Re: Yea right

by Anonymous (no login)

 

Like ANY medical profession there are pathways available to become more and more subspecialized.

The orthopaedic foot/ankle fellowship is available in order to allow one to become a foot/ankle specialist and become comfortable with the entire array of foot/ankle surgery. A general orthopaedic residency gives one a strong basis (certainly varies with from program to program) in foot/ankle. A fellowship takes it to the next level.

You ask why a fellowship available if a general orthopaedist has priveleges to do the same cases as a fellowship-trained one? Most general orthopaedists will do basic foot/ankle work but will not tackle the more difficult foot/ankle problems. They may do bunions, simple ankle fusions, etc. but the majority of them will refer out the total ankles, tibiotalocalcaneal fusions, distal tibial osteotomies, etc. Most surgeons completing a foot/ankle fellowship are planning to join a practice to serve as the foot/ankle expert who is willing to take on any of these cases.

I don't know why all orthopaedists have priveleges to do any foot/ankle case they want. You'd have to ask the hospitals that give them these priveleges. I do know, though, if a general orthopaedist was doing total ankles and was doing them in a substandard manner they'd catch a ton of flack from the local foot/ankle orthopaedists. There are certain cases which are routinely thought of specialty cases and that's why the fellowship exists.

Posted on May 15, 2003, 7:21 PM
from IP address 65.70.42.25

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Nice tryAnonymous on May 16, 5:58 PM

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