The Great MD/DPM Debate Continues...

[Stafocker]

From PM Newsletter 11/1/07

RE: DPM, MD or DPM, DO Degree
From: Leonard A. Levy, DPM, MPH,

I believe that the resistance to the concept of DPMs acquiring the MD (or DO) is symptomatic of insecurity. With the advances that podiatric medicine has made in recent decades, even though our profession is still evolving those in it no longer need to feel any insecurity. An interesting anecdote regarding dentistry and its schools is found by looking at the current dean of Harvard School of Dental Medicine.

R. Bruce Danoff, DMD , MD , an oral and maxillofacial surgeon, is the dean of one of the most prestigious dental schools in the nation. Dr. Danoff has both a dental and medical degree. Members of our profession do not have to give up their DPM degree. After many decades of experience, acquiring the MD degree after the dental degree did not pose a threat to the dental profession or to its dental schools.

Nova Southeastern University College of Osteopathic Medicine is about to graduate its first DPM from an accelerated DO Program for DPMs six months from now, the only nationally-approved program for DPMs in the U.S. I believe that while it may take a little time, ultimately we will find the experience of dentistry relevant to podiatric medicine.

Leonard A. Levy, DPM, MPH, Associate Dean for Education, Planning and Research
Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, FL,
[email protected]

Editor’s Note: DR. Levy has written an article titled “The Contentious Debate About the MD or DO Degree for DPMs” which will appear as the cover story for the January 2008 issue of PM.

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[jonwill]

From PM Newsletter 11/1/07

RE: DPM, MD or DPM, DO Degree
From: Leonard A. Levy, DPM, MPH,

I believe that the resistance to the concept of DPMs acquiring the MD (or DO) is symptomatic of insecurity. With the advances that podiatric medicine has made in recent decades, even though our profession is still evolving those in it no longer need to feel any insecurity. An interesting anecdote regarding dentistry and its schools is found by looking at the current dean of Harvard School of Dental Medicine.

R. Bruce Danoff, DMD , MD , an oral and maxillofacial surgeon, is the dean of one of the most prestigious dental schools in the nation. Dr. Danoff has both a dental and medical degree. Members of our profession do not have to give up their DPM degree. After many decades of experience, acquiring the MD degree after the dental degree did not pose a threat to the dental profession or to its dental schools.

Nova Southeastern University College of Osteopathic Medicine is about to graduate its first DPM from an accelerated DO Program for DPMs six months from now, the only nationally-approved program for DPMs in the U.S. I believe that while it may take a little time, ultimately we will find the experience of dentistry relevant to podiatric medicine.

Leonard A. Levy, DPM, MPH, Associate Dean for Education, Planning and Research
Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, FL,
[email protected]

Editor’s Note: DR. Levy has written an article titled “The Contentious Debate About the MD or DO Degree for DPMs” which will appear as the cover story for the January 2008 issue of PM.

We've beat this one to death already. There just isn't any point. That is a pretty weak argument. There IS a point to a DMD (or DDS) getting an MD as well. Without it, they ARE NOT oral maxillofacial surgeons. They are dentists. It's not like you have all these dentists out there pursuing an MD. Only those pursuing oral surgery do it. In other words, it serves a purpose.

After a DPM graduates and does residency, s/he is a foot and ankle surgeon. What would be the point of getting an MD or DO?

That is a pretty weak and uneducated argument. And I definitely don't think there is any "contentious debate"!!!

 

[krabmas]

We've beat this one to death already. There just isn't any point. That is a pretty weak argument. There IS a point to a DMD (or DDS) getting an MD as well. Without it, they ARE NOT oral maxillofacial surgeons. They are dentists. It's not like you have all these dentists out there pursuing an MD. Only those pursuing oral surgery do it. In other words, it serves a purpose.

After a DPM graduates and does residency, s/he is a foot and ankle surgeon. What would be the point of getting an MD or DO?

That is a pretty weak and uneducated argument. And I definitely don't think there is any "contentious debate"!!!

I read the OP's quote on the podiatry management email. I needed to read it 2-3 times before I decided for sure that it did not make sense and the analogy was not only week but really just not an analogy. Primary dentists do not earn an MD or need one. No one else can do dentistry. Any one can give a foot injection - FP, PCP, Internist, General surgeon, pediatrician, orthopedics... So the analogy was lost on me.

Then I read the above quote. OMFS first receive a DDS or DMD (DDS=DMD) then they do about 4 years of residency. Some programs are integrated to include MD training and they then become DDS MD's. Not all OMFS get an MD and there is no difference in scope of practice if the OMFS got a DDS MD or just the DDS.

 

[cel083]

We've beat this one to death already. There just isn't any point. That is a pretty weak argument. There IS a point to a DMD (or DDS) getting an MD as well. Without it, they ARE NOT oral maxillofacial surgeons. They are dentists. It's not like you have all these dentists out there pursuing an MD. Only those pursuing oral surgery do it. In other words, it serves a purpose.

After a DPM graduates and does residency, s/he is a foot and ankle surgeon. What would be the point of getting an MD or DO?

That is a pretty weak and uneducated argument. And I definitely don't think there is any "contentious debate"!!!

As krabmas has pointed out, this is not correct. OMFS is a dental specialty, and all properly licensed OMF surgeons are dentists, whether or not they are actually physicians. MD or not, all OMF surgeons receive off-service training in many medical and surgical fields, similar to, but granted, not necessarily the same as the ones podiatric surgeons receive.

Compare, for example, the Christiana Care residencies in Oral and Maxillofacial Surgery (4 year) and the Podiatric Medicine and Surgery-36, respectively:

OMFS:

http://www.christianacare.org/residentbody.cfm?id=1353

Podiatric Medicine and Surgery:

http://www.christianacare.org/residentbody.cfm?id=1335

See this:

http://www.aaoms.org/oms.php

I apologize for derailing the discussion, but I felt I had to intervene to clear up misconceptions. Now, back to the discussion of DPM/MDs.

 

[jonwill]

As krabmas has pointed out, this is not correct. OMFS is a dental specialty, and all properly licensed OMF surgeons are dentists, whether or not they are actually physicians. MD or not, all OMF surgeons receive off-service training in many medical and surgical fields, similar to, but granted, not necessarily the same as the ones podiatric surgeons receive.

Compare, for example, the Christiana Care residencies in Oral and Maxillofacial Surgery (4 year) and the Podiatric Medicine and Surgery-36, respectively:

OMFS:

http://www.christianacare.org/residentbody.cfm?id=1353

Podiatric Medicine and Surgery:

http://www.christianacare.org/residentbody.cfm?id=1335

See this:

http://www.aaoms.org/oms.php

I apologize for derailing the discussion, but I felt I had to intervene to clear up misconceptions. Now, back to the discussion of DPM/MDs.

No, I understand that. But what I mean is that the only DDS/MD's that exist are those that are OMFS (unless they went to dental school first, then decided it wasn't for them, and went to med school and are now practicing medicine). I do realize that you don't necesarily have to go the DDS/MD route to become a OMFS.

At lease, I have yet to see an DDS/MD that practices general dentistry. Would you agree?

 

[jays2cool4u]

No, I understand that. But what I mean is that the only DDS/MD's that exist are those that are OMFS (unless they went to dental school first, then decided it wasn't for them, and went to med school and are now practicing medicine). I do realize that you don't necesarily have to go the DDS/MD route to become a OMFS.

At lease, I have yet to see an DDS/MD that practices general dentistry. Would you agree?

I know someone who went to dental school and later completed an integrated MD/OMFS residency. Then the person completed an OBGYN residency. Ten years of residency would suck for me but not for this person.

 

[IlizaRob]

I agree with all posts thus far. There is no point to the dual DPM/MD or DO degree. It will not change the way we practice. Its a waste of time. And the whole bit about resistance being due to insecurity...seems like its the other way around to me.

 

[Feli]

I agree with all posts thus far. There is no point to the dual DPM/MD or DO degree. It will not change the way we practice. Its a waste of time. And the whole bit about resistance being due to insecurity...seems like its the other way around to me.

I've done a bit of thinking on Dr. Levy's program at NSU... not because I'm interested personally, but a couple of my classmates might be considering it.

In my opinion, that additional degree would be useful in one aspect: getting onto staff at a major hospital (esp the big academic ones). If you had one DPM who had the DO degree and could prescribe and adjust dosages for his patients' oral hypoglycemics, diuretics, etc applying for a staff position against some DPMs who might have more sugical training yet didn't have the systemic managment capabilities, you'd have to think that the DPM/DO would get the edge.

Personally, I sure wouldn't want to study for pt1 boards again and then do essentially 3rd year DO clinics with OB/peds/ER/psych/IM/etc. I'd much prefer more podiatry and podiatric surgery in residency instead of getting the basic minimum in pod + the bare minimum of internal med, but everyone's different and might be willing to do longer PG training and give up some specialized F&A time in exchange for more general medical time.

Everyone has different ultimate goals, but if one wants to be a great pod (which everyone who went to pod school should), there are many PMS-36 residencies out there that are more than adequate. Even if they want to manage their patients' systemic concerns, there are plenty of academic hospital residencies that will teach them to do just that. One thing that concerns me about the DPM/DO degree is that some of the allure might be that some people view it as a way to end up in another specialty besides podiatry. Dr. Levy makes it pretty clear that the goal is definitely just to make pods who are more involved with the complete management of their pod patients, but I don't know if there's mechanisms in place to stop the NSU program's grads from trying to switch specialties after they pass COMPLEX 1 and 2?

 

[cool_vkb]

I've done a bit of thinking on Dr. Levy's program at NSU... not because I'm interested personally, but a couple of my classmates might be considering it.

In my opinion, that additional degree would be useful in one aspect: getting onto staff at a major hospital (esp the big academic ones). If you had one DPM who had the DO degree and could prescribe and adjust dosages for his patients' oral hypoglycemics, diuretics, etc applying for a staff position against some DPMs who might have more sugical training yet didn't have the systemic managment capabilities, you'd have to think that the DPM/DO would get the edge.

Personally, I sure wouldn't want to study for pt1 boards again and then do essentially 3rd year DO clinics with OB/peds/ER/psych/IM/etc. I'd much prefer more podiatry and podiatric surgery in residency instead of getting the basic minimum in pod + the bare minimum of internal med, but everyone's different and might be willing to do longer PG training and give up some specialized F&A time in exchange for more general medical time.

Everyone has different ultimate goals, but if one wants to be a great pod (which everyone who went to pod school should), there are many PMS-36 residencies out there that are more than adequate. Even if they want to manage their patients' systemic concerns, there are plenty of academic hospital residencies that will teach them to do just that. One thing that concerns me about the DPM/DO degree is that some of the allure might be that some people view it as a way to end up in another specialty besides podiatry. Dr. Levy makes it pretty clear that the goal is definitely just to make pods who are more involved with the complete management of their pod patients, but I don't know if there's mechanisms in place to stop the NSU program's grads from trying to switch specialties after they pass COMPLEX 1 and 2?

But isnt the 2015 resoulution trying to achieve the same. i seriously think all Pod students, Pods, well wishers shud pour as much money as we can in that PPAC thing so that they can fund activities and get 2015 a reality.

 

[bdaddyjolley]

But isnt the 2015 resoulution trying to achieve the same. i seriously think all Pod students, Pods, well wishers shud pour as much money as we can in that PPAC thing so that they can fund activities and get 2015 a reality.

If everything in 2015 goes according to plan, the MD/DO is a waste of time. There are some that really want to be MDs or DOs and practice podiatry. I don't have the same sentiment myself because I don't need to be a MD or DO to be a great podiatrist and be successful. I hear over and over again from successful podiatrist that you will get those hospital privilages and all the respect you want if you are good. The other Docs will be eager to refer you people. Having said that, it is important to know more than just podiatry. You need to have an understanding of maladies that other docs handle so you know who to refer to and this also leads to respect of the profession becuase those MD's see that it was the podiatrist that became aware of the problem, not the GP.

I recently spoke with an APMA big shot and he said right now the DO's accept that we are physicians but the MD's don't. However, the MD's will if we change a couple of things in our curriculum such as adding psychiatry and OBGYN stuff to it. This doesn't mean we will practice this but it means we will understand it. This is part of 2015, to enhance the podiatric curriculum. By doing this we don't need to be MDs or DOs. Every competant podiatrist knows he is a physician and medicare recognizes podiatrist as physicians. 2015 will cause that all recognize us as physicians so we can't get screwed by insurence companies, medicaid etc. One of the goals right now in 2015 is to have medicaid define us as physicians which will make life a lot better for us. There is so much growth and opportunity ahead and none of it is contingent on us being MDs or DO's. We are podiatrists, the specialist of the foot and ankle and nobody else does what we do as good as we do it.

 

[krabmas]

I've done a bit of thinking on Dr. Levy's program at NSU... not because I'm interested personally, but a couple of my classmates might be considering it.

In my opinion, that additional degree would be useful in one aspect: getting onto staff at a major hospital (esp the big academic ones). If you had one DPM who had the DO degree and could prescribe and adjust dosages for his patients' oral hypoglycemics, diuretics, etc applying for a staff position against some DPMs who might have more sugical training yet didn't have the systemic managment capabilities, you'd have to think that the DPM/DO would get the edge.

Personally, I sure wouldn't want to study for pt1 boards again and then do essentially 3rd year DO clinics with OB/peds/ER/psych/IM/etc. I'd much prefer more podiatry and podiatric surgery in residency instead of getting the basic minimum in pod + the bare minimum of internal med, but everyone's different and might be willing to do longer PG training and give up some specialized F&A time in exchange for more general medical time.

Everyone has different ultimate goals, but if one wants to be a great pod (which everyone who went to pod school should), there are many PMS-36 residencies out there that are more than adequate. Even if they want to manage their patients' systemic concerns, there are plenty of academic hospital residencies that will teach them to do just that. One thing that concerns me about the DPM/DO degree is that some of the allure might be that some people view it as a way to end up in another specialty besides podiatry. Dr. Levy makes it pretty clear that the goal is definitely just to make pods who are more involved with the complete management of their pod patients, but I don't know if there's mechanisms in place to stop the NSU program's grads from trying to switch specialties after they pass COMPLEX 1 and 2?

It is interesting to me how the pod wants to do everything. If you really want to do everything then go into Family Medicine. In some places they even deliver babies. Or go into ER they get a little slice of it all.

I have seldom met another person in another specialty that wants to do more than their scope allows. Most MD/DOs try to send their patient to the next specialist down the line. Not podiatry, we are in such a race to prove to everyone how capable we are at everything. Learn it all but in the end the foot and ankle is plenty.

Why do we want to admit patients so badly? Orthos rarely admit patients (at least at my hospital). They get medicine to do it.

I've had patients admited by medicine where the primary concern is the foot and medicine acts as the consulting service letting podiatry call the shots.


I do not agree with Feli where a DPM/DO would give you an edge on the DPM to get onto the hospital staff. I do think that the DO would benifit some of the older DPMs that have not had the training that we are receiving currently. And remember that the program that is set up now is only 2 years of podiatry - not for rearfoot. The rearfoot cases are the ones that you really want to know medicine for.

If you want to feel competant in medical management with your patients then when you start looking at residency programs make sure to look at out side rotations. Are you still on call for podiatry while you are on medicine? =bad! Are you equal to the interns? or do they question why a podiatrist even needs a medicine rotation?

Do you have 1 month of medicine and ID together? = bad.

You have to look at the whole program not just the podiatry training.

 

[cool_vkb]

It is interesting to me how the pod wants to do everything. If you really want to do everything then go into Family Medicine. In some places they even deliver babies. Or go into ER they get a little slice of it all.

I have seldom met another person in another specialty that wants to do more than their scope allows. Most MD/DOs try to send their patient to the next specialist down the line. Not podiatry, we are in such a race to prove to everyone how capable we are at everything. Learn it all but in the end the foot and ankle is plenty.

Why do we want to admit patients so badly? Orthos rarely admit patients (at least at my hospital). They get medicine to do it.

I've had patients admited by medicine where the primary concern is the foot and medicine acts as the consulting service letting podiatry call the shots.


I do not agree with Feli where a DPM/DO would give you an edge on the DPM to get onto the hospital staff. I do think that the DO would benifit some of the older DPMs that have not had the training that we are receiving currently. And remember that the program that is set up now is only 2 years of podiatry - not for rearfoot. The rearfoot cases are the ones that you really want to know medicine for.

If you want to feel competant in medical management with your patients then when you start looking at residency programs make sure to look at out side rotations. Are you still on call for podiatry while you are on medicine? =bad! Are you equal to the interns? or do they question why a podiatrist even needs a medicine rotation?

Do you have 1 month of medicine and ID together? = bad.

You have to look at the whole program not just the podiatry training.

I think the only reason a mature Podiarist wanna do MD is most probably to get recogntion and equality in medical community as some people still dont see DPM as equal including the nation's armed forces, medicare stuff and many other states.

But if resoultion 2015 can achieve all this for us then i really think that those people who wanna just be strictly F & A specialist will have no problem being just Podiatrists. But till 2015 passes i guess many people will still have this desires to do MD or DO to somehow look they are also equal.

Now if someone is doing MD or DO to cut the stomach along with the toe. thats a whole different thing.

 

[krabmas]

I think the only reason a mature Podiarist wanna do MD is most probably to get recogntion and equality in medical community as some people still dont see DPM as equal including the nation's armed forces, medicare stuff and many other states.

But if resoultion 2015 can achieve all this for us then i really think that those people who wanna just be strictly F & A specialist will have no problem being just Podiatrists. But till 2015 passes i guess many people will still have this desires to do MD or DO to somehow look they are also equal.

Now if someone is doing MD or DO to cut the stomach along with the toe. thats a whole different thing.

I think these are people that originally wanted to go to medical school and did not make it. It does not matter what your degree says after your name. learn to be a doctor and act like one. Your patients will appreciate this more than 2 more letters after your name.

I am not saying that I do not want vision 2015 to go thru, but if it does not it is not the end of the world.

Maybe it is because I am in residency and my scope is not restricted, but I do not feel like people think or expect less of me because I am a DPM.

 

[cool_vkb]

I am not saying that I do not want vision 2015 to go thru, but if it does not it is the end of the world.

Ofcourse that is no way the end of the world. with 150K average starting salary, versatility in medical specialities (surgery,Medicine, cosmetics,etc) within the foot, decent lifestyle the Podiatry offers now. i guess one should be happy even now. Ofcourse 2015 will be awesome but no way its the end of the world.

if anyone has joined pod school or doing podiatry hoping oh one day 2015 will pass and think they will get to do some cool stuff or even cross the F & A scope and do other stuff. they are really taking a very big gamble.because god forbid if 2015 doesnt passes then they are sc...wed.

Plus i also feel that may be 2015 is more like a myth. and so many things which 2015 addresses will automatically be achieved as time passes. it doesnt have to be like one big meeting in year 2015 and all 100 demands of pods are met on same day. may be by 2015 year, slowly slowy all the demands will be met individually as profession continues to expand either thru good educational practices or law suits or legislations,etc. time changes everything and usually the change is always progress (you can see any profession's history. they all have progressed as time went by). I guess as more time passes Podiatrists will eventually get all the recognition, hospital respect,etc etc from people.

 

[cel083]

No, I understand that. But what I mean is that the only DDS/MD's that exist are those that are OMFS (unless they went to dental school first, then decided it wasn't for them, and went to med school and are now practicing medicine). I do realize that you don't necesarily have to go the DDS/MD route to become a OMFS.

At lease, I have yet to see an DDS/MD that practices general dentistry. Would you agree?

Agreed. I don't know any DDS/MD who does general dentistry.

 

[krabmas]

Agreed. I don't know any DDS/MD who does general dentistry.

they would not be allowed to. Once a DDS or DMD specializes in something else like periodontestry or orthodontics or OMFS etc, they are not allowed to practice general dentistry like teeth cleaning anymore. But a general dentists may practice more than general dentistry as long as they have been trained in some way to perform such procedures. This is what one of the dental residents told me in NY (the resident went to school in Cali).

 

[cel083]

they would not be allowed to. Once a DDS or DMD specializes in something else like periodontestry or orthodontics or OMFS etc, they are not allowed to practice general dentistry like teeth cleaning anymore. But a general dentists may practice more than general dentistry as long as they have been trained in some way to perform such procedures. This is what one of the dental residents told me in NY (the resident went to school in Cali).

I think the poster I was quoting was referring to DDS/DMD's who earn an MD simply for the sake of having one, not persons specializing in OMFS or something else and then decide to tack on general dentistry duties.

But now that you mention it, some states do permit one to specialize and do general practice duties. This is decided by the legislature or the board of the state. I think, don't quote me, that Texas is one of them.

 

[Feli]

they would not be allowed to. Once a DDS or DMD specializes in something else like periodontestry or orthodontics or OMFS etc, they are not allowed to practice general dentistry like teeth cleaning anymore. But a general dentists may practice more than general dentistry as long as they have been trained in some way to perform such procedures. This is what one of the dental residents told me in NY (the resident went to school in Cali).

Are you sure about this?

That'd be like saying that Mendo, Kalish, and Downey aren't allowed to trim calluses anymore because they're famous F&A surgeons. Would they do C&C? Very doubtful since it's less lucrative and not utilizing the extent of their training... but it's not as if they are "not allowed to."

What if a DDS who specialized then became partially disabled or just decided he wanted easier hours? I'm sure he could still go back to less technically demanding work like general practice...

 

[krabmas]

Are you sure about this?

That'd be like saying that Mendo, Kalish, and Downey aren't allowed to trim calluses anymore because they're famous F&A surgeons. Would they do C&C? Very doubtful since it's less lucrative and not utilizing the extent of their training... but it's not as if they are "not allowed to."

What if a DDS who specialized then became partially disabled or just decided he wanted easier hours? I'm sure he could still go back to less technically demanding work like general practice...

As the previous poster said - it must be dependent on the state. There are definitely states that only allow non-specialized dentists to do general care.

 

[cool_vkb]

Are you sure about this?

What if a DDS who specialized then became partially disabled or just decided he wanted easier hours? I'm sure he could still go back to less technically demanding work like general practice...

Then tomorrow you could argue, what if a Plastic Surgeon who wants easy hrs or stress free life could go back to less technically demanding work like Family practice.

Like medicine, majority of dentistry residencies are specialized. if you do periorthodontics then you are pretty much limited to that unless you have done a residency which had first 1yr general residency year and then 2yrs of specialization.

 

[oncogene]

Then tomorrow you could argue, what if a Plastic Surgeon who wants easy hrs or stress free life could go back to less technically demanding work like Family practice.

Like medicine, majority of dentistry residencies are specialized. if you do periorthodontics then you are pretty much limited to that unless you have done a residency which had first 1yr general residency year and then 2yrs of specialization.

I get what you are saying but, general dentists can practice right out of school. This means that they already have all the training to be a general dentist without a residency. The plastic surgeon does not have the training to be a family doc because you don't learn family medicine in med school(residency). see the difference. Just as a side, I don't think being a family doc is anymore less stressful than a plastic surgeon.

It is true that once a dentist is specialized they are not able to practice general dentistry. I think in illinois this has to actually be posted in the office for all the patients to see.

 

[cool_vkb]

I get what you are saying but, general dentists can practice right out of school. This means that they already have all the training to be a general dentist without a residency. The plastic surgeon does not have the training to be a family doc because you don't learn family medicine in med school(residency). see the difference. Just as a side, I don't think being a family doc is anymore less stressful than a plastic surgeon.

many states require 1yr residency before a dentist can start digging the tooth. ummm! family medicine is ofcourse stressfull when done seriously but at the sametime family medicine has the beauty of offering stress free work environment if the doctor chooses to see just basic health stuff and not get involved in complications.Where as a Surgeon's bread butter is surgery and surgery is always stressfull. If a surgeon quits surgery then how can he make his income.

 

[oncogene]

many states require 1yr residency before a dentist can start digging the tooth. ummm! family medicine is ofcourse stressfull when done seriously but at the sametime family medicine has the beauty of offering stress free work environment if the doctor chooses to see just basic health stuff and not get involved in complications.Where as a Surgeon's bread butter is surgery and surgery is always stressfull. If a surgeon quits surgery then how can he make his income.

What states require dentist to complete a residency?

 

[Northerner]

many states require 1yr residency before a dentist can start digging the tooth. ummm! family medicine is ofcourse stressfull when done seriously but at the sametime family medicine has the beauty of offering stress free work environment if the doctor chooses to see just basic health stuff and not get involved in complications.Where as a Surgeon's bread butter is surgery and surgery is always stressfull. If a surgeon quits surgery then how can he make his income.

What the hell are you talking about?

 

[krabmas]

Uh Oh we got Northerner's attention

 

[cool_vkb]

Attention! Attention! Attention!

All members of SDN Podiatry forum. The thread "The Great MD/DPM debate" has been listed category-IV bcoz of recent sightings of Northerner. Witnesses report that the intial post was not that harmfull but we want to take no chance and we advise all the members to stop posting as this thread is soon to get closed.

 

[Dr.Millisevert]

What states require dentist to complete a residency?

NY, Delaware... (not sure what others)

but it is true that this seems to be becoming more common.

We also currently have regional board exams (Western, Southern, etc) ...They are trying to create one standardized nationwide board exam.

 

[Northerner]

Attention! Attention! Attention!

All members of SDN Podiatry forum. The thread "The Great MD/DPM debate" has been listed category-IV bcoz of recent sightings of Northerner. Witnesses report that the intial post was not that harmfull but we want to take no chance and we advise all the members to stop posting as this thread is soon to get closed.

Very amusing. The three laughing smiley faces convey pretty well how clever you believe yourself to be. It may help to add more.

You'll forgive me if I couldn't decipher your incoherent ramblings about topics about which you obviously have no clue.

ummm! family medicine is ofcourse stressfull when done seriously but at the sametime family medicine has the beauty of offering stress free work environment if the doctor chooses to see just basic health stuff and not get involved in complications.Where as a Surgeon's bread butter is surgery and surgery is always stressfull. If a surgeon quits surgery then how can he make his income.

I'd invite you to keep the keep the thread on topic, but it seems you're pretty committed to derailing it. Ask yourself whether my challenging what you say in your posts, or your over-dramatic reaction to my presence are more disruptive to a thread discussion.

 

[cool_vkb]

Very amusing. The three laughing smiley faces convey pretty well how clever you believe yourself to be. It may help to add more.

You'll forgive me if I couldn't decipher your incoherent ramblings about topics about which you obviously have no clue.



I'd invite you to keep the keep the thread on topic, but it seems you're pretty committed to derailing it. Ask yourself whether my challenging what you say in your posts, or your over-dramatic reaction to my presence are more disruptive to a thread discussion.

Think what you want, say what you want. You have arrived, the thread is about to get closed.

 

[Northerner]

Think what you want, say what you want. You have arrived, the thread is about to get closed.

Whatever buddy. Sounds good.

I'm realizing how silly it was of me to try to clarify one of your posts. If you need the last word, go ahead and post some more smilies, otherwise let's let the thread continue.

 

[densmore22]

What's this thread about again?

 

[bdaddyjolley]

What's this thread about again?

Densmore22 has a great point! Lend your attention.