Volume 16 - Issue 4 - April 2003

Editor's Perspective »

Unlocking The Door To A National Scope Of Practice

By Jeff Hall, Editor-in-Chief | 4469 reads | 0 comments

Is it time for a national scope of practice in podiatry? Individual state laws prevail for now, but disparities between them raise eyebrows, not to mention the legal challenges. Are politics getting in the way of DPMs being able to provide complete podiatric care for patients or is the lack of universal training a far greater obstacle?
Let’s get to the wish list first. Some advocate broad parameters of what constitutes lower extremity care for a national scope of practice. One podiatrist says it should be the widest currently defined state law that encompasses care in the lower extremity



Forum »

Raising Expectations By Reforming Residency Programs

By John H. McCord, DPM | 2787 reads | 0 comments

I was pleased to learn the Council on Podiatric Medical Education (CPME) has declared a moratorium on one-year podiatric residency training programs that will take effect in 2008. Twelve months is simply not enough time to prepare young DPMs for the complexity and demands of our profession. I should know. I was a “12-month wonder.”
The residency training in podiatry has come 180 degrees since I graduated from podiatry school in 1974. At that time, the top students competed for the few good training programs. In 2003, it’s the opposite. Good residency programs are competing for the top s



Diabetes Watch »

A Guide To Effective Forefoot Salvage Procedures

By Eric M. Feit, DPM, and Mary M. Peters, DPM | 11785 reads | 0 comments

It is believed that 15 percent of diabetics will develop a foot or leg ulceration at some point during the course of their disease and that 50 percent will recur within 18 months.1 Approximately 80 percent of diabetic ulcers occur plantarly due to abnormal pressures. Most of these ulcers can be treated with sharp debridement, offloading devices and local wound care.2-4 Once you’ve achieved ulcer healing, utilizing custom orthotics with extra depth shoes will often prevent recurrence and reduce the needed frequency of pre-ulcerative keratoma debridements.
Unfortunately



New Products »

Same Strength, Smaller Package

3216 reads | 0 comments

Your debriding arsenal just became a little fuller with the introduction of two new sizes of popular debriding ointments.
New from Healthpoint, Panafil and Accuzyme are now available in 6-gram unit packages. According to the company, the smaller packaging of these ointments provides patients with convenience and is a safe, easy option for first time applications.
Healthpoint notes the unit dose will reduce potential waste and is appropriate for situations requiring less therapy.
Company: Healthpoint
Product: Accuzyme and Panafil Unit Dose
For more information, Circle 399 on your read



News and Trends »

CMS Expands Coverage Of HBO To Diabetic Foot Ulcers

By Gina DiGironimo, Production Editor | 6982 reads | 0 comments

Beginning this month, the Centers for Medicare and Medicaid Services (CMS) will expand its coverage of hyperbaric oxygen therapy (HBO) to include the treatment of diabetic wounds in the lower extremities. According to the CMS, in order to qualify for this coverage, patients must have: type 1 or type 2 diabetes and a lower extremity wound due to diabetes; a wound that is classified as a Wagner grade III or higher; and have failed an adequate course of standard wound therapy.
Caroline Fife, MD, says the expanded coverage is a “big step forward.”
“It represents an understanding on the par



Orthotics Q&A »

When Orthotics Can Treat Low Back Pain

Guest Clinical Editor: Nicholas Sol, DPM, CPed | 29402 reads | 1 comments

Have you seen your share of patients who have back pain as a result of compensating for gait-related problems? If so, you’re not alone. Some patients may indeed get relief from lower back pain after getting custom orthotics. With this in mind, our expert panelists tackle this important subject.

Q: Podiatrists often report that many of their patients experience relief of low back pain after receiving custom orthotics. What is the relationship?



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