Running for APMSA delegate and need some answers for speech

[longstech]

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hello~

I am running for APMSA delegate at my school, and as part of my speech, I wanted to give my classmates info on the cities and states where full DPM practicing privileges aren't allowed (ie: in hospitals, surgical procedures, etc). I asked the graduate placement office for help, but they referred me to the APMA website, which I do not have a login for yet. Can anyone else help me get this info, or tell me where to look.

Thanks.

 

[Feli]

It's a state-by-state, hospital-by-hospital decision. The list of scope by state is readily available... I know off the top of my head that a few of the worst ones are New York, Alabama, South Carolina, etc. Some of the best scopes are FL, MI, Cali, GA, DE, etc. This is why we need a national scope, but the problem is that there is honestly still some BIG training discrepencies from DPM to DPM... you could be in Anytown, USA and find DPMs who were trained to do triples, ankle fusions, frames, etc... and down the street, there might be a DPM who is barely trained to do hammertoes. This will get fixed over time now that the bar has been raised and the minimum training has improved, but the change won't be overnight.

At a hospital or surg center, the board (usually composed of mostly/all MDs) votes on which doctors that apply get staff/OR priviliges... and what surgeries they are/aren't allowed to do. For example, just because a state's scope says DPMs can do ankles, that does not simply mean they will. A pod can just go in and start doing anything up to the limits of his state scope in a hospital OR. If that hospital's board votes to grant them rights for OR bunions but denies them ankle privileges (even if it's a state where DPMs have RF scope), then that's how it is... he has to find somewhere else to do ankles.

Glad to see you're motivated to do the APMSA gig... be careful, though. It's a major time commitment. It can hurt your gpa, so you really have to get organized if elected.

 

[longstech]

thanks for the info. I will keep in mind the aspect that the hospital board ultimately has the last say in what we can and can't do which I never really thought of before. Where can I find the list of scope by state?

 

[Feli]

... Where can I find the list of scope by state?

This list below is a couple years old but should be mostly accurate...

A word of caution... this is from ACFAS (the mortal enemy of APMA 😀)

 

[longstech]

cool, thanks.

 

[whiskers]

Also inform them that although a state allows certain priviledges, every hospital has their own right to say what you can not do not do at their site.

You may be a big shot 3yr trained superhero pod in a state that allows pods to tamper with the ankle// with 10000 articles and known by every pod in the world, but if the hospital says pods cant do ankles, guess what...

 

[Feli]

Also inform them that although a state allows certain priviledges, every hospital has their own right to say what you can not do not do at their site.

You may be a big shot 3yr trained superhero pod in a state that allows pods to tamper with the ankle// with 10000 articles and known by every pod in the world, but if the hospital says pods cant do ankles, guess what...

Yes, this is what I was getting at in my post above.^

This is also why residency case volume is so important IMO (and why so many residents/programs tend to "massage" their logs). Yes, you need to see your attendings' pre-op decision making process and you want to see some of your patient post-ops to learn how to manage recovery timeline and any possible complications. However, the one thing that translates from hospital to hospital, state to state, etc is pure volume and case logs.

 

[longstech]

Also inform them that although a state allows certain priviledges, every hospital has their own right to say what you can not do not do at their site.

You may be a big shot 3yr trained superhero pod in a state that allows pods to tamper with the ankle// with 10000 articles and known by every pod in the world, but if the hospital says pods cant do ankles, guess what...

As I told Feli before, I think this is an excellent point that I had not considered. Today I actually e-mailed at least 2 DPM mentors from almost every state and asked them what their situation was like regarding this issue, and if they knew of it being a problem near them or within the state. I wanted to get some evidence in writing, so if anyone asks where I got my info I could point them to something. Is there any articles or places I can look that states this explicitly?

Thanks so much for your responses.

 

[jonwill]

Just promise your classmates "change" and they'll vote for you

 

[gustydoc]

Just promise your classmates "change" and they'll vote for you

Do you have any "community organizing" experience. apparently that qualifies you to do just about anything.

 

[JEWmongous]

Do you have any "community organizing" experience. apparently that qualifies you to do just about anything.

Apparently being a ***** qualifies one to run for vice president:

“As for that VP talk all the time, I’ll tell you, I still can’t answer that question until somebody answers for me what is it exactly that the VP does everyday?”

😴

 

[DPMstudent]

Apparently being a ***** qualifies one to run for vice president:

“As for that VP talk all the time, I’ll tell you, I still can’t answer that question until somebody answers for me what is it exactly that the VP does everyday?”

😴

joe biden is a *****. his stupid comments are going to cost him ohio in the election.

 

[GetnMyFtNtheDor]

Community organizing is not as easy as it seems considering how hard it is to get more than 50 idiots to agree on anything

 

[Dmayor22]

Apparently being a ***** qualifies one to run for vice president:

“As for that VP talk all the time, I’ll tell you, I still can’t answer that question until somebody answers for me what is it exactly that the VP does everyday?”

Do you know what a vice president does on a day to day basis? I don't think most people do. What did Al Gore do besides invent the internet?

No doubt community organizing is hard, no one has said it was easy. But does being an organizer make you qualified to be president? I love Obama's logic about having more executive experience than Palin.

"I have been running a campaign with 2500 hundred volunteers and a hundred billion dollar budget for the past 2 years, that is better than being a mayor of a town of like 9000."

So running for president qualifies you to be president? Excellent circular logic there. I love how he likes to ignore the fact she is a governor now in charge of a whole state with a multi billion dollar budget over 25000 employees.

CHANGE. The only thing you will have left in your pocket when Obama is done as President.

 

[j0ez0r]

nm

 

[Dr. Gangrene]

Just promise your classmates "change" and they'll vote for you

My closing line was this, " Vote for me and I will make all of your wildest dreams come true."

I won.🙄

 

[j0ez0r]

nm

 

[bdaddyjolley]

My closing line was this, " Vote for me and I will make all of your wildest dreams come true."

I won.🙄

I thought you slapped your leg and said, "Dr. Gangrene IS APMSA!" as your closing line.

 

[Dr. Gangrene]

I thought you slapped your leg and said, "Dr. Gangrene IS APMSA!" as your closing line.

That was after I won.

 

[Dr. Gangrene]

interesting...several people used that line in our election too. They lost.

My speech was much more on the serious side compared to others, I guess it paid off 😎

Hopefully not too serious.
So you won? Say hi to mark for me.

 

[j0ez0r]

nm

 

[Danmanwrx]

.

 

[SubRosa]

One of the D.O.'s used that line while running for president and he won...

Haha, yeah he did. Mitch!!!

 

[Feli]

Well, to help with your speech, you could take some cues from the debates last night. According to many national media outlets and public opinion, Obama won. Therefore, follow some of his sylistic and issue his cues...

When talking about the economy, agree that "senator McCain is absolutely right" that spending needs to be cut, but then proceed to say that each of your lofty goals is critical (govt funded healthcare, more troop to Afghanastan, energy research, etc).
http://www.youtube.com/watch?v=0EILVmk3UW0 (skip up to 2min mark if you want)

To conclude, you may want reaffirm that, when elected, you want to sit down with known terrorists. When questioned about it, be sure to twist the words of foreign policy experts, and get yourself caught in a lie.
http://www.youtube.com/watch?v=KDytjDcx_kA

Throughout the debates, be sure to repeatedly interrupt both your opponent and the moderator. Simpy raise your hand and talk above them if necessary. When your opponent is given his time to talk, you should be sure to periodically laugh and shake your head in disgust.

GL

 

[j0ez0r]

nm