List of states that dont require residency

[cool_vkb]

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This is just out of curosity. Are there still states out there that dont require residency? can you name some?

Now it is a known fact that there will be some unfortunate individuals who wont match in class of 2010, 2011 and may be 2012 . it could be me or anybody.

So godforbid one doesnt gets residency that year. can they go to this state that doesnt require residency and probably practice for 1 yr doing basic stuff or work under a famous podiatrist and gain valuable experience and apply next year.

i really dont want to see Podiatry graduates flipping burgers or driving cabs while waiting for next year to apply for residency. atleast in this way one can develop CV and be on track.

And its not abt studying hard or have good grades or clinics etc. As per the rumors, there is a shortage of residency slots compared to students. So lets say even if all the class gets 100% in exams and is on top of line. some unlucky people will not get reisdency bcoz the number of seats themselves are less than applicants.

its better to have backup options rather than panicking at the last moment.

 

[Sundarban1]

It's not that easy. You're still competing for jobs against those with residency training in states that don't technically require one. You're not going to open your own practice without one if you plan on re-entering the application cycle the next year, and you're not going to get hired for one year once a practice finds out you're leaving for residency.

 

[PADPM]

cool_vkb

There really is no easy or adequate answer. First of all, I don't know the rules and regulations of all states and if there are any states that don't require residency training.

However, if there are states, it will then be tough to possibly get on insurance panels without a residency. Many insurance companies may require you to have privileges at a hospital, and of course no hospital will allow you to have privileges without post graduate training. It's a catch-22.

Additionally, finding a job with any existing practice will be next to impossible without any post graduate training. Look through most ads today, and these ads are actively looking for 36 month training. That means that even grads from a few years ago that did a 24 month program can't apply for these positions!!

I have a friend that wanted to re-locate. He's been in practice for quite a few years. When he graduated (similar to me), there were only enough residency programs for about 40% of his class. So he did a 1 year program many years ago, he ran a residency program, he's been ABPS board certified for many, many years, etc. Yet, NO ONE is interested in hiring this guy, because he hasn't done a 36 month program, despite his years of experience and maturity.

If you don't have any post graduate training, in MY opinion, some group/doctor may hire you to make house calls, perform palliative care at a nursing home, etc. If you are very fortunate, you may find a very supportive DPM that is willing to teach you surgery as a preceptor.

But without any "formal" training, you will never be able to become board certified by the APBS or orthopedic/primary podiatric medicine board.

But the bottom line is that the schools and the APMA should GUARANTEE that all grads have a residency position. Yes, there will be some programs that are better than others, but that's simply the way things work. But to let a graduate loose without any post graduate training is simply irresponsible and almost a guarantee that this new DPM will have an extremely tough time being able to compete or make a living.

When the new trend is for all residency programs to become 36 month programs, how is any new grad supposed to survive with NO post grad training?

 

[NatCh]

About the only thing you could do (until reapplying for the following year's cycle) would be nursing homes. Maybe.

Edit: Or you could start an orthotics-only practice or perhaps an orthotics lab. Shoot me now, but it'd be an option.

 

[Feli]

About the only thing you could do (until reapplying for the following year's cycle) would be nursing homes. Maybe.

Why couldn't we bring back 1yr "preceptorships"?
...ie low or no pay for decent help which benefits the training attending (have the trainee do consults, call, clinic, first assist in surgery, etc). In exchange, it's probably juuuust enough post grad training to get the learning DPM a basic practice license in most states...
http://www.michigan.gov/documents/mdch_pod_app_pkt_91694_7.pdf (see pgs 12-13)

As soon as residency shortage talk began, I've though that's what we'd see happen out of necessity. No, those who can't match and do preceptorships will never get BQ/BC, but at least they can learn the basics, practice what they went to school for, and help a lot of patients with primary care pod med skills. It's certainly not ideal, but preceptorships springing up at some booming private practices that don't currently have residents would give the few unmatched DPM grads what they need in the short term while some of the overgrown and underperforming pod schools get their class sizes chipped and clipped...

 

[Podmeister]

No residency = no license = no Medicare provider number/ no insurance plans = no work (includes nursing homes)

It is quite pathetic that a residency shortage exists even after a decade long since the initial crisis began.

If you find yourself in such unfortunate predicament, then walk into the dean's office and demand that the school open a new position. At least do something productive until the next residency cycle.