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Things not that rosey in OZ either !

Posted by Pauline on 6/01/04 at 14:28 (151721)

From: Steve Abraham, DPM
Subj: MD/DPM

Why can't we add courses to our podiatry schools to make the
education exactly the same as say, the Costa Rica Medical
School, and grant the graduates an MD degree, the same was as
the Costa Rica Medical School grants an MD degree to
Podiatrists. Even though it is not certified or recognized to get any
state licenses anywhere, at least we can have the education and
call ourselves 'MD'?

'We need to achieve a higher uniform standard for didactic education in podiatric residency programs. Then we can look forward to the day that hospital credentials committees can review the application by a podiatrist for staff privileges and be truly confident that they know what he or she has been trained to do.

Podiatry Today, August 2003 - Among the nation's 295 podiatric residency programs there are significant disparities between the various podiatric residency programs across the country. For example, at the University of Texas, residents get 'five hours per week of lectures and topic discussions, according to one of the professors. Yet another educator who was accustomed to hearing four or five lectures a week during his residency concedes that the current crop of residents at his facility 'are lucky to get one or two a week and they assign many lectures to residents'.

From: Michael M. Rosenblatt, DPM
Subject: Helping residents learn surgical techniques

Over the years, I had worked with hundreds of podiatric residents. Even though I operated my own ASC (Medicare accredited ambulatory surgical
center), I still brought in cases to the hospital where we had our
residency, especially complex ones. I lost money by not doing
them in my own ASC, but it was still worth it.

Occasionally I had difficult cases or serious infections. The
residents were very, very helpful. They helped change dressings,
do debridements, and closely monitored these difficult cases.
Often, they were the reason why a lawsuit against me DID NOT
occur. Their loyalty to me and my patients saved me a lot of grief
over the years. I'm not suggesting that residents won't treat
patients well if they are not from a 'favored' attending, but I am
suggesting that the extra leeway given residents pays an
enormous dividend and you personal wear and tear. When you
have a difficult patient, you need all the help you can get. Our
lawyers tell us to obtain lots of consults, but if possible, try to
RETAIN control over your patient. If they get admitted to another
hospital away from you and your residents, your patients will
probably get into hands that are not friendly to either podiatry or
yourself. That can be a prescription for disaster in an already
compromised situation.

Re: Things not that rosey in OZ either !

Dr. Z on 6/01/04 at 15:33 (151726)

The land of podiatry at least has enough wizards to teach the medical and surgical treatment in their residency programs. Lets not get serious about this we all know that everyone will determine who their doctor is by their own perception and insurance plan.