Volume 23 - Issue 3 - March 2010
Diabetes Watch »
As podiatric physicians in 2010, we are better trained than ever to manage patients’ problems. Even more importantly, we are well versed in making appropriate, well-timed referrals when needed. In the following case study, that particular acumen was critically important.
News and Trends »
CPME May Extend Residency Requirement To Three Years
By Brian McCurdy, Senior Editor
The Council on Podiatric Medical Education (CPME) is proposing longer residency requirements for podiatrists to qualify for advanced certification. The council advocates lengthening the residency duration from two years to three, according to CPME 320 documents posted on www.cpme.org/
Editor's Perspective »
The true measure of a man is not necessarily what he has accumulated or received over the course of his life, but rather what he has given to others. Gary P. Jolly, DPM, FACFAS, set the bar pretty high. A top educator in the field, Dr. Jolly played an instrumental role in the training of many of the current thought leaders in podiatry. Never afraid to push the proverbial envelope, Dr. Jolly was widely regarded as one of the truly innovative minds of podiatric surgery.
Poorly managed diabetes can have devastating consequences and there are challenges in getting patients to do their part in following treatment regimens. With these things in mind, this author offers key insights into the psychology of non-adherent behavior and how to get patients back on the right path.
While there may be a perception of amputation as a failure in treatment, these authors maintain that amputation salvage procedures do play a role in limb preservation and can enhance the quality of life for patients with diabetes. They address the timing and decision-making with these procedures and review emerging advances in prosthetics.
Given the potential complications of Charcot foot in the diabetic population, these authors review the pathophysiology of the disease, discuss key diagnostic considerations and offer their perspectives on possible surgical treatments.
The Charcot foot poses quite a challenge in even the most organized centers. The outcomes are often poor and can lead to osteomyelitis, amputation and permanent disability. The diagnostic delay averages 29 weeks.1 Even when appropriate diagnosis occurs early, there is no agreement on the best treatment approach.