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- Podiatry Student
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Why would you go back to PA school if youre already years into being a doctor?Have any of you heard of a podiatrist/PA??
I was just reading this forum and one the moderators said he knows of Pod/PA's who work in ortho doing all F/A and general ortho as well. Sounds interesting.
It's the post thats highlighted in orange.
3rd year podiatry student looking at PA
exactlyWhy would you go back to PA school if youre already years into being a doctor?
Why wouldnt you just finish your podiatry schooling and do that, leaving your options open, instead of tying your hands and getting a PA degree to do that.Judging by the post that the PA moderator made on that forum, it seems the PA/DPM can do NON-F/A ortho care, as well as F/A care. I'm assuming he can handle the followups/checkups for ALL the patients and then does the actual patient care for his F/A clients.
Idk if there is a significant pay increase in that or not but I wouldn't be surprised.
ok, but why would you need DPM degree for that? PA degree would be sufficient for that scope.Judging by the post that the PA moderator made on that forum, it seems the PA/DPM can do NON-F/A ortho care, as well as F/A care. I'm assuming he can handle the followups/checkups for ALL the patients and then does the actual patient care for his F/A clients.
Idk if there is a significant pay increase in that or not but I wouldn't be surprised.

I know of at least 1 DPM that was a PA before going back to school but I don't think they kept their PA license active for long. I would have to think it would be a unique situation for an ortho group to want to hire you as a PA/DPM. You couldn't supervise yourself since podiatrists aren't allowed to supervise PA's in a lot of states and you can't supervise something that is out of your scope of practice in any case. So you would still have to have your MD/DO colleague sign off on your general ortho things. I'd have to imagine your pay would be lower if you're spending half of your time as a PA than if you're a full-time DPM.
These threads about dual-degree options pop up now and again, more with MD/DO than PA, and I don't think that I have ever heard a logical argument for it outside of a few niche examples. Like @DexterMorganSK said, pick one and work at being the best you can.
If they keep pumping out PA and NP grads like theyre doing, theyre gonna have to work somewhere hahaDo you foresee DPMs ever being able to sign off on PAs? I doubt a ton of PAs go in thinking about doing podiatry, but if you could teach them to do ingrown toenails and debridments, they could be a money maker for the practice. Obviously, surgery would fall on the DPM.
If they keep pumping out PA and NP grads like theyre doing, theyre gonna have to work somewhere haha
Theyre starting to infiltrate dentistry too. Look up dental therapists haha theyre gaining more autonomy in states like Minnesota. No one is immune anymorePretty scary stuff. Even the specialties in medicine, like cardio and endocrine are being invaded.
Looks like it’s surgery or bust! Or just go to dental school haha. No PAs and NPs there, and the hygienists don’t want to take your job.
I just did. I didn't know about it. That's crazy. Soon there will be schools that will pump out providers with 1-year degrees that can do everything. I just don't get how 2-year PA degrees can prepare all-knowing and all-doing providers that can go practice in any specialty.Theyre starting to infiltrate dentistry too. Look up dental therapists haha theyre gaining more autonomy in states like Minnesota. No one is immune anymore
Totally agree. The PA degree was for those respiratory therapists and EMTs who were in their 30's and 40's who wanted growth but didn't want to go to medical school. And the NP, for those long time RN's. They were supposed to have years and years of experience. Now schools are allowing anyone to apply, even without any patient contact or nursing experience. Its crazy. I think PA's will eventually have to get doctorates and maybe a year of residency. When all these inexperienced grads enter the work force not really knowing anything it might change things.I just did. I didn't know about it. That's crazy. Soon there will be schools that will pump out providers with 1-year degrees that can do everything. I just don't get how 2-year PA degrees can prepare all-knowing and all-doing providers that can go practice in any specialty.
It started about a 100 years ago when society and academia pushed for more education, standardized education and standardized training and licensure of medical providers. Now, it feels like it will go the other direction of simplifying things and letting less-trained people do more.
Maybe, I, with my CNA Certificate will be able to do the tasks of nurses very soon.
so, if they will follow the suit like NPs to get doctorates, then it will be 4 years of school plus residency. It will be almost the same as medical schools. What would be a degree? DPA?I think PA's will eventually have to get doctorates and maybe a year of residency.
Sorry, I meant that I think it'll be either 2 years and a year of residency or a 3 year doctorate like NPs have to do. It cant stay how it isso, if they will follow the suit like NPs to get doctorates, then it will be 4 years of school plus residency. It will be almost the same as medical schools. What would be a degree? DPA?
What would be the reason to go for doctorate in PA if it would be similar amount of years spent in training but still being limited and getting lower salaries than physicians.
Totally agree. The PA degree was for those respiratory therapists and EMTs who were in their 30's and 40's who wanted growth but didn't want to go to medical school. And the NP, for those long time RN's. They were supposed to have years and years of experience. Now schools are allowing anyone to apply, even without any patient contact or nursing experience. Its crazy. I think PA's will eventually have to get doctorates and maybe a year of residency. When all these inexperienced grads enter the work force not really knowing anything it might change things.
Doctor of Science in Physician Assistant Studies | MCPHS UniversityI think they already have Doctor of Physician Assistant programs. I forgot where it was but it already started.
Doctor of Science in Physician Assistant Studies | MCPHS University
Curriculum is only 23 credits and there is nothing significant in the curriculum that would make a difference in training or knowledge. It's just a way to get more.money for schools and piece of paper for PAs.
When I look at MD/DO curriculum or even DPM everything in a curriculum is directly related to being a physician. The coursework is intense and meaningful.
You can't just fill up a curriculum with worthless courses and call yourself a doctor.

I’m fairly certain there are places where DPMs can supervise PAs now. I’m sure there are plenty of podiatrists who would hire a PA to see their routine care instead of an associate podiatrist. I don’t know if the PA would take such a poor salary as what some of the podiatrists are offering for their associates though.Do you foresee DPMs ever being able to sign off on PAs? I doubt a ton of PAs go in thinking about doing podiatry, but if you could teach them to do ingrown toenails and debridments, they could be a money maker for the practice. Obviously, surgery would fall on the DPM.
Not when all the other variables are the same. If youre a pod in nyc you will probably make less than an ortho PA in a rural area. But that goes for dental too. Some Dentists in nyc probably make less than a rural PA. Its about demandlol
I still find it funny (and sad) that there is a chance that podiatrists will make LESS than DNP's and PA's. Even if it is only for a short period of time. It shouldn't be this way but it is what it is.
Not when all the other variables are the same. If youre a pod in nyc you will probably make less than an ortho PA in a rural area. But that goes for dental too. Some Dentists in nyc probably make less than a rural PA. Its about demand
New York City and California are the only places to live in America, according to SDN. There is like this vast empty space in between those two states where nonlife exists.
lol
I still find it funny (and sad) that there is a chance that podiatrists will make LESS than DNP's and PA's. Even if it is only for a short period of time. It shouldn't be this way but it is what it is.
some PAs start 75-85Klol
I still find it funny (and sad) that there is a chance that podiatrists will make LESS than DNP's and PA's. Even if it is only for a short period of time. It shouldn't be this way but it is what it is.
because some just can't. 50K+ apply to MD every year. only 40% get in. The other 60% will have to do something.why not just go MD/DO?
did you even apply to any MD/DO? with 511 MCAT and 3.5 GPA you could get into almost any DO and some MD schools. And if you want to save a year, you can start ICOM this fall.Honestly, after getting my mcat back, I thought about just applying MD/DO and seeing where the world takes me. All the EC's are the same for all healthcare fields anyways too so I wouldn't have to do too much extra. I actually enjoy podiatry though and the lifestyle of some of the MD/DO surgeons is just too much. I'd hate to be that guy that can't ever go anywhere cause he has a 36 hour shift or is on call so cant leave town etc.
because some just can't. 50K+ apply to MD every year. only 40% get in. The other 60% will have to do something.
Maybe 25% will get into DO schools. (yes, i think that most DO candidtates applied to MD too, so they are part of the 50K)
you have another 30-35% that will apply again or end up in Dental, Nursing, PT, OD, DPM, and other health-related programs.
Honestly, after getting my mcat back, I thought about just applying MD/DO and seeing where the world takes me. All the EC's are the same for all healthcare fields anyways too so I wouldn't have to do too much extra. I actually enjoy podiatry though and the lifestyle of some of the MD/DO surgeons is just too much. I'd hate to be that guy that can't ever go anywhere cause he has a 36 hour shift or is on call so cant leave town etc.
I was also thinking about MD/DO initially, but since I got into pod school and more I think about it, I believe I might be more happy with podiatry than DO (since I don't have stats for MD anyways).
Since I am about an average student, there is great chance that I will end up in FM. I don't really want to work weekends overnights, long hours, be on call and cover a hospital once a month or once in 2 months. It seems that most specialties who work in the rural setting work crazy hours.
I just spoke with my sister who is a nurse in Labor and Delivery Unit at a rural hospital. She told me that most of the docs she works with are crazy exhausted. Their anesthesiologist is going to quit because he can't handle the hours anymore having a family as well. She said that it seems like he lives in the hospital.
I like what podiatry offers - less hours. There are MD/DO specialties and locations where you can have 8-5 kind of job, but I think it is an exception.
One of my friends who is neurologist in a large metro area recently (October 2016) got a job at the 8-5 clinic that is part of the state wide healthcare network. Initially he was promised to not work on weekends and no calls, but now after 1 year he has to. As some other neurologists left jobs or relocated, he is required to be on call, work weekends and cover the hospital as well. He is not very happy about it, but I guess its part of evryone's job description.
I have heard people say to me: "Don't give up", "Try harder", "don't settle for less" and so on. I don't think aiming high is the only recipe for being happy. I see my situation and I plan within reasonable means. So, it's true that in order to have better chance for competitive specialties you have to work hard in med school. I am not sure I want to end up in ER, FM, or Ob/Gyn, or even Psychiatry.Don't know why but the bold made me laugh.
I think it will, but for some reason I understood that one reason why podiatry salaries are lower is because podiatrists work less hours.Don't you think that would come with forfeiting some earning potential?
the thing is that I am already married and have 3 kids.I can understand years down the road when there's a spouse and children growing up, but during the early years I'm looking to put in the work.
This is only true for peds. This isnt true at all for FM. They are in huge demand and can live almost wherever they want. Starting salaries are almost always around 200k working around a 45 hour weekIf you look at Family, Peds forums there are 120-160k salaries as well. They say that those who get 250-300k work in very undesirable areas and work very hard and many hours covering ER, weekends, 24hr shifts, on call and so much more. It's not easy to earn 250-300k. They say that its normal for a neurologist to get 180-230k.I think podiatry offers salaries within similar range.
I recommend doing the DPM/PA/DNP/MD/DDS/DPT track. After only a few decades of education and training, you'd be able to expand the scope of your practice to just about everything.
This is only true for peds. This isnt true at all for FM. They are in huge demand and can live almost wherever they want. Starting salaries are almost always around 200k working around a 45 hour week
I think it has something to do with most of the kids being on medicaidAgreed, FM is hot right now.
I wonder why peds is so low? I have legitimately heard about pediatricians starting at 130K before. Most parents do anything for their kids, include forgo their own health.
No I did not. I don't want to work in a field that is mostly dialogue based (IM, FM, Peds., EM). I NEED to be doing things with my hands and even the most basic aspects of podiatry offers me that. Even if it is just nails, calluses, neuropathy tests. I've shadowed FM and IM. It's boring as hell and people DO NOT listen. I would flip my **** one day for all the non-compliant repeats I get in the office. hahah
And yes, I realize that I can go into surgery specialties ( I feel more than capable of being a gunner and killing the USMLE/COMLEX), BUT the lifestyle thing comes into play for me again. Gen surg is always on call, Ortho too, and they work long hours ( as in longer than the usual pod). I'll make up the difference in pay with non-medical stuff like rental properties or franchise joints that I can sublease to be a hands off owner. I want my day job to be just that, a day job. I feel like I can make more as a pod + entrepreneur rather than just an ortho doc or some other high paying DO/MD field. I know it sounds like pipe dreams, but I got this. lol
I live in the LA and OC area. Do you know how many dentists are here? hahahah
I can throw a rock with my eyes closed and hit 3 different practices. They are more ubiquitous than starbucks. And im not kidding.
What I don't like about primary care fields like Peds or FM is a ton of reading and documenting. They have to read a lot. When I shadowed FM IN a clinic, there were piles of folders of new patients everyday. He told me that he has to go through everything. HE comes 1 hour early and often stays later or takes work home to finish documenting. I haven't seen that in podiatry.No I did not. I don't want to work in a field that is mostly dialogue based (IM, FM, Peds., EM). I NEED to be doing things with my hands and even the most basic aspects of podiatry offers me that. Even if it is just nails, calluses, neuropathy tests. I've shadowed FM and IM. It's boring as hell and people DO NOT listen. I would flip my **** one day for all the non-compliant repeats I get in the office. hahah
And yes, I realize that I can go into surgery specialties ( I feel more than capable of being a gunner and killing the USMLE/COMLEX), BUT the lifestyle thing comes into play for me again. Gen surg is always on call, Ortho too, and they work long hours ( as in longer than the usual pod). I'll make up the difference in pay with non-medical stuff like rental properties or franchise joints that I can sublease to be a hands off owner. I want my day job to be just that, a day job. I feel like I can make more as a pod + entrepreneur rather than just an ortho doc or some other high paying DO/MD field. I know it sounds like pipe dreams, but I got this. lol
Have any of you seen dr_limbreaper on instagram?
Jason (@dr_limbreaper) • Instagram photos and videos
You can view his profile if you click the link, even if you dont have an insta. He's a vascular surgeon based in california.
He seems to be doing a lot of diabetic foot care, like amputations and debridements.
I thought podiatrists are supposed to do these things????? I really hope this is a one-off case and not the future of foot care. What the hell will we have left if ortho takes bones and vascular takes diabetics. lol
There's a video of him on "medicaltalks" account of him doing a guillotine amputation (with a metal string) of a foot if you want to check it out. Its super cool. lol
there will be enough work for everyone. In most career fields there is overlap and still there is job for everyone who wants to work.I knew that they CAN do those things, and that's not an issue for me at all.
However, if, in this day and age of tighter budgets and greater needs of more revenue, they are ACTUALLY PERFORMING these procedures, then I think it's fair for people who are in podiatry or looking into podiatry to be alert (maybe even scared) about "not having anything left on the table" so to speak.
P.S. I am still 100% going into podiatry and not a fear mongerer. lol. I just like bringing forth facts/observations and having a discussion about it with my peers.
This is why new attending always get on here after a year or so with their first and talk about their frustrations. Its a lot more bread and butter than people realize, not only because thats what is most common, but also because a lot of times its more profitable.I knew that they CAN do those things, and that's not an issue for me at all.
However, if, in this day and age of tighter budgets and greater needs of more revenue, they are ACTUALLY PERFORMING these procedures, then I think it's fair for people who are in podiatry or looking into podiatry to be alert (maybe even scared) about "not having anything left on the table" so to speak.
P.S. I am still 100% going into podiatry and not a fear mongerer. lol. I just like bringing forth facts/observations and having a discussion about it with my peers.
thanks for this source. I have watched it.Have any of you seen dr_limbreaper on instagram?
Jason (@dr_limbreaper) • Instagram photos and videos
You can view his profile if you click the link, even if you dont have an insta. He's a vascular surgeon based in california.
He seems to be doing a lot of diabetic foot care, like amputations and debridements.
I thought podiatrists are supposed to do these things????? I really hope this is a one-off case and not the future of foot care. What the hell will we have left if ortho takes bones and vascular takes diabetics. lol
There's a video of him on "medicaltalks" account of him doing a guillotine amputation (with a metal string) of a foot if you want to check it out. Its super cool. lol
Here's the metal string amputation. It's 2 parts, hover over the actual video and the arrow to click right will appear to see the second part.
BTW, IDK if I am allowed to post this on here or not. lol
It's graphic AF
To stethoscope or not, that is the question..I know this might be a stupid question, but do pods wear stethoscopes?
I know this might be a stupid question, but do pods wear stethoscopes?