Talk:Podiatry
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[edit] Australia
A lot of the information under the Australian heading is not applicable. —Preceding unsigned comment added by 124.182.236.162 (talk) 10:21, 10 September 2007 (UTC)
[edit] Chiropody
Chiropody should have its own section, especially in historical context. Any takers? —Preceding unsigned comment added by 67.34.98.154 (talk • contribs)
[edit] Got Paragraphs?
This article is very difficult to read, it has almost no paragraphs, especially in the lower sections. 147.10.26.33 03:01, 21 October 2006 (UTC)
[edit] Own page for chiropody
Podiatry & Chiropody are the same thing - the name of the page should though make this more clear. —Preceding unsigned comment added by Yabasto (talk • contribs)
The two professions are vastly different in both education & scope of practice. The two different pages are necessary in order to create less public confusion. —Preceding unsigned comment added by 192.138.89.25 (talk • contribs)
[edit] Foot/Ankle Orthopaedics
Oughtn't there be something about the distinctions between Foot and Ankle Surgery and Podiatry? —Preceding unsigned comment added by 70.107.155.60 (talk • contribs)
- YES —Preceding unsigned comment added by 76.20.176.60 (talk • contribs)
- I agree also! 64.60.107.218 (talk) 21:03, 23 April 2008 (UTC)
-- Some personal observations from a Podiatrist, it is interetsing to me that the most derogative comments concerning Podiatry are from no other than a Foot and Ankle Orthopedist. We as Podiatrists graduate with an undergraduate degree then attend Podiatry school for 4 years and a residency for three years for which we are currently making a standard. Granted, we do not do a 5 year residency which an Orthopedist does however in our graduate training all we do is foot and ankle with the exception of our internship training. From Foot and Ankle International, 2006 the Orthopedic literature very clearly discusses the lack of exposure to the foot and ankle the Orthopedist receives in his residency with the average number of procedures equaling 187. Podiatrists today are very qualified and well trained, overly so to treat the foot and ankle, as evidenced by our schools becoming incorporated with osteopathic medical schools.
A little personal observation...... When it comes to Foot and Ankle (or ANY) surgery, the degree doesn't matter. Theory is taught nearly identically, so as a rule of thumb .. experience is what counts - just check out how many years / how many victims the prospective surgeon has under his belt for your particular proposed-procedure. :) —Preceding unsigned comment added by 67.34.98.154 (talk) 03:05, 25 January 2008 (UTC)
Actually, podiatrists usually go to school for about 4 years. Podiatry school is much easier to get into than medical school. Then they attend a 1 to 2 year residency. Now, as an orthopaedic surgeon, i can tell you that the first 2 years of training in any capacity usually involves basic patient care (such as prescribing medications) and learning basic surgical technique. I have seen podiatry residents and they learn the same thing (at least their first year). To say that they are as well trained as someone that has done a 5 to 6 year residency is ridiculous. If podiatrists claim that they get more training out of their two years, then they necessarily sacrificing the training in basic patient care. THAT would be really scary. Now, their claim that orthopaedic surgeons only get about 4-6 weeks of foot and ankle surgery is ridiculous when you consider that foot and ankle fractures are among the most common fractures treated in residencies. 67.49.98.244 (talk) 03:39, 13 September 2008 (UTC)
The podiatric residencies are actually 2-3 years with the majority being 3 years and in the near future all being 3 years. While podiatry school may be easier to get into than medical school, many of the podiatry schools are actually integrated for the first year or two with the medical school. Just because it might be easier to get into podiatry school doesn't mean the students aren't held to the same standards as their allopathic or osteopathic colleagues. Also, an orthopedic surgery residency focuses on the whole musculoskeletal system whereas a podiatric residency focuses mainly on the foot and ankle. An orthopedic surgeon certainly does not spend more than the 2-3 years that a podiatric surgeon spends on the foot and ankle because the ortho surgeon is also busy working on knees, hips, shoulders, etc... Also, podiatrists start learning about the foot and ankle starting there 1st year of podiatry school-by the time they get to their residencies, it is certainly not the 1st time they have had experience on treating the foot and ankle. All of the curriculum's for the podiatry schools are available on each schools websites...theres no secrets what classes are added and what classes are taken out compared to a medical school. 12.216.17.54 (talk) 07:33, 3 November 2008 (UTC)
[edit] DPM
I have removed this from the DPM article as obviously is belongs here (have left link though) - this article seems relatively developed so I will leave the copy here for you to decide if you want to use:
- Podiatry is a field of medicine that strives to improve the overall health and well-being of patients by focusing on preventing, diagnosing, and treating conditions associated with the foot and ankle. Doctors of Podiatric Medicine (DPMs) are physicians and surgeons who practice on the lower extremities, primarily on feet and ankles. The preparatory education of most DPMs includes four years of undergraduate work, followed by four years in an accredited podiatric medical school, followed by a hospital-based residency. DPMs are licensed in all 50 states, the District of Columbia, and Puerto Rico to diagnose and treat the foot and its related or governing structures by medical, surgical, or other means. The vast majority of states also include ankle care as part of the podiatric physician's scope of practice.
- In addition to private practice, podiatrists serve on the staffs of hospitals and long-term care facilities, on the faculties of schools of medicine, as commissioned officers in the Armed Forces and the US Public Health Service, in the Department of Veterans Affairs, and in municipal health departments. Many podiatrists today are also members of group medical practices.
- The skills of podiatric physicians are in increasing demand because disorders of the foot and ankle are among the most widespread and neglected health problems.
- Established in 1912, the American Podiatric Medical Association is the premier professional organization representing the nation's Doctors of Podiatric Medicine (podiatrists). The APMA represents a vast majority of the estimated 15,000 podiatrists in the country. Within APMA's umbrella of organizations are 53 component societies in states and other jurisdictions, as well as 22 affiliated and related societies. APMA's national headquarters is in Bethesda, Maryland. APMA has a staff of approximately 60 professionals who are dedicated to promoting foot and ankle health, to member service, and to professional excellence.
Thanks Lethaniol 15:50, 16 November 2006 (UTC)
[edit] Very repetitive
This article contains a great deal of redundancy, facts stated over and over again, such as the number of years required to get a degree, the number of years of residency, etc. —Preceding unsigned comment added by Moisture (talk • contribs)
- It is so reduntant that podiatry and podiatrist are almost exact replicas of each other, which seems rather unnecessary. -- MacAddct1984 13:24, 30 August 2007 (UTC)
Before skewering each other, it would be nice if the parties involved would correct such grammatically offensive bits as...
"The United States is one of the few countries, which grants more invasive surgical privileges to podiatric physicians"
and
"There is considerable variable between state laws regarding the prescribing rights of Australian Podiatrists."
Perhaps I'm wrong but these do not feel right.............. *and bad grammar is just fine on this talk page. —Preceding unsigned comment added by 67.34.98.154 (talk) 03:09, 25 January 2008 (UTC)
[edit] UK foot practitioner
Dear Mr. Pingstone: It is assumed you are a well intentioned gentleman. Your credentials and expertise within the aerospace industry, however, do not translate immediately to the profession of podiatric medicine & surgery. Therefore, kindly refrain from editing things for which you lack complete knowledge & expertise.
Facts are facts. The UK foot practitioner does not receive nearly the same or similar education as a USA podiatric physician & surgeon. The public requires & deserves clarity; not confusion. These words are expressed with kind regards and are therefore, respectfully submitted. —Preceding unsigned comment added by 192.138.89.25 (talk • contribs)
Seems like some users need to be blocked from editing, basically complete lies are being posted about Aus and UK trained podiatrist by people who obviously don't understand the training systems..... —Preceding unsigned comment added by 124.171.169.146 (talk) 02:45, 18 September 2007 (UTC)
[edit] podiatrist too long?
anyone think the podiatrist section is too long winded??? maybe could be shorted ???
perhaps highlight 2 points of the definition
1.in usa all podiatrist perform surgery, in other countries podiatrist generally treat through not invasive means, with some performing surgery 2. usa podiatrist = physician, worldwide podiatrist = allied health
just an vry short idea of a proposed section??
[edit] Podiatrist
A podiatrist (podiatric physician), (pronounced /pəˈdaɪətrɪst/, "poh-DYE-eh-trist") or foot doctor is a podiatric professional, a person devoted to the study and medical treatment of disorders of the foot, ankle and lower extremity.
The term originated in North America but has now become the accepted term in the English speaking world for all practitioners of Podiatric Medicine.
Worldwide, the term Podiatrist refers to Allied Health professionals who specialize in the treatment of the lower extremity, particularily, the foot. Podiatrists in these countries are specialist in the diagnosis and treatment of foot pathology through not surgical means . In some circumstances these practioners will further specialise, and following further training, perform foot and anle surgery.
In contrast, American Podiatrists who hold a Doctor of Podiatric Medicine (D.P.M.), complete surgical residencies and thus all practioners are trained in surgical treatments of the foot and ankle.
Though the title "chiropodist" was previously used in the United States to designate what is now known as a "podiatrist," the title "chiropodist" is now considered to be an antiquated and etymologically incorrect term.
Although podiatrists worldwide do not attend traditional allopathic medical school, in many countries such as the United States, United Kingdom, and Australia they are granted privileges to perform surgical procedures of the foot and ankle.
[edit] Surgical Scope Comment
I question the validity of Podiatrists treating more than the foot. At most, possibly surgery of the ankle but at that point I would think an Orthopaedic Surgeon and particularly one with a foot & ankle fellowship should be sought. I would highly doubt that Podiatrists are performing knee or hip surgeries and if any of them are, I would find that hospital must be outrageously lenient in their hospital surgeon priveleging. Whomever typed that initial paragraph must be a proponent of podiatrists performing more procedures because "the ankle is connected to the foot, and the knee is connected to the ankle, and the hip is connected to the knee." Next we'll hear the heart pumps blood which goes to the foot. Hmmm. Maybe we should perform cardiothoracic surgery too. Most importantly is to go back to the training and see if there is formal teaching for an extended time on what specific body part. A podiatrist may work on the ankle while rotating through Orthopaedics but that still does not qualify a person to perform that surgery. Otherwise, all M.D. surgeons rotate through other surgical subspecialties during their intern year but I would not want an ENT performing an Acetabular reconstruction or an Orthopaedic Surgeon performing a radical neck dissection just because they may have happened to participate in one or two cases. 64.60.107.218 (talk) 21:03, 23 April 2008 (UTC)
- Sounds sensible, though I am not sure what country you are speaking about.
- This is a danger of writing an article from a general knowledge in one or two countries, rather than citing sources as we go.
- Surely we should get citations from the accrediting boards in some more countries, explaining the scope of practice, as I did for the Ch.S. in the UK? Preferably in plain English so non-medical people like myself can verify them. --Hroðulf (or Hrothulf) (Talk) 12:53, 14 June 2008 (UTC)
[edit] Cleanup
- Article needs editing for clarity and flow.
- Better section layout is desperately needed.
- Intro is too long. Consider moving part of it to a more detailed general description catagory.
- Article needs a longer more detailed description on Podiatry before moving into the details of invividual countries and the like.
- Section on the United States is pretty long. Perhaps it needs to be moved to its own article?
- Also seems to be tywo US sections, one being an apparent text dump.
- Needs proper sourcing.
--Lendorien (talk) 14:04, 20 October 2008 (UTC)
[edit] Nov. 2 edits
Much of the text removed in Jwri7474's good-faith edit was problematic in terms of style and clarity. I am nonetheless reverting, and making a slight correction to some of what I'm restoring, for two reasons. First, the information about podiatry's status within the larger medical field is useful, relevant, and completely appropriate for an encylopedia. (No doubt "interspecialty politics" can be a problem, but these aren't specialties—they're broad fields, many of them comprising various specialties.) Second, there were multiple style and clarity issues with the new text that replaced it. I find it's less confusing to do copy and substantive edits separately, especially if they involve multiple sections in the article, but at any rate it seems easier at this point just to revert and go from there. Rivertorch (talk) 05:17, 2 November 2008 (UTC)
[edit] Podiatry as a field of medicine?
Forgive me if I am wrong, but I don't think podiatry can be considered a field of medicine, as the article's first sentence states. Most podiatric physicians and surgeons are skilled and competent individuals, but the medical specialty that deals with the foot and ankle is orthopaedics. —Preceding unsigned comment added by 70.15.58.34 (talk) 23:10, 15 December 2008 (UTC)
[edit] Neutral point of view regarding Dx/Tx
The article states "Thus there are four medical professions in the United States that allow for independent diagnosis and treatment" and gives these as physicians (MD/DO), doctors of optometry (OD), dentistry (DMD/DDS) and doctors of podiatric medicine (DPM). I don't think this represents a neutral view point. There are many other professions that are (broadly/allied) medical professions that allow for independent diagnosis and treatment of patients. Clinical psychologists, chiropractors, naturopathic physicians, and other professionals are qualified to provide independent diagnosis and treatment. The above quote includes optometry and dentistry, which aren't particularly relevant to podiatry, and I think clinical psychologists (for example, those people who hold a PsyD) are just as relevant.
But this raises a bigger question of relevance... what relevance is it anyway how many professions offer independent diagnosis and treatment? By framing diagnosis and treatment as elite privileges, and then including podiatric medicine among the professions that do these things, this section elevates the DPM to an elite status. In the defense of DPMs and DOs and many others, the MD degree is sometimes seen as the "gold standard" so I don't blame any profession for trying to rub elbows with the MD. But it's really not relevant for an encyclopedia entry, and in my opinion it just reinforces the notion that MDs are the benchmark that other professions should try to measure up to. Each profession should be proud of the services that they provide. If that includes diagnosis, medication, and surgery, then by all means mention these things. But it doesn't make DPMs look good if they look smug about their professional privileges.
Many people are skeptical about herbal remedies (I might be among them) but consider this: some naturopathic physicians prescribe antibiotics (like penicillin) just like in western medicine. If you exclude them from the conversation and relegate them to second-tier status, you might never find that out about them. Fact is there are many differences between naturopathic physicians and medical doctors, but in some cases they can be similar. Some naturopaths even do some surgical treatments. And what about nurse practitioners? In my state (Oregon), nurse practitioners are legally licensed to practice without a supervising or collaborating physicians. So then the argument is "well, they don't count because they don't have a doctorate." But these days, more schools are offering doctoral-level degrees for nurse practitioners (Doctor of Nursing Practice). So you have someone who is a "doctor," who's licensed to do diagnostic procedures, give orders for treatments including drugs... sounds pretty indistinguishable from an MD, don't you think? Of course, I'm over simplifying--there are differences, I know. But this section that I'm writing about clearly reads like an advertisement: "Come get treated by us, we're real doctors! Not like those other people..." Ehb (talk) 21:45, 2 March 2009 (UTC)
[edit] sofre bump on heel
I HAVE NEVER BEEN TO A PODIATRIST. MY HEEL HURTS WHEN I WALK 15 MINUTES. 5 YEARS AGO I HAD CORTIZONE INJECTIONS IN MY HEELS EVERY THURSDAY FOR 3 WEEKS. IT DID HELP. NOW THE BUMP ABOUT THE SIZE OF A GREEN PEA, HAS COME ON THE BACK OF MY HEEL AND IT HURTS. THE BOTTOM OF MY FOOT DOES NOT HURT. WHAT IS THIS CONDITION NAMED? THANK YOU, DEB —Preceding unsigned comment added by 220.115.120.44 (talk) 16:19, 29 June 2009 (UTC)
- Sorry, Wikipedia is not able to offer medical advice. There are many online forums you might find helpful. Try a search at Open Directory Project. Rivertorch (talk) 01:22, 30 June 2009 (UTC)
