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03/08/2023 Rod Tomczak, DPM, MD, EdD
Would you be interested in an online 18-24 month course to obtain a PA degree and license?
I have an MD degree I have used to open three medical schools around the world along with an EdD degree which was more important functionally than an MD degree. I have never used my degree to see a patient or even thought of practicing as an MD. I have recently been asked to open a PA school. PA schools require an MD to be the responsible administrator.
I have to inquire what would be the goal for anyone to become a DPM, PA? Will I have to take PA boards? Will I need a residency and what will the license allow me to do? Can I manage the type 2 diabetics I see for wound care or write letters to Medicare attesting to the fact this patient is indeed a diabetic and needs monthly care? Is it worth it to be able to sign an H and P? PAs seem to take care of "well patients." They aren't the primary care givers in the ICU and seem to assist at surgery rather than perform it. They are usually seen with the patient's care team rounding and later writing orders and discharging. They also seem to do the post-op care in the office or clinic.
Who's to say PAs won't be starting foot and ankle fellowships and advertising as the primary care givers of the foot and ankle after three years of medical training? There are a lot of podiatrists leaning toward conservative care because it is more lucrative in the long than surgery and conservative care doesn't carry the liability of surgery.
I was in that initial group of podiatrists who were selected for PSR 24+ residencies and were supposed to lead the crusade for podiatry to become a surgical specialty. First and foremost, I am a podiatrist. I hope to follow the axiom, "Be who you are and be that well." After teaching DO students in Des Moines, MD students at Ohio State University, and opening medical schools around the world, don't get a PA education because it will make you feel as smart as them. You already are.
Rod Tomczak, DPM, MD, EdD
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