Something Interesting for APMSA Delegates to look into

[molldoll2010dpm]

7 years??? Are you counting undergrad? There is not a dental school in the world that takes 7 years. Also, my statement was that they could increase their training similar to the PA, therefore, they would have a masters and yes they would undertake massive debt in the 5 to 6 years it takes to finish the program. If this amazing training is so important for teeth cleaning then why does the dentist look in your mouth for 5 minutes?

And I don't think that they are back door degrees. PAs fill the whole that is left by a shortage of physicians. My wife had a choice of seeing a LPN/PA or wait 2 months to see a doctor b/c her OB-GYN is that busy. I think you are being silly to put down your follow practitioners.

My question is if they operate separate who is this an insult to the DDS degree? They don't do the work that the hygienist does now. It would be like a physician getting made that a nursery does at home health care b/c they want the money. I think this is what your argument boils down to is money, not what is best for patients or health care.

All types of practitioners are needed out there. I actually don't even see an MD anymore I prefer to see the Nurse Practitioner. It all depends on what practitioner resources you have in your area. There are rooms for a lot. People need health care from head to toe. I agree with Dr. Feelgood. I'm not saying that the bill is attacking Podiatrists, however, we have as much right to be a doctor of the feet and dentists do for the mouth.

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[dawg44]

This bill has nothing to do with what you can or cannot do in the operating room. This bill is design to protect patients and their right to know who is treating them. We have a couple of podiatrists in town that have Dr. on their jacket, on their business card on every piece of office stationary but nowhere is DPM listed. A patient should easily be able to tell. That is what this bill is for. I have never seen a DO or MD with Dr and nothing else listed anywhere on lab coats, stationary or business cards. Name then degree thats the way it should be. I had a patient today that said they asked a guy "Are you a podiatrist?" He answered "I'm a surgeon." And the patient left it at that, until they found their answer in the phone book. Thats not how it should be. That's a yes or no question and evasive no matter how you put it.

 

[Dr_Feelgood]

Okay. So if this is about honesty why are DDS included? Can they say, "I'm a doctor" but a podiatrist is not? I guess you still think that you learn nothing from pods right? You never do a Weil Osteotomy and you don't own McGlamary's? NEVER!!! I'm not saying what they guy did is right but is he not a surgeon???

If we are going to list our qualifications, then DOs should be required to put DO; MDs should say MD. Under this law international students cannot be called doctor either. They did not attend an MD/DO program and therefore, even though they practice with full rights, cannot tell people they are doctors.

 

[krabmas]

Okay. So if this is about honesty why are DDS included? Can they say, "I'm a doctor" but a podiatrist is not? I guess you still think that you learn nothing from pods right? You never do a Weil Osteotomy and you don't own McGlamary's? NEVER!!! I'm not saying what they guy did is right but is he not a surgeon???

If we are going to list our qualifications, then DOs should be required to put DO; MDs should say MD. Under this law international students cannot be called doctor either. They did not attend an MD/DO program and therefore, even though they practice with full rights, cannot tell people they are doctors.

In the NYCPM art of doctoring or medical ethics class (not sure which one) we learned that if you put Dr. before your name you must then put at the end MD, DO, DPM, PhD whatever the case may be. maybe this is just a new york thing?

 

[Dr_Feelgood]

In the NYCPM art of doctoring or medical ethics class (not sure which one) we learned that if you put Dr. before your name you must then put at the end MD, DO, DPM, PhD whatever the case may be. maybe this is just a new york thing?

I completely agree. I'm not disagreeing w/ listing your qualifications. My thought is why do we need a law to make only MDs, DOs and DDS's doctors. My biggest catching point is the addition of the DDS. What makes them more qualified to be called a doctor???

 

[krabmas]

I completely agree. I'm not disagreeing w/ listing your qualifications. My thought is why do we need a law to make only MDs, DOs and DDS's doctors. My biggest catching point is the addition of the DDS. What makes them more qualified to be called a doctor???

I have no answers for you. I was not trying to proove anyone wrong just stating what we learned.

now you know what I learned.

 

[Dr_Feelgood]

Rob and I discussed this today. I would like to see the law written like this. All health care professionals must list their credentials after his/her name. No one is allowed to misrepresent their training, this means pods cannot say they are othopods and orthopods cannot say they more than pods or PM&R or a general surgeon. Each area of medicine cannot compare itself to another area of medicine. I would support any law that stayed true to "No physician can compare his or her training to any other medical field; they may only state what training they have recieved."

 

[IlizaRob]

Rob and I discussed this today. I would like to see the law written like this. All health care professionals must list their credentials after his/her name. No one is allowed to misrepresent their training, this means pods cannot say they are othopods and orthopods cannot say they more than pods or PM&R or a general surgeon. Each area of medicine cannot compare itself to another area of medicine. I would support any law that stayed true to "No physician can compare his or her training to any other medical field; they may only state what training they have recieved."

I think that if there was a law made, it should be that any health professional, or otherwise, with a doctorate degree, can and should only advertise themselves (Whether it be in the phone book or on your white coat) with the initials of their degree following their name if they wish to use the title doctor. This goes for MD/DO/DPM/DDS/OD/PHD etc. With all the changes in health care today, it is better that the public gets used to MD/DO/DPM rather than the general term "doctor". "Dr. Bob Smith, MD" and "Dr. Joe Shmoe, DPM", or better yet, "Bob Smith, MD" and "Joe Shmoe, DPM".

 

[Dr_Feelgood]

I think that if there was a law made, it should be that any health professional, or otherwise, with a doctorate degree, can and should only advertise themselves (Whether it be in the phone book or on your white coat) with the initials of their degree following their name if they wish to use the title doctor. This goes for MD/DO/DPM/DDS/OD/PHD etc. With all the changes in health care today, it is better that the public gets used to MD/DO/DPM rather than the general term "doctor". "Dr. Bob Smith, MD" and "Dr. Joe Shmoe, DPM", or better yet, "Bob Smith, MD" and "Joe Shmoe, DPM".

I would also include specialty area such as:

Bob Smith, MD
Family Practice

Rob Anderson, DPM
Podiatry

Patients don't always know what the alphabet soup stands for.

 

[dawg44]

Okay. So if this is about honesty why are DDS included? Can they say, "I'm a doctor" but a podiatrist is not? I guess you still think that you learn nothing from pods right? You never do a Weil Osteotomy and you don't own McGlamary's? NEVER!!! I'm not saying what they guy did is right but is he not a surgeon???

If we are going to list our qualifications, then DOs should be required to put DO; MDs should say MD. Under this law international students cannot be called doctor either. They did not attend an MD/DO program and therefore, even though they practice with full rights, cannot tell people they are doctors.

We don't call a metatarsal shortening osteotomy a Weil Osteotomy in my fellowship, unless you want to get made fun of. McGlamary's? Its nowhere in our library. When we think of surgeons we think of people who completed 4 years of medical school, a 1 year surgical intership and 4 years of surgical residency. That's our vantage point.
I've never seen a jacket, business card or office stationary that didn't have DO or MD on it. This bill makes no reference to FMGs. They completed medical school they are a MD.

 

[dawg44]

I think that if there was a law made, it should be that any health professional, or otherwise, with a doctorate degree, can and should only advertise themselves (Whether it be in the phone book or on your white coat) with the initials of their degree following their name if they wish to use the title doctor. This goes for MD/DO/DPM/DDS/OD/PHD etc. With all the changes in health care today, it is better that the public gets used to MD/DO/DPM rather than the general term "doctor". "Dr. Bob Smith, MD" and "Dr. Joe Shmoe, DPM", or better yet, "Bob Smith, MD" and "Joe Shmoe, DPM".

absolutely

 

[dpmgrad]

We don't call a metatarsal shortening osteotomy a Weil Osteotomy in my fellowship, unless you want to get made fun of. McGlamary's? Its nowhere in our library. When we think of surgeons we think of people who completed 4 years of medical school, a 1 year surgical intership and 4 years of surgical residency. That's our vantage point.
I've never seen a jacket, business card or office stationary that didn't have DO or MD on it. This bill makes no reference to FMGs. They completed medical school they are a MD.

Actually, many of the Orthopaedic Surgery Textbooks do call metatarsal shortening osteotomy Weil Osteotomy. You can find this information in books such as Reconstructive Foot and Ankle Surgery by Mark Myerson (past AOFAS president), Master Techniques in Orthopaedic Surgery: Foot and Ankle edited by Harold Kitaoka, Campbell's Operative Orthopaedics by Canale, etc.... I trained under some of the Orthopaedic Surgeons during my residency and they also called the shortening osteotomy as a Weil Osteotomy.

As for the bill, if you said that the purpose of the bill is to restrict identification of "medical doctor" to only MD/DOs to limit the amount of public confusion, why are DDS/DMDs included in this bill? As for Podiatrist using Dr. and not DPM on their business cards or physician coats, most of the Podiatrist that I know in my area (including myself) have DPM after our names.

 

[Dr_Feelgood]

Actually, many of the Orthopaedic Surgery Textbooks do call metatarsal shortening osteotomy Weil Osteotomy. You can find this information in books such as Reconstructive Foot and Ankle Surgery by Mark Myerson (past AOFAS president), Master Techniques in Orthopaedic Surgery: Foot and Ankle edited by Harold Kitaoka, Campbell's Operative Orthopaedics by Canale, etc.... I trained under some of the Orthopaedic Surgeons during my residency and they also called the shortening osteotomy as a Weil Osteotomy.

As for the bill, if you said that the purpose of the bill is to restrict identification of "medical doctor" to only MD/DOs to limit the amount of public confusion, why are DDS/DMDs included in this bill? As for Podiatrist using Dr. and not DPM on their business cards or physician coats, most of the Podiatrist that I know in my area (including myself) have DPM after our names.

 

[Dr_Feelgood]

When we think of surgeons we think of people who completed 4 years of medical school, a 1 year surgical intership and 4 years of surgical residency. That's our vantage point.

If this is true you better get rid of your DDS brothers on this bill b/c I know oral/maxillofacial surgeons undergo 4 years of surgical residency not 5. I guess they are just pods in drag??? They better not call themselves a surgeon, damn liars.

 

[AZPOD Rocks]

Or ophthalmologists? They are eye surgeons and have only a 4 year residency under their belts. That is not very much different from the 3 years required for most of the podiatric surgery residencies now.

AZPOD Rocks

 

[dawg44]

If this is true you better get rid of your DDS brothers on this bill b/c I know oral/maxillofacial surgeons undergo 4 years of surgical residency not 5. I guess they are just pods in drag??? They better not call themselves a surgeon, damn liars.

Where does it say 5 years of residency in my post?

 

[AZPOD Rocks]

Where does it say 5 years of residency in my post?

Dawg,

Surgery is a technical skill. I worked as a tissue bank specialist and my primary job was to take UE and LE bones and craft them into dozens of different types of allografts. This required a very keen sense of precision and technical expertise.

During this time, I worked with numerous orthopedic surgeons who had varied interests in their field. Some were excellent surgeons, some were good surgeons, but because they all had years of experience, all were competent.

One thing I learned during this time is that it doesn't take a genius to be an excellent surgeon... intelligent, yes, but not a genius. I find it curious that you portray your education as superior to that of modern day podiatrists. You use that superiority as a basis for "I am more qualified than you to treat the foot and ankle." This is a ridiculous sentiment when taking into account the duration of modern podiatric residencies. The limited scope of practice in podiatry makes a 3 year residency plenty of time for the acquisition of excellent technical expertise.

Please do not think I believe podiatrists to be par with orthopedic surgeons in other regards. I recognize the rigor of orthopedic surgery to be among the most intense of surgical subspecialties (insomuch that I was dissuaded by many excellent surgeons from entering that specialty). However, to claim your education places you in a superior realm of expertise is erroneous... even if this claim is merely insinuated by an arrogant attitude in your postings.

AZPOD Rocks

 

[dawg44]

My attitude has changed during my fellowship because I am living it. I am at a tertiary referral center, and for foot and ankle for about 3 million people. It ends here. My trainers are truly elite in foot and ankle, the players on pro sports teams come to us because we are the end of the line. Some of the professional players that have had surgery here is staggering and teams send MRIs to our office for an opinion before they draft a player. So my trainers have a unique perspective in foot and ankle and the train wrecks we get. Some are from orthopods (we all have our skeletons), but its too numerous to count the ones we get from podiatrists. I'm just telling you what I have seen first hand. Have they completed modern residencies? I have no idea. I hope these new modern residencies help patient outcomes. Do I think my training is elite? absolutely

 

[Podman]

My attitude has changed during my fellowship because I am living it. I am at a tertiary referral center, and for foot and ankle for about 3 million people. It ends here. My trainers are truly elite in foot and ankle, the players on pro sports teams come to us because we are the end of the line. Some of the professional players that have had surgery here is staggering and teams send MRIs to our office for an opinion before they draft a player. So my trainers have a unique perspective in foot and ankle and the train wrecks we get. Some are from orthopods (we all have our skeletons), but its too numerous to count the ones we get from podiatrists. I'm just telling you what I have seen first hand. Have they completed modern residencies? I have no idea. I hope these new modern residencies help patient outcomes. Do I think my training is elite? absolutely

There is no doubt that orthopod training is elite - it is one of the most competitive residencies out there. In reference to your experience with the "numerous" podiatry "train wrecks" that you get - well, I'm in no position to assess how you're getting those cases or why they exist - this is your experience but in no way does your experience reflect the overall current state or the level of the procedures and services provided by podiatrists or dare I say, "podiatric surgeons".

Just as you take pride in your profession and high level of training, we also pride in our profession and training. I can't speak on everyone's behalf but I have experienced "numerous" positive cases and successful procedures with DPMs. Granted my experience is not as vast as yours in the OR as I am merely a third year student, but I have the peace in mind in knowing that I am also receiving great training.

At any rate, I wish you all the best with your fellowship and future practice.

 

[Dr_Feelgood]

My attitude has changed during my fellowship because I am living it. I am at a tertiary referral center, and for foot and ankle for about 3 million people. It ends here. My trainers are truly elite in foot and ankle, the players on pro sports teams come to us because we are the end of the line. Some of the professional players that have had surgery here is staggering and teams send MRIs to our office for an opinion before they draft a player. So my trainers have a unique perspective in foot and ankle and the train wrecks we get. Some are from orthopods (we all have our skeletons), but its too numerous to count the ones we get from podiatrists. I'm just telling you what I have seen first hand. Have they completed modern residencies? I have no idea. I hope these new modern residencies help patient outcomes. Do I think my training is elite? absolutely

So the White Sox are idiots for having pods on staff instead of a F&A right? How did they win the World Series???? I'm not taking away from your training but in the limited scope pods are on par w/ F&As. I have never and will never compare the overall surgical skills or the overall training, but in just the foot and ankle, pods can compete w/ F&As.

 

[Dr_Feelgood]

Where does it say 5 years of residency in my post?

So a 1 year surgical internship is not residency?? It is not the general surgical training?? If not pods have 2 years of surgical internships in their 3 and 4th year of medical school, and 3 years of residency which would equal you magic 5 years. Also some pod residency programs are 4 years so w/ the 1 year of clerkship and 4 years of residency, I guess they are surgeons also.

Dawg, I am shocked at your new outlook on pods. I wish you the best and hope that you new attitude doesn't come back to haunt you. With today's stupid legal system if you act like a jerk to the local pods, I'm sure they will be more than happy to show up in court to testify against you. I'm one to believe that you attract my bees w/ honey than crap.

 

[jonwill]

My attitude has changed during my fellowship because I am living it. I am at a tertiary referral center, and for foot and ankle for about 3 million people. It ends here. My trainers are truly elite in foot and ankle, the players on pro sports teams come to us because we are the end of the line. Some of the professional players that have had surgery here is staggering and teams send MRIs to our office for an opinion before they draft a player. So my trainers have a unique perspective in foot and ankle and the train wrecks we get. Some are from orthopods (we all have our skeletons), but its too numerous to count the ones we get from podiatrists. I'm just telling you what I have seen first hand. Have they completed modern residencies? I have no idea. I hope these new modern residencies help patient outcomes. Do I think my training is elite? absolutely

So what's your take on the pods that are doing ortho foot & ankle fellowships after pod residencies?

 

[dawg44]

So a 1 year surgical internship is not residency?? It is not the general surgical training?? If not pods have 2 years of surgical internships in their 3 and 4th year of medical school, and 3 years of residency which would equal you magic 5 years. Also some pod residency programs are 4 years so w/ the 1 year of clerkship and 4 years of residency, I guess they are surgeons also.

Dawg, I am shocked at your new outlook on pods. I wish you the best and hope that you new attitude doesn't come back to haunt you. With today's stupid legal system if you act like a jerk to the local pods, I'm sure they will be more than happy to show up in court to testify against you. I'm one to believe that you attract my bees w/ honey than crap.

No a internship is not a residency. You are a intern. When you are a intern you are running codes, pumping on chests, intubating people in the ICU, starting lines and doing paperwork and holding hooks. For lack of a better term you are the b*tch of the hospital. Thats a intern. So no you don't have a internship during your medical school. You are a Student not an intern.
As far as malpractice as a foot and ankle orthopod. I'm not worried.
http://www.footlaw.com/news/article.htm
http://www.footlaw.com/news/soul.pdf
and lighten up I'm just stirring the pot it has been extremely boring on the SDN forum lately. Pod vs Orthopod is right up there with DO vs MD and Optometrist vs Opthamologist. BTW great avatar.

 

[dpmgrad]

My attitude has changed during my fellowship because I am living it. I am at a tertiary referral center, and for foot and ankle for about 3 million people. It ends here. My trainers are truly elite in foot and ankle, the players on pro sports teams come to us because we are the end of the line. Some of the professional players that have had surgery here is staggering and teams send MRIs to our office for an opinion before they draft a player. So my trainers have a unique perspective in foot and ankle and the train wrecks we get. Some are from orthopods (we all have our skeletons), but its too numerous to count the ones we get from podiatrists. I'm just telling you what I have seen first hand. Have they completed modern residencies? I have no idea. I hope these new modern residencies help patient outcomes. Do I think my training is elite? absolutely

I do believe that some of the Foot and Ankle Fellowship trained Orthopaedic Surgeons do get some excellent training under some of the more prominent Foot and Ankle Orthopaedic Surgeons. However, I can also say that my practice and some of the other Podiatry practices do see quite a bit of so called "train wrecks" from local area Orthopaedic Surgeons and Foot and Ankle Fellowship trained Orthopaedic Surgeons. Of course, we see some of the train wrecks from local Podiatric Surgeons as well. Like you said, we all have skeletons in the closet. Vice versa, I am sure that the local Foot and Ankle Fellowship trained Orthopaedic Surgeons will also probably see the train wrecks from both Podiatric Surgeons and other Orthopaedic Surgeons.

A few days ago, I had a patient who had a bunionectomy by one of the Foot and Ankle Orthopods. She initially came to see one of my colleagues for the bunion deformity and was recommended to have a Chevron Bunionectomy (Austin Bunionectomy in Podiatry world) since her IM angle was only 11 degrees with no DMAA/PMAA (DASA/PASA in Podiatry world) abnormalities. However, she wanted a second opinion and went to the Foot and Ankle Orthopod, who talked her out of a Chevron Bunionectomy (due to a high rate of AVN for whatever reason) and she got a Crescentic Osteotomy instead. Now, she presents with Hallux Varus and Elevatus of the 1st Metatarsal bone secondary to the Crescentic Osteotomy and does not wish to return back to that Foot and Ankle Orthopod.

As for the training that the next generation of Podiatric Surgeons are getting today, I think that we are getting excellent training. Many of the newly trained Podiatric Surgeons are better trained today and have gone on to do fellowship training, such as Limb Deformity Correction with Dr. Dror Paley, Ilizarov Ex Fix Fellowship at Kurgan, Russia, AO/ASIF Orthopaedic Trauma Fellowship, Diabetic Limb Salvage, Wound Care, Podiatric Sports Medicine, etc... For example, I will be doing my AO/ASIF Orthopaedic Trauma Fellowship in early 2007. There are a few DPM who also did the Foot and Ankle Orthopaedic Fellowshing training as well. There are several Orthopaedic groups that had hired Podiatric Surgeons to cover all of the foot and ankle surgical cases since there are a limited supply of foot and ankle fellowship trained Orthopaedic Surgeons. From what I hear, those Orthopaedic groups are rather satisfied with their choice in hiring a Podiatric Surgeon. By the way, there are also Podiatrists that work with professional athletes from teams such as New York Giants and Miami Heat.

 

[dawg44]

So what's your take on the pods that are doing ortho foot & ankle fellowships after pod residencies?

I think its good it should help your standing with other MDs/DOs an will probably get you noticed if you want to join a ortho group. My guys never will take one, but thats them. I'm sure some fellowships have their reasons maybe they would prefer a american DPM to a FMG with language difficulties, but all in all ortho foot and ankle fellowships prefer good guys that are american trained orthopods. By standardizing your residencies you have made your profession better I will give you that because what it was before was asinine. Apprenticeships? What is this the middle ages? Bring hither my flaggen of mead wench!

 

[AZPOD Rocks]

So what's your take on the pods that are doing ortho foot & ankle fellowships after pod residencies?

I didn't know that this was possible. Care to elaborate?

 

[dpmgrad]

I didn't know that this was possible. Care to elaborate?

Since there are quite a bit of Orthopaedic Foot and Ankle Fellowships unfilled, a few of these fellowships have taken on DPMs. I personally know of a few DPMs who did the Orthopaedic Foot and Ankle Fellowships. You do have to understand that it is NOT the norm for the Orthopaedic Foot and Ankle Fellowships to take DPMs.

 

[jonwill]

I didn't know that this was possible. Care to elaborate?

Ya, I know of one at Ohio State. Yearly, a decent number of the 40 or so fellowships goes unfilled. In the past years, DPM's have enquired as to whether they would be considered if they applied. Some will consider them while others won't.

 

[dpmgrad]

Ya, I know of one at Ohio State. Yearly, a decent number of the 40 or so fellowships goes unfilled. In the past years, DPM's have enquired as to whether they would be considered if they applied. Some will consider them while others won't.

There are two DPMs that I know of that did the Orthopaedic Foot and Ankle Fellowship with that group in Columbus, OH (which is affiliated with both Ohio State University Medical Center and Grant Medical Center).

 

[jonwill]

No a internship is not a residency. You are a intern. When you are a intern you are running codes, pumping on chests, intubating people in the ICU, starting lines and doing paperwork and holding hooks. For lack of a better term you are the b*tch of the hospital. Thats a intern. So no you don't have a internship during your medical school. You are a Student not an intern.
As far as malpractice as a foot and ankle orthopod. I'm not worried.
http://www.footlaw.com/news/article.htm
http://www.footlaw.com/news/soul.pdf
and lighten up I'm just stirring the pot it has been extremely boring on the SDN forum lately. Pod vs Orthopod is right up there with DO vs MD and Optometrist vs Opthamologist. BTW great avatar.

Hey, someone has to stir the pot. I'll be the first one to agree with you in that not all pods do or should do surgery. I've personally seen guys that, in my opinion, should not be doing surgery. However, a lot of guys coming out of the 3 year residencies are phenominal. I'm currently rotating at a program that covers two level I trauma centers for foot & ankle. In the past 3 weeks, I've seen from bunions and hammertoes to trimalleolar, calc, and pilon fxs. I've personally scrubbed from Austin bunions to taylor spatial and ilizarov frames.

Yes, there is a huge difference in podiatric surgical training from 20 years ago to present day but our current training is second to none.

 

[dawg44]

I'm sure the training has improved, it had to. That being said, I would kick someone's butt if they ever put an Ex Fix on me for anything more than a temporizing feature if they could avoid it. Save the 10 grand on the spatial frame and me going bezerk, put me in a delta frame for 2-3 weeks then ORIF if its a pilon or IM nail from the start if its a tibia.

 

[Dr_Feelgood]

I'm sure the training has improved, it had to. That being said, I would kick someone's butt if they ever put an Ex Fix on me for anything more than a temporizing feature if they could avoid it. Save the 10 grand on the spatial frame and me going bezerk, put me in a delta frame for 2-3 weeks then ORIF if its a pilon or IM nail from the start if its a tibia.

A little cage rage??? Thank god you are stirring the pot. I have always enjoyed reading your posts and all of the sudden you sound like bill_clinton or one of those other randoms who hate the pods b/c we are featured on the new Red Stripe commercial.

 

[jonwill]

A little cage rage??? Thank god you are stirring the pot. I have always enjoyed reading your posts and all of the sudden you sound like bill_clinton or one of those other randoms who hate the pods b/c we are featured on the new Red Stripe commercial.

I wonder what ever happened to Bill?

 

[dawg44]

I wonder what ever happened to Bill?

He's gearing up for Hillary's run for the white house. Has anyone had much experience with the Spatial Frame? I've been involved more times than I would like and I have to say I thought it was very gay. Not that there is anything wrong with that. But getting a reduction by a computer in the office by adjusting the frame. Why not get it right the first time and save everyone 10 grand and just nail it or ORIF when the tissues are OK. I would have a hard time using it because I can really think of an instant to justify it. Somebody please enlighten me.

 

[dpmgrad]

He's gearing up for Hillary's run for the white house. Has anyone had much experience with the Spatial Frame? I've been involved more times than I would like and I have to say I thought it was very gay. Not that there is anything wrong with that. But getting a reduction by a computer in the office by adjusting the frame. Why not get it right the first time and save everyone 10 grand and just nail it or ORIF when the tissues are OK. I would have a hard time using it because I can really think of an instant to justify it. Somebody please enlighten me.

I have put on a couple of Taylor Spatial Frames as a resident and am looking forward to putting my first one as an attending. I think that Taylor Spatial Frames are very useful in Limb Deformity Correction. One would usually use a monolateral mini ex-fix to correct for brachymetatarsia in one plane via callus distraction. One can think of a Taylor Spatial Frames as an ex fix that corrects deformity in multiple planes (up to six planes of deformity) via callus distraction. The computer software is needed to guide the Taylor Spatial Frame in correcting six planes of deformity. I have to agree with the fact that I have seen some Podiatric Surgeons and Orthopaedic Surgeons that have used the Taylor Spatial Frame improperly. For example, a classmate of mine told me that one of her attendings used the Taylor Spatial Frame for a straight forward ankle fracture. That attending thought that it would be cool to use it and would minimize the need for internal fixation.

I agree with you dawg44 in that if there is a trauma case where I can fix using ORIF, I would definitely not use Taylor Spatial Frame and just proceed with ORIF. However, if there is significant amount of deformity in the leg, ankle, or foot as a result of the trauma, I may consider using a Taylor Spatial Frame along with some degree of internal fixation. I think that the best cases to use a Taylor Spatial Frames would in residual foot, ankle, or leg deformity (iatrogenic from previous surgical intervention, hereditary, trauma, etc...) and in charcot foot reconstruction. As with any other ex fix, patient selection is important. If there is a possible potential of ex fix cage rage, I would not use ex fix in those patients.

 

[Dmayor22]

He's gearing up for Hillary's run for the white house.

Hilary can not be elected president. Its not possible for anyone to serve as president more than 2 terms. She served her 2 terms during the 90's.

 

[IlizaRob]

Hilary can not be elected president. Its not possible for anyone to serve as president more than 2 terms. She served her 2 terms during the 90's.

Then I guess Bill can run again.

 

[Dr_Feelgood]

Don't talk about cage rage b/c it makes me angry and you won't like me when I'm angry.


GRRRRRRRRRRR!

 

[nirvani]

Does anyone have the latest update on this bill?

 

[krabmas]

Does anyone have the latest update on this bill?

his office is still in Harlem down the street from NYCPM.

 

[AlKlineDPM]

Just goes to show you how -out of touch- our politicians really are ! lol Don't they have some other important bill to crunch through congress?

 

[cool_vkb]

.....

 

[AlKlineDPM]

I have posted a new entry concerning the House Bill Debate .

Read on . . .

 

[Dr_Feelgood]

Nice

 

[whiskers]

Call me the zaney realist(again) but what amuses me about this type of debate is that we as a profession aren't really well defined.

We've got folks with no residency training, 1, 2,3 and 4 (which is really a 3 from my understanding) yr residencies, surgical based residencies, primary care based residencies, forefoot only, rearfoot +forefoot etc and now we've decided that we want to have 2 and 3yr programs. Now the indoctrination machine is telling us we're experts of the lower limb? Why? B/C we had a separate, 1 semester, class titled "lower limb anatomy?" Yikes, I'm always mindful of what I believe and spread as truth!

In my opinion, It's a dam mess and no sane individual outside of the profession wants to waste their time trying to figure it out for us, let alone give legitimacy and rights to those who didn't rightfully earn or master the training.

It really is about protecting the public. It's great to know that we're a "new" breed of pods with such great training, but for the sake of public safety, we need to know our own limitations as a profession.

Brag all you want about your individual accomplishments yata, yata, yata, but don't forget, you are not going to be legislated as an individual podiatrist and laws are established to protect the general interests of the public and rightfully so.

 

[jonwill]

Call me weird but what amuses me about this type of debate is that we as a profession aren't really well defined.

We've got folks with no residency training, 1, 2,3 and 4 (which is really a 3 from my understanding) yr residencies, surgical based residencies, primary care based residencies, forefoot only, rearfoot only etc and now we've decided that we want to have 2 and 3yr programs. Now the indoctrination machine is telling us we're experts of the lower limb? Why? B/C we had a separate, 1 semester, class titled "lower limb anatomy?" Yikes, I'm always mindful of what I believe and spread as truth!

In my opinion, It's a dam mess and no sane individual outside of the profession wants to waste their time trying to figure it out for us, let alone give legitimacy and rights to those who didn't rightfully earn or master the training.

It really is about protecting the public. It's great to know that we're a "new" breed of pods with such great training, but for the sake of public safety, we need to know our own limitations as a profession.

Brag all you want about your individual accomplishments yata, yata, yata, but don't forget, you are not going to be legislated as an individual podiatrist and laws are established to protect the general interests of the public and rightfully so.

It was a big mess but that is why they have converted to the new residency model, the majority being 3-year. I never quite understood the handful of 4 year programs myself.

 

[krabmas]

It was a big mess but that is why they have converted to the new residency model, the majority being 3-year. I never quite understood the handful of 4 year programs myself.

some one recently posted why 4 years - the 1st year is basically an intern year like MDs do. then the 3 years of pod. or something like that.

 

[krabmas]

Now the indoctrination machine is telling us we're experts of the lower limb? Why? B/C we had a separate, 1 semester, class titled "lower limb anatomy?" Yikes, I'm always mindful of what I believe and spread as truth!

Maybe at the Wiskers school of podiatry they only teach one LE class but at the NY school we have several LE classes...

1. LE anatomy
2. osteology of the LE
3. functional orthopedics of LE (gait analysis)
4. Functional orthopedics II of LE - pathomechanics
5. podopediatrics I
6. podopediatrics II
7. primary podiatric medicine
8. podiatric surgery


and we do 5 rotations in our clinic all pertaning to podiatry.

I sincerely hope you were exagerating your post and only having 1 LE class or transfer now.

 

[jonwill]

Now the indoctrination machine is telling us we're experts of the lower limb? Why? B/C we had a separate, 1 semester, class titled "lower limb anatomy?" Yikes, I'm always mindful of what I believe and spread as truth!

Maybe at the Wiskers school of podiatry they only teach one LE class but at the NY school we have several LE classes...

1. LE anatomy
2. osteology of the LE
3. functional orthopedics of LE (gait analysis)
4. Functional orthopedics II of LE - pathomechanics
5. podopediatrics I
6. podopediatrics II
7. primary podiatric medicine
8. podiatric surgery


and we do 5 rotations in our clinic all pertaning to podiatry.

I sincerely hope you were exagerating your post and only having 1 LE class or transfer now.

AMEN!

 

[Dr_Feelgood]

Call me the zaney realist(again) but what amuses me about this type of debate is that we as a profession aren't really well defined.

We've got folks with no residency training, 1, 2,3 and 4 (which is really a 3 from my understanding) yr residencies, surgical based residencies, primary care based residencies, forefoot only, rearfoot +forefoot etc and now we've decided that we want to have 2 and 3yr programs. Now the indoctrination machine is telling us we're experts of the lower limb? Why? B/C we had a separate, 1 semester, class titled "lower limb anatomy?" Yikes, I'm always mindful of what I believe and spread as truth!

In my opinion, It's a dam mess and no sane individual outside of the profession wants to waste their time trying to figure it out for us, let alone give legitimacy and rights to those who didn't rightfully earn or master the training.

It really is about protecting the public. It's great to know that we're a "new" breed of pods with such great training, but for the sake of public safety, we need to know our own limitations as a profession.

Brag all you want about your individual accomplishments yata, yata, yata, but don't forget, you are not going to be legislated as an individual podiatrist and laws are established to protect the general interests of the public and rightfully so.

Creating laws just so that you can create a law is not good government. I'm lucky enough to be studying medical law for tomorrow's test and I can tell you that any and all issues this law "covers" are already on the books. The only thing this law does is create another law stating that MDs, DOs and DDSs programs are far superior. Personally, I do not think that this is true.