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Is anyone else impatiently waiting for ABFAS cert results right now? This coming Saturday marks the 8 weeks!
I thought you're RRA already. Sorry to see this!This is beyond wild (manage to get a 490/500 on both cert parts)...
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This was my only attempt on RRA cert, but I think I will just let this RRA one be done with as I'm getting closer to retire, very few docs in my area are even ABFAS Foot cert, and I'm not ever needing hospital/org jobs anymore.
I lost points on almost every case for not documenting patient satisfaction. I'd guess that's something new... not sure who works full time and does that in each chart?
...Does anyone know if it costs more to renew board cert ABFAS for Foot ($440) vs renew for Foot + RRA?
It seems excessively dumb to challenge this just to get a cert that'd cost more money.
What a grift ABFAS is....Barely failed, would’ve passed if I documented patient satisfaction..are you kidding me???
If insurance companies don’t even care about documenting that, then why would I give af about putting it in my notes?
and $4K to appeal? What an absolute money grabbing scam. I hate podiatry.What a grift ABFAS is....
Yeah, that has to be new this year ... I remember nothing of it in years past.Barely failed, would’ve passed if I documented patient satisfaction..are you kidding me???
If insurance companies don’t even care about documenting that, then why would I give af about putting it in my notes?
Patient satisfaction should never be grounds for point deduction. The point of the case review is to evaluate your work up of a pathology, execution of surgery and management of the surgery or complications in the post op period.
Documentation on patient satisfaction for medico-legal reasons is outside the scope of the exam. It is beyond comprehension. It is hard to believe honestly. If you got dinged for this on multiple cases and that caused you to not pass this is grounds for a lawsuit.
AlwaysI lost points on almost every case for not documenting patient satisfaction.
The fee remains the same if you add RRA. Just 2 tiers of certified and qualified fees. But who knows if they will change it....Does anyone know if it costs more to renew board cert ABFAS for Foot ($440) vs renew for Foot + RRA?
It seems excessively dumb to challenge this and risk $ just to get a cert that'd cost me more money.
If you're doing diabetic foot surgery you 100% should be able to get enough cases for certification. Hindfoot fusions/nails. Tendon transfers etc.I was planning for foot cert, but so far I’m mostly doing diabetic foot surgery so not sure if I’ll meet the criteria anytime soon. Wondering if I should just get ABPM and be done with it. Hospital doesn’t care what I have.
If the hospital don't care get abpm to start then assess your case load and see if you go abfasI was planning for foot cert, but so far I’m mostly doing diabetic foot surgery so not sure if I’ll meet the criteria anytime soon. Wondering if I should just get ABPM and be done with it. Hospital doesn’t care what I have.
It’s been mostly amps and I&Ds so far. A couple of tendon transfers and offloading surgeries. A few bunions and 1st MPJ fusions, etc. I’m still ramping up my patient load, currently about 15 patients a day on clinic days, though a couple usually no show. 1-3 cases a week on average.If you're doing diabetic foot surgery you 100% should be able to get enough cases for certification. Hindfoot fusions/nails. Tendon transfers etc.
1. There's plenty of time to get cases. Diabetics need 1st ray work too.I was planning for foot cert, but so far I’m mostly doing diabetic foot surgery so not sure if I’ll meet the criteria anytime soon. Wondering if I should just get ABPM and be done with it. Hospital doesn’t care what I have.
Then you are not being aggressive enough if you consider diabetic stuff just amps and incision and drainages.... And that's okay, it's part of the learning process.It’s been mostly amps and I&Ds so far. A couple of tendon transfers and offloading surgeries. A few bunions and 1st MPJ fusions, etc. I’m still ramping up my patient load, currently about 15 patients a day on clinic days, though a couple usually no show. 1-3 cases a week on average.
Thats what diabetics need - new incisions and procedures so they can get infected and end up with a bkaThen you are not being aggressive enough if you consider diabetic stuff just amps and incision and drainages.... And that's okay, it's part of the learning process.
You don't just amp a second toe anymore. It's a gastroc it's fixing the other toe deformities. Why did this happen how do you prevent other toes from going bad. Are you reacting or preventing.
Edit - it's TA tendon transfers after a partial 4th/5th ray amp causing lateral instability....ignore Feli and his diabetic stuff is 1st year cases
MIS bro.Thats what diabetics need - new incisions and procedures so they can get infected and end up with a bka
Thats what diabetics need - new incisions and procedures so they can get infected and end up with a bka
Something's aMISs, alright, Mr wRVU-zilla.MIS bro.
@Retrograde_Nail is doing ankle fusions, charcot recon all MIS.Gastroc recession, Keller, sesamoid planing, floating osteotomy--all doable MIS, and I've had more success than failures.
Tendon transfer/fusions and anything else requiring implants in a patient with HgA1c > 8 sounds dicey to me.
You are going to get sued an incredible amount, and lose everytime. Diabetics love to blame everyone but themselves when things go wrong.Thank you! I have felt this way since I finished residency, if they are going to lose their leg anyways you might as well do whatever you can to try and save it. If it doesn’t work they end up losing their leg anyways, but at least you tried. Just document the hell out of it and that you had this exact discussion with them!
Document document document. Always have a in depth conversation. Leave no stone unturned. Thouroughly discuss the risks. Let the patient know "we are in limb salvage mode - this is risky but as is you are headed towards an amputation and I am trying to prevent this"You are going to get sued an incredible amount, and lose everytime.
I have actually seen the exact opposite in my practiceDiabetics love to blame everyone but themselves when things go wrong.
Present the literature to back up calf lengthening for forefoot ulcer.Their attorney will always have 10 experts to say "there was no need to operate on the calf" when the patient had a toe ulcer.
You are going to get sued an incredible amount, and lose everytime. Diabetics love to blame everyone but themselves when things go wrong.
Their attorney will always have 10 experts to say "there was no need to operate on the calf" when the patient had a toe ulcer.
As others have mentioned - I’ve found my diabetic high risk patients to be very happy someone just wants to take an interest in actually helping them.You are everything that is wrong with limb salvage podiatry
Read a book
Or do residency again
You are still a podiatrist and always will be one lmaoYou are everything that is wrong with limb salvage podiatry
Read a book
Or do residency again
Except that's not real life.Present the literature to back up calf lengthening for forefoot ulcer.
Present the consent
Present the preop documentation on what I stated above.
No attorney will win that if youre documentation is in place.
It's not like a1c shows anything like compliance with treatment or ability to healtoo afraid to operate if the A1C is not perfect.
Well, to be fair Ive never done a gastroc for a toe amp.Except that's not real life.
Their gonna show a patient to a jury who has no idea what diabetic foot infections are, and will only see that the patient went in for a toe amp and you proposed 500 procedures to line your pockets.
Your insurance is going to want to settle ASAP.
It’s not dicey.
This is what bugs me about podiatry because we have so many different podiatrist. Who say they do Wound Care and limb salvage, but it really is just debridement and skin substitutes and no surgery because they are too afraid to operate if the A1C is not perfect.
Learn MIS
Given that this thread is about ABFAS and got side tracked this is correct.If you are inclined to perform surgery on patients with high A1c’s after you are board certified, then go for it. I think there is an argument to be made for it when it comes to limb salvage.
But I would not recommend those who are attempting to become certified with ABFAS to operate on patients with high A1c’s outside of an emergent case. Most definite way to fail.