- Joined
- May 16, 2020
- Messages
- 28
- Reaction score
- 13
Besides board wizards and Watkins, crozer, prisms, what should one study for these exams?
Nah its the subpar images that force you to squint as you cannot zoom or correct contrast/brightness.The hard part is converting your knowledge to the timed menus.
ABPM Qual exam had its challenges... lots of gen med. Fair difficulty exam but very much passable.
ABPM Cert exam was case scenarios, but very common sense and straightforward.
I couldn't get that link to work but this one should... that was good info for sure. I agree that you can basically shotgun the labs and diag tests on ABFAS and have plenty of choices left (xray and ct and mri on basically everything... cbc, esr, crp, culture on all infection... art dopp on every vasculopath, etc). Board Wizards or reviewing the ABFAS practice case lists is very helpful to get familiar with them......Honestly, the single best piece of study material for the computer based case simulations for ABFAS certification is a post by Adam Smasher…
Post in: 'ABFAS scores'
Sorta related question:
Does ABFAS RRA cert really mean much in the grand scheme of things, or is foot cert good enough?
Having a hard time justifying the extra cash time and stress to add on RRA when it sorta seems it doesn’t really open that many more doors. I don’t really plan to ever do supramal osteotomies or TARs.
I found it useful.Sorta related question:
Does ABFAS RRA cert really mean much in the grand scheme of things, or is foot cert good enough?
Having a hard time justifying the extra cash time and stress to add on RRA when it sorta seems it doesn’t really open that many more doors. I don’t really plan to ever do supramal osteotomies or TARs.
I disagree. If you've been given privileges for RRA cases and are doing the cases regularly, the hospital cannot deny you bc you arent certified. Experience and training is all you need to keep privileges.RRA cert is important.
Yeah that does not fly in majority of hospitals if its been written into the bylaws. Which is usually done by a podiatrist who tries to keep others out. I don't know where you practice but I assure you experience and training does not mean a lot in a lot of hospitals. You need to eventually become certified to maintain your privileges which is not uncommon. If podiatrists are still operating and have not become certified in their 7 year window then they are just lucky...or they do the majority of their cases in a surgery center (which should be following standards set forth by the hospital they are affiliated with).I disagree. If you've been given privileges for RRA cases and are doing the cases regularly, the hospital cannot deny you bc you arent certified. Experience and training is all you need to keep privileges.
No other specialty that I know of has 2 Boards.
I think if said specialist is not Board certified they are limited in where they can do procedures.
It does matter in most places. I would concur with what CutsWith said... at basically every hospital I was on staff at or ever looked at in Mich, you have to have ABFAS qual or cert for podiatry OR privileges and produce logs for RRA. If you got on staff with qual, you have 5yrs to finish cert (or you could stay on for consults/wounds but would cede OR privileges). Some were tighter than others on RRA qual/cert... a couple "proctored" (basically just watched the first 30-60mins of cases and checked the XR) me on my first couple RRA cases since they said they'd had problems with other DPMs on staff boarding more than they could do... which was weird since I had strong logs and was Foot/RRA qual at the time, but if they want to get up extra early that's ok.I disagree. If you've been given privileges for RRA cases and are doing the cases regularly, the hospital cannot deny you bc you arent certified. Experience and training is all you need to keep privileges.
We have 4 boards 🙂No other specialty that I know of has 2 Boards.
I think if said specialist is not Board certified they are limited in where they can do procedures.
Yeah, they can still practice as long as they have a state license. An ortho or gen surg who fails boards (and keeps failing) is very limited on what they can do, though. They won't get hospital privileges at any major metro hospital (or won't keep if they got the OR privileges by being board eligible). Those docs will typically just take a very obscure job (rural, highly for-profit small hospital, etc that would look the other way) or a non-op job doing injects and basically sports med for the ortho or wound care and diagnostics for the general surgeon. It would not be as tough for a more minor procedure type like GI or ENT or optho to get a glorified surgery center that would still let them do work without board cert, yet they sure wouldn't have their pick of locations... but the ones who need bona fide OR are quite hosed.Is this only in podiatry that we have 2 or more certifying boards? Let's say GI or ortho doesn't pass their boards, what happens to them? Are they allowed to practice at all? Or what?
Speaking Truth. I don't see how people still argue about this fact.Hospitals don't want to risk their Medicare dollars or their accreditation with TJC and once the emotion of DPM vs DPM, or ortho vs DPM is taken out of the equation and it's the ABPM's general counsel speaking to the hospital's counsel, it's usually quickly resolved.
this but make it ACFAS not ABPMSpeaking Truth. I don't see how people still argue about this fact.
However folks on this board continue to preach the false narrative of hospitals not accepting ABPM cert or rather ABPM cert is somehow inferior to ABFAS cert. If you're applying for a job then obviously having both cert will give an upper hand with all things being equal among other candidates however I believe experience and continuous education matters the most and not just some writing on a piece of paper.
It's very time consuming and a lot of financial and mental stress to keep two board certifications active for 30-40 years career span. Pick one BC and be happy with it. Once the other referring doctors in your community trust you, your patients trust you and you are confident in your work then you don't need a piece of paper to speak on your behalf.
I get what youre saying. I also understand you could call up diabeticfootdoctor and ask him to call the hospital for denying privileges.Speaking Truth. I don't see how people still argue about this fact.
However folks on this board continue to preach the false narrative of hospitals not accepting ABPM cert or rather ABPM cert is somehow inferior to ABFAS cert. If you're applying for a job then obviously having both cert will give an upper hand with all things being equal among other candidates however I believe experience and continuous education matters the most and not just some writing on a piece of paper.
It's very time consuming and a lot of financial and mental stress to keep two board certifications active for 30-40 years career span. Pick one BC and be happy with it. Once the other referring doctors in your community trust you, your patients trust you and you are confident in your work then you don't need a piece of paper to speak on your behalf.
You are sorta comparing apples to oranges.Speaking Truth. I don't see how people still argue about this fact.
However folks on this board continue to preach the false narrative of hospitals not accepting ABPM cert or rather ABPM cert is somehow inferior to ABFAS cert. If you're applying for a job then obviously having both cert will give an upper hand with all things being equal among other candidates however I believe experience and continuous education matters the most and not just some writing on a piece of paper.
It's very time consuming and a lot of financial and mental stress to keep two board certifications active for 30-40 years career span. Pick one BC and be happy with it. Once the other referring doctors in your community trust you, your patients trust you and you are confident in your work then you don't need a piece of paper to speak on your behalf.
Surgery centersReading the above makes me wonder for the ABLES / ABMSP folks. I don’t see how these “Boards” are able to stay afloat?
Yep, they might work for 'credentialing' at a few surgery centers and small hospitals that just want $$$, and hospitals that have a hard time recruiting (highly rural, low paying, no knowledge of podiatry, etc).Reading the above makes me wonder for the ABLES / ABMSP folks. I don’t see how these “Boards” are able to stay afloat?
I understand what you are staying. My major question is how can you get your board surgical cases/numbers if hospitals deny you from doing surgery? This is what LCR is trying to educate us on.You are sorta comparing apples to oranges.
LCR was talking about getting onto hospital staff and having ABPM recognized as appropriate BC. ABPM is a recognized BC for podiatry. That is important and useful. However, you are BC in podiatric medicine... so all that gets you is consults, wound care, etc at many facilities.
The tougher issue is getting OR privileges for bone and joint procedures... especially at major metro facilities. ABFAS BQ/BC is required in many of those facilities via bylaws for OR privileges (and even then, you are still limited by hospital politics, state scope, etc). Other character, past malpractice, logs, etc issues are obviously considered also.
You can PM LCR or he will clarify, but when he said "100% successful at resolving it with the hospital," he is referring to ABPM being a recognized BC - not talking about every DPM gets full surgical privileges with ABPM. Not a chance. Even ABFAS/ACFAS has has plenty of those unfortunate dead ends where a facility just doesn't have DPMs do surgery, do RRA, do ankles, etc.
As long as you can pass the qualifying exams I dont think they can (or do)?I understand what you are staying. My major question is how can you get your board surgical cases/numbers if hospitals deny you from doing surgery? This is what LCR is trying to educate us on.
So after completing three years of surgical residency, one exam will stop you from doing surgery. It's ridiculous in my opinion.If you cant pass qualifying exam then you will not get any surgical privileges.
Not 100% but 99% sure all surgical professions run the same way.So after completing three years of surgical residency, one exam will stop you from doing surgery. It's ridiculous in my opinion.
Many pods have an inferiority complex and so use one exam that is widely agreed to be unnecessarily difficult to increase perceived self-worth versus others who don’t believe a multiple choice and simulated clinical exam to be indicative of surgical skill.Anyway this is unfortunate because it is fellow podiatrists preventing a fellow podiatrist from doing what they are trained to do. With our residency being 3 years surgical residency and standardized across the board, what is the point of gate keeping a fellow podiatrist from practicing.
Yes, but the other side of the coin becomes readily apparent when you see docs putting hemi MPJ implants in every bunion, McBrides where Lapidus was indicated, met head resections for ulcers due to equinus, hammertoe central digits arthroplasy in young highly active people, dozens of injections for heel pain or neuromas, Rx cipro for ulcers, etc. That doesn't make any of us look good.Many pods have an inferiority complex and so use one exam that is widely agreed to be unnecessarily difficult to increase perceived self-worth versus others who don’t believe a multiple choice and simulated clinical exam to be indicative of surgical skill.
I think submitting cases and reaching numbers for BC, and having them reviewed by committee is legit. No complaints there. You can actually show your skill in these versus yet another didactic and the arbitrary points game of the CBPS. However, the BQ step seems like another cash grab against residents that have already had to pay for 4 boards exams as a student. If they want to have a weeding-out mechanism, just be ****ing humane about it and get it over with on boards 2 or 3. The convolution of it all just comes off as a shameless cash grab rather than a truly legitimate qualification process.Yes, but the other side of the coin becomes readily apparent when you see docs putting hemi MPJ implants in every bunion, McBrides where Lapidus was indicated, met head resections for ulcers due to equinus, hammertoe central digits arthroplasy in young highly active people, dozens of injections for heel pain or neuromas, Rx cipro for ulcers, etc. That doesn't make any of us look good.
Good (technical) surgical skill can't be easily tested (op reports or xrays only give a part of the picture), but knowledge of the basic indications, contra-indications, workup, and handling of complications can. There is the old saying "you can teach a monkey to perform a surgery, but the good surgeons know when and what surgery to do." Every medical profession from nursing to neurosurg to podiatry has multiple choice board exams. The people making board exams are largely not the adcoms at the various schools or the sole residency site reviewers; their job for the boards is just to test minimum competency that's in the standard textbooks and literature for the profession.
It would be awesome if podiatry had circa 95% board pass rate like most MD specialty boards, but our schools are still just not as selective on the front end and the gap between our good and poor residencies is a lot wider. There is no easy answer. ABPM is there as a recognized board and a good backup that's highly useful for those who don't pass ABFAS or want dual cert... most other professions (gen surg, ortho, plastics, OB, etc) don't have that sort of option.
By all means. Provide your storied info?I had to comment on the stupidity of the postings on this thread...
... I have the ABPS candidate handout from the eary 2000's I can post to illustrate the "alternative method" used to reach board certification WITHOUT completing a surgical residency. ...
... If anyone wants to dispute anything I said, I will gladly post materials to illustrate.
Of course podiatry boards are not under ABMS. Podiatrists are not MD/DOs. Neither are dentists. Neither are chiro, optometrists, PT, etc. ABMS might be a good model, but their organization has nothing to do with the situation and likely never will. CPME recognizes the podiatry boards (ABPM, ABFAS), and those boards are tasked with developing minimum competency tests (analogous to ABMS but not same... just as NBPME student exams would be analogous to USMLE steps but not same). Once again, every profession regulates itself.Furthermore, ABFAS/ABPM are NOT certified by the ABMS (American Board of Multiple Specialties), which is the credentialing body for the MD/DO boards. If ABFAS or ABPM would simply allow oversight, and join ABMS, this would clear up all the "special rules".
It could have been an airbud fake account a few weeks ahead of April fools, or dee Ruzzian hackserz againShots fired!
I agree with you. Personally the board certification process in podiatry is a scam. It comes down to lobbying power. New York and Connecticut have ABFAS written into the law with the DPH. Hospitals in those states go off those laws. That's a big deal.I had to comment on the stupidity of the postings on this thread. Let me clear some stuff up for everyone with a dose of reality. I have been division chief of podiatry for 25 + years, my wife has been chief of surgery for 25 + years (MD orthopedic surgery). We both practice in the suburbs of a large city.
As division chief, I very rarely care about a new clinician's PODIATRY board certification because people like me were grandfathered into the ABFAS (previously ABPS). There is Zero comparison between a new resident that completed at PM&S-36 vs. myself who completed at PSR 12. Furthermore, some of the DPM's that are boarded with ABFAS were "grandfathered in". Yes, some people board certified by the ABFAS NEVER completed a surgical residency. If anyone wants to deny this, I have the ABPS candidate handout from the eary 2000's I can post to illustrate the "alternative method" used to reach board certification WITHOUT completing a surgical residency. Furthermore, ABFAS/ABPM are NOT certified by the ABMS (American Board of Multiple Specialties), which is the credentialing body for the MD/DO boards. If ABFAS or ABPM would simply allow oversight, and join ABMS, this would clear up all the "special rules".
So yes, I have DPM's on staff who are board certified by ABFAS that ONLY get toes and simple bunions. I have some DPM's boarded by ABPM only (who completed PM&S-36 residencies) who full rearfoot privileges. I mean look at myself, I completed a PSR 12 and have a certificate in "foot and ankle surgery" from ABFAS. Can anyone on here comment on "A Credential You Can Trust" when I am boarded in "foot and ankle surgery", I never touched an ankle in my life. That is called fraud ladies and gentleman. A DPM that NEVER completed a surgical residency (but knew the right people to get through the alternative method) should be doing surgery but a PM&S-36 trained DPM should not? This is why no one will ever take podiatry boards serious and why my wife, as an orthopedic surgeon, will never think ABFAS as a legit organization. If anyone wants to dispute anything I said, I will gladly post materials to illustrate.
So all division chiefs out there, stop denying PM&S-36 residents from doing surgery. 99% of them are more talented than the dinosaurs (like myself) that completed PSR 12's and 24's. Its really sick how people like Feli talk on here about "the almighty ABFAS". He doesn't want you to know the "pay to play" scheme of the ABFAS. It's people like Feli that are responsible for the horrible state of our profession. As Feli if he ever attends AFOS. Ask him how orthopedics feels about the ABFAS/ACFAS. My wife, as foot and ankle orthopod, would love to hear if Feli was grandfathered into the ABFAS?
100%Remember that a lot of those grandfathered in help build this profession and allowed for us to practice in the scope we enjoy today.