Podiatry: Difference between revisions
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{{Short description|Medicine branch focusing on the human lower extremities}} |
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{{distinguish|Pediatrics}} |
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{{about|podiatric medicine|the profession|Podiatrist}} |
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{{Use dmy dates|date=September 2023}} |
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{{Infobox occupation |
{{Infobox occupation |
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| name = Podiatrist, podiatric surgeon, podiatric physician |
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| name= Podiatric Physician |
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| image= [[File:Dr Kamran Jamshidinia Performing Bunion Surgery.jpg|Podiatric surgeon performing reconstructive surgery |
| image = [[File:Dr Kamran Jamshidinia Performing Bunion Surgery.jpg|220px]] |
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| caption = Podiatric surgeon performing reconstructive surgery |
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| official_names = |
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| type= |
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* Podiatrist |
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| activity_sector= [[Medicine]], [[Orthopedics]], [[Endocrinology]] |
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* Podiatric surgeon |
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| competencies=critical thinking, analytical skills, professionalism, management skills, communication and interpersonal skills |
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* Foot and ankle surgeon |
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| formation= Doctor of Podiatric Medicine |
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* Doctor of podiatric medicine |
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| employment_field= [[Hospitals]], private practices |
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* Podiatric physician |
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| type = |
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| activity_sector = [[Medicine]], [[sports medicine]], [[orthopedics]], [[plastic surgery]], [[endocrinology]], [[endocrinology]], [[orthopedic surgery]], [[dermatology]], [[radiology]], [[biomechanics]], [[rheumatology]], [[neurology]] |
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| competencies = Expertise in medicine, surgical skills, ethics, critical thinking, analytical skills, professionalism, management skills, and communication skills |
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| formation = Doctor of Podiatric Medicine |
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| employment_field = [[Hospital]]s, private practices |
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}} |
}} |
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'''Podiatry''' ({{IPAc-en|p|oʊ|ˈ|d|aɪ|.|ə|t|r|i}} {{respell|poh|DY|ə|tree}}), or '''podiatric medicine and surgery''' ({{IPAc-en|ˌ|p|oʊ|d|i|ˈ|æ|t|r|ᵻ|k|,_|p|oʊ|ˈ|d|aɪ|.|ə|t|r|ᵻ|k}} {{respell|POH|dee|AT|rik|,_|poh|DY|ə|trik}}), is a branch of [[medicine]] devoted to the study, diagnosis, and treatment of disorders of the [[foot]], [[ankle]] and lower limb. The healthcare professional is known as a [[podiatrist]].<ref>{{cite web |title = American Association of Colleges of Podiatric Medicine |url=http://www.aacpm.org/}}</ref> The US podiatric medical school curriculum includes lower extremity anatomy, general human anatomy, physiology, general medicine, physical assessment, biochemistry, neurobiology, pathophysiology, genetics and embryology, microbiology, histology, pharmacology, women's health, physical rehabilitation, sports medicine, research, ethics and jurisprudence, biomechanics, general principles of [[orthopedic surgery]], [[plastic surgery]], and [[foot and ankle surgery]]. |
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[[File:Podiatric medicine symbol.jpeg|thumb|right|A foot and winged rod, a symbol for podiatric medicine]] |
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Podiatry is practiced as a [[Specialty (medicine)|specialty]] in many countries. In Australia, graduates of recognised academic programs can register through the Podiatry Board of Australia as a "podiatrist", and those with additional recognised training may also receive endorsement to prescribe or administer restricted medications and/or seek specialist registration as a "podiatric surgeon". |
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'''Podiatry''' or '''podiatric medicine''' is a branch of [[medicine]] devoted to the study of diagnosis, medical and surgical treatment of disorders of the [[foot]], [[ankle]], and [[human leg|lower extremity]]. The term ''podiatry'' came into use in the early 20th century in the [[United States]] and is now used worldwide, within countries such as the [[United Kingdom]] and [[Australia]].<ref name="nyspma.org">[http://www.nyspma.org New York State Podiatric Medical Association]. NYSPMA. Retrieved on 2010-11-27.</ref> |
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Medical Group Management Association (MGMA) data shows that a general podiatrist with a single specialty earns a median salary of $230,357, while one with a multi-specialty practice type earns $270,263. However, a podiatry surgeon makes more with a single specialty, with the median at $304,474 compared to the multispecialty of $286,201.<ref>{{Cite web|url=https://www.physiciansthrive.com/physician-compensation/podiatrist-salary/#:~:text=Medical%20Group%20Management%20Association%20(MGMA,multispecialty%20practice%20type%20earns%20%24270%2C263. |title=Quick Facts: Podiatrists |work=compensation |publisher= MGMA}}</ref> First-year salaries around $150,000 with performance and productivity incentives are common. Private practice revenues for solo podiatrists vary widely, with the majority of solo practices grossing between $200,000 and $600,000 before overhead.<ref>{{cite web | url=https://www.salary.com/research/salary/benchmark/physician-podiatry-salary | title=Physician - Podiatry Salary }}</ref><ref>{{cite web | url=https://www.kent.edu/cpm/about-the-profession | title=Medical Specialty: Podiatric Medicine | Kent State University }}</ref> |
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A Doctor of Podiatric Medicine (DPM), is a medical specialist who diagnose and treats conditions affecting the foot, ankle, and structures of the leg.<ref>{{cite web|title = American Association of Colleges of Podiatric Medicine|url=http://www.aacpm.org/}}</ref> The training of podiatric physicians includes human anatomy, physiology, pathophysiology, sociological and psychological perspectives, [[internal medicine|general medicine]], [[surgery]] and pharmacology. Specialist podiatric physicians are [[podiatrist]]s with additional postgraduate training or fellowship training and experience in the specialized field. |
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Within the field of podiatry, US trained [[podiatric physicians]] rotate through major areas of medicine gaining exposure and practice to areas including but not limited to: surgery, sports medicine, biomechanics, geriatrics, internal medicine,<ref>[http://www.gundluth.org/?id=702&sid=1 About Residencies]. gundluth.org. Retrieved on 2012-06-27.</ref> diabetes, vascular, neurological, pediatrics, dermatological, orthopedics, or primary care.<ref>[http://www.apma.org/MainMenu/AboutPodiatry.aspx About Podiatry]. Apma.org. Retrieved on 2010-11-27.</ref> |
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Podiatry is practiced as a [[Specialty (medicine)|specialty]] in many countries, while in many English-speaking countries, the older title of '''chiropodist''' may be used by some clinicians<ref>{{cite web |
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|url = http://www.ontariochiropodist.com/pg_1.asp?CategoryID=0&ArticleID=1 |
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|title = What is Chiropody? |
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|accessdate = 28 June 2011 |
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|publisher = Ontario Society of Chiropodists |
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|quote = those who are registered by the Ontario College Of Chiropodist are licensed to practice as Chiropodists or Podiatrists |
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}} |
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</ref> (not to be confused with [[chiropractic]], which is unrelated). In Australia the title is podiatrist or podiatric physician and the specialist is the podiatric surgeon. In many non-English-speaking countries of Europe, the title used may be "podologist"<ref>{{cite web|url=http://www.malta-podiatry.com/HistoryPodiatry.htm |title=The Association of Podiatrists of Malta |publisher=Malta-podiatry.com |date=1982-12-20 |accessdate=2012-08-25}}</ref> " or "Podólogo".<ref>[http://www.podocat.com/ Col·legi Oficial de Podòlegs de Catalunya > El Col·legi – Events i Articles]. Podocat.com (2010-10-19). Retrieved on 2010-11-27.</ref> The level and scope of the practice of podiatry varies among countries. |
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==History== |
==History== |
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The professional care of feet |
The professional care of feet existed in [[ancient Egypt]], as depicted by [[bas-relief]] carvings at the entrance to Ankmahor's tomb from about 2400 BC.<ref>{{Cite web |title=Self-Care - Archaeology Magazine |url=https://www.archaeology.org/issues/437-2109/features/9907-wellness-egypt-foot-massage |access-date=2022-11-29 |website=www.archaeology.org}}</ref> |
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[[Corn (medicine)|Corns]] and [[calluses]] were described by [[Hippocrates]] who recognised the need to physically reduce hard skin, followed by removal of the cause. He invented skin scrapers for this purpose and these were the original [[scalpels]]. |
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Until the turn of the 20th century, chiropodists—now known as [[podiatrists]]—were separate from organized medicine. They were independently licensed physicians who treated the feet, ankles and related leg structures. [[Lewis Durlacher]] was one of the first people to call for a protected profession. |
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There are records of the King of [[France]] employing a personal [[podiatrist]], as did [[Napoleon]]. In the United States, President [[Abraham Lincoln]] suffered greatly with his feet and chose a chiropodist named [[Isachar Zacharie]], who not only cared for the president’s feet, but also was sent by President Lincoln on confidential missions to confer with leaders of the [[Confederate States of America|Confederacy]] during the [[U.S. Civil War]].<ref>{{cite web|url=http://www.jewishvirtuallibrary.org/jsource/biography/zacharie.html |title=Isachar Zacharie |publisher=Jewishvirtuallibrary.org |date= |accessdate=2013-12-08}}</ref><ref>http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-5223-4..00113-X&isbn=978-1-4160-5223-4&sid=1443544104&uniqId=411842093-70#4-u1.0-B978-1-4160-5223-4..00113-X--s0010</ref> |
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The first society of chiropodists, now known as [[podiatrists]], was established in New York in 1895—and still operates there today as NYSPMA.<ref name="nyspma.org"/> The first school opened in 1911. One year later the British established a society at the [[London Foot Hospital]] and a school was added in 1919. In Australia professional associations appeared from 1924 onwards. The first American journal appeared in 1907, followed in 1912 by a UK journal. In 1939, the Australians introduced a training centre as well as a professional journal. |
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Podiatry is a high paying specialty and was listed by ''Forbes'' in 2007 as the 15th best paid profession in the United States.<ref>{{cite news| url=http://www.forbes.com/2007/06/04/jobs-careers-compensation-lead-careers-cx_pm_0604jobs.html | work=Forbes | title=America's Best- And Worst-Paying Jobs | date=2007-06-04}}</ref> In 2012, average salaries of Podiatric Surgeons reached $250,000, while Non-Surgical Podiatrists earned an average of $170,000. {{Citation needed|date=April 2013}} |
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==Scope of practice== |
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===United States=== |
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Scope of practice varies from different demographic and geographic areas. In the United States there is varied scope on where reconstructive surgery is done. According to the California Board of Podiatric Medicine, Doctors of Podiatric Medicine (DPMs) are licensed under Section 2472 of the State Medical Practice Act.<ref name="autogenerated1">[http://www.bpm.ca.gov/forms_pubs/fsscope.shtml Information on Scope of Practice]. bpm.ca.gov. Retrieved on 2012-06-27.</ref> They diagnose and treat medical conditions affecting the foot, ankle and related structures (including the tendons that insert into the foot and the nonsurgical treatment of the muscles and tendons of the leg). Any procedure and modality is within the DPM scope if utilized to diagnose and treat foot, ankle or other podiatric conditions.<ref name="autogenerated1"/> In addition to performing foot and ankle surgeries. DPMs are trained and fully licensed to independently perform full-body history and physical (H&P) examinations in any setting for any patient. DPMs, many of whom develop expertise in the care and preservation of the diabetic foot, perform partial amputations of the foot as far as proximal with the [[Transverse tarsal joint|Chopart's joint]], to prevent greater loss of limb, ambulation, or life. While podiatrists may order and administer anesthesia and sedatives, the administration of general anesthesia may only be performed by an [[anesthesiologist]] or certified registered nurse anesthetist (CRNA). DPMs commonly administer intravenous (IV) sedation.<ref name="autogenerated1"/> |
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Podiatrists are uniquely qualified among medical professionals to treat only [[diseases of the foot]] and ankle. Whether it is sports medicine, pediatrics, dermatology or diabetes, today’s podiatrist can treat the many diverse facets of foot care. Podiatrists can be the first to identify systemic diseases in patients, such as diabetes and vascular disease.<ref>[http://www.opma.org/displaycommon.cfm?an=1&subarticlenbr=58 Today’s Podiatrist Does it All ]. opma.org. Retrieved on 2012-06-27.</ref> Today’s podiatrists: |
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* perform surgery |
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* perform complete medical histories and physical examinations |
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* prescribe medications |
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* set fractures and treat sports-related injuries |
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* prescribe and fit orthotics, insoles, and custom-made shoes |
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* order and perform physical therapy |
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* take and interpret X-rays and other imaging studies |
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* work as valued members of a community’s health care team |
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Doctors of podiatric medicine receive medical education and training in podiatric medical colleges including four years of undergraduate education, four years of graduate education at one of nine podiatric medical colleges and up to four years of hospital-based residency training. All podiatric physicians and surgeons receive a DPM degree.<ref>[http://www.opma.org/displaycommon.cfm?an=1&subarticlenbr=58 Uniquely Qualified ]. opma.org. Retrieved on 2012-06-27.</ref> |
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===Australia=== |
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The Australian Podiatry Council has defined the scope of podiatry in Australia as: |
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Podiatry deals with the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions of the feet and lower limbs. The conditions [[podiatrists]] treat include those resulting from bone and joint disorders such as arthritis and soft-tissue and muscular pathologies, as well as neurological and circulatory disease. Podiatrists are also able to diagnose and treat any complications of the above which affect the lower limb, including skin and nail disorders, corns, calluses and ingrown toenails. Foot injuries and infections gained through sport or other activities are also diagnosed and treated by podiatrists. A range of skills are employed by podiatrists.<ref name="apodc1">[http://www.apodc.com.au/scope-of-practice/ Scope of Practice]. apodc.com.au. Retrieved on 2012-06-27.</ref> Direct consultations include a clinical history composition, physical examination, diagnosis, preparation of a treatment plan and provision of a range of therapies. Clinical assessment techniques aim to secure a diagnosis and prognosis and take into account clinical, medical and surgical history, footwear, occupational and lifestyle factors, and may incorporate the use of diagnostic equipment such as vascularscopes or radiology. Gait analysis will often be undertaken through visual or computerised means and might include range of motion studies, postural alignment evaluation or dynamic force and pressure studies. Clinical services require skilled use of sterilised instruments and appropriate infection control procedures, along with appropriate application of pharmacological agents, specialist wound dressings and a variety of physical therapies. Prescription foot orthoses (in-shoe devices) offer long-term solutions in the treatment and prevention of corns, callous and necrotic ulceration in their capacity to provide pressure redistribution. As a technique for providing consistent weightbearing realignment they are utilised in the treatment of acute and chronic foot conditions such as tendonitis, recurrent ankle sprain, chronic knee pain and stress fractures, to supplement and enhance clinical care. Foot health education regarding self care techniques and prevention of foot pathology is an important component of individual care but is also frequently implemented on a greater scale, either to specific target groups or as community projects. In order to facilitate enhanced clinical care, podiatrists establish and maintain collaborative relationships with other health care providers, often working within a site-based, multi-disciplinary team.<ref name="apodc1"/> |
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==Podiatric surgery== |
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<!-- Deleted image removed: [[File:Podiatric Surgeons.jpg|thumb|right|Podiatric Surgeons performing a procedure.]] --> |
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Podiatric surgery is a specialist field in the podiatry profession. Podiatric surgery is the surgical treatment of conditions affecting the foot, ankle and related lower extremity structures by accredited and qualified specialist podiatrists.<ref>{{cite web|url=http://www.phio.org.au/facts-and-advice/podiatric-surgery.aspx |title=Private Health Insurance Ombudsman (PHIO) : Podiatric Surgery |publisher=PHIO |date=2005-03-16 |accessdate=2012-11-08}}</ref> Podiatric surgery is designed to ensure continued functionality of the foot and ankle areas. Patients who complain of joint and ligament problems, as well as those with congenital deformities, are offered a plethora of surgical solutions that fix bones, muscles, and joints. Certain podiatric surgeons specialize in minimally invasive surgery, while others perform full reconstructions.<ref>{{cite web|url=http://www.surgery.com/guide/podiatry-surgery |title=Podiatric Surgery Information, Surgery Costs, Surgeons Directory, Podiatry Procedures Risks and Alternatives |publisher=Surgery.com |date= |accessdate=2012-11-08}}</ref> |
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[[Hippocrates]] described the treatment of [[Corn (medicine)|corns]] and [[calluses]] by physically reducing the hard skin and removing the cause. The skin scrapers which he invented for this purpose were the original [[scalpels]].<ref>{{Cite book |last=Hippocrates |url=http://classics.mit.edu/Hippocrates/artic.62.62.html |title=On the Articulations |pages=pt. 62 |translator-last=Adams |translator-first=Francis}}</ref> |
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==Podiatric sports medicine== |
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Until the turn of the 20th century, [[podiatrists]] were independently licensed physicians, separate from the rest of organized medicine. [[Lewis Durlacher]], appointed as surgeon-podiatrist to the British royal household in 1823, called for podiatry to be a protected profession. |
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Sport podiatry, a sub-specialty of [[podiatric medicine]] involves the expertise in diagnosis of foot and lower limb problems as well as treatments such as joint mobilisation; advanced biomechanical assessments, injection therapy such as corticosteroids, soft tissue manipulation and trigger point therapy, advanced orthotic therapy, rehabilitation, exercise, [[strength and conditioning]] of the lower extremities and footwear prescription for the professional, elite, amateur and young athletes, as well as those who have sustained injuries in day-to-day life.<ref>[http://www.podantics.com.au/sports-podiatry.html Sports Podiatry ]. Retrieved on 2012-12-30.</ref> |
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Sports podiatry covers the following two areas: |
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* foot & lower limb overuse injuries |
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* mechanical performance enhancement to minimise injury and to maximise efficiency <ref>[http://www.sportspodiatry.com.au/structural-podiatry/ structural podiatry ]. Retrieved on 2012-12-30.</ref> |
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Prominent figures including [[Napoleon]] and [[France|French]] kings employed personal podiatrists. President [[Abraham Lincoln]] sent his personal podiatrist, [[Isachar Zachriel]], on confidential missions to confer with leaders of the [[Confederate States of America|Confederacy]] during the [[U.S. Civil War]].<ref>{{cite web|url=https://www.jewishvirtuallibrary.org/jsource/biography/zacharie.html |title=Isachar Zacharie |publisher=Jewishvirtuallibrary.org |access-date=2013-12-08}}</ref><ref>{{cite web |url=http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-5223-4..00113-X&isbn=978-1-4160-5223-4&sid=1443544104&uniqId=411842093-70#4-u1.0-B978-1-4160-5223-4..00113-X--s0010 |title=MD Consult - Important Notice |website=www.mdconsult.com |access-date=25 January 2022 |archive-url=https://web.archive.org/web/20160304031641/http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-5223-4..00113-X&isbn=978-1-4160-5223-4&sid=1443544104&uniqId=411842093-70#4-u1.0-B978-1-4160-5223-4..00113-X--s0010 |archive-date=4 March 2016 |url-status=dead}}</ref> |
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==Podopaediatrics== |
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Podopaediatrics is a specialty of podiatric medicine that focuses on the treatment of medical lower limb issues in children. Proper podopaediatric care is important in the long term because unaddressed structural problems with the feet can worsen over time, eventually causing severe issues with gait and pain. By correcting early foot deformities many long term chronic mobility issues can be safely and effectively addressed, sparing a great deal of discomfort on the part of the patient, and future expenses. A number of different foot ailments can affect children from a variety of different backgrounds, these can include structural issues with the foot like flat footedness, or other, more general issues like ingrown toe nails or infections.<ref name="healthcentre1">[http://www.healthcentre.org.uk/podiatry/what-is-podopaediatrics.html What is Podopaediatrics?]. Retrieved on 2012-12-30.</ref> A child’s foot is more at risk compared with an adult. Biomechanical abnormalities as a child can cause long term damage, this is because the foot is more malleable. Children tend to have a high pain threshold as they are easily distracted and ill-fitting footwear is also an issue when it comes to children’s foot health.<ref>[http://www.footcareforlife.co.uk/treatments/biomechanics/podopeadiatrics/ Podopaediatrics? ]. Retrieved on 2012-12-30.</ref> |
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The first podiatric society was established in New York in 1895, and still operates there today as NYSPMA.<ref name="nyspma.org">[http://www.nyspma.org New York State Podiatric Medical Association]. NYSPMA. Retrieved on 2010-11-27.</ref> The first podiatric school opened in 1911. One year later, the British established a podiatric society at the [[London Foot Hospital]]; a school was added in 1919. The first American podiatric journal appeared in 1907, followed in 1912 by a UK journal. In Australia, professional podiatric associations were organized as early as 1924, followed by a podiatric training center and professional podiatric journal in 1939. |
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Podopaediatricians are specially trained to provide treatment to younger children. One of the requirements of becoming a podopaediatrician is that a practitioner completes the necessary qualifications after having graduated from a recognised podiatric medical school. Continuous Professional Development (CPD) courses outlined by regulatory bodies like the Health and Care Professions Council determine what practical experience and theoretical knowledge is needed for one to become a qualified podopaediatrician.<ref name="healthcentre1"/> |
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==Specific country practices== |
==Specific country practices== |
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===Australia=== |
===Australia=== |
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In |
In Australia, podiatry is considered an [[allied health profession]] and is practised by individuals licensed by the Podiatry Board of Australia.<ref>{{cite web|title=When is it necessary to be registered as a podiatry practitioner?|url=http://www.podiatryboard.gov.au/documents/default.aspx?record=WD12%2F8178&dbid=AP&chksum=WCFEhIeMsgCst%2B1Qe%2F%2Bl9w%3D%3D|publisher=Podiatric Board of Australia|access-date=29 October 2014}}</ref> |
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Australia recognizes two levels of professional accreditation (General Podiatrist and Podiatric Surgeon), with ongoing lobbying for the recognition of other subspecialties. Some Commonwealth countries recognize Australian qualifications, allowing Australian podiatrists to practise abroad. |
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There are eight teaching centres (as well as Auckland University of Technology in New Zealand), with two levels of awards — bachelors degree (pass and/or honours) such as the [[Bachelor of Podiatric Medicine]] offered by Charles Sturt University and Univeristy of Western Sydney, and the master-level postgraduate [[Doctor of Podiatric Medicine]] offered by the [[University of Western Australia]] and the Master of Podiatric Practice by La Trobe University.<ref>{{cite web|title=Australian Health Practitioner Regulation Agency - Approved Programs of Study |
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|url=http://www.ahpra.gov.au/Education/Approved-Programs-of-Study.aspx?ref=Podiatrist&Type=General|publisher=APHRA|accessdate=29 October 2014}}</ref> |
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In Australia there currently exist two levels of professional accreditation and professional privilege: General Podiatrist and the specialist - Podiatric Surgeon. There is current lobbying for other specialties to be recognised in Australia such as podopediatrics, diabetes, high risk and sports podiatry. Australian podiatrists are able to practise abroad with their qualifications recognised in some Commonwealth countries. Many general podiatrists in Australia do routinely use the title Doctor, [[Dr.]] as part of advertising regulations, it is not a protected title and therefore its use is unrestricted in Australia, and may be used by any health professional regulated under AHPRA as per advertising guidelines. There are guidelines advertising for regulated health services were jointly developed by the National Boards under section 39 of the National Law. Section 133 of the National Law regulates advertising of regulated health services. |
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====Registration and regulation==== |
====Registration and regulation==== |
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Australian podiatrists must register with the Podiatry Board of Australia, which regulates podiatrists and podiatric surgeons. The board also assesses foreign-trained registrants in conjunction with the Australian & New Zealand Podiatry Accreditation Council (ANZPAC).<ref>{{cite web|title=Overseas Trained Podiatrists|url=http://www.podiatryboard.gov.au/Registration-Endorsement/Overseas-Trained-Podiatrists.aspx|publisher=AHPRA Podiatric Board|access-date=28 August 2012}}</ref> It recognizes three pathways to attain specialist registration as a podiatric surgeon:<ref>{{cite web | title=Overseas trained podiatrists and podiatric surgeons | website=Podiatry Board of Australia | date=2020-03-31 | url=http://www.podiatryboard.gov.au/Overseas-Trained-Podiatrists.aspx | access-date=2020-12-16}}</ref> |
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# Fellowship of the Australasian College of Podiatric Surgeons<ref>[http://www.acps.edu.au/index.php ACPS]. ACPS. Retrieved on 2010-11-27.</ref> |
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Australian Podiatrists must register with the Podiatry Board of Australia.[http://www.podiatryboard.gov.au] The Podiatry Board of Australia is responsible for regulation and recognition of Podiatrists and Podiatric Surgeons,<ref>{{cite web|title=Overseas Trained Podiatrists|url=http://www.podiatryboard.gov.au/Registration-Endorsement/Overseas-Trained-Podiatrists.aspx|publisher=AHPRA Podiatric Board|accessdate=28 August 2012}}</ref> and assessing foreign trained registrants in conjunction with the Australian & New Zealand Podiatry Accreditation Council (ANZPAC). |
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# Doctor of Podiatric Surgery, University of Western Australia<ref>[https://www.uwa.edu.au/study/courses/doctor-of-podiatric-surgery UWA Doctor of Podiatric Surgery]. Retrieved on 2021-05-07</ref> |
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# Eligibility for Fellowship of the Australasian College of Podiatric Surgeons |
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Until 21 November 2019, ANZPAC approved the Doctor of Podiatric Surgery program of study offered by the University of Western Australia as providing a qualification for the purpose of specialist registration as a podiatric surgeon.<ref>{{cite web|title=Meeting of the Podiatry Board of Australia|url=http://www.podiatryboard.gov.au/documents/default.aspx?record=WD14%2F15933&dbid=AP&chksum=deGZtyHMuTmerFzrycYR%2Fg%3D%3D|quote=Meeting of the Podiatry Board of Australia held on 17 December 2014|access-date=23 December 2013}}</ref> |
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The Podiatry Board of Australia recognizes 3 pathways to attain specialist registration as a Podiatric Surgeon:<ref>[http://www.podiatryboard.gov.au/Overseas-Trained-Podiatrists.aspx AHPRA – Overseas Trained Podiatrists]. Podiatryboard.gov.au (2010-09-21). Retrieved on 2010-11-27.</ref> |
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====Education and training==== |
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1. Fellowship of the Australasian College of Podiatric Surgeons<ref>[http://www.acps.edu.au/index.php ACPS]. ACPS. Retrieved on 2010-11-27.</ref> |
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To enter an undergraduate [[Podiatric Medicine]] program, applicants must have completed a Year 12 Certificate with an [[Australian Tertiary Admission Rank]] (ATAR). Cut-off scores from the [[Universities Admissions Centre]] (UAC) generally range from 70.00 to 95.00; prospective students who are 21 or older can instead apply directly to the university. The [[UWA]] [[Doctor of Podiatric Medicine|DPM]] program has admission requirements of: completion of a UWA bachelor's degree or equivalent, a minimum GPA of 5.0 from the most recent three years (FTE) of valid study, suitable GAMSAT score, and English language competency. There is no interview requirement for the DPM at UWA (applications are handled via the university). |
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Australian podiatrists complete an undergraduate degree ranging from 3 to 4 years of education. The first 2 years of this program are generally focused on various biomedical science subjects, including functional anatomy, microbiology, biochemistry, [[physiology]], [[pathophysiology]], [[pharmacology]], [[evidence-based medicine]], sociology, and patient psychology, similar to the medical curriculum.{{citation needed|date=August 2014}} The following year focuses on podiatry-specific areas such as podiatric anatomy & biomechanics, human gait, podiatric orthopaedics (the non-surgical management of foot abnormalities), podopaediatrics, [[sports medicine]], [[rheumatology]], [[diabetes]], [[angiology|vascular medicine]], [[mental health]], [[wound care]], [[neuroscience]] & [[neurology]], [[pharmacology]], general medicine, general pathology, local and general [[anaesthesia]], minor and major podiatric surgical procedural techniques such as [[Surgical treatment of ingrown toe nails|partial]] and [[Surgical treatment of ingrown toe nails|total nail avulsions]], matricectomy, [[cryotherapy]], wound debridement, [[enucleation (surgery)|enucleation]], [[suturing]], other cutaneous and electro-surgical procedures and theoretical understanding of procedures performed by orthopaedic and podiatric surgeons. |
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2. Doctor of Clinical Podiatry, University of Western Australia<ref>[http://www.surgery.uwa.edu.au/courses/postgraduate/coursework/dclinpod Doctor of Clinical Podiatry: School of Surgery : The University of Western Australia]. Surgery.uwa.edu.au. Retrieved on 2010-11-27.</ref> |
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Australian [[podiatric surgeons]] are [[medical specialty|specialist]] podiatrists with further advanced training in medicine and pharmacology, and training in foot surgery. Podiatrists wishing to pursue specialisation in podiatric surgery must meet the requirements for Fellowship with the Australasian College of Podiatric Surgeons. They must complete a 4-year degree, including 2 years of didactic study and 2 years of clinical experience, followed by a master's degree with a focus on biomechanics, medicine, surgery, general surgery, advanced pharmacology, advanced medical imaging, and clinical pathology. They then qualify for the status of Registrar with the Australasian College of Podiatric Surgeons. Following surgical training with a podiatric surgeon (3–5 years), rotations within other medical and surgeons' disciplines, overseas clinical rotations, and passing oral and written exams, Registrars may qualify for Fellowship status.<ref>[http://www.acps.edu.au/docs/ACPS%20Training%20Doc%202010%20DFC.pdf Fellowship Training Program], Australasian College of Podiatric Surgeons</ref> Fellows are then given [http://www.comlaw.gov.au/ComLaw/Legislation/LegislativeInstrument1.nsf/0/433CD52715FEB72CCA256F860009D008/$file/Podiatric+guidelines.pdf Commonwealth accreditation] under the Health Insurance Act, recognising them as providers of professional attention for the purposes of health insurance rebates. |
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3. Eligibility for Fellowship of the Australasian College of Podiatric Surgeons |
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====Australian podiatric medical schools==== |
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The following podiatric teaching centres are accredited by the Australian and New Zealand Podiatry Accreditation Council ([[ANZPAC]]): |
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* [[University of Western Australia]] |
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Entry into undergraduate [[Podiatric Medicine]] degrees can be done so after the completion of a Year 12 Certificate with an Australian Tertiary Admissions Rank ([[ATAR]]). The cut-off scores from the [[Universities Admissions Centre]] generally range from 70.00 - 95.00 dependent on the popularity and intake of each podiatric medical school. Prospective students can also be of mature age (21 & over). The [[UWA]] [[DPM]] degree have admission requirements that: |
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* [[Charles Sturt University]] |
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* [[La Trobe University]] |
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* [[University of Western Sydney]] |
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* [[University of South Australia]] |
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* [[University of Newcastle (Australia)]] |
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* [[Queensland University of Technology]] |
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* [[Central Queensland University]] |
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* [[Southern Cross University]] |
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* [[Auckland University of Technology]] (in New Zealand) |
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Some, including Charles Sturt University and University of Western Sydney, offer the degree [[Bachelor of Podiatric Medicine]]; others offer postgraduate degrees, such as the [[University of Western Australia]]'s [[Doctor of Podiatric Medicine]], and La Trobe University's Master of Podiatric Practice.<ref>{{cite web|publisher=Australian Health Practitioner Regulation Agency (APHRA)| title=Approved Programs of Study |
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* Completion of a [[UWA]] bachelor degree or equivalent |
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|url=http://www.ahpra.gov.au/Education/Approved-Programs-of-Study.aspx?ref=Podiatrist&Type=General|access-date=29 October 2014}}</ref> |
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* A minimum GPA of 5.0 from the most recent three years (FTE) of valid study |
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* Suitable GAMSAT score |
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* There is no interview for the DPM (Applications are handled via the University) |
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* English Language Competency |
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Two more podiatric schools are being developed, at the [[Australian Catholic University]] and the University of Ballarat. |
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Australian podiatrists complete an undergraduate degree ranging from 3 to 4 years of education. The first 2 years of this program are generally focused on various biomedical science subjects including functional anatomy, microbiology, biochemistry, physiology, pathophysiology, pharmacology, sociology and patient psychology, similar to the medical curriculum. {{citation needed|date=August 2014}} The following one years will then be spent focusing on podiatry specific areas such as podiatric anatomy & biomechanics, human gait, podiatric orthopaedics or the non-surgical management of foot abnormalities, pharmacology, general medicine, general pathology, local and general anaesthesia, minor & major podiatric surgical procedural techniques such as [[Surgical treatment of ingrown toe nails|partial]] and [[Surgical treatment of ingrown toe nails|total nail avulsions]], matricectomy, [[cryotherapy]], wound debridement, [[enucleation (surgery)|enucleation]], other cutaneous and electro-surgical procedures and theoretical understanding of procedures perfromed by orthopaedic and podiatric surgeons. |
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====Prescribing of scheduled medicines and referral rights==== |
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Australian podiatric surgeons are specialist podiatrists with further training in advanced medicine, advanced pharmacology, and training in foot surgery. Podiatrists wishing to pursue specialisation in podiatric surgery must meet the requirements for Fellowship with the Australasian College of Podiatric Surgeons. They first complete a degree of 4 years, which includes 2 years of didactic study and 2 years of clinical experience. Following this, a masters degree must be completed with focus on biomechanics, medicine, surgery, general surgery, advanced pharmacology, advanced medical imaging and clinical pathology. They then qualify for the status of Registrar with the Australasian College of Podiatric Surgeons. Following surgical training with a podiatric surgeon (3–5 years), rotations within other medical and surgeons' disciplines, overseas clinical rotations, and passing oral and written exams, Registrars may qualify for Fellowship status.<ref>[http://www.acps.edu.au/docs/ACPS%20Training%20Doc%202010%20DFC.pdf Fellowship Training Program], Australasian College of Podiatric Surgeons</ref> Fellows are then given [http://www.comlaw.gov.au/ComLaw/Legislation/LegislativeInstrument1.nsf/0/433CD52715FEB72CCA256F860009D008/$file/Podiatric+guidelines.pdf Commonwealth accreditation] under the Health Insurance Act to be recognised as providers of ''professional attention'', for the purposes of health insurance rebates. |
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The prescribing rights of Australian podiatrists vary by state. All states allow registered podiatrists to use local anaesthesia for minor surgeries.<ref>[http://www.podiatryboard.gov.au/documents/default.aspx?record=WD10%2f1584&dbid=AP&chksum=zipg%2f0DZBcKxShGCxoSfcA%3d%3d Drugs and Poisons legislation in the States and Territories of Australia – How does it apply to Podiatry?], Podiatry Board of Australia.</ref> |
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In Victoria, Western Australia, Queensland, South Australia, New South Wales: registered podiatrists and podiatric surgeons with an endorsement of scheduled medicines may prescribe relevant [[Standard for the Uniform Scheduling of Drugs and Poisons|schedule 4]] poisons. |
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====Australian podiatric medical schools==== |
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There are currently eight universities in Australia (plus one in New Zealand) offering varying degrees of podiatric medicine from a Bachelor of Podiatry/Podiatric Medicine (BPod), a Masters of Podiatric Medicine (MPod) and the Doctor of Podiatric Medicine (DPM) (DPM is a master-level degree). All podiatry schools are accredited by the Australian and New Zealand Podiatry Accreditation Council ([[ANZPAC]]). ANZPAC is an independent body comprising members consisting of the Podiatry Registration Boards in Australia and New Zealand. The Board of Management comprises registered podiatrists (nominated by the Registration Boards), nominees from the professional associations ([[Australasian Podiatry Council]] and Podiatry New Zealand), nominees from the educational institutions offering podiatry programs and community representation. ANZPAC has been assigned the accreditation functions for the [[Podiatry Board of Australia]] under the National Registration and Accreditation Scheme for Health Professions. There are also two more podiatry schools currently being developed at the Australian Catholic University and the University of Ballarat. The following universities offering podiatry are: |
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*[[University of Western Australia]] |
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*[[Charles Sturt University]] |
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*[[La Trobe University]] |
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*[[University of Western Sydney]] |
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*[[University of South Australia]] |
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*[[University of Newcastle (Australia)]] |
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*[[Queensland University of Technology]] |
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*[[Central Queensland University]] |
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*[[Auckland University of Technology]] (New Zealand) |
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In Western Australia and South Australia, podiatrists with [[Master's degree]]s in Podiatry and extensive training in pharmacology are authorised to prescribe Schedule 2, 3, 4, or 8 medicines ([[Australian Health Practitioner Regulation Agency]]). |
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====Prescribing of Scheduled Medicines & referral rights==== |
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In Queensland, Fellows of the Australasian College of Podiatric Surgeons are authorised to prescribe a range of Schedule 4 drugs and one Schedule 8 drug. |
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There is considerable variation between state laws regarding the prescribing rights of Australian podiatrists.<ref>[http://www.podiatryboard.gov.au/documents/default.aspx?record=WD10%2f1584&dbid=AP&chksum=zipg%2f0DZBcKxShGCxoSfcA%3d%3d Drugs and Poisons legislation in the States and Territories of Australia – How does it apply to Podiatry?], Podiatry Board of Australia.</ref> While all registered podiatrists in each state or territory are able to utilize local anaesthesia for minor surgical techniques, some states allow suitably qualified podiatrists further privileges. |
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Prescriptions written by podiatrists do not qualify for the [[Pharmaceutical Benefits Scheme]], despite lobbying to change this.<ref>[http://www.apodc.com.au/news-room/author/apodc APODC News Room]. Podboardvic.vic.gov.au. Retrieved on 2012-04-14.</ref> |
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Recent legislative changes, allow registered podiatrists and podiatric surgeons with an endorsement of scheduled medicines in Victoria, Western Australia, Queensland, South Australia and New South Wales to prescribe relevant [[Standard for the Uniform Scheduling of Drugs and Poisons|schedule 4]] poisons.<ref>[http://www.podboardvic.vic.gov.au/cmsfiles/Restriction%20of%20Use.pdf Ahpra – Ahpra Home]. Podboardvic.vic.gov.au. Retrieved on 2010-11-27.</ref> In states such as Western Australia and South Australia, podiatrists with [[Masters Degree]]s in Podiatry, and extensive training in pharmacology are authorised to prescribe S4 poisons. In Queensland, Fellows of the Australasian College of Podiatric Surgeons are authorised to prescribe a range of Schedule 4 and one Schedule 8 drug for the treatment of podiatric conditions. Currently endorsed podiatrists who have the ability to write prescriptions do not have those prescriptions qualify for the [[Pharmaceutical Benefits Scheme]]. There is also political lobbying for more Chronic Disease Management places from 5 to 12 visits a year to a podiatrist for chronic diseases such as diabetes and for [[Pharmaceutical Benefits Scheme|PBS]] rights.<ref>[http://www.apodc.com.au/news-room/author/apodc APODC – APODC News Room]. Podboardvic.vic.gov.au. Retrieved on 2012-04-14.</ref> |
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Some referrals from podiatrists (plain x-rays of the foot, leg, knee, and femur, and ultrasound examination of soft tissue conditions of the foot) are rebated by Medicare, while others (CTs, MRIs, bone scans, pathology testing, and other specialist medical practitioners) are not eligible for Medicare rebates. |
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===Canada=== |
===Canada=== |
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In Canada, the definition and scope of the practice of podiatry varies by province. A number of provinces, including [[British Columbia]], [[Alberta]], and [[Quebec]], accept the qualification of Doctor of Podiatric Medicine (DPM); in Quebec, other academic designations may also register. |
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In 2004, [[Université du Québec à Trois-Rivières]] started the first and only program of Podiatric Medicine in Canada based on the American definition of podiatry. This program enlists 25 students yearly across [[Canada]] and leads to a DPM upon obtaining 195 credits.<ref>{{cite web|url=https://oraprdnt.uqtr.uquebec.ca/pls/apex/f?p=106:10::::10:P10_CD_PGM,P10_RECH_CRITERE,P10_RECH_VALEUR,P10_RECH_DESC:7017,P2_CD_NIVEAU,BACC,%5CBaccalaur%C3%A9ats%20et%20doctorats%20de%20premier%20cycle%5C|access-date=6 March 2019|title=Doctorat de premier cycle en médecine podiatrique (7017)}}</ref> |
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In Canada, the definition and scope of the practice of podiatry varies provincially. For instance, in some provinces like [[British Columbia]] and [[Alberta]], the standards are the same as in the United States where the Doctor of Podiatric Medicine (DPM) is the accepted qualification. [[Quebec]], too, has recently changed to the DPM level of training, although other academic designations may also register. Also in Quebec, in 2004, [[Université du Québec à Trois-Rivières]] started the first program of Podiatric Medicine in Canada based on the American definition of podiatry. In the prairie and Atlantic provinces, the standard was originally based on the British model now called podiatry ([[chiropody]]). That model of podiatry is currently the accepted model for most of the world including the United Kingdom, Australia and South Africa. |
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The province of [[Ontario]] has been registering chiropodists since 1944, with 701 chiropodists and 54 podiatrists registered by the College of Chiropodists of Ontario as of December 31, 2019.<ref>{{cite web|date=2019-12-31|title=2019 Annual Report|url=https://www.cocoo.on.ca/pdf/annual_report/annual_report_2019.pdf|access-date=2020-12-16|website=www.cocoo.on.ca}}</ref> Ontario makes a distinction between podiatrists and chiropodists. Podiatrists are required to have a DPM, whereas chiropodists need only have a post-secondary diploma in chiropody. Podiatrists, unlike chiropodists, may bill [[OHIP]], "communicate a diagnosis" to their patients, and perform surgical procedures on the bones of the forefoot.<ref>{{cite web|url=http://www.opma.ca/podiatryandchiropody|title=Ontario Podiatric Medical Association (OPMA) – Podiatry and Chiropody|website=www.opma.ca|access-date=21 December 2018}}</ref> Registered podiatrists who relocate to Ontario are required to register with the province and practice as a chiropodist. Ontario legislation in 1991 imposed a cap on Ontario-trained chiropodists becoming podiatrists, while grandfathering in already-practising podiatrists.{{Citation needed|date=November 2022}} |
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The province of [[Ontario]] has been registering Chiropodists since July 1993 (when the Ontario Government imposed a cap on new podiatrists). If a registered podiatrist from outside of Ontario relocates to Ontario they are required to register with the province and practice as a chiropodist. Podiatrists who were practicing in Ontario previous to the imposed provincial cap were 'grandfathered' and allowed to keep the title of podiatrist as a subclass of chiropody. The scope of these 'grandfathered' (mostly American trained) podiatrists includes boney procedures of the forefoot and the ordering of x-rays in addition to the scope of the chiropodist. |
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===Iran=== |
===Iran=== |
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There are no podiatric medical schools in Iran. The [[Ministry of Health and Medical Education (Iran)|Ministry of Health and Medical Education (MoHME)]] reviews the dossier of podiatric applicants for medical registration according to the "Regulations on the Evaluation of the Educational Credentials of Foreign Graduates".<ref>http://edd.behdasht.gov.ir Center for Educational Services, Under-ministry for Education, Ministry of Health and Medical Education, Government of Iran. Retrieved on 2014-04-12</ref> |
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Applicants with podiatric degrees from the United States qualify for registration in Iran if they meet the following criteria: |
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There are no podiatric medical schools in Iran. The [[Ministry of Health and Medical Education (Iran)|Ministry of Health and Medical Education (MoHME)]] reviews the dossier of podiatric applicants for medical registration according to the "Regulations on the Evaluation of the Educational Credentials of Foreign Graduates", updated on 12 [[Mordad]] 1388 [[Solar Hijri calendar|AHS]] (3 August 2009 [[Common Era|CE]]).<ref>http://edd.behdasht.gov.ir Center for Educational Services, Under-ministry for Education, Ministry of Health and Medical Education, Government of Iran. Retrieved on 2014-04-12</ref> Section 12-5: "The specific requirements for evaluation of education degrees in podiatry" stipulates that the podiatric degree from the [[USA]] will be registered as a professional doctorate in podiatric medicine, provided that the following are met: |
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* possession of a [[bachelor's degree]] |
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* |
* passing score on the [[Medical College Admission Test|MCAT]] |
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* completion of the podiatric curriculum of an accredited school, thereby obtaining the degree of [[Doctor of Podiatric Medicine]] (DPM) |
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* |
* completion of a one-year postgraduate training (if required by the home jurisdiction) |
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* |
* passing score on relevant board examinations |
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* An exception is made for those holding the [3-year undergraduate] [[Bachelor of Science#Britain and Ireland|Bachelor of Science (Podiatry)]] degree from accredited schools in the [[United Kingdom]]. After successful evaluation by the relevant commission, these degrees will be accepted at the bachelor's level (editorial note: the meaning of this exception is not clearly stated. It appears safe to assume that such bachelor's degrees do not qualify for medical registration and merely allow the holders to enroll in further educational programs). |
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===New Zealand=== |
===New Zealand=== |
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New Zealand established Chiropody (shortly thereafter renamed to Podiatry) as a registered profession in 1969, requiring all applicants to take a recognized three-year course of training. The New Zealand School of Podiatry was established at Petone in 1970, under the direction of John Gallocher. Later, the school moved to the Central Institute of Technology, Upper Hutt, Wellington. Today, Auckland University of Technology is the only provider of podiatry training in New Zealand.<ref>{{Cite web |title=Podiatry Degree - Bachelor of Health Science - AUT |url=https://www.aut.ac.nz/study/study-options/health-sciences/courses/bachelor-of-health-science-in-podiatry |access-date=2024-12-20 |website=www.aut.ac.nz}}</ref> |
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In 1976, podiatrists in New Zealand gained the legal right to use a local anaesthetic, and began to include minor surgical procedures on ingrown toenails in their scope of practice. They received the right to refer patients to radiologists for X-rays in 1984, and (with suitable training) to acquire licensing to take their own X-rays in 1989. Diagnostic radiographic training is now incorporated into the podiatric degree syllabus, and on successful completion of the course, graduates register with the New Zealand National Radiation Laboratory. |
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Chiropody became a registered profession in New Zealand in 1969 with the requirement that all applicants take a recognized three-year course of training. Soon after the professional title was changed from Chiropody to Podiatry and The New Zealand School of Podiatry was established in 1970 at Petone under the direction of John Gallocher. Later the school moved to the Central Institute of Technology, Upper Hutt, Wellington. In 1976 the profession gained the legal right to use a local anaesthetic and began to introduce minor surgical ingrown toenail procedures as part of the scope of practice. |
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===United Kingdom=== |
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New Zealand podiatrists were granted the right of direct referral to radiologists for X-rays in 1984. Acknowledgement of podiatric expertise marked improved services to patients and eventually in 1989 suitably trained podiatrists were able to become licensed to take X-rays within their own practice. Diagnostic radiographic training is incorporated into the degree syllabus and on successful completion of the course, graduates register with the New Zealand National Radiation Laboratory. |
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[[File:Mobile chiropodist in Chorley 2011.jpg|thumb|Mobile chiropodist in [[Chorley]] 2011]] |
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The scope of practice of podiatrists in the UK varies depending on their education and training, but may include simple skin care, the use of prescription-only medicines, injection therapy, and non-invasive surgery such as nail resection and removal.<ref>{{cite web|url=http://www.hpc-uk.org/complaints/hearings/index.asp?id=807&showAll=1|title=Conditions of practise|access-date=2010-01-30 |publisher=Health Professions Council (UK)|quote=...must not perform any type of Podiatric Surgery. For the avoidance of doubt this prohibition does not prevent Mr ... from performing partial or total nail resection and removal, with chemical destruction of the tissues. }}</ref> Podiatrists also interface between patients and multidisciplinary teams, recognising systemic disease as it manifests in the foot and referring on to the appropriate health care professionals.<ref>{{cite web|url=http://www.hpc-uk.org/assets/documents/10000DBBStandards_of_Proficiency_Chiropodists.pdf|title=Chiropodists/podiatrists|access-date=21 December 2018}}</ref> |
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In 1986, the profession undertook a needs analysis in conjunction with the Central Institute of Technology to identify competencies for podiatry in 2000. A Bachelor of Health Science was introduced in 1993. Auckland University of Technology is now the only provider of podiatry training in New Zealand. |
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To qualify as a podiatric surgeon, a podiatrist in the UK must undertake extensive postgraduate education and training, usually taking a minimum of 10 years to complete.<ref>{{cite web|url=http://www.scpod.org/foot-health/foot-surgery/about-podiatric-surgeons/ |title=Find out about Podiatric Surgeons |publisher=Scpod.org |access-date=2013-12-08}}</ref> Appropriately qualified podiatric surgeons may perform invasive bone and joint surgery. |
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===United Kingdom=== |
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Legislation in the UK protects the professional titles 'chiropodist' and 'podiatrist', but does not distinguish between the two.<ref>{{Cite web |url=http://www.scpod.org/help/guide-to-navigation/understand-the-difference-between-a-chiropodist-and-a-podiatrist/ |title=Understand the difference between a chiropodist and a podiatrist |website=The College of Podiatry |publisher=Society of Chiropodists & Podiatrists |archive-url=https://web.archive.org/web/20160313083153/http://www.scpod.org/help/guide-to-navigation/understand-the-difference-between-a-chiropodist-and-a-podiatrist/ |archive-date=13 March 2016 |access-date=2019-10-22}}</ref> Those using protected titles must be registered with the [[Health and Care Professions Council]] (HCPC).<ref>{{cite web |url=http://www.hcpc-uk.org/aboutregistration/protectedtitles/ |title=About registration: Protected titles |publisher=Health and Care Professions Council |access-date=7 December 2014}}</ref> Registration is normally only granted to those holding a bachelor's degree from one of 13 recognized schools of podiatry in the UK. Professional bodies recognised by the HCPC are: |
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The scope of practice of UK podiatrists on registration after obtaining a degree in podiatry includes the use and supply of some prescription only medicines, injection therapy and non-invasive surgery e.g. performing partial or total nail resection and removal, with chemical destruction of the tissues.<ref>{{cite web|url=http://www.hpc-uk.org/complaints/hearings/index.asp?id=807&showAll=1|title=Conditions of practise|accessdate=2010-01-30 |
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* [[The Society of Chiropodists and Podiatrists]] |
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|publisher=Health Professions Council (UK)|quote=...must not perform any type of Podiatric Surgery. For the avoidance of doubt this prohibition does not prevent Mr ... from performing partial or total nail resection and removal, with chemical destruction of the tissues. |
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* The Alliance of Private Sector Practitioners<ref>{{Cite web |title=Alliance Of Private Sector Practitioners - Home |url=https://www.thealliancepsp.com/ |access-date=2022-11-29 |website=Alliance Of Private Sector Practitioners |language=en-GB}}</ref> |
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}}</ref> Podiatrists complete about 1,000 supervised clinical hours in the course of training which enables then to recognise systemic disease as it manifests in the foot and will refer on to the appropriate health care professional. Those in the NHS interface between the patients and multidisciplinary teams. The scope of practice of a podiatrist is varied ranging from simple skin care to invasive bone and joint surgery depending on education and training.<ref>[http://www.hpc-uk.org/assets/documents/10000DBBStandards_of_Proficiency_Chiropodists.pdf Chiropodists/podiatrists]</ref> In order to perform invasive foot surgery a UK podiatrist must undertake extensive postgraduate education and training, usually taking a minimum of 10 years to complete.<ref>{{cite web|url=http://www.scpod.org/foot-health/foot-surgery/about-podiatric-surgeons/ |title=Find out about Podiatric Surgeons |publisher=Scpod.org |date= |accessdate=2013-12-08}}</ref> |
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* [[The Institute of Chiropodists and Podiatrists]] |
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* [[The British Chiropody and Podiatry Association]]<ref>{{cite web |url=http://www.hcpc-uk.org/aboutregistration/protectedtitles/ |title=About registration: Professions: Chiropodists / podiatrists |publisher=Health and Care Professions Council |access-date=7 December 2014}}</ref> |
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In 1979, the [[Royal Commission on the National Health Service]] reported that about six and a half million NHS chiropody treatments were provided to just over one and a half million people in [[Great Britain]] in 1977,{{Citation needed|date=November 2022}} an increase of 19% over the number from three years before. Over 90% of patients receiving these treatments were aged 65 or over. At that time there were about 5,000 state registered chiropodists, but only about two-thirds worked for the NHS. The Commission agreed with the suggestion of the Association of Chief Chiropody Officers that more foot hygienists should be introduced, who could undertake, under the direction of a registered chiropodist, "nail cutting and such simple foot-care and hygiene as a fit person should normally carry out for himself."<ref>{{cite book|title=Royal Commission on the NHS Chapter 8|date=July 1979|publisher=HMSO|isbn=978-0101761505|url=http://www.sochealth.co.uk/national-health-service/royal-commission-on-the-national-health-service-contents/royal-commission-on-the-nhs-chapter-8/|access-date=19 May 2015}}</ref> |
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In a similar way to podiatrists in Australasia, UK podiatrists may continue their studies and qualify as podiatric surgeons. |
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Due to recent changes in legislation, the professional titles ‘chiropodist’ and ‘podiatrist’ are now protected by law. Those using protected titles must be registered with the Health and Care Professions Council (HCPC). Registration is normally only granted to those holding a Bachelors degree from one of 13 recognized schools of podiatry in the UK. Professional bodies recognised by the Health Professions Council are : [[The Society of Chiropodists and Podiatrists]], The Alliance of Private Sector Practitioners, [[The Institute of Chiropodists and Podiatrists]] and [[The British Chiropody and Podiatry Association]]. |
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===United States=== |
===United States=== |
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In the United States, medical and surgical care of the foot and ankle is mainly provided by two groups: podiatrists (with a Doctor of Podiatric Medicine degree) {{Citation needed|date=November 2022}} and orthopedic surgeons (with a [[Doctor of Medicine]] or [[Doctor of Osteopathic Medicine]] degree).<ref>{{cite web | title = Surgical Care of the Lower Extremities | publisher = American Academy of Orthopaedic Surgeons | url = https://aaos.org/contentassets/1cd7f41417ec4dd4b5c4c48532183b96/1148-surgical-care-of-the-lower-extremities.pdf | access-date = 10 May 2020}}</ref> In most states, their scope of practice is limited to the foot and ankle; however, some states include the leg, hand, or both.<ref>{{Cite web|title=State Scope of Practice Provisions for Podiatric Foot and Ankle Surgeons|url=https://www.acfas.org/uploadedFiles/Physicians/Health_Policy_and_Advocacy/Scope_of_Practice/Content/State%20Scope%20of%20Practice.pdf|website=American College of Foot and Ankle Surgeons}}</ref> |
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In order to be considered for admission to podiatric medical school, an applicant must first complete a minimum of 90 semester hours at the university level, or (more commonly), complete a bachelor's degree with an appropriate emphasis.{{Citation needed|date=November 2022}} In addition, potential students are required to take the [[Medical College Admission Test]] (MCAT). In 2019, the average MCAT for matriculants was 500<ref>{{Cite web |title=Applicant MCAT Average 2015–2019 |url=https://www.aacpm.org/wp-content/uploads/New-Applicant-MCAT-Average-2015-2019-9-2019-2.pdf}}</ref> and 3.5 average undergraduate cGPA.<ref>{{Cite web|title=Applicant MCAT Average 2017–2021 |url=https://aacpm.org/wp-content/uploads/Applicant-MCAT-Average-2017-2021.pdf}}</ref> |
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In the United States, medical and surgical care of the foot and ankle is mainly provided by two groups of physicians: ''podiatrists'' (Doctor of Podiatric Medicine or DPM) and ''orthopedic surgeons'' (MD or DO). |
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The first |
The DPM degree itself takes a minimum of four years to complete. The first two years of podiatric medical school are similar to training that [[Doctor of Medicine|M.D.]] and [[Doctor of Osteopathic Medicine|D.O.]] students receive, but with greater emphasis on the foot and ankle. |
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[[Image:Podiatry2.jpg|thumb|left|250px|A podiatry student examines the [[Anatomical terms of motion#Flexion and extension of the foot|extension]] angle of the [[first metatarsal phalangeal joint (MTPJ)]].]] |
[[Image:Podiatry2.jpg|thumb|left|250px|A podiatry student examines the [[Anatomical terms of motion#Flexion and extension of the foot|extension]] angle of the [[first metatarsal phalangeal joint (MTPJ)]].]] |
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The four-year podiatric medical school is followed by a surgical |
The four-year podiatric medical school is followed by a surgical residency to provide hands-on training. As of July 2013, all residency programs in podiatry were required to transition to a minimum of three years of post-doctoral training.<ref>{{cite web|url=http://www.apma.org/Members/Education/CPMEAccreditation/Residencies/CPME-320.aspx |title=Approval Information for Residencies | CPME |publisher=Apma.org |date=2012-08-06 |access-date=2012-08-25}}</ref> This upgrading of training was spearheaded in California by the state Board of Podiatric Medicine (BPM) and its California Liaison Committee (CLC).<ref>”California Dreaming,”California Podiatric Physician, October November December 2006, CA Podiatric Medical Assn., pp. 6-7</ref> BPM’s Executive Officer James H. Rathlesberger included it in the Federation of Podiatric Medical Boards’ Model Law, which he wrote before becoming FPMB president in 2000.<ref>{{cite web | url=https://www.pmbc.ca.gov/forms_pubs/modellaw.shtml | title=BPM Endorses Model Law - Podiatric Medical Board of California }}</ref> |
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Podiatric residents rotate through core areas of medicine and surgery. They work in such rotations as emergency medicine, internal medicine, infectious disease, behavioral medicine, physical medicine and rehabilitation, vascular surgery, general surgery, orthopedic surgery, plastic surgery, dermatology, and podiatric surgery and medicine. Fellowship training is available after residency in such fields such as geriatrics, foot and ankle traumatology, and infectious disease.<ref>{{Cite web|last=|first=|title=Council on Podiatric Medical Education, Standard CPME 320, Accreditation of Podiatric Medicine and Surgery Residencies|url=https://www.cothweb.org/wp-content/uploads/CPME320finalJune2015.pdf|access-date=2021-05-25|website=www.cothweb.org|language=en}}</ref> |
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[[File:Wyckoff.jpg|thumb|Podiatric Surgical Training]] |
[[File:Wyckoff.jpg|thumb|Podiatric Surgical Training]] |
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[[Image:Sharplan 40C.jpg|200px|thumb|right|A 40 watt CO<sub>2</sub> laser used for podiatry]] |
[[Image:Sharplan 40C.jpg|200px|thumb|right|A 40 watt CO<sub>2</sub> laser used for podiatry]] |
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Upon completion of their residency, podiatrists can decide to become board certified by a number of specialty boards including the more common American Board of Podiatric Medicine and/or the American Board of Podiatric Surgery. The ABPMS or The American Board of Podiatric Medical Specialties has been certifying podiatrists since 1998.<ref name="k12academics1">[http://www.k12academics.com/higher-education/academic-degree/first-professional-degree/podiatry US Podiatry]. K12 Academics Retrieved on 2012-08-24.</ref> Within the American Board of Podiatric Surgery, PM&S 24 graduates can sit for Board Certification in Foot Surgery and those that complete PM&S 36 can sit for Board Certification in Foot Surgery and Board Certification in Reconstructive Rearfoot & Ankle Surgery. Both boards in ABPS are examined as separate tracks. Though the ABPS and ABPM are more common, other boards are equally challenging and confer board qualified/certified status. Many hospitals and insurance plans do not require board eligibility or certification to participate.<ref name="k12academics1"/> |
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Upon completion of their residency, podiatrist candidates are eligible to sit for examinations for certification by one of two specialty boards accredited by the Council on Podiatric Medical Education (CPME), which itself is overseen and approved by the [[United States Department of Education|Department of Education]]. These are the American Board of Podiatric Medicine (ABPM)<ref>{{Cite web|last=|first=|title=The American Board of Podiatric Medicine (ABPM)|url=https://www.abpmed.org/home|access-date=2021-05-25|website=www.abpmed.org|language=en}}</ref> and the American Board of Foot and Ankle Surgery (ABFAS).<ref>{{Cite web|title=American Board of Foot and Ankle Surgery|url=https://www.abfas.org/|access-date=2021-05-25|website=American Board of Foot and Ankle Surgery|language=}}</ref><ref name=":0" /><!-- Please do not insert any other unauthorized boards, it is misleading and possibly unethical. --> |
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ABPM certification leads to fellowship in either the American Society of Podiatric Surgeons (ASPS) or the American College of Podiatric Medicine (ACPM). ABFAS certification leads to fellowship in the ASPS or the American College of Foot and Ankle Surgeons (ACFAS). ABPM is recognized by CPME as certification in primary podiatric medicine and orthopaedics<ref name=":0">{{Cite web|title=Specialty Certifying Boards {{!}} CPME|url=https://www.cpme.org/boards/content.cfm?ItemNumber=2423|access-date=2021-05-25|website=www.cpme.org}}</ref> and the ABFAS as certification in podiatric surgery.<ref name=":0" /> However, hospital credentialing committees often do not distinguish between the two.<ref>{{Cite web|last=LLC|first=American Podiatric Medical Association|title=Guide To Podiatric Privileges|url=https://podiatryprivileges.com/home|access-date=2021-05-25|website=podiatryprivileges.com|language=en}}</ref> |
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There are two surgical certifications under ABFAS:<ref name="k12academics1">[http://www.k12academics.com/higher-education/academic-degree/first-professional-degree/podiatry US Podiatry]. K12 Academics Retrieved on 2012-08-24.</ref> foot surgery, and reconstructive rearfoot/ankle (RRA) surgery. In order to be board-certified in RRA, the sitting candidate has to have already achieved board certification in foot surgery. To receive ABFAS certification, the candidate must pass the written examination, submit surgical logs indicating experience and variety, pass an oral examination, and complete a computer-based clinical simulation.<ref name="k12academics1"/><!-- the ABPS has renamed itself to the ABFAS as of July 2014. --> |
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====Practice characteristics==== |
====Practice characteristics==== |
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Podiatric physicians practice in a variety of different settings. Some practice solo in a private practice setting; some belong to larger group practices. There are podiatrists in larger multi-specialty practices as well (such as [[orthopedic]] groups or groups for the treatment of [[diabetes]]) or clinic practices (such as the [[Indian Health Service]] (IHS), the [[Rural Health Centers]] (RHC), or the Community Health Center ([[FQHC]])). Some work for government organizations, such as for [[Veterans Affairs]] hospitals and clinics. {{Citation needed|date = October 2017}} |
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Some podiatrists have primarily surgical practices. |
Some podiatrists have primarily surgical practices. They may complete additional fellowship training in reconstruction of the foot and ankle from the effects of diabetes or physical trauma, or practice minimally invasive percutaneous surgery for cosmetic correction of [[hammer toe]]s and [[bunion]]s. |
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====Colleges and education==== |
====Colleges and education==== |
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{{See also|Podiatric medical school}} |
{{See also|Podiatric medical school}} |
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There are |
There are 11 schools of podiatric medicine in the United States. These are governed by the [[American Association of Colleges of Podiatric Medicine]] (AACPM) and accredited by the Council on Podiatric Medical Education. |
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* [[Midwestern University|Arizona School of Podiatric Medicine (AZPod) at Midwestern University]]<ref>[http://www.midwestern.edu/Programs_and_Admission/AZ_Podiatric_Medicine.html Arizona School of Podiatric Medicine (AZPod) at Midwestern University]</ref> |
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*[[Barry University School of Podiatric Medicine]] |
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*[[California School of Podiatric Medicine]] |
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*[[Des Moines University College of Podiatric Medicine and Surgery]] |
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*[[New York College of Podiatric Medicine]] |
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*[[Kent State University College of Podiatric Medicine]] |
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*[[Dr. William M. Scholl College of Podiatric Medicine]] at [[Rosalind Franklin University of Medicine and Science]] |
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*[[Temple University School of Podiatric Medicine]] |
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*[[WesternU – College of Podiatric Medicine|College of Podiatric Medicine]] at [[Western University of Health Sciences]] |
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* [[Midwestern University|Arizona School of Podiatric Medicine at Midwestern University]]<ref>{{cite web|url=https://www.midwestern.edu/programs_and_admission/az_podiatric_medicine.html|title=School of Podiatric Medicine in Glendale, AZ – Midwestern University|website=www.midwestern.edu|access-date=21 December 2018}}</ref> |
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==Podiatric specialities== |
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* [[Barry University School of Podiatric Medicine]] |
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* [[California School of Podiatric Medicine]] |
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* [[Des Moines University College of Podiatric Medicine and Surgery]] |
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* [[New York College of Podiatric Medicine]] |
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* [[Kent State University College of Podiatric Medicine]] |
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* [https://lecom.edu/school-of-podiatric-medicine/ Lake Erie College of Osteopathic Medicine School of Podiatric Medicine] |
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* [[Dr. William M. Scholl College of Podiatric Medicine]] at [[Rosalind Franklin University of Medicine and Science]] |
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* [[Temple University School of Podiatric Medicine]] |
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* [https://www.utrgv.edu/school-of-podiatric-medicine/ University of Texas Rio Grande Valley School of Podiatric Medicine] |
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* [[WesternU – College of Podiatric Medicine|College of Podiatric Medicine]] at [[Western University of Health Sciences]] |
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==Podiatric subspecialties== |
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Podiatrists treat a wide variety of foot and lower extremity conditions, through nonsurgical and surgical approaches. The American Board of Podiatric Orthopedics and Primary Podiatric Medicine (ABPOPPM) offers a comprehensive board qualification and certification process in podiatric medicine and orthopedics. Podiatric Medicine and Orthopedics is the medical specialty concerned with the comprehensive and continuous foot health care of patients. There are those podiatric physicians who also specialize (i.e. specialists) in such fields of practice of podiatric medical specialties as: |
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Podiatrists treat a wide variety of foot and lower-extremity conditions through both nonsurgical and surgical approaches. While the terminology of subspecialties differ around the world, they generally fall into these categories: |
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* Reconstructive Foot and Ankle [[Surgery]] (Consultant Podiatric Surgeon)<ref>[http://www.acps.edu.au/ The Australasian College of Podiatric Surgeons]</ref> |
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* General [[Podiatric]] [[Physician]] |
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* [[Podiatric]] [[Medical]] [[Physician]] |
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* [[Podiatric]] [[Orthopedic]] |
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* [[Sports Medicine]] (Podiatric Sports Physicians) |
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* High Risk Wound Care<ref name=HighRisk>{{cite web|url=http://www.app-hrf.com.au/cms/ |title=Advanced Practicing Podiatrists – High Risk Foot |publisher=App-hrf.com.au |date=2012-10-23 |accessdate=2012-11-08}}</ref> |
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* [[Podiatric]] [[Rheumatology]]<ref>[http://www.aprsig.co.nz/ AUSTRALASIAN PODIATRIC RHEUMATOLOGY SPECIALIST INTEREST GROUP]</ref><ref>[http://www.rheumatology.org.uk/bhpr/clinical/roles_in_rheumatology/podiatrist.aspx British Health Professionals in Rheumatology (BHPR) ]</ref> |
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* Neuro-podiatrist ([[Neurology]])<ref name="HighRisk"/> |
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* Onco-podiatrist (Skin Cancers) or [[Podiatric]] [[Oncologist]] |
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* [[Podiatric]] [[Vascular]] [[medical specialty|Specialist]] |
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* [[Dermatological]] [[Podiatrist]] |
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* Diagnostic Podoradiologist ([[Radiology]]) |
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* [[Gerentological]] [[Podiatrist]] |
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* Diabetic limb salvage and wound care (Podiatric Diabetologist)<ref name="HighRisk"/> |
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* [[Podopaediatrics]] (the study of children's foot and ankle conditions)<ref>[http://www.gcu.ac.uk/study/postgraduate/courses/health-and-social-care-podopaediatrics-pt-8678.php?loc=uk Health & Social Care (Podopaediatrics) PT]</ref> |
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* [[Forensic Podiatry]] (the study of footprints, footwear, shoeprints and feet associated with crime scene investigations) |
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* Reconstructive foot and ankle surgery |
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In Australia there is now an option to be a podiatric assistant. The qualification is a Certificate IV in Allied Health Assistance specialising in podiatry.<ref>[http://www.healthindustrytraining.org/certificates/HLT42507-Certificate-IV-Allied-Health-Assistance.html Certificate IV in Allied Health Assistance - HLT42507]</ref> They work as a part of a podiatric medical team in a variety of clinical and non clinical settings. There is currently developing strategies further utilise these skilled workers. Worldwide there are common professional accreditation pathways to be a podiatric assistant. There are many fields such as: |
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* Podiatric sports medicine (chronic overuse injuries and mechanical performance enhancement)<ref>[http://www.sportspodiatry.com.au/structural-podiatry/ structural podiatry]. Retrieved on 2012-12-30.</ref> |
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* Podiatric dermatology |
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* Lower extremity plastic and reconstructive surgery, limb salvage, and wound care<ref name="HighRisk">{{cite web |date=2012-10-23 |title=Advanced Practicing Podiatrists – High Risk Foot |url=http://www.app-hrf.com.au/cms/ |url-status=dead |archive-url=https://web.archive.org/web/20130419021151/http://www.app-hrf.com.au/cms/ |archive-date=2013-04-19 |access-date=2012-11-08 |publisher=App-hrf.com.au}}</ref> |
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* Podopediatrics (podiatry in children)<ref name="healthcentre1">{{cite web | title=What is Podopaediatrics? | website=UK Health Centre | url=http://www.healthcentre.org.uk/podiatry/what-is-podopaediatrics.html | access-date=2020-12-16}}</ref> |
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* [[Forensic podiatry]] (the study of footprints, footwear, shoeprints and feet associated with crime scene investigations) |
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Podiatric assistants work as a part of a podiatric medical team in a variety of clinical and non-clinical settings. Worldwide, there are common professional accreditation pathways to be a podiatric assistant; for instance, in Australia, the qualification is a Certificate IV in Allied Health Assistance specialising in podiatry.<ref>{{cite web|url=https://healthindustrytraining.org/courses/certificate-iv-allied-health-assistance/|title=Allied Health Courses – Certificate IV in Allied Health Assistance – Cert IV|access-date=21 December 2018}}</ref> Podiatric assistants may specialize in many different fields, such as: |
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* [[Podiatric]] [[Nurse]] |
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* Foot carer/nurse |
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* Podiatric [[nurse]] |
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* Podiatry support worker |
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* Podiatric surgical nurse |
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* Podiatry technician |
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* Foot carer |
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* Podiatry Hygienists |
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* Podiatric support worker |
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* [[Foot Health Professional]] |
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* Podiatric |
* Podiatric technician |
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* Podiatric hygienist |
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* Foot Hygienist |
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* |
* Foot hygienist |
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* Podiatric |
* Podiatric medical assistant |
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==Professional societies and organizations== |
==Professional societies and organizations== |
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*[[Academy of Ambulatory Foot and Ankle Surgery]] (AAFAS) |
*[[Academy of Ambulatory Foot and Ankle Surgery]] (AAFAS) |
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*[[Alberta Podiatry Association]] (APA) |
*[[Alberta Podiatry Association]] (APA) |
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*[[Alpha Gamma Kappa |
*[[Alpha Gamma Kappa]] fraternity |
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*[[Alliance of Private Sector Practitioners]] |
*[[Alliance of Private Sector Practitioners]] |
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*[[American Podiatric Medical Association]] (APMA) |
*[[American Podiatric Medical Association]] (APMA) |
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*[[American Society of Podiatric Surgeons]] (ASPS) |
*[[American Society of Podiatric Surgeons]] (ASPS) |
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*[ |
*[[American Society of Forensic Podiatry]] |
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*[[American College of Foot and Ankle Surgeons]] (ACFAS) |
*[[American College of Foot and Ankle Surgeons]] (ACFAS) |
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*American Board of |
*American Board of Foot and Ankle Surgery (ABFAS) |
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*American College of |
*[https://www.acpmed.org/ American College of Podiatric Medicine] (ACPM) |
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*American Board of |
*[https://www.podiatryboard.org American Board of Podiatric Medicine] (ABPM |
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*American Board of Multiple Specialties in Podiatric Medicine |
*American Board of Multiple Specialties in Podiatric Medicine |
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*American Board of Multiple Specialties in Podiatric Surgery |
*American Board of Multiple Specialties in Podiatric Surgery |
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*American Academy of Podiatric Sports Medicine (AAPSM) |
*American Academy of Podiatric Sports Medicine (AAPSM) |
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*American Society of Podiatric Dermatology (ASPD) |
*American Society of Podiatric Dermatology (ASPD) |
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* [[Australian Podiatry Association]] (APODA) |
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*[[Association Belge des Podologues]] |
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*[[Canadian Podiatric Medical Association]] (CPMA) |
*[[Canadian Podiatric Medical Association]] (CPMA) |
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*[ |
*[[American Academy of Podiatric Practice Management]] (AAPPM) |
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*Federation Internationale des Podologues (FIP) |
*[[International Federation of Podiatrists]] – Fédération Internationale des Podologues (FIP-IFP) |
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*[[International Foot and Ankle Biomechanics Community (i-FAB)]] |
*[[International Foot and Ankle Biomechanics Community (i-FAB)]] |
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*[[Student National Podiatric Medical Association]] (SNPMA) |
*[[Student National Podiatric Medical Association]] (SNPMA) |
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Line 272: | Line 227: | ||
*Australasian Academy of Podiatric Sports Medicine (AAPSM) |
*Australasian Academy of Podiatric Sports Medicine (AAPSM) |
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*Australasian Podiatric Rheumatology Specialist Interest Group (APRSIG) |
*Australasian Podiatric Rheumatology Specialist Interest Group (APRSIG) |
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*Federation of Podiatric Medical Boards (FPMB) |
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*[http://www.iocp.org.uk Institute of Chiropodists and Podiatrists](IOCP) |
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*[[Institute of Chiropodists and Podiatrists]] (IOCP) |
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Canadian Federation of Podiatric Medicine |
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*Canadian Federation of Podiatric Medicine |
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*Royal College of Podiatry (RCoP) |
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==See also== |
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* [[American Association of Colleges of Podiatric Medicine]] |
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* [[Gait training]] |
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* [[Podiatrist]] |
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* [[Foot and ankle surgery]] |
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* [[American College of Foot and Ankle Surgeons]] |
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* [[Orthopedics]] |
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==References== |
==References== |
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{{Reflist |
{{Reflist}} |
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==External links== |
==External links== |
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* [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1034349/?page=1 The Kederminster Pharmacopolium] |
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* {{dmoz|Health/Medicine/Medical_Specialties/Podiatry|Podiatry}} |
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* [http://www.aapsm.org/ American Academy of Podiatric Sports Medicine] |
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* [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1034349/?page=1 The Kederminster Pharmacopolium] |
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* [https://acfap.org/ American College of Foot and Ankle Pediatrics] |
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{{Medicine}} |
{{Medicine}} |
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{{Allied health professions}} |
{{Allied health professions}} |
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* {{Portalbar|Medicine}} |
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[[Category:Healthcare occupations]] |
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[[Category:Surgery]] |
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[[Category:Podiatry| ]] |
[[Category:Podiatry| ]] |
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[[zh:足病学]] |
Latest revision as of 03:08, 29 December 2024
Occupation | |
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Names |
|
Activity sectors | Medicine, sports medicine, orthopedics, plastic surgery, endocrinology, endocrinology, orthopedic surgery, dermatology, radiology, biomechanics, rheumatology, neurology |
Description | |
Competencies | Expertise in medicine, surgical skills, ethics, critical thinking, analytical skills, professionalism, management skills, and communication skills |
Education required | Doctor of Podiatric Medicine |
Fields of employment | Hospitals, private practices |
Podiatry (/poʊˈdaɪ.ətri/ poh-DY-ə-tree), or podiatric medicine and surgery (/ˌpoʊdiˈætrɪk, poʊˈdaɪ.ətrɪk/ POH-dee-AT-rik, poh-DY-ə-trik), is a branch of medicine devoted to the study, diagnosis, and treatment of disorders of the foot, ankle and lower limb. The healthcare professional is known as a podiatrist.[1] The US podiatric medical school curriculum includes lower extremity anatomy, general human anatomy, physiology, general medicine, physical assessment, biochemistry, neurobiology, pathophysiology, genetics and embryology, microbiology, histology, pharmacology, women's health, physical rehabilitation, sports medicine, research, ethics and jurisprudence, biomechanics, general principles of orthopedic surgery, plastic surgery, and foot and ankle surgery.
Podiatry is practiced as a specialty in many countries. In Australia, graduates of recognised academic programs can register through the Podiatry Board of Australia as a "podiatrist", and those with additional recognised training may also receive endorsement to prescribe or administer restricted medications and/or seek specialist registration as a "podiatric surgeon".
Medical Group Management Association (MGMA) data shows that a general podiatrist with a single specialty earns a median salary of $230,357, while one with a multi-specialty practice type earns $270,263. However, a podiatry surgeon makes more with a single specialty, with the median at $304,474 compared to the multispecialty of $286,201.[2] First-year salaries around $150,000 with performance and productivity incentives are common. Private practice revenues for solo podiatrists vary widely, with the majority of solo practices grossing between $200,000 and $600,000 before overhead.[3][4]
History
[edit]The professional care of feet existed in ancient Egypt, as depicted by bas-relief carvings at the entrance to Ankmahor's tomb from about 2400 BC.[5]
Hippocrates described the treatment of corns and calluses by physically reducing the hard skin and removing the cause. The skin scrapers which he invented for this purpose were the original scalpels.[6]
Until the turn of the 20th century, podiatrists were independently licensed physicians, separate from the rest of organized medicine. Lewis Durlacher, appointed as surgeon-podiatrist to the British royal household in 1823, called for podiatry to be a protected profession.
Prominent figures including Napoleon and French kings employed personal podiatrists. President Abraham Lincoln sent his personal podiatrist, Isachar Zachriel, on confidential missions to confer with leaders of the Confederacy during the U.S. Civil War.[7][8]
The first podiatric society was established in New York in 1895, and still operates there today as NYSPMA.[9] The first podiatric school opened in 1911. One year later, the British established a podiatric society at the London Foot Hospital; a school was added in 1919. The first American podiatric journal appeared in 1907, followed in 1912 by a UK journal. In Australia, professional podiatric associations were organized as early as 1924, followed by a podiatric training center and professional podiatric journal in 1939.
Specific country practices
[edit]Australia
[edit]In Australia, podiatry is considered an allied health profession and is practised by individuals licensed by the Podiatry Board of Australia.[10]
Australia recognizes two levels of professional accreditation (General Podiatrist and Podiatric Surgeon), with ongoing lobbying for the recognition of other subspecialties. Some Commonwealth countries recognize Australian qualifications, allowing Australian podiatrists to practise abroad.
Registration and regulation
[edit]Australian podiatrists must register with the Podiatry Board of Australia, which regulates podiatrists and podiatric surgeons. The board also assesses foreign-trained registrants in conjunction with the Australian & New Zealand Podiatry Accreditation Council (ANZPAC).[11] It recognizes three pathways to attain specialist registration as a podiatric surgeon:[12]
- Fellowship of the Australasian College of Podiatric Surgeons[13]
- Doctor of Podiatric Surgery, University of Western Australia[14]
- Eligibility for Fellowship of the Australasian College of Podiatric Surgeons
Until 21 November 2019, ANZPAC approved the Doctor of Podiatric Surgery program of study offered by the University of Western Australia as providing a qualification for the purpose of specialist registration as a podiatric surgeon.[15]
Education and training
[edit]To enter an undergraduate Podiatric Medicine program, applicants must have completed a Year 12 Certificate with an Australian Tertiary Admission Rank (ATAR). Cut-off scores from the Universities Admissions Centre (UAC) generally range from 70.00 to 95.00; prospective students who are 21 or older can instead apply directly to the university. The UWA DPM program has admission requirements of: completion of a UWA bachelor's degree or equivalent, a minimum GPA of 5.0 from the most recent three years (FTE) of valid study, suitable GAMSAT score, and English language competency. There is no interview requirement for the DPM at UWA (applications are handled via the university).
Australian podiatrists complete an undergraduate degree ranging from 3 to 4 years of education. The first 2 years of this program are generally focused on various biomedical science subjects, including functional anatomy, microbiology, biochemistry, physiology, pathophysiology, pharmacology, evidence-based medicine, sociology, and patient psychology, similar to the medical curriculum.[citation needed] The following year focuses on podiatry-specific areas such as podiatric anatomy & biomechanics, human gait, podiatric orthopaedics (the non-surgical management of foot abnormalities), podopaediatrics, sports medicine, rheumatology, diabetes, vascular medicine, mental health, wound care, neuroscience & neurology, pharmacology, general medicine, general pathology, local and general anaesthesia, minor and major podiatric surgical procedural techniques such as partial and total nail avulsions, matricectomy, cryotherapy, wound debridement, enucleation, suturing, other cutaneous and electro-surgical procedures and theoretical understanding of procedures performed by orthopaedic and podiatric surgeons.
Australian podiatric surgeons are specialist podiatrists with further advanced training in medicine and pharmacology, and training in foot surgery. Podiatrists wishing to pursue specialisation in podiatric surgery must meet the requirements for Fellowship with the Australasian College of Podiatric Surgeons. They must complete a 4-year degree, including 2 years of didactic study and 2 years of clinical experience, followed by a master's degree with a focus on biomechanics, medicine, surgery, general surgery, advanced pharmacology, advanced medical imaging, and clinical pathology. They then qualify for the status of Registrar with the Australasian College of Podiatric Surgeons. Following surgical training with a podiatric surgeon (3–5 years), rotations within other medical and surgeons' disciplines, overseas clinical rotations, and passing oral and written exams, Registrars may qualify for Fellowship status.[16] Fellows are then given Commonwealth accreditation under the Health Insurance Act, recognising them as providers of professional attention for the purposes of health insurance rebates.
Australian podiatric medical schools
[edit]The following podiatric teaching centres are accredited by the Australian and New Zealand Podiatry Accreditation Council (ANZPAC):
- University of Western Australia
- Charles Sturt University
- La Trobe University
- University of Western Sydney
- University of South Australia
- University of Newcastle (Australia)
- Queensland University of Technology
- Central Queensland University
- Southern Cross University
- Auckland University of Technology (in New Zealand)
Some, including Charles Sturt University and University of Western Sydney, offer the degree Bachelor of Podiatric Medicine; others offer postgraduate degrees, such as the University of Western Australia's Doctor of Podiatric Medicine, and La Trobe University's Master of Podiatric Practice.[17]
Two more podiatric schools are being developed, at the Australian Catholic University and the University of Ballarat.
Prescribing of scheduled medicines and referral rights
[edit]The prescribing rights of Australian podiatrists vary by state. All states allow registered podiatrists to use local anaesthesia for minor surgeries.[18]
In Victoria, Western Australia, Queensland, South Australia, New South Wales: registered podiatrists and podiatric surgeons with an endorsement of scheduled medicines may prescribe relevant schedule 4 poisons.
In Western Australia and South Australia, podiatrists with Master's degrees in Podiatry and extensive training in pharmacology are authorised to prescribe Schedule 2, 3, 4, or 8 medicines (Australian Health Practitioner Regulation Agency).
In Queensland, Fellows of the Australasian College of Podiatric Surgeons are authorised to prescribe a range of Schedule 4 drugs and one Schedule 8 drug.
Prescriptions written by podiatrists do not qualify for the Pharmaceutical Benefits Scheme, despite lobbying to change this.[19]
Some referrals from podiatrists (plain x-rays of the foot, leg, knee, and femur, and ultrasound examination of soft tissue conditions of the foot) are rebated by Medicare, while others (CTs, MRIs, bone scans, pathology testing, and other specialist medical practitioners) are not eligible for Medicare rebates.
Canada
[edit]In Canada, the definition and scope of the practice of podiatry varies by province. A number of provinces, including British Columbia, Alberta, and Quebec, accept the qualification of Doctor of Podiatric Medicine (DPM); in Quebec, other academic designations may also register.
In 2004, Université du Québec à Trois-Rivières started the first and only program of Podiatric Medicine in Canada based on the American definition of podiatry. This program enlists 25 students yearly across Canada and leads to a DPM upon obtaining 195 credits.[20]
The province of Ontario has been registering chiropodists since 1944, with 701 chiropodists and 54 podiatrists registered by the College of Chiropodists of Ontario as of December 31, 2019.[21] Ontario makes a distinction between podiatrists and chiropodists. Podiatrists are required to have a DPM, whereas chiropodists need only have a post-secondary diploma in chiropody. Podiatrists, unlike chiropodists, may bill OHIP, "communicate a diagnosis" to their patients, and perform surgical procedures on the bones of the forefoot.[22] Registered podiatrists who relocate to Ontario are required to register with the province and practice as a chiropodist. Ontario legislation in 1991 imposed a cap on Ontario-trained chiropodists becoming podiatrists, while grandfathering in already-practising podiatrists.[citation needed]
Iran
[edit]There are no podiatric medical schools in Iran. The Ministry of Health and Medical Education (MoHME) reviews the dossier of podiatric applicants for medical registration according to the "Regulations on the Evaluation of the Educational Credentials of Foreign Graduates".[23]
Applicants with podiatric degrees from the United States qualify for registration in Iran if they meet the following criteria:
- possession of a bachelor's degree
- passing score on the MCAT
- completion of the podiatric curriculum of an accredited school, thereby obtaining the degree of Doctor of Podiatric Medicine (DPM)
- completion of a one-year postgraduate training (if required by the home jurisdiction)
- passing score on relevant board examinations
New Zealand
[edit]New Zealand established Chiropody (shortly thereafter renamed to Podiatry) as a registered profession in 1969, requiring all applicants to take a recognized three-year course of training. The New Zealand School of Podiatry was established at Petone in 1970, under the direction of John Gallocher. Later, the school moved to the Central Institute of Technology, Upper Hutt, Wellington. Today, Auckland University of Technology is the only provider of podiatry training in New Zealand.[24]
In 1976, podiatrists in New Zealand gained the legal right to use a local anaesthetic, and began to include minor surgical procedures on ingrown toenails in their scope of practice. They received the right to refer patients to radiologists for X-rays in 1984, and (with suitable training) to acquire licensing to take their own X-rays in 1989. Diagnostic radiographic training is now incorporated into the podiatric degree syllabus, and on successful completion of the course, graduates register with the New Zealand National Radiation Laboratory.
United Kingdom
[edit]The scope of practice of podiatrists in the UK varies depending on their education and training, but may include simple skin care, the use of prescription-only medicines, injection therapy, and non-invasive surgery such as nail resection and removal.[25] Podiatrists also interface between patients and multidisciplinary teams, recognising systemic disease as it manifests in the foot and referring on to the appropriate health care professionals.[26]
To qualify as a podiatric surgeon, a podiatrist in the UK must undertake extensive postgraduate education and training, usually taking a minimum of 10 years to complete.[27] Appropriately qualified podiatric surgeons may perform invasive bone and joint surgery.
Legislation in the UK protects the professional titles 'chiropodist' and 'podiatrist', but does not distinguish between the two.[28] Those using protected titles must be registered with the Health and Care Professions Council (HCPC).[29] Registration is normally only granted to those holding a bachelor's degree from one of 13 recognized schools of podiatry in the UK. Professional bodies recognised by the HCPC are:
- The Society of Chiropodists and Podiatrists
- The Alliance of Private Sector Practitioners[30]
- The Institute of Chiropodists and Podiatrists
- The British Chiropody and Podiatry Association[31]
In 1979, the Royal Commission on the National Health Service reported that about six and a half million NHS chiropody treatments were provided to just over one and a half million people in Great Britain in 1977,[citation needed] an increase of 19% over the number from three years before. Over 90% of patients receiving these treatments were aged 65 or over. At that time there were about 5,000 state registered chiropodists, but only about two-thirds worked for the NHS. The Commission agreed with the suggestion of the Association of Chief Chiropody Officers that more foot hygienists should be introduced, who could undertake, under the direction of a registered chiropodist, "nail cutting and such simple foot-care and hygiene as a fit person should normally carry out for himself."[32]
United States
[edit]In the United States, medical and surgical care of the foot and ankle is mainly provided by two groups: podiatrists (with a Doctor of Podiatric Medicine degree) [citation needed] and orthopedic surgeons (with a Doctor of Medicine or Doctor of Osteopathic Medicine degree).[33] In most states, their scope of practice is limited to the foot and ankle; however, some states include the leg, hand, or both.[34]
In order to be considered for admission to podiatric medical school, an applicant must first complete a minimum of 90 semester hours at the university level, or (more commonly), complete a bachelor's degree with an appropriate emphasis.[citation needed] In addition, potential students are required to take the Medical College Admission Test (MCAT). In 2019, the average MCAT for matriculants was 500[35] and 3.5 average undergraduate cGPA.[36]
The DPM degree itself takes a minimum of four years to complete. The first two years of podiatric medical school are similar to training that M.D. and D.O. students receive, but with greater emphasis on the foot and ankle.
The four-year podiatric medical school is followed by a surgical residency to provide hands-on training. As of July 2013, all residency programs in podiatry were required to transition to a minimum of three years of post-doctoral training.[37] This upgrading of training was spearheaded in California by the state Board of Podiatric Medicine (BPM) and its California Liaison Committee (CLC).[38] BPM’s Executive Officer James H. Rathlesberger included it in the Federation of Podiatric Medical Boards’ Model Law, which he wrote before becoming FPMB president in 2000.[39]
Podiatric residents rotate through core areas of medicine and surgery. They work in such rotations as emergency medicine, internal medicine, infectious disease, behavioral medicine, physical medicine and rehabilitation, vascular surgery, general surgery, orthopedic surgery, plastic surgery, dermatology, and podiatric surgery and medicine. Fellowship training is available after residency in such fields such as geriatrics, foot and ankle traumatology, and infectious disease.[40]
Upon completion of their residency, podiatrist candidates are eligible to sit for examinations for certification by one of two specialty boards accredited by the Council on Podiatric Medical Education (CPME), which itself is overseen and approved by the Department of Education. These are the American Board of Podiatric Medicine (ABPM)[41] and the American Board of Foot and Ankle Surgery (ABFAS).[42][43]
ABPM certification leads to fellowship in either the American Society of Podiatric Surgeons (ASPS) or the American College of Podiatric Medicine (ACPM). ABFAS certification leads to fellowship in the ASPS or the American College of Foot and Ankle Surgeons (ACFAS). ABPM is recognized by CPME as certification in primary podiatric medicine and orthopaedics[43] and the ABFAS as certification in podiatric surgery.[43] However, hospital credentialing committees often do not distinguish between the two.[44]
There are two surgical certifications under ABFAS:[45] foot surgery, and reconstructive rearfoot/ankle (RRA) surgery. In order to be board-certified in RRA, the sitting candidate has to have already achieved board certification in foot surgery. To receive ABFAS certification, the candidate must pass the written examination, submit surgical logs indicating experience and variety, pass an oral examination, and complete a computer-based clinical simulation.[45]
Practice characteristics
[edit]Podiatric physicians practice in a variety of different settings. Some practice solo in a private practice setting; some belong to larger group practices. There are podiatrists in larger multi-specialty practices as well (such as orthopedic groups or groups for the treatment of diabetes) or clinic practices (such as the Indian Health Service (IHS), the Rural Health Centers (RHC), or the Community Health Center (FQHC)). Some work for government organizations, such as for Veterans Affairs hospitals and clinics. [citation needed]
Some podiatrists have primarily surgical practices. They may complete additional fellowship training in reconstruction of the foot and ankle from the effects of diabetes or physical trauma, or practice minimally invasive percutaneous surgery for cosmetic correction of hammer toes and bunions.
Colleges and education
[edit]There are 11 schools of podiatric medicine in the United States. These are governed by the American Association of Colleges of Podiatric Medicine (AACPM) and accredited by the Council on Podiatric Medical Education.
- Arizona School of Podiatric Medicine at Midwestern University[46]
- Barry University School of Podiatric Medicine
- California School of Podiatric Medicine
- Des Moines University College of Podiatric Medicine and Surgery
- New York College of Podiatric Medicine
- Kent State University College of Podiatric Medicine
- Lake Erie College of Osteopathic Medicine School of Podiatric Medicine
- Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science
- Temple University School of Podiatric Medicine
- University of Texas Rio Grande Valley School of Podiatric Medicine
- College of Podiatric Medicine at Western University of Health Sciences
Podiatric subspecialties
[edit]Podiatrists treat a wide variety of foot and lower-extremity conditions through both nonsurgical and surgical approaches. While the terminology of subspecialties differ around the world, they generally fall into these categories:
- Reconstructive foot and ankle surgery
- Podiatric sports medicine (chronic overuse injuries and mechanical performance enhancement)[47]
- Podiatric dermatology
- Lower extremity plastic and reconstructive surgery, limb salvage, and wound care[48]
- Podopediatrics (podiatry in children)[49]
- Forensic podiatry (the study of footprints, footwear, shoeprints and feet associated with crime scene investigations)
Podiatric assistants work as a part of a podiatric medical team in a variety of clinical and non-clinical settings. Worldwide, there are common professional accreditation pathways to be a podiatric assistant; for instance, in Australia, the qualification is a Certificate IV in Allied Health Assistance specialising in podiatry.[50] Podiatric assistants may specialize in many different fields, such as:
- Podiatric nurse
- Podiatric surgical nurse
- Foot carer
- Podiatric support worker
- Podiatric technician
- Podiatric hygienist
- Foot hygienist
- Podiatric medical assistant
Professional societies and organizations
[edit]- Academy of Ambulatory Foot and Ankle Surgery (AAFAS)
- Alberta Podiatry Association (APA)
- Alpha Gamma Kappa fraternity
- Alliance of Private Sector Practitioners
- American Podiatric Medical Association (APMA)
- American Society of Podiatric Surgeons (ASPS)
- American Society of Forensic Podiatry
- American College of Foot and Ankle Surgeons (ACFAS)
- American Board of Foot and Ankle Surgery (ABFAS)
- American College of Podiatric Medicine (ACPM)
- American Board of Podiatric Medicine (ABPM
- American Board of Multiple Specialties in Podiatric Medicine
- American Board of Multiple Specialties in Podiatric Surgery
- American Academy of Podiatric Sports Medicine (AAPSM)
- American Society of Podiatric Dermatology (ASPD)
- Australian Podiatry Association (APODA)
- Association Belge des Podologues
- Canadian Podiatric Medical Association (CPMA)
- American Academy of Podiatric Practice Management (AAPPM)
- International Federation of Podiatrists – Fédération Internationale des Podologues (FIP-IFP)
- International Foot and Ankle Biomechanics Community (i-FAB)
- Student National Podiatric Medical Association (SNPMA)
- American Podiatric Medical Students' Association (APMSA)
- Australian College of Podiatric Surgeons (ACPS)
- Australian Podiatry Association (APodA)
- Australian Podiatry Council (APodC)
- Australasian Academy of Podiatric Sports Medicine (AAPSM)
- Australasian Podiatric Rheumatology Specialist Interest Group (APRSIG)
- Federation of Podiatric Medical Boards (FPMB)
- Institute of Chiropodists and Podiatrists (IOCP)
- Canadian Federation of Podiatric Medicine
- Royal College of Podiatry (RCoP)
References
[edit]- ^ "American Association of Colleges of Podiatric Medicine".
- ^ "Quick Facts: Podiatrists". compensation. MGMA.
- ^ "Physician - Podiatry Salary".
- ^ "Medical Specialty: Podiatric Medicine | Kent State University".
- ^ "Self-Care - Archaeology Magazine". www.archaeology.org. Retrieved 29 November 2022.
- ^ Hippocrates. On the Articulations. Translated by Adams, Francis. pp. pt. 62.
- ^ "Isachar Zacharie". Jewishvirtuallibrary.org. Retrieved 8 December 2013.
- ^ "MD Consult - Important Notice". www.mdconsult.com. Archived from the original on 4 March 2016. Retrieved 25 January 2022.
- ^ New York State Podiatric Medical Association. NYSPMA. Retrieved on 2010-11-27.
- ^ "When is it necessary to be registered as a podiatry practitioner?". Podiatric Board of Australia. Retrieved 29 October 2014.
- ^ "Overseas Trained Podiatrists". AHPRA Podiatric Board. Retrieved 28 August 2012.
- ^ "Overseas trained podiatrists and podiatric surgeons". Podiatry Board of Australia. 31 March 2020. Retrieved 16 December 2020.
- ^ ACPS. ACPS. Retrieved on 2010-11-27.
- ^ UWA Doctor of Podiatric Surgery. Retrieved on 2021-05-07
- ^ "Meeting of the Podiatry Board of Australia". Retrieved 23 December 2013.
Meeting of the Podiatry Board of Australia held on 17 December 2014
- ^ Fellowship Training Program, Australasian College of Podiatric Surgeons
- ^ "Approved Programs of Study". Australian Health Practitioner Regulation Agency (APHRA). Retrieved 29 October 2014.
- ^ Drugs and Poisons legislation in the States and Territories of Australia – How does it apply to Podiatry?, Podiatry Board of Australia.
- ^ APODC News Room. Podboardvic.vic.gov.au. Retrieved on 2012-04-14.
- ^ "Doctorat de premier cycle en médecine podiatrique (7017)". Retrieved 6 March 2019.
- ^ "2019 Annual Report" (PDF). www.cocoo.on.ca. 31 December 2019. Retrieved 16 December 2020.
- ^ "Ontario Podiatric Medical Association (OPMA) – Podiatry and Chiropody". www.opma.ca. Retrieved 21 December 2018.
- ^ http://edd.behdasht.gov.ir Center for Educational Services, Under-ministry for Education, Ministry of Health and Medical Education, Government of Iran. Retrieved on 2014-04-12
- ^ "Podiatry Degree - Bachelor of Health Science - AUT". www.aut.ac.nz. Retrieved 20 December 2024.
- ^ "Conditions of practise". Health Professions Council (UK). Retrieved 30 January 2010.
...must not perform any type of Podiatric Surgery. For the avoidance of doubt this prohibition does not prevent Mr ... from performing partial or total nail resection and removal, with chemical destruction of the tissues.
- ^ "Chiropodists/podiatrists" (PDF). Retrieved 21 December 2018.
- ^ "Find out about Podiatric Surgeons". Scpod.org. Retrieved 8 December 2013.
- ^ "Understand the difference between a chiropodist and a podiatrist". The College of Podiatry. Society of Chiropodists & Podiatrists. Archived from the original on 13 March 2016. Retrieved 22 October 2019.
- ^ "About registration: Protected titles". Health and Care Professions Council. Retrieved 7 December 2014.
- ^ "Alliance Of Private Sector Practitioners - Home". Alliance Of Private Sector Practitioners. Retrieved 29 November 2022.
- ^ "About registration: Professions: Chiropodists / podiatrists". Health and Care Professions Council. Retrieved 7 December 2014.
- ^ Royal Commission on the NHS Chapter 8. HMSO. July 1979. ISBN 978-0101761505. Retrieved 19 May 2015.
- ^ "Surgical Care of the Lower Extremities" (PDF). American Academy of Orthopaedic Surgeons. Retrieved 10 May 2020.
- ^ "State Scope of Practice Provisions for Podiatric Foot and Ankle Surgeons" (PDF). American College of Foot and Ankle Surgeons.
- ^ "Applicant MCAT Average 2015–2019" (PDF).
- ^ "Applicant MCAT Average 2017–2021" (PDF).
- ^ "Approval Information for Residencies | CPME". Apma.org. 6 August 2012. Retrieved 25 August 2012.
- ^ ”California Dreaming,”California Podiatric Physician, October November December 2006, CA Podiatric Medical Assn., pp. 6-7
- ^ "BPM Endorses Model Law - Podiatric Medical Board of California".
- ^ "Council on Podiatric Medical Education, Standard CPME 320, Accreditation of Podiatric Medicine and Surgery Residencies" (PDF). www.cothweb.org. Retrieved 25 May 2021.
- ^ "The American Board of Podiatric Medicine (ABPM)". www.abpmed.org. Retrieved 25 May 2021.
- ^ "American Board of Foot and Ankle Surgery". American Board of Foot and Ankle Surgery. Retrieved 25 May 2021.
- ^ a b c "Specialty Certifying Boards | CPME". www.cpme.org. Retrieved 25 May 2021.
- ^ LLC, American Podiatric Medical Association. "Guide To Podiatric Privileges". podiatryprivileges.com. Retrieved 25 May 2021.
- ^ a b US Podiatry. K12 Academics Retrieved on 2012-08-24.
- ^ "School of Podiatric Medicine in Glendale, AZ – Midwestern University". www.midwestern.edu. Retrieved 21 December 2018.
- ^ structural podiatry. Retrieved on 2012-12-30.
- ^ "Advanced Practicing Podiatrists – High Risk Foot". App-hrf.com.au. 23 October 2012. Archived from the original on 19 April 2013. Retrieved 8 November 2012.
- ^ "What is Podopaediatrics?". UK Health Centre. Retrieved 16 December 2020.
- ^ "Allied Health Courses – Certificate IV in Allied Health Assistance – Cert IV". Retrieved 21 December 2018.
External links
[edit]- The Kederminster Pharmacopolium
- American Academy of Podiatric Sports Medicine
- American College of Foot and Ankle Pediatrics