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03/29/2023
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Jon A. Hultman, DPM, MBA
I think many of the postings concerning board certification on PM News miss an important point about our specialty. All of today’s residency programs are standardized, three-year, comprehensive programs, which include both medicine and surgery. With a few exceptions, the vast majority of those practicing in our specialty provide both surgical and non-surgical care. It seems illogical to me that a DPM today would need to choose between being board-certified in medicine or board-certified in surgery when they are trained to do both, and in practice, they do both.
Yes, some residency programs and fellowships provide more advanced types of surgical procedures, but every medical and surgical specialty has those same exceptions. It seems to me that after completing a three-year comprehensive medical/surgical residency program, there would be one certifying board that certifies DPMs as podiatric physician and surgeons.
Jon A. Hultman, DPM, MBA, Sacramento, CA
Other messages in this thread:
02/19/2025
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Elliot Udell DPM)
We need to be honest with ourselves. Comparing our profession to dermatology and orthopedics to show that there is nothing wrong with teaching nurses how to practice general podiatry is unfair. Why? Every dermatologist and orthopedic surgeon knows that the overlap between what we do and what they do in their practices is small. We do not operate on knees and hips nor treat skin disorders above our anatomic ranges of practice. On the other hand, everything a podiatrist does can be duplicated by someone in the MD and DO worlds.
I suspect that Dr. DiResta's concern is that MDs and DOs choose not to practice non-surgical general podiatry. If we train nurses to do what almost all of us do most of the time, why would they send us any of their patients for foot care? They can hire a nurse to render all general foot care and profit from it. Taking it one step further, nurses and PAs can be trained to do most of the foot surgeries we do, but we probably don't have to worry about that in a few years to come.
Elliot Udell, DPM, Hicksville, NY
10/25/2024
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Lawrence Rubin, DPM
A recent post in PM News pertaining to insurance reimbursement compliance said, "Any abnormal findings on the LEAP Vitals Exam, i.e. dry and xerotic skin (L85.3) caused by sudomotor dysfunction, is a significant risk to a patient with diabetes. It therefore warrants a care plan." To prevent confusion of business names, this is not a stated opinion of the 501(c)3 not-for-profit LEAP Alliance.
Lawrence Rubin, DPM, Las Vegas, NV
09/23/2024
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Ron Werter, DPM
What I don’t understand (and maybe the lawyers among us could explain) is how does the insurance company have the legal right to charge the doctor for writing a prescription. The doctor has no financial stake in the prescription; the patient and the pharmacy are the ones who have financial benefit. Is there something in an insurance company contract that says they can do that?
Ron Werter, DPM, NY, NY
09/03/2024
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Jerry Peterson, DPM
No, you are not missing something. He should be able to assist ANY physician on ANY surgery. In Oregon, a podiatric physician can assist in general surgical procedures, Ortho, Neuro procedures, etc. They are not required to have the privileges to be able to assist. Good luck moving forward.
Jerry Peterson, DPM, West Lynn, OR
11/21/2023
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Richard M. Cowin, DPM
For a practice valuation, I highly recommend Mr. David Price at Podiatry Broker. He offers three (3) levels of service for three (3) different prices: $395.00 for a ballpark evaluation, $995 for an off-site evaluation, and $3,995 for an on-site evaluation.
Richard M. Cowin, DPM, Orlando. FL
03/30/2023
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Lloyd Smith, DPM
Jon Hultman’s experience and wisdom is apparent in his comments. Podiatry has faced similar issues now facing the board certification process. At this point, a big tent approach is needed. All representative groups must be included and a skilled facilitator is needed. All relevant issues need discussion.
Without presenting an opinion, the solutions should come from this group. Having chaired a similar process, the interactive group needs to commit time, resources, and a deep desire to find compromises. The task is not easy. The need is apparent.
Lloyd Smith, DPM, Newton, MA
07/21/2022
RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: Bryan C. Markinson, DPM
The USMLE or "equivalent" exam taken by podiatrists as discussed by Dr. Sherman will never materialize and if it does, who would take it and accept the limited scope of podiatry while others would have their choice of every medical specialty? Not enough to fill any podiatry school.
The AMA and NBME say simply, just go to medical school. The quoting of Frederick Douglas' reference to "injustice and wrong" as a parallel to the AMA or NBME stance on podiatrists is a bit of a stretch and may be offensive, though I am certain that none was intended.
Bryan C. Markinson, DPM, NY, NY
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