Whats up with NY scope of practice

[cool_vkb]

---

Members do not see this ad.

I had this discussion with an uncle of mine who is a FMG, he is doing his residency in Internal medicine in NY. He was very suprised to hear about the scope of practice of Podiatrist in NY. bcoz there is a concept in Indian FMGs (well we can say all Foreigners) that NY is very welcoming for anytype of profession. It has very easy rules. traditionally the State Of New York has been very open or welcoming to all professions. like, accepting anytype of FMG to practice, or for foreign dentists, chiros, CRNAs or like any health profession, etc. in fact many Indian FMG people who dont get residency anywhere in USA head for NY bcoz its very easy to get in there. Iam not trying to discuss about FMGs here but iam just curious why is there so limited scope for our practice. where as it is considered all over the world the most open/welcoming state like Illinois. why is it so unfriendly state for Pods where as it is friendly to all other professions. how come NY is having so strigngent rules for Podiatrists and so limited scope. and its really amazing that they have this policy even though they have a Pod college sitting right in middle of it. Is the APMA or NYCPM people doing anything about it. and what kind of cases do students at NYCPM see if Pod is only limited to foot there. i mean how do they get ankle training.

 

[JEWmongous]

Hey man, long time no talk. How you doing? I'm from Long Island and applying to pod schools next fall when I come back from studying in France. I always thought Long Island and the city (obviously where a huge portion of the state's population are) was quite liberal, at least socially. The podiatrist scope in NY really suprised me as well. You would think Connecticut would be liberal too but their podiatry scope is similiar to NY. I tried to pinpoint the answer a while back but I'm not sure if there is a definite one. Most likely has to do with orthopods and a control over the ankle. The AMA and their organisation have much more funding than the APMA and NY pod association which plays a role in politics and contributions to legislators. I believe I read the ny scope of podiatry was attempted to be increased to the ankle but it failed. I'm not so sure how often the increase in scope issue comes up in NY. Maybe Krabmas can elaborate more. Take care!

something to think about...I wonder if Jersey, Penn, Vermont, Delaware attract pods moreso than NY because their scopes are larger and not as restrictive. I think even delaware allows for full foot amputations. As I said in another post, it seems kind of a bummer if one has a 3 year residency in NY where they learn and operate on the foot, ankle, lower extremity...but they can only treat and do surgery on the foot if they decide to stay and practice in NY. I may be wrong, but it seems as people who would do a NY residency would prob go out of state once they are finished.

 

[cool_vkb]

Iam also suprised. Its not about being liberal or republic. I thought since NY so friendly for foreign medical graduates and dentists compared to other states and other professions. I thought that then NY should also be very very welcoming to Pods also. And on top of that, they have a Pod school. So its like, they can see exactly what pods are taught, what they learn,etc unlike other states that dont have Pod school and have to get reference from other states. And even then they have this scope. So its really confusing. But i think you are right. May be AMA has to do something with it.

 

[dpmgrad]

something to think about...I wonder if Jersey, Penn, Vermont, Delaware attract pods moreso than NY because their scopes are larger and not as restrictive. I think even delaware allows for full foot amputations. As I said in another post, it seems kind of a bummer if one has a 3 year residency in NY where they learn and operate on the foot, ankle, lower extremity...but they can only treat and do surgery on the foot if they decide to stay and practice in NY. I may be wrong, but it seems as people who would do a NY residency would prob go out of state once they are finished.

I am a native of New York City. If NY had a better scope of practice for Podiatrist, I would have returned back to NY to practice. However, I decided to stay in PA because I am able to perform all of the surgical procedures that I was trained in residency. 4 of my TUSPM classmates (plus myself), whom are originally from NY are practicing in NJ, PA, DE. There are 2 of my TUSPM classmates (whom are from NY oriignally) are practicing in NY. However, they are in NY because of circumstances that prevented them to leave NY (such as family, etc...).

 

[krabmas]

There is a long history behind podiatry and NY. A long time ago some pods committed medicaid/medicare fraud. I am not sure of the details. This gave podiatry a bad name in NY, and has sort of left a bad taste in the other Docs mouths about podiatry. It makes it harder to increase the scope when the orthos do not want to budge due to the history.

Connecticut has recently increased the scope to the foot and ankle.

 

[JEWmongous]

I believe its only non-surgical treatment of the ankle if I'm not mistaken. It said that the conn legislature will look at the area of surgical treatment of the ankle by Jan 2007. Still, it is definitely a step foward.

 

[JEWmongous]

bump...can anyone clarify this????