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04/03/2019 Leonard A. Levy, DPM, MPH
Using a DPM Degree Outside of Podiatry (Elliot Udell, DPM)
Elliot Udell, DPM, stated in his April 2 letter to PM News that we need to be “happy in our own skins.” Much has happened in the past several decades and the profession has changed considerably, stretching its practice to the point where the “skin” of the profession is about to explode. Even though our curriculum in podiatric medical school still is not equivalent to that of the MD or DO schools, it has closed in on those programs.
Having been in full-time allopathic and osteopathic medical education in senior positions for more than 30 years and in podiatric medical education as president and several times as dean also for decades, I have been in the position to carefully observe the differences between the DPM and MD/DO educational processes. For 17 years at The College of Osteopathic Medicine in Nova Southeastern University I was responsible for the accreditation process which took place every seven years and even served as a writer of questions for the College of Osteopathic Medicine Licensing Examination (COMLEX).
In addition, during the period that I was the president of the then California College of Podiatric Medicine, I provided the basic science curriculum for the then developing Touro College of Osteopathic Medicine now on its own campus in Vallejo, California. The body that accredits osteopathic medical school did a site visit at CCPM and accepted its basic science curriculum. The major difference between the podiatric medical curriculum and that of DO/MD schools is the absence of clinical and didactic instruction in psychiatry, obstetrics-gynecology, and pediatrics.
If these were added to the curricula of schools of podiatric medicine, I would predict that our students would pass the USMLE examinations at a level similar to our colleagues in MD/DO programs. It is unlikely that graduates of our schools and the three year residency programs that follows would use an ophthalmoscope, but neither do psychiatrists, dermatologists, or radiologists, to name a few.
In addition, our practices today already are quite analogous to how the ENT, ophthalmologist, and dermatologist practices. However, then we would not have to worry that if we extended our surgical incisions a millimeter or two above the ankle whether we would be in violation of the law and face the horror of a SWAT team. The expression, "Practicing outside of podiatry" would finally become an anachronism. Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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