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New topic:
Podiatric
medical and orthopedic board certified podiatrists .What is more
important from a podiatric quality of care point of view, being board
certified in podiatric orthopedics and medicine vs. being board certified in
podiatric surgery ? Well, if an unfair requirement for board certification is
required for podiatric surgical privileges in hospitals than that same unfair
requirement for board certification should also be required for
podiatric medical privileges in hospitals. If board certification is a
requirement for podiatric operating room privileges, it should also be
required for every podiatric medical and podiatric orthopedic
privilege performed in the hospital.Please note
that I believe that such podiatric board certification must relate
specifically to the podiatric privilleges being requested. (for
example: After a surgical infection the prescribing of the correct antibiotics
is a podiatric medical privilege. Just because one is board certified in podiatric
surgery does not mean that they are board certified in
podiatric medical or biomechanical privileges and visa versa. Thus if a
patient has a cellulitis requiring IV antibiotics, podiatric
medicine is the podiatric specialty concerned with prescribing
IV antibiotics. If podiatrists must be board certified in their field,
then board certification in surgery is not adequate podiatric medical board
certification because the delineated privilege of prescribing of
antibiotics is technically not performing podiatric surgery but is actually practicing
podiatric medicine. Furthermore, if there is a requirement that
all podiatry chiefs be board certified, then such board certification
should be relevant to any privilege recommendations that are needed
from a podiatric chief that is board certified. ( For example,
if a podiatry chief is board certified only in podiatric surgery, then another second podiatry
chief should be appointed that is board certified in podiatric medicine
and orthopedics.) Personally, I do not believe the advantages of board
certification outweigh the possiblity that perfectly currently
competent podiatrists are excluded just because of a lack of board
certification in their podiatric subspecialty. There may be more
podiatric medical procedures out there than podiatric surgical
procedures and if board certification is required for the delineation
of privileges, this abitrary requirement should be uniformly applied to
(all podiatric medical as well as orthopedic as well as surgical privileging
criteria.) I believe there has been a lack of delineation of podiatric
medical and orthopedic procedures such as rx for infections, rx orthotics shoes
paddings, biomechanical evaluations, taking C&S in wound care
centers and Rx antibiotics in wound care centers and Rx propper
shoegear in wound care centers and clinics, etc... Lastly, I feel that
if the podiatry chief feels that a podiatrist is not currently
competent at performing certain podiatric procedures, the credentials committee
should be enabled to consider that podiatrists current competence and
to over turn any negative or positive recommendation given by a podiatry chief.
disclaimer: the
above are the personal opinions of the author and is not to be
relied upon as any type of legal advice.
I AM GOING TO
PROPOSE THE FOLLOWING AMENDMENT AT THE MEDICAL STAFF MEETING:
THAT PODIATRISTS NOT ONLY BE UNDER THE DEPT OF SURGERY BUT
ALSO HAVE PODIATRISTS IN A DIVISION UNDER THE DEPT OF MEDICINE. THE
CHIEF OF PODIATRY SHOULD BE UNDER THE DEPT OF MEDICINE. LASTLY ALL
PODIATRISTS SHALL HAVE ACCESS TO THE OPERATING ROOM
REGARDING ANY SPECIFIC PODIATRIC PROCEDURES THAT THEY
HAVE BEEN GRANTED. I BELIEVE IT TO BE WRONG TO
DISALLOW A PODIATRIST WHO WAS GRANTED TOENAIL SURGICAL PRIVILEGES ON
THE FLOOR OF A HOSPITAL TO BE DENIED THE VERY SAME TOENAIL SURGICAL PRIVILEGE IF OTHER
PODIATRISTS ARE GRANTED THESE TOENAIL SURGICAL PRIVILEGES IN THE OR.
I HAD OPERATING ROOM PRIVILEGES UNTIL 1996 REGARDING BASIC
TOENAIL SURGERY, SKIN SURGERY, ULCERS ETC. THE
BYLAWS CHANGED AND ALLOWED PODIATRISTS THAT WERE
BOARD CERTIFIED BY ABPS TO MEET THE CRITERIA
FOR OR PRIVILEGES AND DID NOT RECOGNIZE AT ALL
BOARD CERTIFICATION BY THE ABPOPPM OR ANY OTHER
PODIATRIC BOARD. FIRST OF ALL BOTH THE ABPOPPM
AND THE ABPS ARE RECOGNIZED BY THE APMA. ONE'S DELINEATION OF PODIATRIC
PRIVILEGES SHOULD NOT BE BASED
UPON THE BOARD THAT A PODIATRIST IS CERTIFIED IN BUT
INSTEAD BY A CURRENT DEMONSTRATION WITHIN THE LAST 2 YEARS OF
COMPETENTLY PERFORMING EACH SURGICAL PRIVILEGE THAT IS REQUESTED.
FOR EXAMPLE, IF A PODIATRIST DID NOT DOCUMENT CURRENT
COMPETENCE AT PERFORMING IMPLANT SURGERY IN THE FOOT,
THEN CURRENT COMPETENCE AT THIS SPECIFIC
PRIVILEGE SHOULD NOT BE ASSUMED. IF SUCH A PODIATRIST IS
GRANTED THE PRIVILEGE TO INDEPENTLY PERFORM SUCH BUNION IMPLANT SURGERY
WITHOUT ANY RESTRICTIONS, THEN
THE HALLMARK INDICATOR CRITERIA RELATING TO CURRENT COMPETENCE AT
PERFORMING DELINEATED PRIVILEGES
IS BEING SELECTIVELY ENFORCED BY THE MEDICAL STAFF.
THE DIRECTOR OF SURGERY MUST BE ASKED THIS QUESTION: DID EVERY
PODIATRIST THAT WAS GRANTED THE PRIVILEGE TO PERFORM IMPLANT SURGERY IN
THE FOOT ACTUALLY PERFORM SUCH A PROCEDURE WITHIN THE LAST 2 YEARS AND
DOES THIER CREDENTIALS FOLDER SHOW THIS? IF THE ANSWER TO THIS IS NO,
THEN WHY NOT.
IS DISCRIMINATION OCCURING? I FEEL THAT THE ABPOPPM HAS AN EXCELLENT
WEBSITE. PERSONALLY, I AM PROUD TO BE CERTIFIED BY THE ABPOPPM EVEN
THOUGH OUR HOSPITAL
DOES NOT EVEN RECOGNIZE THIS BOARD.
I FOUND THE BOOK MEDICAL STAFF PRIVILEGES INTERESTING
LOOK OUT FOR THAT HOSTPITAL
ATTORNEY
THAT REPRESENTS THE GOVERNING BODY. IF THE
MEDICAL STAFF WERE TO USE SUCH AN ATTORNEY
TO ADVISE THEM IN WRITING MEDICAL STAFF BYLAW LANGUAGE, OR IN THE
PARLIMENTARTY PROCESS OF THE
MEDICAL STAFF MEETING PLEASE MAKE SURE THAT
THE ATTORNEY DOES NOT REQUIRE NEW TOPICS
BE PRESENT ON THE ADGENDA BEFORE BEING
MOTIONED AND SECONDED TO BE BROUGHT UP.
ALSO REMEMBER IF A DISAGREEMENT OR LAWSUIT
WERE TO OCCUR BETWEEN THE MEDICAL STAFF AND THE
GOVERING BODY WHO'S INTERESTS WOULD SUCH
AN ATTORNEY REPRESENT? WHY NOT HAVE THE MEDICAL
STAFF HIRE THEIR OWN ATTORNEY WITH ONLY THEIR
INTERESTS AT HEART? PLEASE CHECK OTHER WEBSITES
TO SEE IF OTHER SITES ARE DISCUSSING THIS SAME TOPIC.
I BELIEVE IT IS A DEPARTURE FROM
THE FREEDOM OF CHOICE FOR PATIENTS FOR A HOSPITAL TO ESTABLISH WHAT I
BELIEVE IS ARBITRATRY TRAINING AND
OR BOARD CERTIFICATION CRITERIA THAT MUST
BE MET TO BE GRANTED SPECIFIC SURGICAL PRIVILEGES IN THE OPERATING ROOM
IF THOSE EXACT SAME SURGICAL PROCEDURES ARE GRANTED OUTSIDE THE
OPERATING ROOM TO PODIATRISTS THAT LACK A COMPLETION OF A CERTIFIED
PODIATRIC SURGICAL RESIDENCY TRAINING PROGRAM OR
BOARD CERTIFICATION IN PODIATRIC SURGERY.
I BELIEVE IT IS AN ARBITRARY PRACTICE IF THE EXACT
SAME SURGICAL PROCEDURES ARE GRANTED BY THAT SAME
HOSPITAL TO BE PERFORMED OUTSIDE THE OPERATING
ROOM AT THE PATIENT'S BEDSIDE. TOENAIL SURGERY
IS SOMETIMES PERFORMED IN THE OPERATING ROOM.
OTHER PODIATRISTS WITH PODIATRIC SURGICAL TRAINING
OR BOARD CERTIFICATION IN PODIATRIC SURGERYARE GRANTED THAT TOENAIL
SURGICAL PRIVILEGE IN THE OPERATING ROOM. I BELIEVE THE USE OF AN
OPERATING ROOM SHOULD BE AVAILABLE TO ANYONE THAT IS GRANTED
THE PRIVILEGE OF PERFORMING A SPECIFIC PROCEDURE
SUCH AS TOENAIL SURGERY BE IT INSIDE OR OUTSIDE THE
OPERATING ROOM. IF TOENAIL SURGERY IS DEEMED TO
BE INAPPROPRIATE TO BE PERFORMED IN THE OPERATING
ROOM, THEN NOBODY SHOULD BE ALLOWED TO PERFORM THAT PROCEDURE IN THE
OPERATING ROOM. I BELIEVE THAT
JUST BECAUSE A PODIATRIST IS IN A DIFFERENT ROOM SUCH
AS AN OPERATING ROOM, THEY DON'T LOSE THEIR COMPETENCE AT PERFORMING
TOENAIL SURGERY THAT EXACT SAME SURGICAL PROCEDURE THAT IS PERFORMED
OUTSIDE THE OPERATING ROOM.
DISCLAIMER: THE FOLLOWING REPRESENTS THE PERSONAL
OPINION OF THE AUTHOR. I BELIEVE THAT EVERY MEDICAL
STAFF AS A GROUP CAN ESTABLISH AND AMEND MEDICAL STAFF BYLAWS REGARDING
PODIATRIC SURGICAL CRITERIA.
I AM NOT SAYING THAT EVERY HOSPITAL SHOULD FOLLOW
OR MUST AGREE WITH MY OPINIONS. I MERELY STATE THAT
I AS A CITIZEN OF THIS COUNTRY HAVE A RIGHT TO
EXPRESS MY OPINION ON THE INTERNET AND ANY HOSPITAL
READING THIS OPINION CAN CONSIDER IT.
disclaimer: The owner of this website is not responsible for
any of the opinions that is listed or advertised. Do not rely on any of
the information posted on this
website. This website is just expressing personal
opinions. These personal opinions are not based on
any facts. All they are are personal opinions.