36 months is a bad idea. Residents will now spend 3 years to obtain the exact same training they can learn in 2 years or even 1 year. This will decrease the number of new residency programs developed. Try pitching a 36-month program to facilities that are on the fence about allowing even 24 months. Good luck with that. Net result will be fewer pods able to practice. Doesn't make any sense at all.
This turns all of the new podiatrists into surgical only specialists. I have been a podiatrist for over 26 years. I started out doing a lot of surgery but over the last 15 years or so, the payments for surgery gradually declined to the point where today I no longer do surgery. It isn't worth my time. I make more money per hour, with way less stress, on podiatric medicine and biomechanics.
I'm with the first post. Podiatry is a dying profession. The number of people going into the field will continue to decline. As a result, the 3-year residency will be a mute point. Why would any sane person want to go into a profession where you have to amass a mountain of debt and then be limited to what you can charge patients to repay the debt? The people in academia who are worrying about a 3-year residency are so far out of touch with reality it is embarrassing.
Excellent points. I totally agree that now everyone should be doing surgery and therefore surgical training should be optional. Now if the old, untrained, lousy surgeons would retire, it would make it a lot easier for new practitioners to set up. I'm tired of fixing all the screwed up feet my local colleagues produce. I almost want to go back to law school because life would be easy after that.
All practitioners that possess a clinical doctoral degree should have identical doctoral training (ie. the MD/DO training model). In order to practice any medical specialty, such training is essential and should lead all practitioners eventually to an unlimited license before additional specialty or sub-specialty training is pursued.
In today's world, all practitioners need some exposure to all facets of medical practice before they can actively practice any specialty. Podiatrists, dentists and optometrists should all pursue such a training model for the enhanced understanding, ease of communication, and superior clinical skills that such a model provides.
Our education is woefully inadequate to provide care to a 21st-century patient. Our understanding of areas outside our specialty is woefully inadequate, often outdated, haphazard and non-uniform. As someone who has been immersed in residency education for over 25 years, I can say that our residency and fellowship training models are overwhelmingly skewed to training in surgical techniques using ARBITRARY categories and requisite numbers at the expense of MEANINGFUL AND CONSISTENT training in fast growing relevant fields such as imaging,genetics,infectious diseases and preventative medicine.
The 3-year training model recently enacted is going in precisely the wrong direction. It promotes further inconsistencies in the educational training of podiatrists, decreases the number of entry level residency slots when they should be increasing, provides even more unworkable case number requirements for residency training without regard for numbers actually needed for competency, and is totally out of step with the patchwork of licenses afforded in all 50 states.
Add this to the draconian approval process by CPME for residencies and fellowships that can stretch for a year or more, and you have a recipe for the MD/DO community to make podiatry a medical specialty with an unlimited license and make the freestanding podiatry profession both obsolete and irrelevant.
I am saddened by many of the comments. First of all, in order to be taken seriously by the MD/DO world, we must do 3 years which is the minimum they complete. Second, the changes are for a comprehensive residency program. Not only are our residents getting strong surgical training, they are also getting medicine, wound care, biomechanics, sports medicine, infectious disease, etc. Third, it does improve quality of care. If you don't want to do surgery, you should still know the criteria for surgery.
Yes, the schools have gotten greedy but guess what, the APMA has no direct control. This profession has come a long way. But some states have no residency programs yet want 2-3 years to practice in their state. It is called restraint of trade boys and girls. Quit complaining and start a new residency program.
Is a three-year residency trained DPM with a great surgical acumen clinically capable? Is a three decade clinically experienced DPM surgically capable? Enough with rules and laws. People are so individualistic. Who is good? Who is bad? Who is average? Let's go to the next level and require a preceptorship of any new beginning DPM (no matter how many years of whatever). Only then can we grow as a profession by blending new technology with experience to produce a synergism ultimately improving patient care and the core of podiatry itself.
Today's podiatrist must be able to compete with other medical degree specialists and have the holistic license to achieve parody in medicine. Having a 3-year residency is just the beginning. We must then use the MD and DO testing exams to prove to our colleagues our ability and independent functionality in the medical arena.
Our profession is bent on demanding from others formal recognition to practice medicine but we must be realistic and recognize that MDs and DOs make policy in licensing and hospital privileges. Yes, to compete in today's medical arena, we MUST come to battle with the same armor as our medical colleagues, no less.
The people who are worried about being on par with MDs have an inferiority complex. I have practiced in northern California for 20 years, been Chief of Surgery at my hospital, have all 4 of my local orthopods refer to me and 90% of the PCPs. Oh and BTW, I did a one-year surgical residency. I am successful because of who I am, not because of my training or degree.
As a current student, some of the comments posted on here are alarming. The negative attitudes about progressing our education and surgical training are absurd. We have and will continue to make strides in our training. For us to be considered experts in every aspect of the foot and ankle, our training must be top notch and fully encompassing.
The vast majority of my class entered the profession to be a surgeon and mandating 3 years of surgical training only makes our profession and training stronger. I am very excited to continue my education and was already planning on completing a 3-year residency. I fail to see how anyone can disagree with the sentiment that furthering our residency training will produce better doctors and surgeons. The idea that less training is somehow better is nonsensical. The profession is attractive to many because it is a surgical profession and we must be trained as such.
The residency shortage is a separate issue. Simply put, qualified students will obtain a residency. I have yet to hear about a qualified candidate from my school not being able to obtain a residency, although the shortage does need to be addressed and remedied.
The doom and gloom attitude in some of the responses is almost laughable. With all due respect, I am in full favor of the new CPME documents and am extremely excited to be a part of this growing profession. The field of medicine is ever evolving and those who don't adapt are left behind.
More information about text formats