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08/30/2013 Brian Kiel, DPM
RE: I Want to Work as a Podiatrist
In response to all those who have excoriated me for my take on the residency shortage I say you misunderstood my ultimate point. I, in fact, agree with all those who disagree with me. I was making the point that there are some individuals, and I cast no aspersions upon any individual, named or unnamed, who just are not a good fit for a surgical residency or even to practice podiatric medicine. The reasons for this are numerous and I have already stated some of them. Therefore, I place the ultimate blame on the situation on the powers to be of our profession for forcing through a condition for licensure that precludes a large percentage of our graduates and for not doing their due diligence in screening applicants so that fewer of these individuals are admitted. Limited licenses should be available by one year programs or certified preceptorships. Limited licenses should not be a problem. In Tennessee only those with accredited training can perform ankle surgery, and this is appropriate and can be instituted in regards to other levels of surgery and practice.
I have been cast by others as unfeeling, uncaring and several other descriptions but none are true. I have been in contact with several unaccepted applicants trying to help them get programs, unfortunately unsuccessfully. In 1972, when I graduated, there were very few residencies and I was fortunate to be selected by Bernie Hersh for his preceptorship program in Dallas. From there I was able to participate in the residency program at Oak Cliff Community Hospital. I will forever be grateful to him for that. I have full empathy for all of our students, for they are the future of our profession. Licensure rules that stiffle the new blood to podiatry hurts us all, now and in the future. We need to reinstitute licensure regulations that allow more flexibility for us to increase the number of podiatrists not reduce them. In our state meeting in September I plan to bring this problem to our membership in order to try to ameliorate an unacceptable situation.
Brian Kiel, DPM, Memphis, TN, Footdok4@gmail.com
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