StandardFederal Administrative Regions as follows:
Census region anddivision
States included
NortheastNew England Maine. New Hampshire. Ver-
mont. Massachusetts, RhodeIsland, Connecticut
Middle Atlantic New York. New Jersey. Penn-sylvania
North CentralEast North Central Ohio. Indiana. Illinois. Mich-
igan, WisconsinWcst North Central Minnesota. Iowa. Missouri.
North Dakota. South Dakota.Nebraska. Kansas
SouthSouth Atlantic DCLIWJIC. Maryland, District
of Columbia, Virginia, WcstVirginia. North Carolina,South Caro I i na. Georgia.Florida
East South Central K cntitc Tennessee. Ala-bama. Mississippi
West South Central A r karmic, Louisiana, Okla-
homa, Texas
68 73
'WestMountain
Pacific
Standard Federal Administra-tive Region (with HEWadministrative center)
Region I (Boston)
Rcgion II (NYC)Region III (Philadelphia) .
Region IV (Atlanta)
Region V (Chicago)
Region VI (Dallas-Fort Worth)
Region VII (Kansas City)
Regan VIII (Denver)
Region IX (San Francisco) ..
Region X (Seattle)
Montana. Idaho, Wyoming.Colorado. New Mexico. Ariazona. Utah. NevadaWashington. Oregon. Alaska.California. Hawaii
States included
Connecticut, Maine, Massachu-setts, New Hampshire. RhodeIsland. VermontNcw York. NeierscyDistrict of Columbia. Dcla-WJIC. Maryland. Pennsylvania.Virginia, West Virginia
Alabama. Florida. Georgia.Kentucky, Mississippi, NorthCarolina. South Carolina.Tennessee
HE ALT.. SE/I /ICCS ANOMENTALAI. TN AORAIN.S TkT/ON
NATIONAL CCN TER ova $1. A Ygs r,CS
CONFIDE:slittf.: .it: information which permitsthe Identification of the individual wall be heldstrict!) confidential. will be used solely bypersons engaged an. and only for the proposes ofthe surrey and will not be disclosed or releasedto other persons or for any othtt purpose.
SURVEY OF PODIATRISTS
I. Is your some correct, and is the address above your PRIMARY PLACE OF PRACTICE?
Yes 2 0 No
If no, please erite: the correct info:4iation below:
Name:Fvtt
Primary place of practice:Auryber
2. In what year were you born? ea
3. Where were you balm/
attadle Last
Street
Gory
Itare or foreign eoontry
4. Are you a citizen of the United Stotts? (Pleose check appropriate hoe)
0 Yes, Native born2 0 Yes. Naturalizeda 0 No
5. Sex: T I-7 Malea 7,t Female
6. A. From which collect of podiatry did you graduate?
Aanze of college
B. When did you graduate?
Sure
ear Kraanated
State 'Grp Code
7. What degrees have you earned OTHER THAN your degree in podiatry? (Check each box that cpplics)
`1 Doctorate (Pk D.. HA. ere.; c; Bachelor's ri Other (Speedy
0 Master's 0 Associate 0 None
PAGE I
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.1h. I. which Stotss do you cl....ntiy hold o license is proctice podiatry?
9. How many years have you been active In podiatry? (Include patient care, teaching, research, and administration.Exclude years spent in nonpodiatric activities or retirement.)
Number o/ years
10. Ars you CURRENTLY ACTIVE In podiatry? (Include patient care, teaching, research, and administration)
t 0 Yes, Full-time
2p Yes. Part-time
PROCEED toQuestion 11.
3 0 I No. Not active in putlia:ry but not retired
0 No, Retired
STOP) If you on not currently active in podiotry,remoinder of questionnaire does not opply. Pleosreturn qustionnoire in the envelope provided.
11. Which of the following categories best describes your PRINCIPAL form of employment? (Check one)
0 Self-employed Solo practice0 Self-employed Partnership practice0 Self-employed Group practice0 Employed by Military0 Employed by Federal government (non-military)0 Employed by State or local government
7 0 Employed by Non-government organization or institution0 Employed by Other podiatrist
0 Other (Specify:
12. How many WEEKS were you active in podiatry during calendar year 1969?!Include portent core, reaching, research, and administration. Do not count vacations as weeks worked.)
Weeks per year
13. APPROXIMATELY how many hours per week do you usually spend in each of the following podiotric activities?
hrs. Patient care (Include o/ /ice work connected with the care o/ your patients)hrs. Teaching in a college of podiatryhrs. Podiatry researchhrs. Administration (Podiatry associations. college administration. etc.)hrs. Other podiatric activityTotal hours per week
14. Do you spend any hours per week in the category "Patient care" in question 13a. above?
r 0 Yes, I spend some hours 2 0 No, I spend no hoursliin patient care.in patient care.
PROCEED toOuesttor715.
HS144-353 +PAGE Z12-61
70
STOP! If no hours or spent in patient core,rmoinder of questionnaire doss not opply. PIosturn qustionnoir in the nvelop provided.
75
11
15. sslhan providing patient core, which of the services below ore rendered to your patients by you or under your direction?
(Check oil that apply)
Palliative servicesHospital surgery
,7:1 Office surgeryO Prescription of 'drugs
Physical therapy treatmentrj Orthopedic servicesO whirlpool bathsO Fitting of special shoesO X-ray servicesO Ultrasonic treatment0 Diathermy0 Low-voltage ueatment0 Ultra- violet la.np ueatment0 Other (Specrfy: )
16. In your prtncipal form of employment, do you employ office ossi stants other than podiatrists to assist you? 'Include'eceptionists, secretaries, technical assistants, nurses, etc.)
Yes 2 No
Please indicate the NUMBER of full-time and part-time office assistants employed by you.
a. Number of FULL-TIME assistants35 hoThrS or 7:Ore per week)
b. Number of PART-TIME assistants'Less boor: ii hours per t.eeki
17. During your hours spent in patient care, what do you consider to be your PRIMARY, and your SECONDARY activity?
18. In your PODIATRY PRACTICE, how many hours did you spend in patient core LAST week?
i'rUrS
454.35'3 'PAGE 3112.6)
7671
19. APPROXIMATELY how many PATIENT VISITS did you have LAST week? (Include office visits and visits inother settings.)
Approximate number of visits last week
20. APPROXIMATELY how many different PATIENTS does this represent? (Patients with multiple visits should becounted only once.)
Approximate member of patients last week
A. Of these PATIENTS, what is the APPROXIMATE NUMBER in the following age and sex categories?
Number lb years old or under:
Number from l to 64 vears old:
Number 65 year; old or over:
MALE PATIENTS FEMALE PATIEN TSLAST WEEK: LAST WEEK:
B. Of these PATIENTS, what is the APPROXIMATE NUMBER treated in the following settings?
Number in private officeNumber in hospital ,lnpatrent)Number in hovi.al ,OraparrentrNumber in clinic V,At ass,,, rated nub a 1,,prrahNumber in nursing ho:ne nom/ af, durt,i awn, ,1,.)Number in patient's homeNumber in other setting sp. r ti).
COMMENTS General comments are invited as well as comments on specific i.ems:
PLEASE RETURN QUESTIONNAIRE IN THE STAMPED ENVELOPE PROVIDED.