Regarding the AMA and APMA: scope

[malleolusman]

---

Members do not see this ad.

So my room mate informed me of this, those of you with APMA memberships should read the response by Dr. Taubman (Pres of APMA) to the AMA concerning the AMA's scope of practice module (an outline they have distributed which describes their "highly regarded opinions" on other fields scope of practice, what other professions should/should not be allowed to do). Really interesting stuff and gives you an insight into the political machinations of the AMA.
APMA's rebuttal was excellent.

Click on the practice management link, and scroll to publications.
"apma response to ama scope of practice module"

i got so pumped when i read it, i stopped eating lunch, went and studied LEA. no joke. 😀

 

[Gryhu]

That was awesome! Thanks for pointing this out, malleolusman.

These were my favorite parts:

The module states that “podiatrists may obtain board certification from any number of boards—
all with different requirements for certification,” and suggests that, as a consequence, widespread
confusion exists regarding podiatric certification. The AMA makes this conclusion with great
hypocrisy given the fact that there are hundreds of self-designated certifying boards functioning
outside of the imprimatur of the ABMS.

Also

At best, it is disingenuous for the AMA to characterize the board certification process in
podiatric medicine as confusing, given its own track record and the number of unrecognized
boards that currently exist in medicine, among the likes of certifying groups called the American
Academy of Ringside Medicine and Surgery🙂confused🙂, the American Academy of Bloodless Medicine and
Surgery, and the Council of Non-Board Certified Physicians.12 Numerous published articles
discuss medicine’s befuddled state of board certification and the confusion it has caused the
public.

Kudos to Ross Taubman.

 

[JEWmongous]

That was awesome! Thanks for pointing this out, malleolusman.

These were my favorite parts:



Also



Kudos to Ross Taubman.

How can I view this???

 

[phillypd]

yeah where is the link at? And what is the ABPA fighting for....? Since i haven't read it I can't say for sure but,,, I think that the scope should extend further and there is no reason why DPM's can't do regular FM...since they do go thru a FM, Ortho, general Surg, Derm, and other rotations...along side the MD med students.

 

[PADPM]

phillypd,

I'm sorry, but I don't understand your post. First of all, what is the APBA??? Secondly, are you kidding regarding DPM's practicing "FM"? Do you mean that we should practice family medicine simply because our residents did a ROTATION through family medicine.

Sorry, it's not that simple. You've got to realize NOW, that the DPM is a limited license...PERIOD. If you or anyone else wants to practice family medicine or other types of medicine, than obtain an MD or DO degree.

As long as you have a DPM after your name, you will only be allowed to practice within a limited scope.....so get that in your head now.

Don't fool yourself into thinking you can practice family medicine simply because you did a single rotation. That's an insult to the entire family medicine profession.

By the way, are you a pod student or not?

 

[JEWmongous]

yeah where is the link at? And what is the ABPA fighting for....? Since i haven't read it I can't say for sure but,,, I think that the scope should extend further and there is no reason why DPM's can't do regular FM...since they do go thru a FM, Ortho, general Surg, Derm, and other rotations...along side the MD med students.

Are you one of those pre-pods who think DPM's can do knee surgery (I met my fair share during interviews). This is what gets the profession in trouble and can even result in losing scope of practice. Pods are foot and ankle specialists, not "FM" by any means. You might want to look elsewhere if that is what you are expecting.

And what is the ABPA & FM? If you are going to talk about this, at least have the right terms.

 

[phillypd]

phillypd,

I'm sorry, but I don't understand your post. First of all, what is the APBA??? Secondly, are you kidding regarding DPM's practicing "FM"? Do you mean that we should practice family medicine simply because our residents did a ROTATION through family medicine.

Sorry, it's not that simple. You've got to realize NOW, that the DPM is a limited license...PERIOD. If you or anyone else wants to practice family medicine or other types of medicine, than obtain an MD or DO degree.

As long as you have a DPM after your name, you will only be allowed to practice within a limited scope.....so get that in your head now.

Don't fool yourself into thinking you can practice family medicine simply because you did a single rotation. That's an insult to the entire family medicine profession.

By the way, are you a pod student or not?

You need to calm down.............it ain't that serious....damn if i didn't know any better i would think you were my daddy!! What i said was a joke...sorry ya'll didn't get it😕 I know exactly what foot doctors do...It was a joke on scope, cause everytime i read this thread...Pods are fighting for scope, fighting with MD and DO about being called a "physician", asking if they should be allowed to apply for the same foot and ankle jobs as ortho's....I love the pods i know and I know what the job is. It just seems like a civil rights movement on these threads at times.

Are you one of those pre-pods who think DPM's can do knee surgery (I met my fair share during interviews). This is what gets the profession in trouble and can even result in losing scope of practice. Pods are foot and ankle specialists, not "FM" by any means. You might want to look elsewhere if that is what you are expecting.

And what is the ABPA & FM? If you are going to talk about this, at least have the right terms.

nope sorry, i'm not one of those who thinks knee surgery can be done by a pod. I know they are foot and ankle specialist and can not do FM what so eva.. Since you have know idea what i am expecting don't tell me where to look. And sorry for the typo....of ABPA i meant to put APMA...actually i don't know how i jacked that up

I'm not here to bash or say any wrong about pods...but i would like to see the link on what rights the pods are fighting for now

 

[Gryhu]

How can I view this???

Excellent Question! I googled it and it brought me to this nice page. I guess its publicly available because it didn't redirect me to a log in screen or anything.

 

[JackedUp]

Wow...it's nice to see the APMA fighting for our profession. Does anyone know if this landed with AMA, and if they discontinued the usage of the module?? Some of those statements showed complete disrespect to podiatry and a complete lack of class.

1 week from today there will be DPM's and podiatry students lobbying on capitol hill on behalf of the profession. Let's wish them luck and support them in all they do.

 

[allenmarchallo]

😀 Great article!!---I can't believe I read all 15 pages instead of skimming, but I couldn't get enough ....


+1 Kudos to Dr. Taubman

 

[PADPM]

You need to calm down.............it ain't that serious....damn if i didn't know any better i would think you were my daddy!! What i said was a joke...sorry ya'll didn't get it😕

Well, "phillypd", if it was a "joke" and "we all" didn't get it than it wasn't much of a joke was it??? Apparently, you've got some maturing and growing up to do, because I guess I still don't "get it" when you are attempting to be a professional in the near future and use terms like "it 'ain't that serious". And I don't get the idea that if you didn't know any better you'd think I was your daddy, simply because I didn't understand your post. And even you admitted that you made an error calling the APMA the ABPA.

Interestingly, you never DID answer what type of schooling you are presently enrolled in right now. Are you in college, podiatry school, dental school, medical school, nursing school, chiropractic school, bartending school????? You did seem to avoid answering that question.

 

[phillypd]

i don't avoid questions....I simply don't have to tell you what i'm doing. This is the last time i will comment on this non-sense.
1. I was not attempting to be a professional, i was making a comment
2. The way that you came off, to me i would have thought i was your child or something. Whether it was intentional or not, the tone was harsh. (at least that's how i took it)
3. if you don't see the joke....so what....it's over already

I suggest this be left alone....it's becoming boring.....IT'S OVER ALREADY

if you have something for me than PM me....so the thread doesn't get cluttered with foolishness....

 

[PADPM]

Whoa,

You really do need to grow up. Your avatar says doing BIG doctor things, but when asked a simple question, you say you "don't have to tell" what you're doing.

You are correct, but you lurk on this forum, where everyone basically tells everyone whether he/she is a college student, attending, pre-med, podiatry student, dental student, medical student, etc., yet you hide your present status as if it's some secret that needs to be protected.

Do I have to remind you that your identity is anonymous, and revealing where you are studying will still not reveal you're actual identity???

Are you embarrassed to actually tell others what you're BIG doctor things involve??

 

[phillypd]

Whoa,

You really do need to grow up. Your avatar says doing BIG doctor things, but when asked a simple question, you say you "don't have to tell" what you're doing.

You are correct, but you lurk on this forum, where everyone basically tells everyone whether he/she is a college student, attending, pre-med, podiatry student, dental student, medical student, etc., yet you hide your present status as if it's some secret that needs to be protected.

Do I have to remind you that your identity is anonymous, and revealing where you are studying will still not reveal you're actual identity???

Are you embarrassed to actually tell others what you're BIG doctor things involve??

Damn, you just don't quit......sheeesh



So anyway.....to the others on this thread....i read the article and it was very good.....impressive i must say. I was taken back on how the AMA is so afraid.....for other physicians to be recognized for there achievements and outstanding work. I think it is disgraceful how they believe they are so prestigious that no one else deserves the right to be a physician. Do anyone know the 33 states that do say "podiatric physicians" and the others that don't? Or is there a place where that can be found.

 

[iceman69]

Damn, you just don't quit......sheeesh



So anyway.....to the others on this thread....i read the article and it was very good.....impressive i must say. I was taken back on how the AMA is so afraid.....for other physicians to be recognized for there achievements and outstanding work. I think it is disgraceful how they believe they are so prestigious that no one else deserves the right to be a physician. Do anyone know the 33 states that do say "podiatric physicians" and the others that don't? Or is there a place where that can be found.

The AMA is doing what any other business/professional entity should do when there is competition for revenue, maximizing their market share. This shouldn't come as shocker as many things in medicine are done to make money, and not in the pts best wishes always (physician preference for surgery, rad studies, etc). Why do you think teaching hospitals, and NPO hospitals are getting frustrated by doc's owning MRs, CTs and surg centers and even specialty hospitals? It costs them money, hence there is now a lot of legislation regarding physician owned entities. Get used to this. It will only get worse if you want to make money outside of practicing podiatry or your chosen profession.


Excuse me occifer, have you been eating donuts because your eyes are glazed over? Seriously kid, what are you doing?

 

[air bud]

phillyPD is a pre-pod, non traditional and not surprisingly a woman.

 

[tracheatoedoc]

Many prbably know that I am a dpm converted to md.
I haven't read the AMA thing but generally agree that there are a lot of various boards. The main certifying board in podiatry changes it's name periodically. What is it now, the ABPFAS? or something. Then there is the ortho board, the primary podiatry board,,,,, what else, I'm sure there are at least 10.
Put yourself in the mind of the AMA. They see a profession that seems unstable. Very recently very few pods even did postgrad work.
Many don't like this comparison, but ask yourself, what does it mean to be a board certified chiropractor? That you paid $400 to take a test in Las Vegas? Believe it or not, you guys are lumped in with the chiropractors, in the eyes of the AMA.
I'm sure that in the next 10 years you will rename the surgery board, maybe add another letter, frakly, I'd just go back to ABPS.
As far as the physician designation, I'd say most MDs think the word Physician referes to MDs and DOs period. But, everyone in a allied health field wants to define themselves as a physician

 

[navyprincess]

I think this was a great rebuttal for practicing podiatrists everywhere. I do want to point out that as a resident at a VAMC, we, as podiatric residents medically managed all of our in-patients and surgical patients (with the exception of clearing surgical patients with significant heart disease). With that being said, I am gland that I will not be doing routine H&Ps (including rectal exams, genitalia exams and pelvic exams) as a podiatrist. It was a part of my residency training and where I feel completely comfortable with handling high blood pressure, acute MI, etc; it just isn't in my scope. Now, with that being said about podiatrists’ scope of practice, the general surgical residents refuse to medically manage their patients (they have an IM on the floor do that) they manage the surgery they did. My step-father had a stent placed a few months ago and the cardiothoracic surgeon only managed his surgical issues and the IM doc managed his medications, blood pressure and routine lab draws. It is not only podiatrists that don't medically manage their patients. Patients that I see in clinic, I manage their peripheral neuropathy (which is obviously not coming directly from their foot -- unless they have a nerve entrapment), post-op pain, short-term pain meds, and I will write for meds such as anti-HTNs, anti-hyperlipidemics, rheumatologic agents, etc (but I will only give a month supply and send them directly to their PCP along with my note stating what I gave the patient).

Podiatrists have long be viewed as chip and clip technicians (hey, it pays the bills and there are some patients who legitimately need a professional to trim their nails -- anyone seeing a patient with PAD and DM who trimmed their own nails and subsequently have gangrene of one or more toes will agree). If you want a procedural profession-- podiatry is for you. If you want to medically manage your patients and maybe do a few procedures in your office, look for family practice. And just to add some prospective—I have been to MDs that believe that DO school is not a true medical school and I have been on rotation with a dermatologist whose patient asked him “You mean you had to go to medical school and residency like a real doctor?”.

 

[PADPM]

tracheatoedoc,

I respect the fact that you decided to make a career change and leave podiatry to pursue your medical degree. But I'm afraid that you may be slightly out of touch with your former profession, and have made some erroneous and less than accurate statements.

For starters, the name of the certifying board has NOT changed since it's inception. The board was and remains the American Board of Podiatric Surgery. There simply is no confusion despite your comments about the name constantly changing.

I believe what you MAY be referring to is the simple name change many years ago, when the American College of Foot Surgeons simply EVOLVED into the American College of Foot & Ankle Surgeons. The simple addition of the word "ankle" doesn't seem too confusing.

Now that the ACFAS is not an official affiliate of the APMA, the APMA is starting a new "college" called the ASPS/Amercan Society of Podiatric Surgeons. This is NOT a certifying board, but simply a professional "college" that one becomes a Fellow or Associate of once board qualification or certification in surgery is obtained.

Unlike traditional medicine, there are only about 2-3 "unrecognized" CERTIFYING boards in podiatry, not the 10 you mentioned, so there really is very little confusion and that has been blown significantly out of proportion.

What is much easier to keep in mind is that there are only TWO recognized certifying boards by the APMA, the American Board of Podiatric Surgery and the American Board of Podiatric Orthopedics and Primary Medicine. That keeps it very simple.

So, contrary to your comments, the ABPS has never changed it's name, nor do I believe there will be any plans in the future to change their name.

 

[smartman716]

PADPM,

Thanks for being our advocate!

 

[phillypd]

phillyPD is a pre-pod, non traditional and not surprisingly a woman.

Air Bud = Air Head

 

[215512]

Air Bud = Air Head

should I stick up for my new found homie?...i mean, you DID break the truce and all....hmm-

To Be Continued...