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04/09/2019 Leonard A. Levy, DPM, MPH
Using DPM Degree Outside of Podiatry (Allen Jacobs, DPM)
As we all know, preparation for podiatric medical practice today includes undergraduate podiatric medical education and, as part of a continuum, 3 years of residency training. Not too many years ago, the DPM completed podiatric medical school and perhaps a year of residency. As a result, education and training was just four years and perhaps for a relatively small core of graduates, another year of training. Today, much more general medicine and surgery is a standard part of podiatric medical school which is significantly increased in the three years of residency that follows.
But in spite of our greatly expanded education and training and the fact that there is virtually no difference in how we practice when compared to specialists in medicine such as ENT, ophthalmologists, dermatologists, the recognition we receive is still considerably less. This lack of recognition often manifests itself in such areas as fee schedules, interprofessional acceptance, separation from the MD and DO mainstream, organizations that we are unable to be part of, our role in hospitals, government recognition, and perhaps other areas.
We have every reason to be proud of our profession, the privileges we now have in hospitals that did not exist years ago, the recognition we acquired recently from the Veterans Administration and, perhaps most of all, how valuable we are in the care of our patients. But despite this, we still do not have full parity with the MD and DO community.
The time is long overdue to change this and make the modifications needed to strengthen the argument that we are equal to any specialist in the profession called medicine. While this means taking and passing the three parts of the USMLE (taking the COMLEX examination would not be practical since our curricula is devoid of osteopathic principles and practice), it also means inclusion of the components of the MD curriculum that podiatric medical education does not now require (i.e., didactic and clinical experiences in ob-gyn, psychiatry, pediatrics).
Our colleges would need to become familiar with the standards of accreditation for schools of medicine and, if deficiencies are found, make the additions that may be necessary. While this may sound complicated, having personal and intense experience for many years with the accreditation process of medical schools, what now exists in the curricula of podiatric medical schools can be modified.
I am convinced that we can meet the standards of medical education as they now are in existing U.S. medical schools, pass the USMLE, receive the MD degree, and, yes, continue to be proud of our profession. This may not be an easy path but now is the time to go down this road. Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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