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02/20/2020
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Don Peacock DPM, MS
I agree with everything Dr. Robin Lenz states in his post. The only exception I have is regarding time spent in rotational programs. A surgical residency should be dedicated to surgery of the foot and ankle and lots of it. The wound care procedures such as total contact cast are skills to be learned in school and practice. In our area, nurses apply the total contact cast and they are good at it.
Residents should be taught surgery and the non-useful rotations should be dropped. My residency was surgical and I am grateful for it. In today's rotation-style residencies, the residents are wasting their time. We are creating a number of residency-trained podiatrists who do not receive adequate surgical training - even with some 3-year programs.
Don Peacock DPM, MS, Whiteville, NC
Other messages in this thread:
07/03/2020
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Steven Finer, DPM
I find that statistic of 34% quite shocking. From day one, in the prehistoric era in 1976 and onward, I had a Sanivac and an air cleaner in the treatment room. I modified the tube myself, adapting vacuum store parts to deliver suction to the drill head. Patients would look at the air cleaner and assume it was an air conditioner or a dehumidifier. When I would arrive at the office, I would always touch surfaces to see that they were cleaned.
Disclosure: I have no financial relationship with Sanivac.
Steven Finer, DPM, Philadelphia, PA
02/24/2020
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Lee C. Rogers, DPM
The PM News Quick Poll is very timely since CPME is currently rewriting the standards for podiatric medicine and surgery residencies (Document 320). Wound care currently represents a large and rapidly growing area of practice for podiatrists. There is an urgent public need for knowledgeable, skilled providers to care for lower extremity wounds, to reduce the rate of amputations. This is reflected in the PM News Quick Poll where 95% of almost 800 respondents declare the need for mandatory, and specific, wound care training in podiatric residencies.
The APMA BOT, in 2019, wrote a letter to the 320 Re-Write Committee, in part, expressing the opinion that there be a larger emphasis on wound care in standardized residency training. Additionally, the ABPM recently published a position statement on residency training declaring, "Wound care should be a required, separate, and defined residency training experience."
It is the responsibility of the CPME 320 Re-Write Committee to respond to the community of podiatric educators, public health officials, and associations to ensure that residents have adequate, standardized training to address the public need for lower extremity wounds.
Lee C. Rogers, DPM, BOD, American Board of Podiatric Medicine
01/24/2020
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Michael M. Rosenblatt, DPM
I usually agree completely with Dr. Herbert in his advice on retiring and other issues peripherally related to podiatry. I disagree, however, on his assessment of the securities industry and stock markets. My argument is statistical. If you invested and stayed in the S&P 500 index from 1973 to 2016, your rate of return would be about 11.69%.
10,000 initial starting balance+1,000 dollars/month (forced saving) over 30 years at 11.69% interest= 3,146,317 dollars. If you survive life, you will...
Editor's Note: Dr. Rosenblatt's extended-length letter can be read here.
01/23/2020
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Lloyd Bardfeld, DPM
I disagree with Dr. Herbert's analysis of retirement. Contrary to his analysis of the stock market as "the great casino", the stock market statistically performs better than any investment. Many podiatrists do not have the knowledge or time to invest in real estate. A well-diversified portfolio will grow over time. If the market corrects or even crashes, it will still continue to grow. The stock market has generated returns at more than four times the rate of real estate appreciation.
My advice is to maximize what you put into your retirement account, use a good honest financial adviser, and stay invested. At the end of the day, you will enjoy a financially secure retirement.
Lloyd Bardfeld, DPM, Far Rockaway, NY
12/12/2019
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Ed Cohen, DPM
I found the PM News survey interesting and also noted that 83% of the respondents only do one bunion surgery or less a week and that 20% don’t do any bunions.
I have been in the Academy of Minimally Invasive Foot Surgery for 42 years and remember seeing many orthopedists come to our meetings from all around the world to learn MIS surgery. Dr. De Prado, an orthopedist, was fascinated by MIS surgery and also got a PhD in MIS foot surgery. He told us that before he learned MIS foot surgery, he was doing one or two bone surgeries a week and after he learned MIS at our LSU MIS foot surgery meetings and working with Dr. Isham, his bone surgeries increased to 20 surgeries a week.
Ed Cohen, DPM, Gulfport, MS
10/12/2019
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: George Jacobson, DPM
As this discussion is taking place, I received an attestation from one the hospitals that I am on staff. I have to attest to receiving the flu shot and provide evidence. If I am not immunized, I must wear a mask in clinical areas of the hospital. This is not a new policy.
George Jacobson, DPM, Hollywood, FL
10/10/2019
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Kim G. Gauntt, DPM
It was an interesting response from Dr. Steinberg. The part about "believing in medicine". A few years ago, I spent 3 days researching this topic. Most of the information came directly from the CDC website. I read the bulk of the studies available at the time, their statistics, and conclusions. The fact is that influenza is not a reportable disease, therefore all of the numbers that they publish in regard to those suffering from influenza and the deaths associated with it are made up numbers, extrapolated from very small samples; the website actually states that.
The fact is most people do not die from influenza; they die from secondary pneumonia, and those numbers are also extrapolated from a very small population samples. Deaths for the most part are...
Editor's note: Dr. Gauntt's extended-length letter can be read here.
07/28/2016
RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1A
From: Elliot Udell, DPM
Judging the Affordable care Act is akin to going into a fine department store and buying a new suit. Sometimes, the tailor will look at it, shake his head, say "no good," and the clothing goes back on the shelf. In other cases, he may look at it and say, "it is fine but needs to be taken in a bit here or there."
One candidate running for high office feels that the ACA is such a bad "suit" that it needs to be "put back on the shelf" or in another words, repealed. The other candidate believes that the "suit can be tailored" or in other words modified, so as to protect the interests of consumers as well as healthcare providers. In November, the people will decide which "tailor" to choose and what the outcome will be of the ACA suit.
Elliot Udell, DPM, Hicksville, NY
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