The American Staffing Association’s Skills Gap Index identified the hardest-to-fill occupations in the U.S. for the third quarter of 2015, with the 10 most difficult being

1. Podiatrists

2. Photographic process workers and processing machine operators

3. Occupational therapists

4. Heavy and tractor-trailer truck drivers

5. Psychiatrists

6. Forest fire inspectors and prevention specialists

7. Internists, general

8. Physical therapists

9. Speech-language pathologists

10. Occupational therapy assistants

During the past quarter, podiatrists, psychiatrists, general internists, and forest fire inspectors and prevention specialists moved into the top 10 list of hardest-to-fill positions, displacing family and general practitioners, microbiologists, surgeons, and nurse practitioners—nonetheless the top 10 list is still dominated by the health care sector.

“Businesses are turning to staffing and recruiting firms to source new talent and for information on strategies to better retain top talent,” said Richard Wahlquist, ASA president and chief executive officer. “With more than five million unfilled job openings in the U.S. today, the ASA Skills Gap Index is an important tool for firms to use to ensure that they are setting wages at competitive levels based on current skills shortages and regional market conditions.”

The ASA Skills Gap Index was established by the American Staffing Association, using a hiring indicator developed by ASA corporate partner CareerBuilder. Learn more at americanstaffing.net.