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Residency Rap

Letters to the Editor:
How Many Boards ?
Board Review


by Jarrod Shapiro, DPM
PRESENT Resident Editor
Botsford General Hospital
Farmington Hills, MI

 

Good day everyone!  It seems I touched on a nerve with the “one board” topic.  Instead of listening to my commentary this week, I think it would be refreshing to hear from some other excellent opinions (with a few of my own, of course).  I encourage everyone to write in with their opinions.  What’s important to you?  Let’s talk about it!  Podiatry’s awesome.  There’s so much to talk about.  For example, USA Weekend magazine this week had an article about onychomycosis authored by Tedd Mitchell, MD.  The article is OK.  I agree with most of his advice (not all), and nowhere did I see a suggestion to see a podiatrist.  I ask again, where’s our representation in the media?  Have a great week studying for the boards!

- Jarrod

Subject:  Board Exam Review

What are you studying for the [board] exam? I’m taking my foot and reconstructive exams in June. Give me your study tips, maybe write about that.  I am currently studying from Myerson and Pocket Podiatry and reading journal articles. What are your suggestions?

Nisha Patel, DPM

nishap2@hotmail.com
DVA - Palo Alto Healthcare System


Editor's Response

Nisha, that’s a good question!  I’ll refer you to our Residency Rap Issue 28 where I addressed this topic to some extent.  I’ll recap quickly.   I’m primarily studying from McGlamry’s textbook because I’m told many of the questions come straight out of it.  I’m also studying from an old copy of Boards By the Numbers which helps me figure out what I’m weak on.  The folks at PRESENT courseware also have a board review program that includes Boards By the Numbers for free.  I’d be careful studying from Myerson’s new book, Reconstructive Foot and Ankle Surgery.  This text is not really oriented towards boards.  It’s more of a “this is how I do it” book.  Remember, it’s also orthopedic, so some things might be done a bit differently than how we in the podiatric community do it.  I’ll also warn you away from spending much of your time on Pocket Podiatry.  The content is relatively simplistic and, I think, below the level of Board Qualification.  No offence meant to its author, but it’s a very broad podiatric review.  I’ve also been reviewing journal articles, but only ones that I think are high yield.  Good luck with your studies!

- Jarrod


Subject:  Boards in Podiatry

Have to agree with you on this issue. But it will take time to change. The creation of multiple boards was an outgrowth of our subdividing podiatric residencies into subspecialties in the early 80s. I realize that the reason for the subdividing was the need to expand the number of programs to provide for everyone. But that created a vacuum for those who had residency training in either a PPMR or a POR to get some type of board qualification. Fortunately the ABPO and the ABPPM had the presence of mind to recognize that they could combine their efforts into a single board.

It will take time for those who are trained in the new comprehensive residency models to take over the leadership of the current certifying boards, and I think once they do, then we will see a move to combine the current boards into a single board. I do believe that the profession does need to continue its various subspecialty colleges (e.g. ACFAS, etc.) to promote excellence and research into the many facets of podiatric medicine.

Keep up speaking out on these important issues for our profession.

Robert D. Phillips, D.P.M.
Attending Physician
Coatesville VAMC

Robert.Phillips2@va.gov


Subject:  One Board..why?

It sounds great but first lets break it down. If there were one board, lets say the American board of Podiatric surgery and medicine, then should there be two certificates? Medicine and surgery? If you say no, there should be one certificate, then how do you deal with this scenario? One finishes his or her program, gathers their cases, and sits for the one board. Now ten years go by and that individual decides never to touch a scalpel again and needs to be re-certified. How does this new board say to the public this person is certified in surgery and medicine yet has never been in an operating room!

Therefore one must realize even with the advent of one board there must be two certificates otherwise that person can never be certified again! He or she may not be able to become certified to begin with if their practice patterns cause them to get involved in a practice that does not involve surgery or medicine-- we will have people who are well trained but have chosen to specialize in either medicine or surgery only and therefore never have access to certification.

So one should realize even if there were to become one board there would always need to be two certificates! So what was accomplished? Right now each board "guards" their own domain which is how it should be.

Charles M Lombardi, DPM
Wyckoff Heights Medical Center

Chazdpm@aol.com


Subject:  One Board...yes

I could not agree with you more regarding one certifying board. As the profession including both certifying boards ABPS & ABPOPPM agreed to develop competencies and create the PM&S residency training models to have ALL podiatric residency training be uniform and comprehensive.

"FORM FOLLOWS FUNCTION"... I strongly believe that the Certifying Boards (ABPOPPM & ABPS) should be proactive and start working on both testing and organization to create one certifying board that reflects the PM&S training. They should put their politics and ego's behind them and start thinking about the residency graduates that will ultimately seek board certification with their boards. I think to push this issue, it should come from the current residents in training and Podiatric Residency directors. I also think the COTH should get involved in this issue and press the boards to start action on creating the new board "The American Board of Podiatric Medicine and Surgery" ABPMS. It has a nice ring to it.

Marshall G. Solomon, DPM
Chair-AACPM
Director of Podiatric Education
Botsford General Hospital

msolomondpm@aol.com


As with all PRESENT publications, all issues of Residency Rap will be stored on the PRESENT  website, so if you miss an issue or you want to refer back to a prior issue, it'll be at:

http://www.podiatricresidency.com/residencyrap/

Talk to me,

Jarrod Shapiro, DPM
PRESENT Resident Editor
jarrod@podiatry.com

 
 

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