Are mandatory 3-year residencies the right choice?

[ldsrmdude]

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Do you think that going to 3-year residencies across the board was the right choice? Or do you think there should still be 1 or 2-year residencies? Maybe right choice but at the wrong time?

 

[pipetman]

I think the question is more "why is there 2-3 years of required training when most states allow for one year of training to be liscenced"

and the answer i have been given is that is what required now for board certification. being board certified/ qualified is what medicare requires now for insurance purposes. the post above suggests that doing away with this will be a regression back to the old days and bad for the profession; which is the sentiment eccoed by the boards and those who are certified by the current system. however there are seasoned pods who do not have that and are forced to do a residency and close thier practices or do mostly pallative care.

is it a good thing? sure, but i can see it being a hinderance to practicing pods and those who can get liscened but who cant be on staff in hospitals or on insurance plans because of the requirement.
they only way around it which some MDs have done is concierge medicine, which few podiatrists do.

in addition, the argument is: if states require only one year of training for a liscence, why not have one year residencies to get the liscence then if a pod wants to be board certified allow for a fellowship/ training to do that? thats a question bounced around on podiatry arena, present podiatry and PM news not so much here.

 

[pipetman]

the other thing is: while the current model allows for residents to be "apart of the team" in the hospital...that is great, sure, but how many podiatrists are hospitalists? does that training correlate directly into a practice setting? do feel ready to run thier own practices after they finish thier three years or so? etc.

 

[air bud]

I think the 2 and 3 year model was the right choice. The way the school is set up right now there clearly is a need for that 1st year to be largely centered around medicine. I understand the benefits both personally and professionally for all doing a 3rd year, but if the program can't offer a RRA certificate, why make them stick around that 3rd year? They can get plenty of FF stuff in the 1st and 2nd year to be a competent surgeon.

 

[dtrack22]

I think the 2 and 3 year model was the right choice.

The problem then becomes funding for all 3 years. Especially in today's federal financial climate. You are only guaranteed funding for the profession's minimum licensing requirement. If that is 2 years, there are some current 3 year programs who now offer RRA (with new standards and 3 years of funding) who would cease to be 3 year RRA programs...

 

[DrYES]

Bottom line: MANY (not all) currently practicing podiatrists have NO idea of our evolving role in medicine. It is ridiculous to see pods on etalk (physician forum) questioning whether or not we should even require a residency to practice. Some have even suggested some of those without a residency practice as "chiropodists." It is honestly embarrassing that they are so out of touch with the direction of our profession. Some residencies are more clinic/primary care based (although yes, surgery is involved). Many are much more surgically based. All should be 3 years, it isn't 1975 anymore.

 

[CapCrunch]

Bottom line: MANY (not all) currently practicing podiatrists have NO idea of our evolving role in medicine. It is ridiculous to see pods on etalk (physician forum) questioning whether or not we should even require a residency to practice. Some have even suggested some of those without a residency practice as "chiropodists." It is honestly embarrassing that they are so out of touch with the direction of our profession. Some residencies are more clinic/primary care based (although yes, surgery is involved). Many are much more surgically based. All should be 3 years, it isn't 1975 anymore.

I spend a lot of time on eTalk to learn about the profession. It seems to be a very negative atmosphere. Is that site known for that? Or am I stumbling upon reality?

 

[air bud]

If anybody can find the thread where Podfather talked about a podiatry version of the dental model, that would be neato. There was some interesting topics brought up in that discussion if I recall correctly.

 

[MaxillofacialMN]

If anybody can find the thread where Podfather talked about a podiatry version of the dental model, that would be neato. There was some interesting topics brought up in that discussion if I recall correctly.

Might be this one

http://forums.studentdoctor.net/showthread.php?p=10292261#post10292261


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[PatchAdamsFan]

If anybody can find the thread where Podfather talked about a podiatry version of the dental model, that would be neato. There was some interesting topics brought up in that discussion if I recall correctly.

or perhaps this??

http://forums.studentdoctor.net/showthread.php?t=790342

 

[hematosis]

None of us 3rd or 4th year students are qualified to make this call. Doing a few rotations and externships doesn't quite give you the experience to know the difference between how much you learn in 2 year vs 3 year of residency. So ill hold my judgement until after residency.

In terms of residency shortage, sure it'll help that out.

 

[ldsrmdude]

I've seen several people recommend 1 (or 2) year primary care podiatry residencies for those not interested in surgery. I'm curious if any of the current students or pre-pods wanted to come into the profession and weren't interested in surgery at least to some degree?

 

[MaxillofacialMN]

I've seen several people recommend 1 (or 2) year primary care podiatry residencies for those not interested in surgery. I'm curious if any of the current students or pre-pods wanted to come into the profession and weren't interested in surgery at least to some degree?

The number of surgical cases cannot support all of us to be surgeons anyways. This move to three years is (in my opinion) political, and not necessarily what is best for individuals or patients. The move to a standard three years demonstrates equality of training among graduates (for scope if practice, laws, and reimbursement issues), and because surgical pods ("foot and ankle surgeons" - not "pods" ) were bullying non-surgical podiatrists creating a division. This training will (hopefully?) Remove that division because every one is equal. I think this last point is ludicrous because in the end we might all have the same training, but only a handful of pods will utilize it

However, whenever we try to make rules to force equality, everyone pays...

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[dyk343]

The number of surgical cases cannot support all of us to be surgeons anyways. This move to three years is (in my opinion) political, and not necessarily what is best for individuals or patients. The move to a standard three years demonstrates equality of training among graduates (for scope if practice, laws, and reimbursement issues), and because surgical pods ("foot and ankle surgeons" - not "pods" ) were bullying non-surgical podiatrists creating a division. This training will (hopefully?) Remove that division because every one is equal. I think this last point is ludicrous because in the end we might all have the same training, but only a handful of pods will utilize it

However, whenever we try to make rules to force equality, everyone pays...

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I don't have a crystal ball but the increase in diabetes will likely greatly increase the amount of surgical cases we will be seeing. Unfortunately, hammartoes and bunions may not be our "bread and butter" in the near future.