THE PODIATRY FORUM 

Welcome to the PODIATRY FORUM created in 1999

for STUDENTS  &  DOCTORS

"Building a podiatric community through cooperation"

Created in 1999 to facilitate intelligent & constructive communication between prospective students , podiatric medical students & doctors.  Thank you for making the PF the busiest podiatry forum on the internet. Comments expressed are NOT those of the webmaster, moderators nor advertisers/sponsors but rather reflect the opinions of that individual poster.  

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Podiatry vs. Medicine

by JJL (no login)

The interesting thing about podiatric medicine and allopathic medicine is that there is just as much downfall in MD/DO medicine as in the DPM world.

You complain about insurance - all doctors complain about insurance. DPMs comlain that they only earn a low six figures after several years - well what about family practice and primary care specialities? They are in the same boat.

Dentists average 85-90K. Is there a website devoted to the destruction of dentistry? No.

Podiatrists are a needed speciality. If you look around in public health books, online, even ask nurses and other physicians who to see for foot/ankle care. They say a podiatrist 95% of the time.

There are podiatrists in the news all the time, on the 'Today Show', working on professional athletes, and so on. They are just as much doctors as any MD/DO.

For a foot infection you might see a Derm, FP, or Pod. Yes there are other capable professionals to treat what you do. People lose confidence in you because of this site and your loser remarks.

You could see an oral surgeon or an ENT for a broken jaw. You could see a plastic surgeon or derm for a mole on your face. You could see a family doc or a ortho for a sprained knee.

You could also see a Podiatrist for foot/ankle related symptoms.

Medicine is not exclusive. Never has been. Never will be.

Get over it.

Posted on Jul 14, 2003, 2:55 PM
from IP address 172.198.14.48

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True, but

by Anomalous (no login)

Everything you said was generally accurate, but there are a few glaring inequities in the world of podiatry.

1. Unpredictable post-graduate training. This is the main reason why I decided to go to DO school this year. A PPMR doesn't cut it these days. Hopefully, it's changing.

2. No jobs upon completion of your residency. MD's and DO's have job offers all around the United States and overseas. I doubt this will change in the forseeable future.

3. No jobs in the military. Maybe a handful, but not enough to write home about.

4. No government repayment programs. I know, I know, the Indian Reservations....not enough.

I'm not bashing podiatry. I'm not bashing podiatrists. I wholeheartedly agree that DPM's are an indispensable part of the overall healthcare system. In my case, I have no choice but to change careers because there are too many doors closed and not enough opportunity.

Posted on Jul 15, 2003, 1:27 PM
from IP address 64.161.169.169

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Lots of NEW Jobs in Podiatry

by Anonymous (no login)

Look fella,

I don't know what you are smokin but the number of new jobs in podiatry is exploding.

New jobs everywhere. In the Japa, or in the forums, or the list-serves, or in the magazines. Word of mouth always has a new associate job, it seems.

This is the golden age of podiatry with new residencies, longer training, more procedures, more cooperation, podiatrists running hospital departments, etc.

And, more money. Much more money.

Posted on Jul 17, 2003, 1:37 AM
from IP address 64.157.148.220

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Re: Lots of NEW Jobs in Podiatry

by Anonymous (no login)

You said it brotherman...

Posted on Jul 24, 2003, 7:37 PM
from IP address 152.163.253.1

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Re: Podiatry vs. Medicine

by Cedric (no login)

Dentists make way more than 90k per year...see the link below:
http://www.ada.org/prof/ed/careers/factsheets/dentistry.html

Posted on Jul 21, 2003, 11:32 PM
from IP address 129.22.7.38

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Hiring PA's

by Anony (no login)

Can a DPM hire a PA (Physician's Assistant) like MD's and DO's??

Posted on Jul 14, 2003, 12:50 PM
from IP address 64.161.169.169

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Yes

by G. Anderson, DPM (no login)

Absolutely! PAs work under the supervision of a physician or surgeon. There have been many PAs apply at my practice. I currently have a Nurse Practitioner take my office pts on surgery days (wednesday and friday)

G. Anderson, DPM

Posted on Jul 15, 2003, 12:37 AM
from IP address 198.81.26.173

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??????????

by INTERESTING (no login)

I STUDIED THE PRACTICE ACTS AND STATE DEFINITIONS OF MY STATE REGARDING SCOPE OF PRACTICE:

A NURSE PRACTIONER WORKS UNDER A PROTOCOL OF THE PHYSICIAN WHO OVER SEES THEM- AND C-II MUST BE TAKEN CARE OF BY THE PHYSICIAN (NO CO SIGNING)

THE PA WORKS WITH THE PHYSICAN AND IN SOME CASES
MUST HAVE THE ORDERS SIGNED BETWEEN 24 - 72 HOURS
AFTER WRITTEN

SO A MIDLEVEL PROVIDER WHO IS TRAINED IN A SPECIALITY
(HEAD TO TOE) WILL WORK UNDER THE SCOPE OF A
PODIATRIST WHO'S SCOPE IS EITHER THE FOOT-ANKLE- BELOW THE KNEE ONLY)

WHAT ABOUT MAL-PRACTICE INSURANCE ????

I WOULD ENJOY AN EXCHANGE OF DIALOG ON THIS SUBJECT

THANK YOU FOR YOUR TIME AND CONSIDERATION REGARDING THIS MATTER

I FIND THIS AN INTERESTING SUBJECT

Posted on Jul 17, 2003, 3:26 AM
from IP address 216.79.73.226

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RE: Interesting

by Anonymous (no login)

Have you ever thought that NPs specialize? Yes they are traing in a total body model but several NPs specialize in after surgery care, dermatology, peds, sports medicine, foot and ankle care, ect.

I do oversee the NP I employ. I review all the charts and all the findings, ect. I dont know what is so interesting. This is quite common.

Posted on Jul 20, 2003, 10:16 PM
from IP address 198.81.26.173

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A Nurse Practitioner

by (no login)

"I currently have a Nurse Practitioner take my office pts on surgery days (wednesday and friday)"

Very interesting. Hiring a NP to take care of podiatry patients instead of hiring an associate DPM.

I think us "doom and gloomers" have just hit checkmate. And I didn't even have to work for it...

Jeff

Posted on Jul 18, 2003, 9:03 AM
from IP address 198.81.26.173

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Answers

by G. Anderson, DPM (no login)

NPs work independently, while I do collaborate with my NP, the work is their own. My NP signs the Rx slips and fills out their own charts. I do review them however.

Jeff,
I know that some DPMs are underpaid for our level of training and skills. I will not contribute to that. I truly believe that podiatrists are very capable doctors and surgeons who can make it on their own. To hire an associate and pay them the amount of money I pay my NP is a disgrace to doctors (podiatrists) and to their knowledge and training.

Posted on Jul 20, 2003, 10:05 PM
from IP address 198.81.26.173

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I pay my Associates as little as i can.

by Anonymous (no login)

Not me. I have no reluctance to underpay my Associates. I try to get them for $24,000 per year. I have them pay their own medical and malpractice, also. I do allow them to hold retractors when i do surgery.

I tell everyone that I need a "partner" and thereby, they will work their fingers to the bone doing the Nursing Homes and other things that I hate.

I allow them to touch all of those wet feet and they are wet not from spilling their drinking cups.

Even though i dont pay much, i still get too many applicants, so i change them every year or when i tire of them.

Posted on Jul 23, 2003, 1:15 AM
from IP address 67.25.18.53

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Re: I pay my Associates as little as i can.

by T M KATZ DPM (no login)

IF THIS MESSAGE IS TRUE-NO WONDER THE MEMBERS OF
OUR PROFESSION ARE UPSET. CAN WE PLEASE WORK
TOGETHER ?

PERHAPS THIS POST IS AN UPSET ASSOCIATE???????

IF INDEED THIS IS A REAL POST-IT IS THE SAME CLASS
OF DPM THAT CHEATED IN CLASS, LIED IN RESIDENCY,
AN COMMIT MEDICARE FRAUD

THIS TUMOR NEEDS TO BE REMOVE

Posted on Jul 27, 2003, 11:51 PM
from IP address 216.79.73.226

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Re: I pay my Associates as little as i can.

by Mike Hunt, DPM (no login)

your an embarassment to the profession

Posted on Oct 28, 2003, 7:43 PM
from IP address 68.112.231.15

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New DPM as secretary

by Anonymous (no login)

What he did not say that he hired a New DPM to work as his secretary. It is cheaper to hire a DPM than to pay the going wage for a coder.

Posted on Jul 22, 2003, 2:39 AM
from IP address 64.157.149.159

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What about your residency?

by Anonymous (no login)

If you didnt get a good residency the first time around, what are the options of re-applying at a later time or after you complete your PPMR, PSR-12, ECT? Downside (if any) ect.

Any information would be great.

Posted on Jul 13, 2003, 11:20 PM
from IP address 198.81.26.173

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Residency

by Anomalous (no login)

I haven't checked recently so I can't give you any accurate information.

By the time I finished my PPMR (at the now defunct L.A. County program, which paid a whopping stipend of 10k/year) I was completely broke and in serious debt. I inquired about a (seemingly legitimate) job opportunity that was posted in the R. Director's office. Sounded good, but ended up being a scam, etc. I did stay at one of the clinics, though, since I couldn't afford to do anything else.

I considered reapplying to get a surgical, but several things stopped me. First, I was making about twice what I could potentially make in a residency (which really wasn't a lot...about 40-50k gross) and I reasoned that I simply could not afford to be on slave wages for yet another year. Second, I honestly wondered whether or not it was going to really increase my chances of making a decent living. The fact was that all my classmates who had at least one year of surgical training were either not working or making less than me. Not terribly encouraging. Third, it didn't sit well with me when I thought of taking away a surgical spot, which, theoretically should go to a new graduate. It pissed me off when I was a student when I heard that we were also competing with DPM's for those few surgical residencies. Totally pathetic to tell you the truth. Finally, I thought long and hard about my choices and my future. Frankly, neither seemed very tenable. I felt as though I had no choices (besides staying at the clinic, which was a constant battle with the owners on just how the billing should go.....this will be a problem at every "clinic" you get hired at - you'll see). My future seemed not only economically bleak, but emotionally and intellectually barren.

One day it just hit me that I'd never be happy if I continued in podiatry and that I might as well try yet again to get into DO or MD school. Trust me, it wasn't an easy decision. By that time I was married and I had been living in my first house for only a year. My wife was working, but we were also relying on my income. Tough decisions. To me, though, life really isn't worth living unless you pursue your dreams. I know it sounds cliche' and a little trite, but it still means something to me. When all is said and done, you only have your memories and I figured I didn't want to be looking back on my life and think, "I wish I'd....."

So, here I am. I'll be 42 years old in a few months and I'm going to be a 1st year DO med student in 3 weeks. It still sounds a little crazy to me, but also extremely satisfying. It's certainly been a long and very, very circuitous route to become a physician, but there are most definitely many roads to take to reach your dreams.

Posted on Jul 17, 2003, 1:49 PM
from IP address 64.161.169.169

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Good

by Viper (no login)

I am so happy for you. You will see know that you
are entering the realm of "real medicine". I experienced the same thing but in my second year I figured out that I was being scamed in this field. Your life just changed for the better. I wish you good luck, but believe me you won't need it once you become a Real Doctor with a real earning potential.

Posted on Jul 18, 2003, 2:36 PM
from IP address 207.42.135.28

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Re: Residency

by BOB (no login)

May I ask the college your are enrolled in for your DO degree and what podiatric college you graduated from.

I would like to ask a question of the forum.

Has any one reviewed how many podiatry students we
loose because of the problem with residency ?

Why do we have to lose members of our profession to
DDS, MDs, DOs, or even pharmacy ?

Thank you for your time and consideration regarding this topic

Posted on Jul 23, 2003, 12:27 AM
from IP address 216.79.73.226

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Solutions

by 3rd year out (no login)

It seems to me there are a few problems, and they are real despite the non practicing students rosy glass eye on the world, that keep popping up here on this fine forum. I will list a few of the most important as I see them with an easy solution to the problem.

1. Not enough psr-36 for all. Answer: reduce graduates to match the number of psr-36.

2. Can't make enough money. Answer: Do not accept managed care/medicare. Charge what you want.

3. No respect at the hospital. Answer: Get used to it, life is not fair, you want big respect, go cardiovascular surgery.

4. Not enough patients. Answer: See #1.

5. Schools won't limit students. Answer: Do not support them, do not encourage students to enter profession, do not give to scholarship funds.

I guess I could keep going, but you get the idea. A anon poster said just project yourself as an ankle surgeon and you will magically be one, tell that to the guy with the gpa 3.8 and POR, what a load. Tell that to the credentials committee.

It all boils down to one very crystal clear solution. There are too many pods out there trying to get the same patients in the office.

Can you practicing pods out there, no students please, chime in and let us all know how your problems practicing medicine would be if all of a sudden 50% of the other pods in your practice radius were to simply retire, now?

I would be very happy to say the least. Wishful thinking.

2 cents worth, maybe a bit more, LOL

Have a nice day.

Posted on Jul 13, 2003, 5:55 PM
from IP address 69.34.138.109

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if only

by anon (no login)

I might actually have enough pts to practice full time

Posted on Jul 16, 2003, 9:49 PM
from IP address 206.214.62.179

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AMA - No Podiatry

by Anonymous (no login)

I was browsing the AMA website using their physician search and found it interesting that the directory listes "oral and maxillofacial surgery" but not podiatry. I know that the AMA usually doesnt endorse anyone but MDs however most oral surgeons are only DDS even though the MD degree is now offered within the residency.

Posted on Jul 13, 2003, 3:51 PM
from IP address 198.81.26.173

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Re: AMA - No Podiatry

by Sharky (no login)

Hell yeah! Dentists and/or Oral Surgeons, they are real Doctors. They learn, practice and heal people in all aspects of their own unique Medical discipline of "Oral and Maxillofacial". We, those of us that understand and know what the real Medical mainstream is, don't need to ask how and why the MD degree is offered within the Dental residency, because the Dental study and training is equally real, credited, and recognized by all.

Posted on Aug 1, 2003, 3:48 PM
from IP address 63.196.245.37

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Of Course DDS's are closer to RD's

by Bozo the Pod (no login)

How many more suckers will it take to fill out a form asking what nature of practitioner they are-for a CME course or registration for something-and realize there isn't a space that says DPM? The deeper has to check the OTHER box.

What the heck is a D P M?

After nearly 30 years it hasn't become a househould word-jeepers.

AMA is the real doctor association-they make the rules. CPT, ICD approve CME credit - Credits that the DPM world might not find acceptable because DPMs have to have the final say as to what new knowledge is. How many DPM CME courses have hashed over the same crap for the past three decades touting new ways to fillet a foot and hammer in the rules about keeping the DPM down.

Yessir mister podiatriss, I knows I ain't worthy and gotta follow the DPM rules or they gonna come fetch my DPM degree and put it where the sun don't shine.

Posted on Aug 17, 2003, 10:24 PM
from IP address 199.183.212.111

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Ankle Surgeon... No Foot

by Anonymous (no login)

I recently was in a motorcycle accident and sprained my ankle to the point where now It rolls at random will.

I saw my GP and he sent me to an ankle specialist. To my surprise he was a DPM who did no feet at all (not in the last 10 years he told me) just ankles.

I need an ankle procedure to hold it in place. He said he performed about 60 of these per year and some were voluntary and some were trauma based.

You become who you present yourself to be and that doesnt happen hangin' out here.

Posted on Jul 12, 2003, 1:10 PM
from IP address 172.199.208.92

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The Reality of DPMs

by Anonymous (no login)

The truth about DPMs is that they are represent a small profession. Just like DOs they have had to make their marks seen. If you look at all of the (other than the MD) medical degrees such as DO, DPM, and even DDS - the prefession and persons in it have had to prove themselves to the "MD people"

DOs didnt have hospital privelages until the late 70s and some even into the 80s. Read the history.

DDS (oral surgery) still have a problem with OR and admission privelages.

DPMs have had ther same probelms. But look at how far it has come. DPMs are practicing a larger scope than ever before.

And as for the salaries. Read FORBES magazine. It is one of the highest paid professions.

Podiatry will be just fine.

Posted on Jul 12, 2003, 1:00 PM
from IP address 172.199.208.92

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DONT TELL

by DPM (no login)

You know, I would hate for you to speak so positively. People might actually get the hint that its a good Prof. How about we keep what we know to ourselves (including the proof) and let the rest keep thinking that its a bad deal. We dont need anyone else to ruin their lives.

Posted on Oct 3, 2003, 3:34 PM
from IP address 65.212.33.70

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Pod Residency

by Justin (no login)

I was just wondering what it entails to achieve a good residency such as a psr-36. Thanks.

Justin

Posted on Jul 10, 2003, 8:21 PM
from IP address 198.81.26.173

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Re: Pod Residency

by 3rd year out (no login)

Hard Work, and a ton of luck. What do you need a prs-36 for? There are not enough to go around, as the above poster said, just "present" yourself, and you can do just ankles.

LOL

Posted on Jul 13, 2003, 5:25 PM
from IP address 69.34.138.109

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Need advice on Pt2 NB? Study Material.

by toes (no login)

I graduated several years ago, But have never pursued podiatry since. I have NB Part 1 done 1st time no poroblem!

I have some problems with finding adequete material to study for Part 2. For some reason I did not pass it years ago when I did take it.

Any suggestions?
The PI Manual........I have & found it not very precise or accurate as far as review books go.

The Presby.........Have an old one, & have been through it with a pretty good feeling. Wonder, does anyone have a newer version?

I know this is early to be worried about Pt2, but you need to see my point, I graduated over 5 years ago, so am rusty.

Any suggestions greatly appreciated.
Toes

Posted on Jul 10, 2003, 8:41 AM
from IP address 66.203.10.55

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nb2

by who cares, good 4u (no login)

What you need to study is tumors, common maladies and workups for podiatry. Radiology section is mostly tumors from when I took it. In addition, know common meds. Sx is limited, practical workups for dm infections and things of that nature are on these tests. Also know some trauma classifications, most of which can be found in the podiatric pocket manual

Posted on Jul 11, 2003, 9:59 AM
from IP address 192.35.79.70

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Podiatry Employment

by (no login)

Hi

Take a look at www.medicsolve.com just launching hope to have lots of Podiatry positions and candidates.

Please click here http://www.medicsolve.com/jobseekers/signup.html to
register as an jobseeker.


Or http://www.medicsolve.com/employers/signup.html to
register as an employer.

We will always be offering a free level of service on this site so please
go ahead and see what we can do for you today.


Regards

Medicsolve.

Posted on Jul 10, 2003, 7:27 AM
from IP address 212.159.95.8

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Has anyone heard from...

by Evan Gross (no login)

Lisa Norman - BUSPM Class of 1997?

Posted on Jul 8, 2003, 7:00 PM
from IP address 67.72.165.54

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Podiatrist Salaries...

by JJL (no login)

According to the Los Angeles Times and Rand McNally (March 7, 2003) - not the APMA - Podiatrists are earning the following (4000+ responses)

1-3 years = 128K
3-7 years = 168K
MAX = 292K

The trend is not represented here. Surf the net and talk to local doctors. The trend is a healthy and upper-class living well over six figures.

Posted on Jul 4, 2003, 12:49 AM
from IP address 207.225.208.89

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salaries

by EDL (no login)

Are you suggesting that 130-200 is not ok? wake up you will not ever become rich doing podiatry. maybe if you do the right things with your money you might become rich, but podiatry no way.

Posted on Jul 6, 2003, 11:37 AM
from IP address 198.81.26.173

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$128K first year very low end.

by Anonymous (no login)

I think that you will see an incredible increase in podiatry salaries to the level of the orthopedist. It is driven by the increase of Medicare which is much higher than for any other specialty. Experts were shocked at the recent price increases.

And, Medicare said they will decrease the requironments for E and M, and documentation. In fact, they said that if the podiatrist bills for visits where the patient is not in the office, they will look the other way as "mistakes happen to anybody".

The Negative times and Doom and Gloom has passed podiatry.

Posted on Jul 8, 2003, 10:02 PM
from IP address 67.249.33.166

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??

by anon (no login)

who are you?
You aren't a practicing podiatrist.

Posted on Jul 15, 2003, 6:22 PM
from IP address 207.115.175.244

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money money money money money

by Anonymous (no login)

It is time for the doom and gloomers to wake up and smell the mocha.

The salaries are up as there is a shortage of podiatrists everywhere, especially in the big cities.

Open the office anywhere and the shortage of podiatrists along with the demand for podiatry will make one busy rapidly.

Posted on Jul 17, 2003, 1:40 AM
from IP address 64.157.148.220

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Re: money money money money money

by Anonymous (no login)

This post is comical. Come to New York and you will see a podiatrist on every block

Posted on Jul 17, 2003, 9:07 PM
from IP address 24.187.199.162

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And every podiatrist is making a ton

by Anonymous (no login)

And, every podiatrist is making a ton of money. Lets not kid the young people.

You know what group is the largest buyer of Jaguars last year?

Podiatrists.

Average income is $357,000. Beats out lots of Medical Doctors.

It is time for more than a few to get back to Podiatry School and sign those government guaranteed loans to the podiatry schools.

Posted on Jul 19, 2003, 11:07 PM
from IP address 67.25.22.66

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Dr sarcasm

by anon (no login)

This type of post is not of any use or help to anyone.
the average podiatrist does not make 357k. In fact no one knows the average.

Posted on Jul 20, 2003, 11:54 AM
from IP address 63.185.8.26

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RUN FROM DPM SCHOOL

by DPM (no login)

I have never seen this site until today. I have now spent 3 hours reading (on my day off). I was wondering if it was needed for everyone to know our salaries. Is there anyway that we can just keep this negative thing going and enjoy that we are not flooded by other DPM's. Please do advice others not to ruin their lives b/c I am a DPM and I am starving. If you did look at the forbes magazine (for salary information) that stated that we were highly paid and on the TOP end of the food chain, IT WAS A SCAM THAT WAS PROVIDED BY THE STARVING DPMS. Forbes doesnt know what they are talking about. Please run from Podiatry school.

Posted on Oct 3, 2003, 3:49 PM
from IP address 65.212.33.70

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not true figures

by who cares good 4u (no login)

yes, yes, you may be able to pull in 128 by the third year, just subtract the negative 128,000 for the first 2 years with no production. Also, take into account that the number represented is gross, not net. minus expenses, you are looking at about 80,000 3rd year. APMA is right.
sincerely,
who cares, good 4u

Posted on Jul 10, 2003, 9:59 AM
from IP address 192.35.79.70

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Speaking with an ortho

by Justin (no login)

I had the chance to speak to an orthopedic surgeon about podiatrists and he thought very highly of their skill, surgical capabilities, and knowledge.

He specializes in knees and laughed when I asked him why alot of orthos dont 'specialize' in ankles/foot - he replied "What do you think is a more complicated area of medicine, feet and ankles or knees?" "Ankles" I said.

He said that orthos leave the feet/ankles alone because of their difficult nature.

DPMs are alot more than the loser-pods here seem.

They all thought after school and training that it was going to be a walk in the park with no hard work, late nights, low payments and what ever else might throw a red flag up.

The Doctors here are the minority.... Sad

Posted on Jul 3, 2003, 12:56 PM
from IP address 63.230.19.66

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Is this true?

by Lisa (no login)

Is this true????
You said in your message that the DPM's on this site are sad... I wanted to go back to school and become a DPM (not a MD or DO ...ect) and this site was very disturbing. Can you give me some honest information about the types of things I need to be aware of inorder to be realalistic with my goals.

Posted on Jul 6, 2003, 3:45 AM
from IP address 65.147.228.63

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Re: Is this true?

by JJL (no login)

Lisa,
Steer clear of medicine. The problems are yet to begin with insurance, loans, overhead, ect. If your passion is medicine look into becoming a Nurse Practitioner (NP). You will be providing the same services of a Family Doc - or what ever you may specialize in.
It is not worth the gamble.

Posted on Jul 9, 2003, 6:26 PM
from IP address 198.81.26.173

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Re: Is this true?

by Anonymous (no login)

What makes you think that poster who talked "to an orthopedist" is getting to the truth, and the other posters are wrong?

Can the "negative" side EVER be the truth, or does life have to be always positive?

Doctors are getting crushed today. DPMS much more than MDs. This website reflects the truthful reality of podiatry. Accept it or not, the truth still exists.

Posted on Jul 9, 2003, 9:12 PM
from IP address 67.249.21.74

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referrals

by Ray Schneider, DPM (no login)

Your ortho friend is being gracious. Check the reinbursements for a hip vs. any pod procedure and you'll see why he's happy to referr a foot to you.

Posted on Jul 8, 2003, 8:17 AM
from IP address 205.185.134.126

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Hip v. Foot/Ankle

by JJL (no login)

Look at the intensity of a hip replacement v. a podiatric procedure and you should understand why. You should ne able to do twice the amount of foot/ankle procedures in the same time as a hip.

Posted on Jul 12, 2003, 1:03 PM
from IP address 172.199.208.92

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what surgeries do you do??

by anonymous (no login)

Your attestation regarding the "Intensity" of a hip replacement as compared to that of Podiatric procedures holds water only when reference is made to forefoot surgery and lump and bump level procedures. How many Charcot foot reconstructions have you performed recently? I think this procedure, among many other procedures performed by the foot/ankle surgeon, ranks right up there on the "Intensity" scale with the THA. However, it certainly does not rank as high on the "reimbursement" scale.

Posted on Jul 18, 2003, 6:21 AM
from IP address 65.179.33.112

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M-O-N-E-Y.

by Anonymous (no login)

It is all about how to develop the business of podiatry. How to cut corners. Short change your patients. To learn this, I recommend coming to Florida and learing from the best-- the Medical Doctors.

Posted on Jul 19, 2003, 11:09 PM
from IP address 67.25.22.66

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It's pure BS!

by Anon (no login)

I truly wish what you wrote was the truth. In my area the hospital orthopods shut out the DPMs from hospitals. Now I heard through the grapevine that there's another othopod who decided to specialize in foot and ankle surgery. So guess what? Now in my city (pop'n 1+ million) there are 7 orthopods, which are known to the all the GPs, that only do foot & ankle surgery and in hospital ORs. Most of surgeries are day surgery but patients can be admitted to the hospital depending on their health, insurance etc. So Justin, if you met one of the foot & ankle orthopods in my area your post would be opposite to what you wrote.

Posted on Jul 11, 2003, 10:11 AM
from IP address 209.82.51.79

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It needs more orthopods

by Anonymous (no login)

If your big city has one foot and ankle orthopod for more than 100,000 people, don't worry about anything. Aren't you better trained? Isn't everybody beating a path to your door?

All podiatrists are wealthy. We don't need another Doom and Gloomer. Your posts are not welcome anymore as you are negative.

Posted on Jul 19, 2003, 11:13 PM
from IP address 67.25.22.66

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Oh Well

by ??????? (no login)

Where is the money in Florida

Posted on Jul 20, 2003, 10:38 AM
from IP address 209.208.117.38

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Justin's allies!!

by Anonymous (no login)

The sarcastic overtones in your last post (ie: "Aren't you better trained," and, "Aren't they beating down your door", and your "what planet do you practice on" statement that "All Podiatrists are wealthy", clearly indicate that you are either ;

a) not a podiatrist
b) a first year podiatry student (we'll forgive you)
c) born with a silver spoon
d) or simply downright naive or worse yet suffering from a learning disability

And, what is your definition of wealthy? Running a business that is solvent and provides a good living for you? What if that business stopped operating for one reason or another and your income dried up? How many months would you be able to continue servicing your debts and paying your expenses of daily living? Do you now have assets that would enable you and your family to continue living the life-style that you now live, and accomplish all the goals you have set for the future on the strength of the assets you have already acquired, without ever having to work again? If you do, then you are truly wealthy. I seriously doubt it, unless letter (c) above applies to your personal circumstances.

It sounds like Justin is unfortunate in that he has established his life and practice in a less than optimal geographic location with repsect to the climate in the medical community. I suppose that's his fault too, right? Oh, and for all those who are saying, just move somewhere else and start all over again, remember, there are multiple life defining factors that must go into the decision to pick up and start one's life over again elsewhere. It's never that easy. Should I hang in there a little while longer and continue to beat this dead horse? Or, should I pick my family up and gamble we'll do better elsewhere? How will I afford to keep my practice alive during the start-up phase? Will my kids be unhappy so far from their extended family members? Compound those factors with having no money, possibly poor credit, no borrowing power, large debt structure, and possibly half of your working years already spent on getting you where you now are, and the prospects for the future can look very bleak at best.

Those of you who constantly bash the so-called "Doom and Gloomers" have a strong argument because remaining positive is the only way to achieve positive results in life. But let me tell you, even the most innately positive person can be broken down eventually when all one's hopes and dreams disappear and you wake up in your thirties or fourties realizing that it's all been for naught. At 29 years old, I found myself in $450,000 of debt, piloting a solo practice which went belly up in it's second year in 1994. I was truly on the proverbial "balls of my a--!" I tried living in my office on a cot because I could not afford an apartment, until I was thrown out due to zoning laws. I fought the IRS, the OIG, the Department of Justice, the Department of Education, the Podiatry school I graduated from, the county I practiced shut me down and liened me due to inability to pay impact fees, I was sued by a bank who got a judgement against me that I still owe and has doubled, I was in a lawsuit with the previous owner of my business, denied membership in the state association just "because," my car was repo'd, I was excluded from medicare and other federal programs, my name printed in the local paper and on the local network news as a "Dead-Beat Doc", posted on the DHHS website, and just about ruined before it was all over. I still have never owned a home, and may never be able to do so, have poor credit, and struggle to find gas money or haircut money. Try to remain positive through all that, and then you've earned the right to cast stones at another who is having difficulties.

Why not try throwing someone a line instead of slings and arrows? What that really be so hard? Are you big enough to comprehend what I am saying, or has your "rosey little life" not taught you enough lessons yet? Trust me, it will. Just like the stock market, a correction is coming!!! It always does, no matter who you are. It would be interesting to observe your level of sarcasm and positivity at that time.

I have still not "re-made" myself in this profession, but everyday I try. My life has been severely damaged because of this reality, which I accept complete responsibiltiy for. And though I am a positive person by nature, there have been many days when remaining positive, has been the biggest challenge of all, and some of those days I have failed.

So before you cast stones at another, ask yourself, how would I respond in this person's shoes/situation? If you have not experienced the same or similar circumstances, leave the sarcasm on the shelf, and try to find it in yourself to offer something constructive to another. And, if you cannot find it in yourself to function at that level, then keep your useless commentary to yourself. It doesn't help anyone! It is non-productive, and only exposes you to still be a sophomore in life.

Have a nice day!

Posted on Jul 22, 2003, 8:26 AM
from IP address 63.183.161.44

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$450,000

by Anonymous (no login)

To be $450,000 in debt demonstrates something obvious. You made the commitments, you have failed. Whose fault is it? Perhaps atleast you can assume some of the responsibilty. No one owes you anything. People are compassionate but do not tolerate those who blame others for poor decisions and blame others for those mistakes.
You are not a doom and gloomer but a fingrr pointer. With the situation you describe I feel that bankrupcy and loan defaultment(something you already admit to) are probably your best options.
My opinion.....

Posted on Jul 23, 2003, 11:16 PM
from IP address 205.188.208.9

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Thank you

by Anonymous (no login)

good post. Thank you for sharing your story.

Posted on Jul 24, 2003, 10:46 AM
from IP address 68.173.147.21

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knees

by anon (no login)

I'd say knees. easily knees.
A knee replacement is a fairly big operation.
Most foot procedures are simple.
A tibial plateau fracture is more difficult to tx than an ankle fracture(99% of which are done by ortho anyway)

Posted on Jul 13, 2003, 1:10 PM
from IP address 158.253.208.128

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Stop Your Crying!

by Anonymous (no login)

The sad thing here is that ALL of the DPMs that post here feel and act so inferior to the MD-Orthos. Why is that? Stop your crying!!!

Posted on Jul 13, 2003, 3:48 PM
from IP address 198.81.26.173

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Transfer to Medical School

by Martin (no login)

Can you transfer from podiatry school to medical school and how often is this done?

Posted on Jul 2, 2003, 12:44 PM
from IP address 68.15.131.98

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No transfer

by Anomalous (no login)

Both schools are mutually exclusive.

You can only quit podiatry school and apply to medical school just like everyone else. In fact, they won't accept any of your units or your MCAT score if it's more than 3 years old. Nothing's transferable.

Good luck

Posted on Jul 5, 2003, 7:09 PM
from IP address 64.173.107.165

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Med Schools do NOT accept Pod Credits

by Anonymous (no login)

It is wake-up time for you.

Medical School will not accept Pod school credits. First the credits are not similar. Second, the Med Schools don't need the Pod Student. Third, the quality of the Med Student is way superior to that of the Pod student.

In Pod school there is no competition.

Posted on Jul 6, 2003, 11:35 PM
from IP address 67.249.33.197

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MD schools Will Not accept DPM work

by Barry (no login)

MD schools will not accept DPM course work. One must start from scratch with the re-taking of the MCAT if older than 3 years. This is another way schools (businesses) make money off of naive and impressionable students who are life-inexperienced, in debt, and influenced by power and prestige.

Posted on Jul 10, 2003, 7:40 AM
from IP address 134.174.244.81

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my exp

by Chuck (no login)

Almost never, and it is nearly impossible to get credit for any work done at the DPM program... You may want to try foreign schools and see what they say. For example, Ross Univ. will let you transfer but will not give you credit. If you want to be an MD, BE AN MD. If you wan to be a DPM, BE A DPM. We don't need people who are unsure or want something else. There are no shortcuts or back doors into medicine, either way it is HARD work.

Posted on Jul 7, 2003, 8:17 AM
from IP address 209.227.6.18

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Re: my exp

by Anonymous (no login)

What do you mean? You have old information. The off shore schools ARE accepting Podiatry School Credits now so that a Pod student can become a Med Student.

They encourage this transfer.

Posted on Jul 8, 2003, 10:04 PM
from IP address 67.249.33.166

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Best Schools

by (no login)

Which is the best school of podiatric medicine? Thank you.

Posted on Jun 26, 2003, 9:15 PM
from IP address 12.85.86.174

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4th year student

by Chuck (no login)

The best school academically is Temple. they have the best didactic program and a decent clinical experience. In my opinion they have the best all around program. By the way i did not attend Temple, this is my opinion. Good Luck, and choose wisely.

Posted on Jul 7, 2003, 8:13 AM
from IP address 209.227.6.18

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No more negative news to report.

by Anonymous (no login)

There is nothing more in a negative way to write. Everything now is positive.

The new Medicare Drug Bill will INCREASE the funds allocated for Podiatry. Expect 7.02% increase!!!

Those "doom and gloomers" are so wrong. Always wrong.
Podiatry Rocks and those old Podiatrist fossels should go back under their rocks.

Posted on Jun 23, 2003, 10:22 PM
from IP address 67.249.33.167

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NEW MEDICARE-- 9.01% INCREASE

by Anonymous (no login)

Well Podiatry is the BIG winner in this
new Medicare legislation. Almost 10 percent.

Better than any other specialty.

Now, "Doom and Gloomers" what do you think now about Podiatry?

Posted on Jun 26, 2003, 10:38 PM
from IP address 67.249.21.183

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Medicare UPDATE Podiatry big chance

by Anonymous (no login)

New legislation regarding Podiatry reveals that podiatry will take a big hit. After all, the prescription drug plan and other benefts will increase the outlays so great that they must take money from the checks of the foot specialists or tax the oldsters $2354 each per year.

Posted on Jul 12, 2003, 2:30 PM
from IP address 67.249.67.236

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good news

by me (no login)

that's great. It will make future defaulters on Heal loans better able to reimburse the federal gov for their valuable educations

Posted on Jul 15, 2003, 6:26 PM
from IP address 207.115.175.244

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Actually, there IS some negative news to report

by anonymous (no login)

The news is that we are apparently not educated enough to spell "fossils" correctly.

Posted on Jul 2, 2003, 7:42 PM
from IP address 192.68.30.124

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Best Practice Software?

by (no login)

We need to replace existing office software to comply with HIPAA. Looking for best practice/note program value. Would prefer not to pay an arm and a leg for support. Please respond with programs you like or dislike to help me narrow my choices. Thanks. Patrick

Posted on Jun 23, 2003, 6:48 PM
from IP address 68.155.178.54

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med office software

by (no login)

Granted, I have a very small mostly private pay practice, but I have found Visionary Medical Systems to be very easy and rewarding. The cost is extremely nominal when compared to most software that is out there now. I am not sure how well it is on doing notes but the billing aspect is great. I do not have the direct email address right now, but this link will be helpful:

http://www.delnetexchange.com/medical_billing_services_2.html

The cost for support is $20 per month and I have never had any trouble with the program. Upgrades are free. They will also do all your electronic claims for $29 per month. I am not a sales rep so you should call them if you have specific questions. (813) 594-1033. Good Luck

Rod

Posted on Jun 27, 2003, 6:26 PM
from IP address 216.119.12.18

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Bunion

by Dave (no login)

Can bunions cause a person to lose their balance more easily?

Posted on Jun 19, 2003, 9:45 PM
from IP address 64.32.235.13

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Re: Bunion

by Anonymous (no login)

Dave, yes. The great toe is a key factor in locomotion.
JL, DPM

Posted on Jun 26, 2003, 8:45 PM
from IP address 12.85.86.174

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NO POSTS WILL BE APPROVED UNTIL FURTHER NOTICE

by PF MODERATOR (no login)

Please be advised that posts will not be approved until further notice given vacation time and that pod schools are out for summer, etc...

Take Care
PF Moderator

Posted on Jun 13, 2003, 4:16 PM
from IP address 192.35.79.70

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Wound Care Question

by Anonymous (no login)

We are considering promoting wound care as a potential practice building strategy. Does anyone have experience utilizing wound care as part of a practice building strategy?

If so, I would be very interested in learning about your experiences? Benefits, pitfalls, etc. Thanks.

Posted on Jun 13, 2003, 5:29 AM
from IP address 68.81.232.91

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