Podiatric Residency Crisis - Where Are We? (Ivar Roth, DPM, MPH)
Dr. Ivar Roth presented an opportunity for training for some DPM graduates who were not matched for residencies. Dr. Roth agreed to provide "excellent training" and also payment for recent graduates. This is a generous and deeply kind offer. Dr. Roth was "disappointed" and more than a little angry when those people he accepted placed a higher value on residency.
This puts the issue of a clerkship/associateship training vs. active, real residency on the table. One of the issues involved is whether or not states and certifying boards will actually consider a clerkship on the same playing field as a CPME accredited residency. They will not compare, or even if they do, such recognition will not be forthcoming from CPME.
Then there remains the issue of licensure. Some states will not accept clerkship/associate training for licensure, which will make it impossible for some of these DPM graduates to get a license there, even if they get excellent surgical training by a talented, generous professional teacher like Dr. Roth.
While I understand Dr. Roth's irritation, especially in light of serious offers resulting in definitely flaky responses, it is also true that the only real solution is to provide residencies. We cannot anticipate that CPME will bend in the slightest in their administrative demands. CPME seems to be in a "special place" where "Government and large medical institutions" easily grant DPM's fine programs. But we all know that this is fiction.
Given CPME's recalcitrance and genuine lack of understanding for the soon to be wasted lives of fine young people who hitched their wagons to the wrong star, it is easy to understand why recent non-matched graduates exhibit a flaky response, even to a fine, decent DPM who desperately wants to fix things. In light of the pathetic showing of CPME, it is logical to suggest a wholesale replacement of their entire administrative personnel forthwith, starting at the top. It's time to get people in there who can repair the damage they have already done.
Michael M. Rosenblatt, DPM, San Jose, CA, Rosey1@prodigy.net
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