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This I support and believe is good for the profession.
Texas school is not good for the profession
Yes, but is it good for Dr. Harkless?
This I support and believe is good for the profession.
Texas school is not good for the profession
PM News had a few posts about this again in the past week or two
Here is today's post:
UTRGV Podiatry School a Natural Expansion for Diabetes Research: TX Podiatrist
UT-Rio Grande Valley (UTRGV) is moving forward with its new podiatry program, planning to welcome its inaugural class in the fall of next year. UTRGV got the approval of the UT Board of Regents earlier this year to establish a School of Podiatry and a doctor of podiatric medicine degree program. It will be only the 10th podiatry school in the country, and the first in Texas.
The interim dean of the school, Lawrence Harkless, DPM says the Rio Grande Valley is an ideal location for the school because of the high rate of diabetes. Harkless says the School of Podiatry would be a natural expansion of the research being done at the South Texas Diabetes and Obesity Institute that’s part of the UTRGV School of Medicine.
Upcoming residency shortage? More job saturation? Exactly what the profession needs
are having to interview lower GPA students
I think creating a saturation problem might force us to consider separating our profession into podiatric foot and ankle surgery residency and podiatric surgery residency (forefoot, limited rear foot and trauma, limb salvage). Residencies can already be somewhat categorized like that might as well make it official.
I think creating a saturation problem might force us to consider separating our profession into podiatric foot and ankle surgery residency and podiatric surgery residency (forefoot, limited rear foot and trauma, limb salvage). Residencies can already be somewhat categorized like that might as well make it official.
What's the chance any of their students stay in the Valley?
Where are the QUALITY residency slots coming from?
“Our School of Podiatry is going to be a big game-changer here in the Valley, where so many people need specialty care due to complications from diabetes,” he said. “This will allow us to train our own doctors to address a very specific critical need. We remain committed to improving the future of healthcare in South Texas.”
What's the chance any of their students stay in the Valley?
Where are the QUALITY residency slots coming from?
What happens after Texas as a state becomes saturated?
"The school will also help improve the shortage of podiatric physicians in the state, especially in under-served areas where amputation and disability rates are extremely high".
There is a need, but that need does not necessitate an entire school's worth of DPMs. I will bet my entire student loan debt less than 50% of that graduating class will stay in the Valley. 2-3 years out, the Valley itself will become saturated to the point where the next graduating classes are looking to get OUT of the Valley. This assumes everyone is going there to serve the diabetic population in under represented areas- which I guarantee you they are not.
This line of thought and justification doesn't even cut it. Its insane how it even got shoe-horned through so quickly and now they're all congratulating each other. $$$
For example, a patient comes in with a bunion deformity and severe pes planus. Fixing only the bunion and not addressing the rare foot/ankle component causing the pes planus will only make the bunion return.
There are many more examples like this why it's a bad idea to divide the training into forefoot vs rear foot/ankle
Everyone needs to know the clinic procedures and office pathology, diagnostics, treatments and surgical indications. Everyone does NOT need to do the surgery.For example, a patient comes in with a bunion deformity and severe pes planus. Fixing only the bunion and not addressing the rare foot/ankle component causing the pes planus will only make the bunion return.
There are many more examples like this why it's a bad idea to divide the training into forefoot vs rear foot/ankle
Everyone needs to know the clinic procedures and office pathology, diagnostics, treatments and surgical indications. Everyone does NOT need to do the surgery.
We should have only a minority of DPMs doing any surgery at all (like dentists or MDs). It was that way for decades (residency shortage... esp good programs) and worked fairly well; the only major hangup were the few docs who pretended they knew surgery and did not ...yet they used fake boards or bamboozled small hospitals. They were the minority, and they are falling off the map now. Overall, it worked, though... non-surgical referred to surgical and their back was usually scratched in return. The only downside is the confusion among referring docs, but just like dentist training, they figured it out among themselves pretty well (most do cleanings/fillings, some don't... some do wisdom teeth, some don't... some do OMFS trauma, some don't... some do peds, some don't, etc).
We could do 2 or 3yr residencies that would lead to ABPM cert only (office, wounds, orthotics and braces, injections, Rx, clinic procedures, etc) and 3 or 4yr programs for some grads that would lead to ABFAS and the OR stuff (and ABPM also if they wanted to). That way, it makes those surgical docs much better (good training, good volume), and it saves the others from struggling to pass hard boards or do surgeries they are just not very good at and saw few/none of in training. Imagine if I did 3 OR days per week instead of 1 day, and consider my results if I did 45 Lapidus and 150 Austins per year instead of 15 and 50. We simply don't need DPMs who do only 5 or 10 bunions per year or maybe even just 5 or 10 total OR surgeries per year. It is not good for them, not good for patients and outcomes, and not ideal for the profession's rep. They would be better off doing the conservative care, sending out when surgery is clearly needed, and getting RFC or DFE or orthotics referrals of non-surgical (vasculopath, geriatric, psych, etc pts) in return from the DPM surgeons when they send over the surgery cases (same way Cardio and CT Surg, FP and Ortho, Endo and Onc Surg, etc work).
Instead, in podiatry, we are obsessed with this "everyone's a surgeon" thing, and it falls short on many levels: not enough good residencies (new Pod school will add gas to that fire), not everyone wants to do surgery, not enough volume for many DPM surgeons (esp RRA, TAAs for those cowboys who want to do them) during or after residency, low surgery board pass rates (due to many poor/mediocre training programs), etc. Our present state is still a great improvement over where podiatry was 50 or even 20 years ago, but it is just not ideal to have such variation among "all podiatrists do 3 year standardized programs and all do surgery." We all know there are some 3yr trained DPM grads doing basically wound and amps only, many doing wounds and forefoot elective/trauma only, some doing basic RRA elective but scant or no RRA trauma, and some others doing essentially everything F&A ortho does. If I can barely read a podiatrist's CV and tell you what they can probably do with proficiency and what they should be credentialed and privileged for, how the heck will MDs ever know what to expect from DPMs???
I just saw this when looking for jobs. Are they opening even another?
Acting Dean, School of Podiatric Medicine - Erie, PA - Indeed.com
Lake Erie College of Osteopathic Medicinewww.indeed.com
Did you read the job ad? It costs money to posts job on indeed. I doubt they posted it on accident lol.That's a mistake...there is no podiatry program within the LECOM system now or there is no talk about opening one in the future (as of now).
There is a pod residency program with Millcreek Community but that's about it.
Absolutely ridiculous. Either a ton of grads won’t match in the future or podiatry will become the new pharmacy.I just saw this when looking for jobs. Are they opening even another?
Acting Dean, School of Podiatric Medicine - Erie, PA - Indeed.com
Lake Erie College of Osteopathic Medicinewww.indeed.com
I just saw this when looking for jobs. Are they opening even another?
Acting Dean, School of Podiatric Medicine - Erie, PA - Indeed.com
Lake Erie College of Osteopathic Medicinewww.indeed.com
Correct. We are judged by our lowest common denominator....It only takes a handful to ruin our image, and they already have and will continue to do so even with surgical / non surgical paths. ...
ABPM and ABFAS are not viewed equally. In most metro hospitals, you need ABFAS qual/cert to get OR privileges, and ABPM cert alone might get you consult/wound center. H&Ps and admit are regional as to whether they're allowed at all for DPMs. In a smaller hospital or more rural one, ABFAS work same yet ABPM might also get you OR privileges, or the non-accredited (fake) boards might even be viewed as acceptable if the area is underserved enough. It all depends on the facility, their bylaws, chief of pod or chief of surg, staff podiatrists, etc. It is also political (eg, the chief of podiatry's group member might be able to skate by with ABPM for surgical privileges, but a competing group's DPM would not be granted)....ABPM vs ABFAS vs whatever else board that currently exists or will come in the future. How will hospitals or those in positions of hiring view us? I would like to believe they'd view all boards as equally competent. I don't believe this is true in the real world...
Did you read the job ad? It costs money to posts job on indeed. I doubt they posted it on accident lol.
They could be scouting this out similar to how UTRGV literally has zero (?) podiatrists in their employment except for Hark. Bring someone along - start talking it up, run it up the flagpole, see what they like. I'm not from the NE but this isn't this one of those systems that keeps expanding, making new schools, branching into other fields? They have DO, DDS, Pharm, etc - DPM could be their next thing.And people who are making these ads can't make a mistake because they paid for it?
LECOM can't open a Pod school overnight; we have been hearing about the TX one past year or two, and that one will begin in 22.
Anyways, the current DPM residents at LECOM/Millcreek don't know anything about this, so I made a thread in the DO forum to see If a student heard anything different. Let's see!
ABPM and ABFAS are not viewed equally. In most metro hospitals, you need ABFAS qual/cert to get OR privileges, and ABPM cert alone might get you consult/wound center.
I'll just say that the ABPM pass rate is similar to pass rates for ABMS (MD) boards. It's in the mid- to high-80% most years.The ABPM pass rates are pretty high among all programs. I would just question why we are even trying to continually force the square peg in a round hole.
The hospital system I am consulting provider for accepts only ABFAS and providers must be certified within 10 years of residency graduation or surgical privileges pulled (at least thats what is on paper). I'm sure it could be challenged but around here its ABFAS or bust.I'll just say that the ABPM pass rate is similar to pass rates for ABMS (MD) boards. It's in the mid- to high-80% most years.
And your hospital and surgical privileges must be based on your education, training, and experience, not on your board certification. In fact, it's illegal (codified in the Medicare Conditions of Participation) for institutions to use board certification as the sole criterion in privileging.
Education = your DPM degree, which has been standardized by CPME for decades
Training = your residency program, which has been standardized by CPME in Podiatric Medicine and Surgery since 2004 and 3 years in 2012
Experience = is how many cases you've done of whatever privilege you're applying for (for example, if you don't have any experience in ankle implants, you won't get that privilege no matter what your board certification is)
Thus, every graduate from a DPM school who completes a residency program should be eligible for hospital and surgical privileges based on their experience.
All of these requirements are on www.podiatryprivileges.com
If you experience discrimination in privileging based on your board certification, ABPM has been able to help in every case so far and if you're insured by PICA, they have an administrative defense fund up to $100,000 that has helped some DPMs.
Probably just hasn't been challenged yet.The hospital system I am consulting provider for accepts only ABFAS and providers must be certified within 10 years of residency graduation or surgical privileges pulled (at least thats what is on paper). I'm sure it could be challenged but around here its ABFAS or bust.
And people who are making these ads can't make a mistake because they paid for it?
LECOM can't open a Pod school overnight; we have been hearing about the TX one past year or two, and that one will begin in 22.
Anyways, the current DPM residents at LECOM/Millcreek don't know anything about this, so I made a thread in the DO forum to see If a student heard anything different. Let's see!
Our fate is sealed. This field is dead with the addition of more schools.The Lake Erie College of Osteopathic Medicine
cta.cadienttalent.com
Job posting is listed on LECOM's career opportunities page.
So 2 schools in PA, 2 in CA, 1 NY, 1 OH, 1 IL, 1 AZ, 1 in FL and 1 in TX. Any bets on where number 11 will pop up?
Residency spots are a cap though. So I assume a ton of grads just won’t match instead of podiatry becoming the new pharmacy. Or am I way off on this?Our fate is sealed. This field is dead with the addition of more schools.
Residency spots are a cap though. So I assume a ton of grads just won’t match instead of podiatry becoming the new pharmacy. Or am I way off on this?
Exactly what I was thinking. However, with Lecom now who knows.In this year's match, there were 596 CPME Approved Residency spots for a total of 545 applicants (527 from the class of 2020, rest from previous years)...
99.7% matched when the data was released on March 27th, 2020.
53 or so programs went without a match.
The new school in Texas will begin classes from 2022, meaning the first class that applies for the match will be 2026.
Just by looking at this year's match stats, if the Tx-school caps their class size to under 50-students, we should be fine as far as the match goes.
I'm not saying we need another podiatry school (we don't), but we'll also not become the "new pharmacy," as long as there isn't a new school popping every few years.
More students fighting for the same number of QUALITY residency programs.Exactly what I was thinking. However, with Lecom now who knows.
That is literally the situation now. There are not enough quality residency programs and quality jobs to go around. Even if two more schools open the residency spots are what they are. As a result there will be more people not matching. The job market shouldn’t be saturated necessarily since the same amount of graduates will be entering.More students fighting for the same number of QUALITY residency programs.
More students shoehorned into programs that scramble every year.
2 years out from RGV graduating their first class, we'll be at another residency shortage of QUALITY programs.
There are now 2 bottlenecks. 1 at employment phase, 1 at QUALITY residency slot phase.
Do you understand the implications now? Look at long term downstream effects. Not at the short term.
MichiganSo 2 schools in PA, 2 in CA, 1 NY, 1 OH, 1 IL, 1 AZ, 1 in FL and 1 in TX. Any bets on where number 11 will pop up?