Volume 18 - Issue 5 - May 2005
Well-trained and efficient employees are crucial to the success of any business. Often a shortcoming, staff development is something that podiatric practitioners need to take seriously, building an integrated training process into their business plan. Without an adequate plan to train employees, doctors often feel as though the practice is inefficient and that they are constantly taking corrective measures.
In many medical practices, staff training is often inadequate. What often winds up happening is having a new employee simply observe and work side by
Continuing Education »
Many of the treatment decisions made on a daily basis in medicine are not founded on or confirmed by the best available science. Some of these decisions are based on historic clinical standards and teachings yet to be scientifically proven while other decisions are made out of habit or sometimes a lack of appropriate information.
The questions raised in this discussion are not intended to imply that every treatment decision must be based on randomized controlled trials. However, we do hope to point out many clinical misconceptions regarding the prescribi
Editor's Perspective »
As a lifelong East Coast guy entering my mid-thirties, I find that I have more appreciation for the simple things that come with the emergence of spring. I relish sleeping with the windows open. I notice the hostas springing back to life in the garden. Even my cynicism softens (albeit temporarily). Of course, no spring would be complete without a couple of delusional resolutions, whether they are grandiose home improvement plans or a renewed commitment to develop more of a regular exercise routine.
Sure enough, it seems like every corner you turn, there a
I tried to apply a soft fiberglass cast to the leg of a screaming 4-month-old baby boy last week. It was toward the end of a very busy day and, in most cases, a screaming baby would not be an opportunity I would seek. In this case, the child’s screaming was music to my ears.
The baby boy was one of my curveballs. A curveball is a category of patient that presents with particularly difficult foot problems or health problems. This baby was referred to me by Isaac Pope, MD, my most reliable source of “curveballs.”
Isaac is a pediat
The debate that continues about the DPM/MD or DPM/DO dual degree is understandable, as demonstrated by Duane Dumm, DPM (see pg. 14, “Dual Degrees May Not Benefit DPMs,” March issue). Change is difficult. Change is suspect. Change is resisted. However, in podiatric medicine, change is a function of rapid growth with dimensions of practice that many take for granted and perhaps others do not fully realize.
First, dual degrees are not simply programs designed to benefit the DPM. While there certainly is a benefit to the podiatric physician, the ultimate
Diabetes Watch »
Diabetic neuropathy is a major risk factor in patients with diabetes. However, a larger impending threat to patients with neuropathy is the risk of developing Charcot arthropathy and ultimately an ulcer that causes deformity or joint instability. In patients with diabetic neuropathy, Charcot arthropathy alone results in an increased risk of ulceration and/or amputation.1 The subsequent deformities one sees with Charcot, predominantly the rocker bottom deformity, are due to the loss of structural joint integrity.
The subsequent deformities one
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