Does this case qualify for logging?

[Creflo]

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I think I already know the answer is no, but just want to be sure that scrubbing in on a fem-pop bypass case wouldn't be eligible for cpme rearfoot soft tissue case logging.

 

[Podfather]

I think I already know the answer is no, but just want to be sure that scrubbing in on a fem-pop bypass case wouldn't be eligible for cpme rearfoot soft tissue case logging.

No

 

[Foot Doc]

i know of several programs across the country that would log as such......but if they ever get reviewed they are screwed.

 

[DPMer]

No

How about a distal pop-dorsalis pedis bypass procedure? It looks like a rearfoot soft tissue case. I scrubbed in on one in my 3rd year vascular surgery rotation that took the vascular surgeon and his surgery resident and a podiatry resident around 4 hours to complete on a diabetic patient to save his foot and ankle. The podiatry resident worked with the vascular attending on the foot part (bypass graft connection to dorsalis pedis) and the chief surgery resident worked with the proximal portion near the popliteal artery.

 

[jonwill]

I think I already know the answer is no, but just want to be sure that scrubbing in on a fem-pop bypass case wouldn't be eligible for cpme rearfoot soft tissue case logging.

You actually can log the case but not under podiatric surgery. If my memory serves me correctly, there is an "other category" for your off rotations like internal medicine, gen surg, etc. CPME likes to see logging in this category because it shows diversity in your residency training. On the other hand, it won't count towards your rearfoot numbers.

 

[Feli]

The correct PRR log (for bypass any level) is:
Diag Med and Other Proc > Vascular Surgery > 660 Vascular Surgery Procedure

...The same goes for BKA, AKA, popliteal GSWs, I&Ds of infected fem-pop grafts, etc that you might see on ur Vasc month. The only thing that you might be able to get podiatry proc logs off are TMAs or ray resects (other osseous proc) or toe amps (digital proc), but at most places, vasc is too busy and just turfs those to podiatry anyways.

i know of several programs across the country that would log as such......but if they ever get reviewed they are screwed.

Yup. He's a teller of the truth. If those programs get caught, they are put on probation, or, if they're alread on probation, possibly worse. Many programs (cough cough NYC cough cough) also log a lotta the ortho cases that are outta scope or that they just watch and don't even suture in as RF with C level involvement. Let's just say that while all pod programs are now 3yrs, they're definitely not all created equal in terms of teaching quality, case volume, involvement, academics, etc.

 

[Creflo]

How about removal of broken screw from ankle syndesmosis? Is this considered the same as removal of hardware, or can it be considered as a rearfoot case due to the complexity of getting the broken portions of the screw out?

 

[streetsweeper]

How about removal of broken screw from ankle syndesmosis? Is this considered the same as removal of hardware, or can it be considered as a rearfoot case due to the complexity of getting the broken portions of the screw out?

Removal of hardware. (we recently got CPME on site eval)

 

[347932]

If there is a concern that you have to log these cases to make your numbers in certain categories, your program is in a heap of trouble. Just saying...