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.
By reading or posting messages in the PF or chatroom, you agree to the terms of the disclaimer listed at the bottom of this webpage.
Can this be true?by (no login)I was at a SNF the other day, doing my notes at the nursing station and I started a conversation with a guy typing notes into a laptop. Turns out he is a pharmacist and to make a long story short, I finally asked him what the job opportunities are like in his profession these days. Now this is where I had a hard time believing this guy, because he said there are an exceptional number of jobs waiting for every graduate. Apparently, pharmacy school is three years and he said most starting salaries are $100,000 with benefits. Then he said if you don't mind going to the less desirable cities, the pay and benefits will be even more. How could salaries for pharmacists be so high? from IP address 216.119.9.219 |
It Is Trueby Anonymous (no login)Check any job search engine. There is an increasing shortage of both pharmacists and registered nurses. Following the laws of supply and demand, the salaries and benefits are excellent. from IP address 158.252.242.74 |
pharmacyby cma (no login)Pharmacy is generally a five year Bachelor degree. Another year and they can receive a PharmD. After that they can do fellowships in e.g., oncology. That is in the administration of chemotherapy, and they are trained to evaluate the patient medically. They will look for electrolyte abnormalities that may accompany cisplatin therapy. And check Hb levels,etc. But, with just the basic degree they can get a job starting around $80,000 plus benefits with a large pharmacy corporation. (2001 salary) may be higher now. Dentists were also starting at $80,000 in 2001. from IP address 63.185.9.248 |
Pharmacists make bankby Jeffrey C. Davids, DPM (no login)How could it be that starting salaries are so high? Have you looked around the corner from your home? Bet there's a Walgreens or CVS. They are everywhere...and are buying up every street corner. Hell, sometimes they are right across the street from one another. The demand for pharmacies has never been higher - and with that, pharmacists are needed. While it's true that you only need a 3 year bachelor degree to practice retail pharmacy, most schools are moving towards the 4 year PharmD degree (Doctor of Pharmacy). I don't know about $100k to start, but I know the salaries are in the mid $80's. Of course, you count pills all day and argue with insurance companies on the phone...but the pay is incredible. If I had any desire to go through chemistry hell again (ie: study for the PCAT), I'd consider applying. Jeff from IP address 205.188.208.42 |
pharmacy not incredibleby cma (no login)100k is not incredible. my brother-in-law makes 100k as an electrician at Daimler-Chrysler. The truth about pharmacy is you will never make over 100k. from IP address 209.183.88.79 |
cma, ups and downsby Anonymous (no login)cma makes 225 k as a MDA, drives a volkswagen, and has a handicap of about 35. 100 k is great if that is what you love to do. It has its ups and downs. Pharmacists who may open a chain of local pharmacies have the potential to be extremely wealthy. MOST MD/DO/DDS/NP/ECT will tell you that pharmacists know more about medicines than they do. They are very well trained (cant wait to hear from all the pissed off docs about how wrong I am) from IP address 63.225.57.209 |
225?by cma (no login)I wouldn't interview at an anes job that pays 225 from IP address 209.183.88.60 |
Sorry cmaby Anonymous (no login)from IP address 216.160.236.11 |
RPh supports adult DPM sonby Anonymous (no login)Wrong. I am a Pharmacist in private practice in my own store. I made $537,000 last year and I am supporting my 42 year old son who is a Podiatrist. He is surgical trained and he can not make sufficient money for his family. Some problem with the PPO's not including him. Someone said that Podiatry is becoming a footnote in history. I agree. from IP address 67.26.43.179 |
Prospective Students Get Bombarded with Podiatry Misinformationby Mark Boyer (no login)A prospective student called me inquiring about podiatry. Since she was interested in athletics, the aged, pediatrics, derm, etc... that the podiatry CD-ROMs, brochures so actively state. She received massive amts. of glossy materials for the podiatry "schools" and wondered why there are so few applicants/students. She thought it was b/c of there are only 7 schools.. She was deciding b/w podiatry and med school. Given the extremely limiting factors and trends in podiatry that do not appear to be getting better any time soon. The choice was abundantly clear. She then told of the 40 work week, family time, no beeper, great pay etc..that the glossy PR brochures actively purported. I told her to look into the real podiatry. 6 days later after her own independent inquiry she got back to me. MD/DO all the way. She thanked me profously for saving her 150K in debt and time. from IP address 134.174.110.5 |
Balanceby Anonymous (no login)You gave her your side. Do you still practice? Anyway when dealing with someone who is making a life decision, wouldn't it be the prudent and ethical to refer her to a DPM who may see things differently than you? If you do not know one you could refer to an organization that does. Then after hearing more than one opinion she could make a balanced decision. How sad if she truly wanted to be a DPM and really became an MD/DO based upon the preception of those 2 fields by a non MD/DO. Maybe the MD would tell her to be a DPM (which does happen) then what? from IP address 152.163.189.129 |
Talking down Podiatry.by Anonymous (no login)It is reality, my friend. Podiatrists across the USA are talking down podiatry. In private and in public. And the numbers are growing. Swelling. And expanding. Try to intimidate and it gets worse. More vocal. Its a fire and you dont put it out by pouring gas on it. from IP address 67.26.43.233 |
Not just podiatryby anonymous (no login)Doctors in general are down. 3 MDs in my building (all under 50) have quit medicine in the last 2 years. Things are tough all around. That said it is only fair to let the prospective student talk to people on both sides. I always find it amusing when DPMs seem to know all about every other profession. They talk all about how great the MDs, DOs, PTs, RTs, RPhs, RNs, etc. have it but none of them have spent one day as any of those professions. Unlike many who make these comments I work in a group that hires all of those professions. They all have their problems and many have recommended that students check into all professions both medical and nonmedical. Some have recommended podiatry. When you say that atleast they can make all of this money we all know that is not the only issue. Nursing salaries are at an all time high yet they can not fill their schools Why? Yet DVMs (vets) pays are low and they have waiting lists. Why? Gas on a fire I think not. I think it's people who are not in mainstream medicine (they admit it in their posts) who admit they had minimal training in a hospital telling everyoneall about those mainstream professions. Yeah right. I have made it in the profession after much work and our resident grads salaries go up eachyear. They join ortho groups and DPMs last year's grads salaries ranged from 70-130,000. before bonuses and benefits. They have full hospital privileges and grads in prior years 2-4 years are all between 125-300,000. So not all new grads are failing and wow some are even happy. So before you steer some student to MD school please let them talk to someone who is young and made it. Or maybe they will one of the MDs that quits when they could have been a happy DPM. Just be fair and quit ruining others chances. If it is so bad, quit and spend time having a shotat a happier life and spend more time on other web sites from IP address 205.188.208.42 |
Gave Student other DPMs, Still Fled From Podiatryby Mark Boyer (no login)I in fact gave her the APMA number, the names of 3 other DPMs ,and some of my MD colleagues for a 'balanced' discussion and told her to look at other practices and follow a DPM around other than me because I am not keen on this "profession". She after 6days made up her OWN mind and stated without any provocation that she "didn't like the fact that the practices involved nail clipping and bunions, medicine was absent." Not my statements --hers. Yes, I still practice podiatric medicine on a PT basis. Since I can make much more in computers. from IP address 134.174.157.114 |
That's betterby Anonymous (no login)If you did that then I have no arguement. Sounds as though she was undecided and your input and the other information she received swayed her towards medicine. I will admit that if someone enters podiatry purely as a second choice after rejection from another career they will have a harder time being happy. Doesn't mean that can't be happy but will have a harder time. Our residents do well upon graduation but I will also admit not all the profession's graduates do well. Sometimes it is their training and sometimes it is their unrealistic expectations (they set up or take a job in an area flooded with DPMs and foot orthopods). If the panels are closed regardless of your degree or training they will take time to get on. All of our grads(Approximately 30) for the last 5 years are doing well. The highest paid is making take home before taxes $250,000. The lowest (out since 7/2002)is making a base of $70,000 with a bonus and benefits. So it is possible to make it. It isn't the entire profession that's amess but only certain parts. You can not compare medicine with podiatry since it was never meant to be compared. I will argue, that when trained no one can hold water to our professions residents. I see the logs of 2 nationally known ortho residencies and their foot ,back, hand, and sometimes even shoulder experience is minimal. One ortho grad whose chief is also a foot orthopod only did 5 foot cases in 5 years. They still come out and do backs, feet etc. One I know routinely sends the staff to his office to get the textbooks. Imagine if we did that. :) from IP address 205.188.208.42 |
Re: RPh supports adult DPM sonby Anonymous (no login)If he were my son, I would remodel my store somewhat so that he could have a small private podiatry suite. The increased revenue he could bring your business in terms of OTCs alone should be substantial. He does not have to have surgical privileges or be on the staff of a local hospital in order to make an excellent income. Assuming there are no dysfunctional family dynamics, this could be a very satisfying and positive experience for all concerned. Best of luck and please let us know what happens. from IP address 158.252.215.34 |
Podiatry Only Officeby Mark Boyer (no login)In Mass this is against the board of podiatry laws, stating that the podiatry office must be soley used for the purposes of podiatry and no other proprietary service/s can be rendered in that office dwelling. One office only podiatry. from IP address 134.174.157.114 |
the real truth about pharmacyby pharmacist/dpm (no login)pharmacy is now a 6 year degree in which you will earn a doctorate of pharmacy. The average pay is based on hourly wages, somewhere around the 40-45 dollars on hour. There is a pharmacise shortage now, with the average salary being from mid 80's up to 100,000 based on hours worked. Obviously no one on this site would know more about this than myself, considering i am still practicing pharmacy at a retail store. from IP address 205.188.208.42 |
Re: the real truth about pharmacyby Anonymous (no login)Obviously, you are the acknowledged authority on this subject. Are you happy with your job? Or, as with most of us, are there some little things that really drive you up the wall? from IP address 158.252.215.34 |
Pharmacists are part of the systemby Anonymous (no login)This is true. RPh's DO start at more than $75K plus benefits. And, they don't have to worry about suits. How many times does one have to say that Podiatrists THINK that they are part of the Healthcare system. They are not. They are only invited guests. Pharmacists ARE part of the system. from IP address 63.215.172.2 |
You are sadly mistaken!by Anonymous (no login)Let's see. I take a detailed history and physical examination for a new patient with a foot complaint. I order radiographs and appropriate laboratory tests, render a diagnosis, and write a prescription for possibly an antibiotic or an analgesic. What should I call myself? I am a Doctor of Podiatric Medicine. What are you? from IP address 158.252.215.34 |
a pharmacist!!!by ms3 (no login)He is a PHARMACIST! Someone that I deal with everyday! They are the best at knowing drugs, and my collegues and I interact with them everyday. I don't even remember the last time our hospital even delt with a DPM...not that you are not needed, of course. The family docs and PA, NPs debride nails (YES, you don't need 4 yrs of podiatry school to learn how to do it right!), debride ulcers, PNAs (yes...they have the right, the knowledge, and are GREAT at it), our PTs do all the orthosis AND FFOs, and the orthopedic surgeons do all the surgeries...including bunions and hammertoes. I'm not saying that you are not needed...I'm just saying that you do not own your science...a lot of people out there know and practice "podiatry"! ms3 from IP address 204.185.73.154 |
Only the truthby Anonymous (no login)PharmDs are in very high demand. Not only in a retail setting but in a research and clinical setting. For lack of specific knowledge, about a year ago a large drug company employed an entire graduation class at a salary of somewhere near 70k per PharmD with benefits. Look in your local paper, as I did after reading your response, I found several jobs in a retail setting at Albertsons. No specifics were listed regarding salary but it did say "competitive salary and great benefits". According to the BLS, pharmacists make somewhere in the realms of 50-70k on average. They are very skilled in the chemicals we call medicines which in todays society is very needed. Help? Hope so. from IP address 216.160.238.167 |
Not all paid that muchby Anonymous (no login)There are shortages in certain areas for pharmacists that are driving up salaries. The ones I know are more mid 5 figure ranges unless they work in a scary area or work holidays, evenings, weekends etc. My suggestion is if you want that guarantee go be a pharmacist. Also for those who quote how this MD got this or that, I think we all knew/know that an MD has many more options than many professions. That is why it has always been the most sought after human professional schools. I do not think that when we go to DPM school we think we are going to be competitive with MDs when it comes to $$$. However, think about this one: The most sought after medical field is being a Vet. Very competitive yet the average grad makes very little. Yes there are vets making a killing but go to any vet site and you will se many make less than 50,000/annum. They have competition for residencies that make a PSR-24 quest seem easy and the big money follows those who do these residencies. So why is competition still there for a competitive, high cost, low return profession ( which I do not believe podiatry is BTW) simple these people love this career and will not settle for a second career even an MD in some cases. Podiatry has a problem when people who neverintended to be one or even research what they do become one after rejection from MD school. This is an inherent cancer and I believe explains the let down for many especially those who are having a tough time economically. Since a second choice with $$$ may be acceptable. If you want MD, DO, pharmacy, RN,PT oportunities then you have to go to school work and be one of those. Don't compare apples to oranges. I like being a DPM knew what to expect had patience and now Iam doing well My opinions from IP address 152.163.189.129 |
It must be true -it's happening in Canada too.by Anon (no login)Instead of summarising a post from the Canadian Podiatry Forum I copied and pasted the following post. It was posted on March 7, 2002. On March 2, 2002, "The Toronto Star" reported a story on p. A14, that aging Canadians are fuelling a large increase in demand for pharmacists. Canada needs at least 2,000 more and in Ontario more than 400 new pharmacists were registered last year. Also it was reported, that a call was placed to a Shopper's Drug Mart in North Bay for an interview, but the pharmacist could not speak with the reporter because he had 80 customers waiting to have their prescriptions filled. Is this the only pharmacy in North Bay? Out of curiosity, I phoned the Ontario College of Pharmacists and found out that there are approximately 9,600 pharmacists registered to practise in Ontario. That means there are more than 21 times as many pharmacists as podiatrists & chiropodists in Ontario and there's actually a shortage of pharmacists in Ontario. Further phone calls were made, I found out that there are 13 pharmacies in North Bay and they appear to be extremely busy; however, when I called the only podiatrist in North Bay he was there only on Friday and Saturday and the only chiropodist was working Monday-Friday part-time hours 9 a.m.-12:30 p.m. and 1 p.m.-2 p.m. Both had voicemail pick-up the calls I made. The ratios in this analysis are disturbing: .......................................Podiatrists & ..................Pharmacists....Chiropodists.........Ratios Ontario............9,600............450..................21:1 North Bay............13 (min)......1 (approx)........13:1. What is particularly interesting is the sheer number of pharmacists and the low number of chiropodists & podiatrists in Ontario. Ever year the University of Toronto will be graduating 240 pharmacists and the Michener will be graduating about 18, another ratio of approximately 13:1! I don't read the newspapers everday, so I might have missed a similar article about the severe and extreme shortage of chiropodists & podiatrists. On the other hand, my experience of private practise chiropody indicates that there is absolutely no shortage of chiropodists & podiatrists -it's just a perception problem on the part of the chiropody instructors. They should take sabbaticals for 5 years and see how well they will do in private practise, it will be an eye-opening experience for them. With already over 176,453 foot care professionals (other than chiropodists and podiatrists) in Ontario (see Chiropodial Comparative Analysis), I would bet $1,000,000 (if I had it) that none of the chiropody instructors, on sabbitical, would be making more than $25,000/year (after over-head expenses and pre-income tax) income after being in private practise chiropody for five years. Wanna bet? from IP address 65.48.41.73 |
Untitledby Anonymous (no login)I have a question with CRIPS coming up what are the stupidest interview questions or just interviews you have been to. How many interviews do you go into knowing that somebody else has the program.
from IP address 216.151.105.8 |
Theft of moneyby We Lie Mucho, DPM (no login)Right you are. So you travel to the residency and play the game. But, you have a hunch that it is only an expensive game. Well, welcome to the world of the screwed. The world of podiatry. Good luck. from IP address 67.24.14.96 |
please explainby (no login)Hello: I have an interest in podiatry as a second career. From reading your statement it appears podiatry is not the field to enter. Please explain why. Thank you Stanford Stephens from IP address 198.81.26.235 |
read and make your own choice.by Anonymous (no login)we will never tell you want to do. Maybe you like this mega hyped profession. Maybe you want in a profession that can not fill its entering class. Maybe you want in a profession that can not tolerate dissent within it. from IP address 67.26.43.233 |
2nd careerby (no login)go into nursing and become a NP. thats what i did. from IP address 64.12.96.200 |
Pop up hellby Anomalous (no login)This site, without a doubt, is the undisputed hub of internet pop-up hell. Not that I have ever perused any sort of adult-themed website, but those pale in comparison to the relentless, irritating, in-your-face ads that permeate the Podiatry Forum. from IP address 64.161.168.221 |
Ways around thatby Anonymous (no login)You can download Mozilla to use as a browser. It allows you to control that. You can do the same with Netscape, which is based on Mozilla, but you will have to add some features. (This is a standard Browser for Linux systems by the way, but there are versions for your windows.) Earthlink also has a nice little addition to IE, which will allow you to turn pop-ups off and on. from IP address 63.186.17.97 |
Another wayby PopBoy (no login)If you're technically inclined, you can see where the pop up ads come from and then set that domain name to point to 0.0.0.0 in your windows\system32\drivers\etc\hosts file (no extension). open up your hosts file and add some lines like this: 0.0.0.0 ads.adroar.com 0.0.0.0 www.epitaph.com 0.0.0.0 www.grokster.com 0.0.0.0 www.mateseekers.com 0.0.0.0 ad.linksynergy.com 0.0.0.0 www.mucent.com 0.0.0.0 ads.valuead.com 0.0.0.0 p.searchmission.com 0.0.0.0 leader.linkexchange.com basically what will happen is you're get a "page not found" for those places. often if the page isn't found then the javascript to pop up new pages will never load. the best thing is you dont' have to load any buggy pop up beating sofware on your machine. -r from IP address 24.160.106.107 |
Surgery and plavix/pletalby Anonymous (no login)Does anyone d/c pletal or plavix preoperatively(for bunions and hammertoes?) If it doesn't affect PT/PTT and does not cause bleeding(according to drug reps) than why d/c it? I haven't been for simple procedures but I'm wondering if I should before doing osteotomies, ect.. Thanks from IP address 64.196.60.23 |
TLC - part IIby Anonymous (no login)The program followed the PNP around for some time not just for the foot problem. Would it be interesting to follow a pod around (if there was even one on staff) and watch him deal with feet or a NP deal with the entire body? What sells a foot show or a medical show? Comments welcome. from IP address 63.225.56.223 |
Re: TLC - part IIby C (no login)There are only 15000 pods in the country and most of them are concentrated in about 7 states so their is hardly enough pod to cover every hospital in the country. As for a NP in the ER, thats there job to practice whole body medicine its not ours. If you find a NPs job more interesting then great for you. Personally I would rather follow follow a pod around than a ER doc because I find LE medicine more interesting. Just my opinion from IP address 206.149.204.168 |
Trauma - Life in the ERby Anonymous (no login)On a TLC program that follows docs and nurses through the ER in a 'live setting' It showed a 12 year old boy come in with forefoot trauma. He had no feeling in his toes and limited movement. He also had a severe laceration from the toes to the underfoot. I was very surprised when a PNP (Pediatric Nurse Practitioner) treated him IN FULL. She ordered the radiography and read it and then proceeded to treat him with sutures and a soft wrap of the ankle and foot along with Rx for antibiotics and pain. Where is the podiatrist? Is a NP trained to treat such an ailment and if so how well? Just wanted to hear some thoughts. Thanks from IP address 63.228.198.184 |
The NP would treat a lot of problemsby Anonymous (no login)The NP probably would have treated it whether it was the hand, face ,wrist or other anatomical part. In addition he/she would triage chest pain and other potentially serious conditions. In some states they can even have a private practice and are listed by some insurance plans as primary care providers. So before you make this a podiatry specific problem, many FPs are taking a close look at NPs(as seen on 60 minutes). Whether or not you would be triaged, treated by a NP vs a MD, DO, DPM is something you will have to decide. from IP address 64.12.96.200 |
NPs winby Anonymous (no login)NPs vs. FPs = disaster. NPs can only bill 85% of what a physician can this means insurance companies (who rule the world of medicine) save millions by using them. Do you think that insurance co. really care if you are getting the best care available? No. They care about getting the problem somewhat fixed at the lowest rate. NPs (PA) are mid-level practitioners and are only trained to treat 'mid-level conditions' with total competance. from IP address 63.225.56.223 |
Re: NPs winby Anonymous (no login)Wait until the NP practitoner makes a serious mistake and ends up being grilled in a malpractice action. Perhaps he/she will have second thoughts about trying to usurp that which we have trained so hard and long for. from IP address 158.252.215.34 |
NPs usurpingby anonymous (no login)NPs are not trying to usurp anything, just practicing competent, economical health care in their niche, and they market themselves aggressively. JAMA published a study last year showing that NPs provide exactly equivalent services to MDs for those services they perform. This is not to say they have the same knowledge base, but to say that they do not provide inferior care. PAs have also been shown to have similar competence. And yes, of course some NPs and PAs get sued, as do other health care professionals, but this is hardly an indictment of their respective professions. from IP address 216.189.32.74 |
Bravo!by Anonymous (no login)I applaud you for having the courage and open mind to admit a true fact that most podiatrists, medical doctors, DOs, ect, ect. are too afraid to admit because they feel so superior to every other health care professional taking some of their terriotry. NPs do provide excellent care. They are trained for nearly 7 years on ave. (re: American Assoc. of Nurse Pratitioners) and they are completely capable and competant of their training. If only every 'big headed' dr. had your perspective medicine would focus on pt. care and not turf battles. Nurses would intergrate with doctors, PTs, DPMs, ect. and visa versa. Bravo!! from IP address 63.226.69.211 |
trained long and hard for???by Anonymous (no login)Take a look at the stats and averages for NP facts. NPs spend on average 7 years to train in didactic / class. That is a ton of training (sufficient training!) to perform mid-level procedures safely and effectively. Lose your ego. from IP address 63.226.69.211 |
NPsby MS3 (no login)I have seen NPs that are way better clinicians than MDs. I know in the hospital that I am at now...if I have to be seen, I rather have an NP do it. Medical Student 3 from IP address 204.185.73.147 |
Podiatrists have lost the footby Anonymous (no login)Who is surprised? Read the podiatry forum and someone mentioned all of that. Pay attention. You are in a little world only getting information from your podiatry teachers-- more little people in a little podiatry world. There is a big world out there and podiatry is not included. from IP address 67.26.43.138 |
Ignorance Is Blissby Anonymous (no login)Simply not true. I have been in private practice for almost 30 years and can do as much as I like. My income is far above the average American wage earner and I feel really good at the end of the day knowing that I have both alleviated pain and suffering and have some money in the bank. Any young practitioner can do the same if they stop listening to the naysayers and develop a realistic plan of action. from IP address 158.252.215.34 |
dear Ignorance Is Blissby anon (no login)call all the insurance providers by which you are paid tell them you just finished residency (call twice, 1st time non-surgical, 2nd time psr24). Ask them how and when you can get on their provider list. Then inform the participants of this forum what you found. Your experience is totally foreign to the reality of grads in the last 10 years. Talk to a few of them. Tell us what you hear. from IP address 12.149.100.21 |
Don't be surprisedby Anomalous (no login)A pediatric nurse practitioner is part of mainstream medicine. Podiatrists sit somewhere out on the periphery. There is a very limited handful of podiatrists around the country who would get the call for such a case. from IP address 64.172.196.181 |
Ever See a Pod on TLC Performing Real Med-Bunions Not Allowedby Mark Boyer (no login)A NP is fully qualified legally to make independent full body health care decisions under the eye of an licensed MD/DO. There are very few podiatrists or podiatric foot surgeons who are ever called to the ER to eval. that is a fact. Perhaps for a wart or some dead skin to be scraped off so our taxes can foot the bill. from IP address 134.174.157.106 |
Mr. Boyerby Anonymous (no login)Actually I laughed when I read your heading because there is a program on TLC called "The Operation" and it is an hour long segment on a specific procedure. About a month ago there was a foot doc (a pod) doing a bunionectomy on a patient on the OR. The doc gave background on his training and his scope. It was a victory for podiatry woulnt ya say? You can probably order a copy at TLC.com. Comments? from IP address 63.225.56.223 |
Bunions Do Not Shed Podiatry in Best Lightby M. Boyer (no login)As I stated no bunions allowed. THey are elective and cosmetic similar to tummy tucks and nose jobs. WHy not follow a pod. surgeon with ankle trauma, heel fractures, leg lengthening etc... from IP address 134.174.157.124 |
you have got to be kiddingby Anonymous (no login)I haven't done one "cosmetic" bunion. How can you compare bunion surgery to tummy tucks, ect..? What a statement coming form a guy who doesn't do surgery!LOL! from IP address 64.196.60.23 |
Bunions, hammertoes are Mostly Elective Sx.by Alan Blankenship (no login)I think he means, that elective surgeries like hammertoes and bunions are not as trauma/er worthy than ankle fx, foot fx/lacs etc... When I was in practice some of my patients just didn't like the way there feet looked and since their health plan covered bunion/hammertoe surgery got the procedure done-however, many times I refused simply because of the threat of a lawsuit or elective nature. from IP address 134.174.110.5 |
Re: Ever See a Pod on TLC Performing Real Med-Bunions Not Allowedby Anonymous (no login)Funny that you think pods going to the ER are only there to eval some warts or scrape some dead skin. The majority of the tiems I have been to the ER to see pts it has not been for such things. In fact I can't recall any times I have seen those in the ER. The pt I saw yesterday is more typical. 20 yr hx of diabetes, decided to quit taking meds or seeing any docs about 3 years ago. Injury to the foot 3 weeks ago, with minimal (and inappropriate) self-treatment since then. Glucose >600, WBC >25, etc. Necrosis of the forefoot. X-rays reveal gas in the soft tissue extending up to the ankle. IM asked for a pod consult to the ER. What would you do? from IP address 63.186.33.101 |
Oopsby Anonymous (no login)Responded before I was though. What would a PA do in this situation? What would a NP do in this situation? What could a PT possibley do? So much for that whole body practice stuff. There are still some things that are way outside of those scopes. What would an FP, OB/GYN, derm, path, psych, cardio, IM, etc. MD or DO do in this situation? They don't have the training needed to deal with this appropriately (in my humble opinion). It could be dealt with by Gen surg, ortho or PODIATRY. None of the others have the training to deal with this. There really is a place for podiatry in the mainstream of medicine. Get over it. from IP address 63.186.33.101 |
i'm surprised tooby cma (no login)If this child had possible injuries to nerves or tendons then he should have been evaluated by a surgeon who specializes in treating those injuries. as an anesthesiologist I will sometimes see patients who have been treated superficially for a hand or arm wound, and after seeking help from a hand surgeon will undergo anatomic repair. I suppose the NP felt the foot was intact, and the wound superficial. And felt a consultation was not needed. Unfortunately for podiatry, any consult would have gone to an orthopod, or perhaps a general surgeon. from IP address 209.183.88.96 |
cmaby Anonymous (no login)The patient complained of complete and total numbness in the forefoot. X-ray and palpation were the only diagnostic measures taken ... no consult ... just sew it up and shoe them out the door. The NP seemed to be very confident in her decisions and/or training to treat and release the pt. from IP address 63.225.56.223 |
Unfortunateby Anonymous (no login)It is a sad comment, but unfortunately podiatric injuries often go undiagnosed until too late. Whether it is a NP, PA, FP, Radiolgoist, General Surgeon, Orthopod, whatever; it is not uncommon for for sublte injuries to be undiagnosed or mis-diagnosed. We can only deal with the later sequlae. from IP address 63.186.32.184 |
malpracticeby DO MS IV (no login)If true, this shows how much a little education, nursing at that, can make one feel overly confident in one's ability to diagnose and treat potentially serious medical problems. I worked with ER MDs, who while well trained and board certified, consulted with plastic surgeons to evaluate and treat lacerations suspicious for nerve or tendon transection. I'm surprise that this nurse sutured the foot and sent the patient on his merry way without being concerned about the complaint of sensory loss. What about intactness of motor functions? That, my friends, is malpractice and speaks very unequivocally that nurses have no business practicing medicine in the first place... or ever at all! from IP address 129.109.190.27 |
DO MS IVby Anonymous (no login)In response to your one minded post, nurses deserve a ton of respect for the crap they put up with on a day to day basis. They are trained (APRN) in mid-level cases and very effectively. Nurses practicing medicine ... Nurses have been practicing medicine longer than any physician or medical specialist throughout history. They have contributed to pt. saftey and health on a very large scale. They dont deserve those kind of idiotic slaps. Government survey: CNN headlines read something to the extent of -Mortality rate much higher for areas of serious nursing shortage - What does that say? Stay open minded. Its better for all medical healthcare professionals and pts. from IP address 63.225.57.209 |
anonymousby DO MS IV (no login)I do agree with you that nurses should be respected for what they do - and that is nursing, not medicine. The comment about nurses practicing medicine is partially true. Nurses make the practice of medicine happen, which is following physicians' orders and that is how things should run. I have nothing but respect for nurses for doing things that most physicians will refrain from. However, the practice of nursing is for nurses and the practice of medicine should be left up to physicians. The next time anyone argues otherwise for the blurring of the professional line, ask yourself if you want your heart problems managed by a nurse or a cardiologist, your cancer resected by a nurse or a oncologic surgeon, or your antibiotic prescription from a nurse or an infectious disease specialist. from IP address 129.109.24.203 |
DO MS IVby Anonymous (no login)I agree, but only to a certain extent. I spent 12 months in a urgent care/family practice setting as an intern through my college and came to understand that most of the work done in that clinic (which are all over the state I am from) was done by RNs or NPs. The physicians kinda stood back and filled out paper work, ect. Not saying that physicians shouldnt be there but there are definately things of a mid-level nature that RNs (especially NPs) are very well capable of performing with out the supervision of a physician. For example, I live in Salt Lake City, a city with well over a million people (including the small surrounding areas) and everytime my wife sees her OB it is a NP-OB. My children see a FNP. At one of the larger teaching hospitals in the state the head of infectious disease is APRN, MS. My pratitioner is a FNP as well and not to mention this event - I was in a car accident about a year ago (awful winters here)and when taked into the ER (I wasnt a very high priority patient) and treated and released by a ENP (Emergency Nurse Practitoner - so he called himself) I would entrust several of my families, friends, and even my own medical problems to a NP - but to a limit, they have only proved themselves as knowledgeable, confident, and caring to me and my family. In the event of a more serious condition, I would definately differ to a higher level practitioner, a doc. No malice here, just my opinions. Thoughts... from IP address 63.225.57.209 |
another way of looking at it.by me (no login)We can also say this: If a heart patient were in a crisis, would you want a psychiatrist or an ER nurse to assist? If a person were suffering from situational depression and very suicidal, would you rather a psychiatric master's level nurse or a family practioner doing counseling with this patient? The psychiatric nurse would have experience in doing psychotherapy and family therapy. By the way, I know a family practitioner that shares an office with a psych nurse. Each time a patient starts crying he runs to get the nurse. from IP address 24.161.136.136 |
be fairby DO MS IV (no login)Let's not compare apples and oranges. My point is that physicians provide the highest and most competent level of care. If you want to compare the level of care provided by an ER nurse, let's compare that type of care with the one rendered by a critical care MD or an ER MD. If you want to talk about psychiatry, then let's compare the care by a psychiatrist nurse to that of a MD psychiatrist. Let's remember that nurses are midlevel nonphysician clinicians. from IP address 129.109.24.95 |
Re: be fairby me (no login)Okay, However, psychiatry is a little different. As far as psychotherapy, it is not one's degree that makes them a better therapist. There are psych rn's that make better therapists than psychiatrists. from IP address 24.161.136.136 |
and vice versa!by ms3 (no login)...And the other way around is true also! So what's the difference? If you have more weapons (ie...MDs and DOs can prescribe RX, do surgeries) your patients will have more options. from IP address 204.185.73.154 |
ms3... mistakenby Anonymous (no login)Directing this comment to NP-psychos and MD-psychos... Surgery is irrevelant, not used in the 'therapy' setting. NPs can Rx! They are trained in nursing and then specialize in the available specialities they dont need to know orthopedics, ect. to do psych work effectively. You seem to be a one minded student that needs help. from IP address 63.226.69.211 |
i defend anyone who is RIGHTby ms3 (no login)read my other posts and then tell me that i am close minded! ms3 from IP address 204.185.73.123 |
be fairby me (no login)Are you sure that you are a med student or at least a third year? Even people not working in the medical field know that NURSES DO PX. Also, it is possible for a nurse to have many more years of training in psychotherapy than a psychiatrist. In some residency programs, psych rn's are training resident psychiatrists. from IP address 24.161.136.136 |
is this a good deal?by student (no login)Hello, My friend will be done with his psr-24 in june. He got a job offer that is as follows: Salary: 48K/yr cell phone, retirement, health, malpractice, apma dues: 7K/yr Total: 55K/yr + 40% of anything me makes over 180K for the practice. He will have a chance to be partner in a couple of yrs depending on how things work out. He only has to work 4 days/week...more if he likes. This is pretty much the standard for this area. Is this an okay deal or should he move to another state? Every dpms he talks to in the state pretty much give him similar packages (a lot of them are not even hiring). Thanks from IP address 204.185.73.209 |
Great Job. Great Salary. Great Profession.by Anonymous (no login)Lets review the facts: This surgeon has a 2 year Residency, longer than the Boss. His salary is 55k. "chance to be partner". EVERYBODY MAKES THESE PROMISES. Remind your friend that he also has a chance to be King of England. He needs to pay 1500 a month on his Student Loans. conclusion: for podiatry, this is excellent. Mucho money for a podiatrist . Take the few dollars and run. laugh at all of the "LOSERS" who have less than 24 months of surgical training and will make less or not find work in podiatry at all. from IP address 63.215.172.11 |
70k student loanby student (no login)Actually, he only has 78K of loans ( is still in defer until he is done with his residency)...I think this job has great potential. Why is everyone so negative? from IP address 204.185.73.68 |
The Truth about Podiatry jobs.by Jim Truth, DPM, BSD (no login)The truth is very simple. It is the truth. Not the crap that passes as the truth. There ain't money in podiatry except for a select few. DPMs don't go the ER, except when they are residents. 1 year surgical residents can be deleted from the OR if the 2 year residents strut their stuff. Listen up, Boys and Girls. When the 2nd year Residents get popular, NO DPM with only a one year resident will be allowed in the OR. There is no grandfathering. Jim Truth, DPM, BSD from IP address 67.24.15.30 |
48K=Horribleby Alan Blankenship (no login)48K that is horrible (before taxes) for a doctor, wow, I make approx. that as an asst. manager at Wendy's witha full benefits package. How will you pay your student loans? How will you survive, podiatry is not a 9-5 job, it stays and permeates you when you go home/ from IP address 134.174.157.106 |
$48,000 GREAT for Podiatry!!by Anonymous (no login)Hey, $ 48K and to be a target for Lawsuits everytime you touch a patient? Hey, that is great! from IP address 67.26.43.150 |
Typicalby Anomalous (no login)48k is a typical offer, but still must be seen as an embarassment. Cell phone? Malpractice? Health? APMA dues? These don't add up to much especially when you can guess the head cheese is going to find the cheapest package around (cell phone means squat, malpractice runs about $2k/year, health can be as little as $100-$150/month...it doesn't add up to much incentive if you ask me). What in the heck does "retirement" mean?? Is he offering matching contributions to a 401k? That would be generous. Aside from all of that, is your friend going to be an employee for this doctor? This makes a gigantic difference. If he is legally employed then he won't be responsible for self-employment tax, which runs roughly an additional 7.5% of gross income. If he is employed, he will also likely be using a corporate provider number vs. his own provider number. This takes some of the liability off of him. If he's required to be an independent contractor then he'll pay more in taxes and have a higher liability if something goes wrong. What do you mean by "anything he makes over 180k for the practice"? Is that gross or net? If it's net, it's a ridiculous offer. If it's gross, it still means that your friend is going to have to make at least 220k over the 180k to make decent money (that would be about 130k gross, which translates into about 75k net...less if he's going to be independent and not an employee). If he needs to bring in 220k above and beyond the 180k he brings in, that'll mean he'll need to bill about 18k MORE per month. At 4 days a week that computes to about $4200/week or about $1000 a day. When you put the two together, he'll have to bill AT LEAST 32-33k per month. That's a lot of money for any doctor. That's about 2k per day, every day, 4 days a week with no factoring for sick time, slow days, holidays or vacation. And even if he could bill this high number on average, he's still not making a whole lot of money. How is he going to bring in this much money? Is he going to have to do his own marketing? How is the current doc getting new patients? Recruiting new patients is the key to increasing your income. What about vacation or sick leave? How about CME? How about potential for a raise?? The sad, bottom line is that this is probably as good as he'll ever get. That's only one of 37 reasons that I'm getting out. from IP address 64.161.168.178 |
Podiatry "TRICKS"by Anonymous (no login)And, don't forget that there are "calander" years and fiscal years. So, someone under this contract can bring in $400,000 in a year and NOT make a buck in bonus. More Podiatry tricks. Learn them or be stung. from IP address 67.26.43.138 |
180k into the practiceby student (no login)The 180K is how much he needs to bring into the practice (ie. the amount that the insurance companies pay the practice before taxes). Anything above 180K, he gets 40%. The closest offer to this one was 50K/yr and 35% of anything over 140K. It all works out about the same. As to sick days, he can pretty much take anytime off...the ownwer is pretty flexible about that. Basically, the more he makes for the practice, the more he will make for himself. from IP address 204.185.73.68 |
Bottom lineby Anomalous (no login)This is probably the best offer he'll get. He might as well take it and live like a pauper for a while until he can save enough to invest in his own practice. from IP address 64.161.168.221 |
Anesthesiologistby 3rd year out (no login)Anesthesiologist new guy just out of residency was offered 225K at my hospital. from IP address 209.26.21.10 |
it's a pretty good dealby cma (no login)Actually this seems to be a pretty good deal. $48,000 per annum with benefits that I would estimate at 15 to 20 thou depending upon malpractice costs. Incidentally, your friend needs to insist on occurence based insurance otherwise he or she might get stuck with a tail. Anyway the total would be 63 to 68k. that is like an overhead of 62%. If your friend could gross 300k his package might be worth 116k which would be again 62% overhead. not a bad deal. If the practice was offering 48 plus benes then they probably reasonably expect him to gross around the 180k figure, or a little more. from IP address 209.183.88.92 |
no overhead!by student (no login)He does not need to pay over head. It is covered by the owner! ANd his malpractice is paid for ($200/month)... from IP address 204.185.73.68 |
overheadby cma (no login)my use of the term overhead refers to that percentage of gross income which does not become income or benefit. his income would be around 38% of gross receipts, so I refered to the 62% retained by the practice as your friends "overhead" if this friend opened cold in cleveland, he would be praying for the day when he would retain 38% of gross collections as income. from IP address 209.183.88.93 |
Do DPMs need a car?by Jim Truth, DPM, BSD (no login)Student, Where is the "tail" coverage for this insurance? Is there any? How much will it be? 50K as a doctor just plane sucks. People get 50K the first year out of college. And nobody has to worry about getting their butts sued everyday. Jim Truth, DPM, BSD PS Why celebrate very low salaries in a "doctor level" field? As your dental school buddies about this money. from IP address 67.24.15.30 |
tail coverage?by student (no login)I have never heard of tail coverage. Are you making this up? Please explain! Thanks from IP address 204.185.73.152 |
covering your tailby cma (no login)i'm not an expert in insurance, but there are 2 types of malpractice policies. Occurence (or occurance) and claims-made. with a claims made policy you would need to buy a tail to insure against lawsuits filed after you have stopped practicing but before the statute of limitation elapses. there is no tail on an occurance policy. from IP address 63.185.48.83 |
Tail coverageby Anonymous (no login)Student, We don't expect you to know much of what we are talking about. Be sure to ask questions as that is the only way you will learn the truth. There are two types of insurance: Occurance and Claims made. Occurance ins means that once you have it, you are covered even if when the claim occurs, you do not have that insurance. Claims made insurance means that you MUST still have that insurance when the claim is made or else you are not covered. Hence, "TAIL" is bought when you are cancelled from that policy, change companies, leave podiatry, etc. from IP address 63.215.172.2 |
An Actual Clinical Questionby Practicing Podiatry (no login)The patient is a 50 year old male with a chief complaint of pain in his right heel of six months duration who denies any history of trauma to his foot. His neuro-vascular status is within normal limits. Radiographs demonstrate 2 metallic densities approximately 1 mm apart consistent with a broken sewing needle lodged in the soft tissues of the forefoot. Howver, the tip of the needle is not present. Any thoughts as to whether or not the tip has migrated proximally? What test would be appropriate to try and locate it? from IP address 209.204.178.64 |
plain filmsby metalman (no login)any metallic object will be quite apparent on xray from IP address 12.149.100.21 |
Re: plain filmsby Anonymous (no login)I realize that, but how to determine if the tip of the needle has migrated through the bloodstream proximally? A total body radiograph? MRI? from IP address 158.252.210.102 |
My opinionby Anomalous (no login)You've got to look for horses before zebras. The most likely cause of your patient's heel pain is plantar fasciitis. Other possible causes would be Reiter's Syndrome (though unlikely), occult trauma, Achilles tendonitis (unless it's plantar), verruca plantaris (do you see any keratoma buildup? Can you debride any tissue to look for pinpoint hemorraghing?), foreign body (as you suspect) or an entrapped nerve. Plantar fasciitis is far and away the most common cause of chronic heel pain. Statistically, it usually resolves within a year (about 90% of patients). The best treatment, in my opinion, is stretching, ice and NSAID's. Well made orthotics can also help. The patient may also have changed some aspect of his life like new shoes (or worn shoes), increase in exercise activity, weight gain, running on a cambered track, etc. I doubt that any part of the needle could migrate that far through soft tissue. Does he remember stepping on the needle? If so, how long ago? X-ray should reveal any metallic object, however. I would do a lateral and maybe a calcaneal axial view. What else is in his history? Does he have the classic morning pain greater than afternoon pain? Is it located plantarmedial? Does it radiate? Is there pain along the medial or central plantar fascia while passively stroking? Do NSAID's make it better? How about ice? Does it hurt only while standing or ambulating? Does it hurt at rest? I would treat it as plantar fasciitis for now and make recommendations accordingly. from IP address 64.172.196.241 |
Re: My opinionby Anonymous (no login)Thank you for your ideas. But, I am seeking thoughts as to how to find the presumably missing tip of the needle. Several years ago, I treated a patient who had stepped on a cat fish spine at age 4 which entered the forefoot. When I saw the patient 14 years later, the spine migrated from the entrance area and emerged several months later from behind the Achilles tendon where I removed it. But how to find a missing needle tip. I am reluctant to order a total body X-ray for obvious reasons. Any ideas re: how to determine if, in fact this tip has moved up into the trunk, etc.? from IP address 158.252.210.102 |
"Occum's Razor"by (no login)I am either thinking outside the box or I should be put in a box. But, have you considered purchasing a very strong stud finder? If it works on the known metal pieces then perhaps it will help you find the other smaller metal object. Actually, my first instinct is that the tip of the needle has either already migrated out of the initial wound or it is too small and has been encapsulated. Just some new thoughts from an old Podiatrist. from IP address 216.119.28.33 |
Re: "Occum's Razor"by Anonymous (no login)Thanks for the idea. The tip is not evident in any of the foot radiographs. Assuming it has migrated proximally, how to find it? I am not sure how deep a stud finder might work and where to atart. from IP address 158.252.216.40 |
Ultrasoundby Jeffrey C. Davids, DPM (no login)As a resident, I was working on a case where we were trying to find the tip of a toothpick that had entered a young boy's foot. Of course, very little was seen on x-ray due to the toothpick being made of wood. We ordered an ultrasound which not only found the toothpick, but was able to triangulate almost the exact location. Of course, the attending and I required a radiologist to read it and tell us where the thing was, but they had it almost dead on as far as how many centimeters from the tip of met head, how deep, etc. This might be a good option. Jeff from IP address 152.163.189.129 |
Re: Ultrasoundby Anonymous (no login)An interesting idea. I suppose I can start by ordering an ultrasound of the right leg. But if it has migrated into the trunk itself, I am thinking of a chest film. I will post what happens. from IP address 158.252.216.40 |
Another pointby Anomalous (no login)Remember, too, that if you opt for an MRI it could pull all of the metal fragments from your patient's foot clear out of the skin. Could be a bitch. from IP address 64.161.168.178 |
needleby (no login)a ct scan will locate any foriegn body, DONT use an mri.good luck from IP address 165.247.94.55 |
Where to find DPM legislation permitting ankle sx privileges?by Anonymous (no login)Can someone direct me to a list of states and their respective scope of practice laws concerning ankle privileges. I searched the fpmb.org website and they don't list it. Thanks from IP address 207.166.216.210 |
APMAby Anonymous (no login)They have a copy of all the states laws as pertaining to scope. I have a copy. They are a little behind since sevral states have added or clarified scope over the last 1-2 years. Today, over 45 states have leg,ankle, or functinal foot laws. If you are a memeber, I am sure they will send you a copy. from IP address 205.188.208.42 |
How many really?by Anonymous (no login)I see the same 5 or 6 people over and over slam this profession. To the students, let's see if all the naysayers who claim the whole profession is a sham can prove it. Sooooo every negative poster list yourself as a reply. Use your name or an alias but be honest and post once. I can assure you it's less than 10. Also please state whether you are still practicing. I love it when they say the schools are in trouble because they are private then when one mergers with another school they have lost their independence. Then we don't have a consistent residency then when the possibility of all grads receiving 2-3 year residencies then watch out these grads will keep you off staff. I am losing money evey year and can't pay my bills but I won't switch careers that make more money than DPMs that we always tout because I am so in debt. Doesn't make sense. They have an agenda to destroy not warn. And evry patient, orthopod, plaintiff attorney who reads this site can use their unproven accusations. from IP address 152.163.189.129 |
Naysayer...by Jeffrey C. Davids, DPM (no login)Ok...you probably consider me to be a naysayer. The truth, though, is that I think podiatry has incredible potential. I just don't think it has reached that potential, and I doubt it ever will given the way it is being handled by the profession's "elite." I do think some of the schools are in trouble, but I don't see merging as a bad thing. I think the tuition is too high given the earning potential of most graduates. Truthfully, most don't walk into huge earnings, and many may never earn a huge amount. Of course, that is as much the fault of those DPM's who take the crappy offers as it is of those that take advantage of them. Any way you look at it, though, the student debt is high, and you need to make some serious cash to pay it off. My loans total (at this very second) $177,317.20. I pay $1225.00 a month, and will for the next 29 years! My fault - and I accept the responsibility and am paying the bills every single month. Doesn't mean I'm happy about it. Please don't kid yourself, though. Don't get cocky by thinking there are tons of 2-3 year surgical programs out there and everybody will get one. Doesn't work that way. And don't go around saying that you, "don't expect anybody to hand you anything, etc." Of course you do. You expect to get a good surgical residency, just like everybody else in your class does. Don't be overly surprised if it doesn't happen - that's my "warning." Training definitely needs to be more consistent, not only to prepare grads to be able to earn a living in today's medical environment, but also to further the profession. If you go to an orthopod, you know they did at least a 5 year residency. If you go to a pod, they may have only done a preceptorship, or maybe a 4 year program with 2 years of additional fellowships, etc. You just don't know until you check it out. No wonder MD's don't know what we do - most of us don't know what we do. To answer the other part of your question: no, I do not practice podiatry. Had a few job interviews (that all went to surgical guys in the end) and had one offer for $24k a year (laugh). I did consider starting up on my own, too...and almost bought a practice. Unfortunately, the licensing board screwed me and I was unable to get licensed in the State quick enough to take advantage of what, I think, would have been a wonderful opportunity. So I packed it in (after 8 months of searching) and now I work in insurance - and make more than a lot of my former classmates who practice podiatry. Luckily, I enjoy my job. At any rate, I hope podiatry is getting better and stronger. I just don't see it. Good luck to all, Jeff (and I have never posted anonymously - I always use my name) from IP address 64.12.96.200 |
Thank youby Anonymous (no login)Jeff thank you for your honest post and I truly hope things work out for you! Now that is one honest naysayer how many more and are you practicing? I still say there are less than 10, most not practicing, who are dominating this site. Not to help but to get even with podiatry for their own shortcomings. from IP address 205.188.208.42 |
What a shameby Anonymous (no login)After your training and experience, I would hope you might realize a few things: 1. Most of what we do is non-surgical, so you don't have to worry about being on a hospital staff to get patients. 2. You don't have to have a lot of money to start a provate practice if you use common sense and don't over do it. 3. Being on an insurance panel is also irrelevant because most patients are very tired of all the run around. 4. Cash is king, not insurance. In short, my suggestion would be to continue with your insurance endeavors and open a private practice part-time. Why not be open on a weekend when most offices are closed? How about subletting from an internist, etc who may be amenable to some extra income? And don't carry malpractice insurance. The chances of being sued if you do not are infintessimally small. Attorneys only take a case if there is a pot of gold (i.e. insurance policy) at the end of the rainbow. Do some research and let me know if you can find even one case where a health care provider who did not carry malpractice insurance lost a case and actually lost his/her home, IRA, etc. I hope you don't give up on podiatry. We really need hard workers. Your efforts will be rewarded if you stay the course. from IP address 158.252.210.102 |
Creativityby templedr2004 (no login)I Like the creativity you have suggested i.e. subletting. I am a 3rd year student, and I quite confused about podiatry. You have those individuals who are "above" doing nails, spouting out "I am a foot and ankle surgeon, I will refer you to a podiatrist" while writting a referral. Then you have those that don't do surgery at all. My Ideal is this: I would like to do surgery at least twice a week, the rest of the time spending on medicine and biomechanics (orthotics, pads, shoe modifications). Is such a thing possible, or do we now generally get funnelled into strictly surgical practices or strictly medical practices? Also, how hard is it to form a group, make a corporation, take a loan out on that corp. to open a new practice? from IP address 155.247.143.34 |
my opinionby worried (no login)First you need to make sure you get a surgical residency. If you don't get it the first time try again-I would suggest trying twice. If you don't get a surgical you are looking at a primary care practice or a career change. I know of one person who did not get a surgical on the first try so he went to medical school. Assuming you get the necessary training yes you can do surgery twice a week. I need to see 30 patients a day to yield 2-3 surgeres a week-I'm very conservative and I insist on exhausting conservative care before offering surgery(just my way of ensuring I get a good night sleep) In my situation if I were to eliminate nail care it would reduce my income by 15-20%. At least 8-10 of those 30 patients are rountine foot care(35.00 cash for each of these patients is good) I would strongly recommend you get over it because it is easy and takes about 5 minutes per patient. Plus these patients do refer family and friends and they do come to see me if they have a foot or ankle problem. I can think of one or 2 that have not come to me for foot or ankle problems. When they tell me I do admit I get angry inside but I maintain my composure and explain my scope of practice. It's not hard to form a corporation. My accountant and lawyer did it for 500.00. I pay 150.00 a year to maintain it. In order to have a corp you need steady income and your business needs to get to a certain level to ensure you can make payroll,ect... It doesn't take a lot of money to open a podiatry practice(I did it with 25,000) If you could get a family member to cosign and you have good credit it shouldn't be a problem. It may be tough t try to get it on your own. The key is location. It's okay to go to an area that already has podiatrists but make sure it is a growing area. It would help also if some of those existing podiatrists are nonsurgical and you are surgical. I think it is not a question of strictly surgical versus strictly medical but rather a blend of the two(that is for the surgically trained) I would sugest once you secure your surgical program start focusing on where you want to open your practice. Once you get a location-find office space, get lisences, medicare/bcbs provider numbers, dea, fictious name, yellow page listing, letters to MD's announcing you opening ect... all before you open! I had all of this done and it still took 3 months before I got my first insurance check! Also try to get a family member or spouse to help you in the begining it's nice not to have to worry about payroll for the first couple months. Good luck to you from IP address 24.92.208.146 |
Re: my opinionby (no login)i have been hearing all these bad things about podiatry, and as i am getting closer to getting my degree, i am becoming more worried about the direction of my future. i do not want to open up my own practice in the future, and from what i understand, podiatry is based on starting up your own practice and building it up, etc, but that is something i do not want to do. what other options are available to me, i mean am i able to work in a hospital like md's and still be able to make a decent living? i am really worried about my financial stability, as i hear podiatry is a tough field to make a decent living nowadays. thanks for any info. from IP address 205.188.208.42 |
Easy Streetby Old man podiatrst (no login)Loans are easy. When you are ready, walk into a Bank and before you can open your briefcase, they are filling out the check for you to open the practice!! They KNOW how much podiatrists make and you will have to get them to DECREASE the number as you don't want to buy a brand new SUV and house with that money also. from IP address 67.26.43.138 |
networkingby student (no login)I keep reading how everyone is talking about you must "network". What exactly does that mean? Is it the same as kissing buttocks? Brown nosing? Remebering the residency director's kids names and unrelatedly repeat them in a conversation with him? And if you don't "network", then it is harder for you to get a psr? Is this the unwritten rule of the podiatry world? Thanks, Student from IP address 204.185.73.138 |
"networking"by 4th year student (no login)Student, I don't believe networking has to do with "kissing butt". I think it means getting out in the real world outside of the school and school clinics and meeting successful DPM's face to face. Visit residency programs as a 2cd and 3rd year. Making connections and getting your face out there does not equal butt kissing. I think that visiting early, externing, and revisiting afterword shows initiative and interest. Above all hard work, an easy personality, a teachable spirit, and a desire for knowlege are the most important to getting a good residency. Will some students get good residencies by connections or kissing butt-- yes, but they will be in the minority. (I might add that in every area of life there are those that get places by connections or brown nosing on golf courses like little whores, certainly this is not isolated to podiatry) Often those complaining about others kissing butt are those standing on the sidelines while you are out playing the game. Visit programs early, attend academic meetings/CPME courses (often free for students), meet people, get in the game, be active, and when the time comes to extern at a program show interest and work your A off. I will get a great surgical program this year. I will not have landed it by kissing butt (I don't) or by any connections (I don't know anybody). I will have landed it by hard work, and the "networking" mentioned above. This will also be the same way I land a good job, not by Monster.com searches that some on this site lament that don't list any podiatry jobs. Who wants to hire anyone that sits on their A searching the internet for a job. Good luck student. from IP address 12.90.39.254 |
great answer!by student (no login)Great answer! We need more people like you in podiatry. from IP address 204.185.73.209 |
Searching the Net for the Good Jobby Alan (no login)Take a long and lovely look at the podiatric salary offers in the APMA, this factual website, and other podiatry orgs, and you may just be back searching the "net" for that good job with no benies. from IP address 134.174.157.106 |
It's who you knowby realisticdpm (no login)Dear student, It is much more important to let the residency directors know 2 things. One. that you want their program, and talk to them about wanting to do their program. two. Why you want their program. Show interest, and most of all cater to their humongous egos by telling them how good they are, they love that. Side note: truth be known, you learn more about what not to do than what to do from your residency director. Networking involves knowing the right people. Who are these people? Knowing these people is a good thing: 1. buddy buddy with residency placement director 2. Befriend an influential staff member at your school, head of surgery is a good place to start. They know people, who know people. 3. Networking also involves not ticking people off at your school, negative input is just as powerful as positive input. 4. It's good to apply to residencies where you know the people that completed them. A good word from a good resident may just put you in the right place at the right time. 5. It also may help to talk with that pod that got you interested in the field first. They tend to know a lot of people who just so happen to be part of a residency program. That's it. Most of all, be persistant, keep your head up, So when you open that letter from CASPR that says no residency, you will be able to take it all on the chin. Just kidding. Good luck (the kiss of death if you ever hear this from a director) sincerely, realistic dpm from IP address 205.188.208.42 |
Re: It's who you knowby dpm student (no login)thanks! You sound like a residency director yourself. from IP address 204.185.73.209 |
networkingby networkbert (no login)to network is to connect. it does not involve the nose or the buttocks. well, sometimes the buttocks. surely residency positions go to someone who has networked, perhaps through a relative or by developing contacts with podiatric educators. your professional life will be dependent upon how well you network with family docs and other health care providers. from IP address 63.189.193.185 |
Networkingby Anomalous (no login)To me, networking means all of the above and more. It also means volunteering your time (health fairs, free foot exams at chiropractor's offices, inner city clinics), shmoozing with other doctors at seminars, CME lectures, etc. Offering quid pro quo with other docs (I'll refer my derm patients to you if you refer your pod patients to me), giving your business card to everyone you meet, etc. from IP address 64.167.79.234 |
podiatry never promised me a thing.by it's me (no login)it didn't. I knew very well what podiatry was when I entered the profession. I knew that the 2 pods in my hometown had poor reputations and shabby offices. I had no delusions that I was obtaining a medical degree. I was getting a podiatry degree. I learned that podiatrists can and do very well, sometimes. I think I also got a good education in podiatry. It was too expensive. I can't understand the sentiment that "promises" were made. Promised an elite education and MD star status by a school of podiatry. The belief we had as students, that we would attain a great education, was from within. I believed in myself and you believed in yourself. I knew that success lay in obtaining the right residency, and that they were cruelly competitive. I don't blame podschool for deceiving me in any way. I deceived myself.
from IP address 209.183.88.58 |
R U seriousby realistic dpm (no login)Podiatry schools have an obligation to their students to provide them all with uniformity in their education and training. Residencies should all be uniform and they are not. Everyone should be able to do surgical, non surgical care. Besides, if you knew that this field was shabby, then what was your motivation to join in the 1st place. get real, $$$$$$$$$$$$$$$$$$ sincerely, RDPM from IP address 205.188.208.42 |
replyby reply (no login)I knew the profession had shabby potential. It also has the prospect of becoming a very successful surgeon. from IP address 209.183.88.110 |
A question for anomalousby EX pod, now MD (no login)Anomalous: I just wanted to know if you are experiencing any luck in the medical school interview process? I read many of your posts and can 100% feel your frustration and pain. I experienced it all also, but thank god I bailed after only 1 year (and $34,000 on a tough life lesson) and am now a board certified internist (Foreign MD) and on staff at a US medical school. The differences in reality between Allopathic/Osteopathic MEDICINE vs Podiatry are so glaring it is not even worht it to try and compare. I honestly hope you secure admission at some medical school (be it DO, MD , Foreign), YOu will finally get to see what it is like being a "REAL DOCTOR" and all of your podiatry pains will seem like just a bad bad dream. Please keep us informed. from IP address 204.186.217.33 |
Ex Podby Anomalous (no login)Thanks for the encouragement. You're lucky you got out so early. I went all the way and did a PPMR. But, in retrospect, the fact that I finished and got some decent clinical training, I'll likely gain admission to some medical school somewhere. Unfortunately, I'm very deeply in debt (about 170k). The good news is that I'm getting married in two weeks (which is good in itself) to a woman who is not only supportive of my decision, but earns a lot of money as an attorney in Beverly Hills. She's up for partner in a couple of years. She's also 11 years younger than me (nyuck nyuck). The application process and having to retake the MCAT have both greatly sucked. I only applied to one DO school and getting all of the correct material to them has been nothing short of a nightmare. I also applied to a few MD school, but I'm not holding my breath. I'm no spring chicken, either (I'll be 41 in a couple of weeks) and I've been out of college for about 100 years. Studying for the MCAT junk after being out of that scene for so long was truly painful (while working full-time at my practice). My scores were ok, but nothing to alert the media about. I did, finally, get confirmation that the DO school completed my file. Hopefully, I'll get a call soon for an interview. I'll let everyone know what happens. from IP address 63.206.143.136 |
Congratulationsby Current Pod (no login)I hope the prospective bride has enough sense to obtain a pre-nuptial agreement. When things don't work out, will you still blame those evil powers that coerced you into attending podiatry college? from IP address 66.52.180.251 |
Pre-nupby Anomalous (no login)Getting a pre-nup is a disgusting idea and kind of ruins the relationship if you ask me. When people get married, they are a unit and have equal responsibility for each other. Neither of us are very attached to our money and we have a million other things to do and think about. If you've read any of my posts pertaining to personal responsibility, you'll find that I accept FULL responsibility for choosing to attend podiatry school. Every other BS thing that happened after that is podiatry's fault. from IP address 64.167.79.234 |
Borderlineby Sigmund (no login)"Every other BS thing that happened after that is podiatry's fault." Does that include parking tickets, noisy neighbors, taxes? Rather an all inclusive statement, wouldn't you say? Have you considered seeking professional help to sort out your anger and resentment? I know I have been frustrated with many things in life, but I would be somewhat hesitant to blame podiatry for all my problems. And when you possibly become almost a real doctor, will all these annoying life problems suddenly vanish? from IP address 209.204.178.64 |
What?by Anomalous (no login)Do you seriously think that I was referring to EVERY BS thing that's happened after podiatry?? C'mon! I was only referring to every PODIATRY BS thing. |