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Podiatrists Do It All -An excerpt for the American Podiatric Medical Association website www.apma.org:
“Podiatrists do it all.” What does that mean? According to the American Podiatric Medical Association, it means that with a career in podiatric medicine, each day is varied and every patient presents a unique challenge. In one day you may act as a sports medicine specialist, a surgeon, a dermatologist, a primary care physician and/or a pediatrician. That’s because while podiatric medicine specializes in the care and treatment of feet and ankles, those same feet and ankles present a multitude of issues for the doctor of podiatric medicine (DPM) to diagnose and treat.
Most specialties in medicine force a physician to choose between being a diagnostician and a proceduralist. With a career in podiatric medicine, you don’t have to choose. Each and every day, with hard work and dedication, you can have a wide-ranging career that will hold your interest, afford the challenges you seek and provide you with the lifestyle you’ve always wanted.
Doctors of podiatric medicine are physicians and surgeons qualified by their education, training and experience to diagnose and treat conditions affecting the foot and ankle. Students interested in a career in podiatric medicine have a vast array of opportunities to look forward to. The profession is challenging, satisfying, flexible and rewarding.
Challenging
Podiatrists are the only doctors to receive specialized medical training and board certification solely in the care of the lower extremity. As a doctor of podiatric medicine you can:
Perform comprehensive medical history and physical examinations
Prescribe drugs and order and perform physical therapy
Set fractures and treat sports-related injuries
Prescribe and fit orthotics, insoles, and custom-made shoes
Take and interpret X-rays and other imaging studies
Doctors of podiatric medicine receive basic and clinical science education and training which is comparable to that of their medical colleagues.
Education
Students interested in applying to podiatric medical schools must complete an undergraduate education from an accredited college or university with an emphasis on science or a pre-med curriculum. Approximately 95% of all first-year students entering the colleges of podiatric medicine possess baccalaureate degrees and about 10% have advanced degrees. As with institutions granting MD and DO degrees, the colleges may consider candidates who show unusual promise and have completed a minimum of 90 semester hours at accredited undergraduate colleges or universities. Applicants for admission are also required to complete the Medical College Admission Test (MCAT) as a prerequisite although some of the colleges may accept other exams as well.
There are eight colleges of podiatric medicine in the United States. Each college is accredited by the Council on Podiatric Medical Education, which is recognized by the US Secretary of Education and the Council on Higher Education Accreditation. All of the colleges grant the degree of podiatric medicine (DPM). Students who are interested in attending a college of podiatric medicine can contact any of the colleges directly for more information.
Candidates for podiatric medical schools can apply online by contacting the American Association of Colleges of Podiatric Medicine at http://www.aacpm.org/. In addition, the AACPM has a mentor network that matches students interested in podiatric medicine to podiatrists in their areas.
The course of instruction leading to the DPM degree is four years in length and provides general medical training with a focus on the lower extremities. The first two years are devoted largely to classroom instruction and laboratory work in the basic medical sciences, such as anatomy, physiology, microbiology, biochemistry, pharmacology, and pathology. During the third and fourth years, students concentrate on courses in the clinical sciences, gaining experience in the college clinics, community clinics, and accredited hospitals. Clinical courses include but are not limited to general diagnosis, dermatology, general medicine, podiatric surgery, trauma, and biomechanics.
Training
After completing the four-year course of study in podiatric medicine and receiving the DPM degree, the doctor will begin a postdoctoral residency program. These programs are designed to strengthen and refine the practitioner’s podiatric medical and surgical knowledge and skills. Residency programs are based in accredited hospitals and last from two to four years. Podiatric residents often rotate through private offices as well, in order to learn important business and interpersonal skills.
Experience:
In addition to private practices, podiatric physicians serve on the staffs of hospitals and long-term care facilities, and on the faculties of schools of medicine and nursing. They can also be commissioned officers in the Armed Forces and US Public Health Service, work in the Department of Veterans Affairs and in municipal health departments. Many podiatrists today are also members of group medical practices. They generally are active in their communities as well.
While podiatric medicine is already a medical specialty, many practitioners can focus on a particular area of podiatric medicine. These options can include surgery, sports medicine, biomechanics, geriatrics, pediatrics, orthopedics, and primary care.
Podiatric physicians are licensed in all 50 states, the District of Columbia, and Puerto Rico to treat the foot, ankle and related or governing structures by medical, surgical, or other means. Nearly all private and public health insurance plans provide coverage for the services of doctors of podiatric medicine.
Satisfying
As the American population ages and the incidence of diabetes increases, the demand for podiatric services is going to rise significantly. The Bureau of Labor Statistics (BLS) projects job growth of about 16% in podiatric medicine between 2004 and 2014. And, a recent workforce study conducted by the Center for Health Workforce Studies at the School of Public Health, University at Albany indicates that the nation’s nine colleges of podiatric medicine would have to triple their graduates in the next three decades in order to meet growing population demands.
Foot and ankle disorders are among the most widespread and neglected health problems affecting people in this country. As more Americans engage in exercise and fitness programs, more of them become aware of the limits that foot and ankle pain places on full participation. In addition, the number of older Americans is increasing almost three times as fast as the population as a whole, creating a true need for the services of podiatric medical practitioners.
Flexible
Students interested in podiatric medicine should consider a number of factors. First and foremost, the lifestyle offered by a career in podiatric medicine fits the goals of many young people today. While podiatrists work hard, they also have the time to pursue their own individual interests. DPMs work an average of 35-42 hours a week, leaving time for family, hobbies, and outside interests.
Rewarding
A recent survey done by the APMA (2007) indicated that the average podiatrist had a net income of $150,000. Net income is higher for those DPMs who see more patients per week and those who are in group practices. The potential is outstanding for doctors who are willing to work hard, keep up with current trends and practice good patient care.
Most podiatrists are happy to have chosen this profession and are willing to educate young people about careers in podiatric medicine. The profession created a network of volunteer mentors who work with students, answer questions, and allow shadowing in their offices. Students can find a DPM mentor in their area and learn more about podiatric medicine by logging onto the APMA Web site and accessing the DPM Mentor Network.
The American Podiatric Medical Association (APMA) was founded in 1912 to promote levels of understanding of the profession; it continues to work to improve the quality of foot and ankle care in the United States, to attract qualified men and women to the field, and to increase awareness of the importance of foot and ankle health among the general public and other health professionals. APMA has more than 20 affiliated and related organizations, which focus attention on education, research, and specialty areas of interest, such as dermatology, pediatrics, radiology, sports medicine, surgery, and others.
For this article and other articles on the podiatry profession please view their website at http://www.apma.org/ .
As a member of the APMA Dr. Vail has mentored Podiatric students into this challenging and rewarding field. If you are looking at a career in podiatry please feel free to post a question and Dr. Vail will be glad to respond and give you advice.
Sunday, June 21, 2009
Tuesday, June 16, 2009
Dr. Vail!
The Advanced Footcare Clinic is the office of Dr. Thomas F. Vail, DPM, located in Findlay, Ohio. Dr. Vail is originally a native of Cleveland, Ohio. He is a cum laude graduate of Xavier University, located in Cincinnati, Ohio. Dr. Vail then went on to receive his medical degree (DPM) at the Ohio College of Podiatric Medicine in Cleveland, Ohio. He completed his surgical residency in Youngstown, Ohio, and completed an addition year specializing in minimal incision technologies in South Bend, Indiana.Dr. Vail is currently on staff at the Blanchard Valley Regional Health Center in Findlay and Bluffton, as well as the Findlay Surgery Center. He is a member of the American Podiatric Medical Association, as well as its Ohio Affiliate. He is board certified by the American Board of Podiatric Surgery (ABPS) as well as being a fellow of the American College of Foot and Ankle Surgeons.
Saturday, June 13, 2009
Forefoot Surgery
When is Foot Surgery Necessary?
Many foot problems do not respond to “conservative” management. Dr. T. F. Vail can determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to alleviate discomfort or to restore the function of your foot.
Bunions: A common deformity of the foot, a bunion is an enlargement of the bone and tissue around the joint of the big toe. Heredity frequently plays a role in the occurrence of bunions, as it does in other foot conditions. When symptomatic, the area may become red, swollen, and inflamed, making shoe gear and walking uncomfortable and difficult. If conservative care fails to reduce these symptoms, surgical intervention may be warranted. Dr. Vail can determine the type of surgical procedure best suited for your deformity, based on a variety of information which may include X-rays and gait examination.
HAMMERTOE: A hammertoe deformity is a contracture of the toe(s), frequently caused by an imbalance in the tendon or joints of the toes. Due to the “buckling” effect of the toe(s), hammertoes may become painful secondary to footwear irritation and pressure. Corn and callus formation may occur as a hammertoe becomes more rigid over time, making it difficult to wear shoes. Dr. Vail may suggest correction of this deformity through a surgical procedure to realign the toe(s).
Neuroma: An irritation of a nerve may produce a neuroma, which is a benign enlargement of a nerve segment, commonly found between the third and fourth toes. Several factors may contribute to the formation of a neuroma.Trauma, arthritis, high-heeled shoes, or an abnormal bone structure are just some of the conditions that may cause a neuroma. Symptoms such as burning or tingling in the ball of the foot or in the adjacent toes and even numbness are commonly seen with this condition. Other symptoms include swelling between the toes and pain in the ball of the foot when weight is placed on it.Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe.Dr. Vail will suggest a treatment plan. If conservative treatment does not relieve the symptoms, then he will decide, on the basis of your symptoms, whether surgical treatment is appropriate.
Bunionette (Tailor’s Bunion)A protuberance of bone at the outside of the foot behind the fifth (small) toe, the bunionette or “small bunion” is caused by a variety of conditions including heredity, faulty biomechanics (the way one walks) or trauma, to name a few. Pain is often associated with this deformity, making shoes very uncomfortable and at times even walking becomes difficult. If severe and conservative treatments fail to improve the symptoms of this condition, surgical repair may be suggested. Dr. Vail will develop a surgical plan specific to the condition present.
Bone spurs: A bone spur is an overgrowth of bone as a result of pressure, trauma, or reactive stress of a ligament or tendon. This growth can cause pain and even restrict motion of a joint, depending on its location and size. Spurs may also be located under the toenail plate, causing nail deformity and pain. Surgical treatment and procedure is based on the size, location, and symptoms of the bone spur. Dr. Vail will determine the surgical method best suited for your condition.
Preoperative Testing and Care
As with anyone facing any surgical procedure, those undergoing foot and ankle surgery require specific tests or examinations before surgery to improve a successful surgical outcome. Prior to surgery, Dr. Vail will review your medical history and medical conditions. Specific diseases, illnesses, allergies, and current medications need to be evaluated. Other tests that help evaluate your health status may be ordered by the Dr. such as blood studies, urinalysis, EKG, X-rays, a blood flow study (to better evaluate the circulatory status of the foot/legs), and a biomechanical examination. A consultation with another medical specialist may be advised by a podiatric physician, depending on your test results or a specific medical condition.
Postoperative Care
The type of foot surgery performed determines the length and kind of aftercare required to assure that your recovery from surgery is rapid and uneventful. The basics of all postoperative care involve to some degree each of the following: rest, ice, compression, and elevation. Bandages, splints, surgical shoes, casts, crutches, or canes may be necessary to improve and ensure a safe recovery after foot surgery. A satisfactory recovery can be hastened by carefully following instructions Dr. Vail .
Your Feet Aren’t Supposed to Hurt
Remember that foot pain is not normal. Healthy, pain-free feet are a key to your independence. At the first sign of pain, or any noticeable changes in your feet, seek professional podiatric medical care. Your feet must last a lifetime, and most Americans log an amazing 75,000 miles on their feet by the time they reach age 50. Regular foot care can make sure your feet are up to the task. With proper detection, intervention, and care, most foot and ankle problems can be lessened or prevented.
When is Foot Surgery Necessary?
Many foot problems do not respond to “conservative” management. Dr. T. F. Vail can determine when surgical intervention may be helpful. Often when pain or deformity persists, surgery may be appropriate to alleviate discomfort or to restore the function of your foot.
Bunions: A common deformity of the foot, a bunion is an enlargement of the bone and tissue around the joint of the big toe. Heredity frequently plays a role in the occurrence of bunions, as it does in other foot conditions. When symptomatic, the area may become red, swollen, and inflamed, making shoe gear and walking uncomfortable and difficult. If conservative care fails to reduce these symptoms, surgical intervention may be warranted. Dr. Vail can determine the type of surgical procedure best suited for your deformity, based on a variety of information which may include X-rays and gait examination.
HAMMERTOE: A hammertoe deformity is a contracture of the toe(s), frequently caused by an imbalance in the tendon or joints of the toes. Due to the “buckling” effect of the toe(s), hammertoes may become painful secondary to footwear irritation and pressure. Corn and callus formation may occur as a hammertoe becomes more rigid over time, making it difficult to wear shoes. Dr. Vail may suggest correction of this deformity through a surgical procedure to realign the toe(s).
Neuroma: An irritation of a nerve may produce a neuroma, which is a benign enlargement of a nerve segment, commonly found between the third and fourth toes. Several factors may contribute to the formation of a neuroma.Trauma, arthritis, high-heeled shoes, or an abnormal bone structure are just some of the conditions that may cause a neuroma. Symptoms such as burning or tingling in the ball of the foot or in the adjacent toes and even numbness are commonly seen with this condition. Other symptoms include swelling between the toes and pain in the ball of the foot when weight is placed on it.Those suffering from the condition often find relief by stopping their walk, taking off their shoe, and rubbing the affected area. At times, the patient will describe the pain as similar to having a stone in his or her shoe.Dr. Vail will suggest a treatment plan. If conservative treatment does not relieve the symptoms, then he will decide, on the basis of your symptoms, whether surgical treatment is appropriate.
Bunionette (Tailor’s Bunion)A protuberance of bone at the outside of the foot behind the fifth (small) toe, the bunionette or “small bunion” is caused by a variety of conditions including heredity, faulty biomechanics (the way one walks) or trauma, to name a few. Pain is often associated with this deformity, making shoes very uncomfortable and at times even walking becomes difficult. If severe and conservative treatments fail to improve the symptoms of this condition, surgical repair may be suggested. Dr. Vail will develop a surgical plan specific to the condition present.
Bone spurs: A bone spur is an overgrowth of bone as a result of pressure, trauma, or reactive stress of a ligament or tendon. This growth can cause pain and even restrict motion of a joint, depending on its location and size. Spurs may also be located under the toenail plate, causing nail deformity and pain. Surgical treatment and procedure is based on the size, location, and symptoms of the bone spur. Dr. Vail will determine the surgical method best suited for your condition.
Preoperative Testing and Care
As with anyone facing any surgical procedure, those undergoing foot and ankle surgery require specific tests or examinations before surgery to improve a successful surgical outcome. Prior to surgery, Dr. Vail will review your medical history and medical conditions. Specific diseases, illnesses, allergies, and current medications need to be evaluated. Other tests that help evaluate your health status may be ordered by the Dr. such as blood studies, urinalysis, EKG, X-rays, a blood flow study (to better evaluate the circulatory status of the foot/legs), and a biomechanical examination. A consultation with another medical specialist may be advised by a podiatric physician, depending on your test results or a specific medical condition.
Postoperative Care
The type of foot surgery performed determines the length and kind of aftercare required to assure that your recovery from surgery is rapid and uneventful. The basics of all postoperative care involve to some degree each of the following: rest, ice, compression, and elevation. Bandages, splints, surgical shoes, casts, crutches, or canes may be necessary to improve and ensure a safe recovery after foot surgery. A satisfactory recovery can be hastened by carefully following instructions Dr. Vail .
Your Feet Aren’t Supposed to Hurt
Remember that foot pain is not normal. Healthy, pain-free feet are a key to your independence. At the first sign of pain, or any noticeable changes in your feet, seek professional podiatric medical care. Your feet must last a lifetime, and most Americans log an amazing 75,000 miles on their feet by the time they reach age 50. Regular foot care can make sure your feet are up to the task. With proper detection, intervention, and care, most foot and ankle problems can be lessened or prevented.
Friday, June 5, 2009
PEDICURE POINTERS: The Do's and Don'ts for Fabulous Feet
In a recent American Podiatric Medical Association survey of women ages 18-49, close to fifty percent stated that they had received a professional pedicure by the age of twenty-five. APMA member podiatrist Dr. Marlene Rei says, "Pampering and grooming your feet promotes good foot hygiene and should be done frequently to contribute to not only your foot health, but also to your body's overall health.
Do schedule your pedicure first thing in the morning. Salon foot baths are typically cleanest earlier in the day. Bring your own pedicure utensils to the salon. Bacteria and fungus can move easily from one person to the next if the salon doesn't use proper sterilization techniques.
Don't shave your legs before receiving a pedicure. Freshly shaven legs or small cuts on your legs my allow bacteria to enter. If you are receiving a pedicure and manicure DON"T use the same tools for both services as bacteria and fungus can transfer between fingers and toes.
In a recent American Podiatric Medical Association survey of women ages 18-49, close to fifty percent stated that they had received a professional pedicure by the age of twenty-five. APMA member podiatrist Dr. Marlene Rei says, "Pampering and grooming your feet promotes good foot hygiene and should be done frequently to contribute to not only your foot health, but also to your body's overall health.
Do schedule your pedicure first thing in the morning. Salon foot baths are typically cleanest earlier in the day. Bring your own pedicure utensils to the salon. Bacteria and fungus can move easily from one person to the next if the salon doesn't use proper sterilization techniques.
Don't shave your legs before receiving a pedicure. Freshly shaven legs or small cuts on your legs my allow bacteria to enter. If you are receiving a pedicure and manicure DON"T use the same tools for both services as bacteria and fungus can transfer between fingers and toes.
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