DISCLAIMER: THE FOLLOWING WEBSITE
AND
LINKS ARE ONLY PERSONAL OPINIONS NOT BASED ON ANY FACTS AND NOT TO BE
RELIED ON BY ANYONE:
SURGICAL PRIVILEGES PODIATRIST SURGICAL PRIVILEGES PODIATRIST SURGICAL
PRIVILEGES PODIATRIST
please consider visiting suepodiatrist.com
for fictional podiatry music on reasons not
to sue a podiatrist.
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Without saying the name of the
hospital,
I was treating a patient for a long time and the podiatry
chief called and cursed and said I was trying to ----zing
it to him. He said that he was called into see my patient
and that he put ulcer was on the toe and I the very next
day put down no ulcer was present. tha t I was treating. Like I was
calling him a liar. I told him that the patient had PVD and every
patient with PVD I feel needs a vascular consult.
I furthermore said that if a patient had PVD and an
ulcer was present I would then according to my practice
beliefs need to request a vascular consult for sure. The
reason that I did not request a vascular consult on that day was there was no ulcer. The podiatry chief said that
he understood that I was afraid of getting sued. I said that I want to avoid getting sued by practicing podiatry
to the best of my ability and recommending vascular
consults for all my patients with PVD especially when
an ulcer is present. The podiatry chief then said that
he will be as considerate to me as I was to him in
covering my ---- when it comes to his signing my delineation of privileges. For this reason, the podiatry
chief cannot be objective when signing my delineation
of privileges sheet. At this hospital current competence
must be approved by the podiatry chief before evidence
of current competence in the form of op reports can be
sent to the credentials committee. The most questionable
part of this story is I do not remember even seeing a written request that the podiatry chief come in and see
the patient I was treating.
The book Medical Staff
Privileges I found very
interesting:
New topic:
Podiatric
medical and orthopedic board certified podiatrists .What is more
important from a podiatric quality of care point of view, being board
certified in podiatric orthopedics and medicine vs. being board certified in
podiatric surgery ? Well, if an unfair requirement for board certification is
required for podiatric surgical privileges in hospitals than that same unfair
requirement for board certification should also be required for
podiatric medical privileges in hospitals. If board certification is a
requirement for podiatric operating room privileges, it should also be
required for every podiatric medical and podiatric orthopedic
privilege performed in the hospital.Please note
that I believe that such podiatric board certification must relate
specifically to the podiatric privilleges being requested. (for
example: After a surgical infection the prescribing of the correct antibiotics
is a podiatric medical privilege. Just because one is board certified in podiatric
surgery does not mean that they are board certified in
podiatric medical or biomechanical privileges and visa versa. Thus if a
patient has a cellulitis requiring IV antibiotics, podiatric
medicine is the podiatric specialty concerned with prescribing
IV antibiotics. If podiatrists must be board certified in their field,
then board certification in surgery is not adequate podiatric medical board
certification because the delineated privilege of prescribing of
antibiotics is technically not performing podiatric surgery but is actually practicing
podiatric medicine. Furthermore, if there is a requirement that
all podiatry chiefs be board certified, then such board certification
should be relevant to any privilege recommendations that are needed
from a podiatric chief that is board certified. ( For example,
if a podiatry chief is board certified only in podiatric surgery, then another second podiatry
chief should be appointed that is board certified in podiatric medicine
and orthopedics.) Personally, I do not believe the advantages of board
certification outweigh the possiblity that perfectly currently
competent podiatrists are excluded just because of a lack of board
certification in their podiatric subspecialty. There may be more
podiatric medical procedures out there than podiatric surgical
procedures and if board certification is required for the delineation
of privileges, this abitrary requirement should be uniformly applied to
(all podiatric medical as well as orthopedic as well as surgical privileging
criteria.) I believe there has been a lack of delineation of podiatric
medical and orthopedic procedures such as rx for infections, rx orthotics shoes
paddings, biomechanical evaluations, taking C&S in wound care
centers and Rx antibiotics in wound care centers and Rx propper
shoegear in wound care centers and clinics, etc... Lastly, I feel that
if the podiatry chief feels that a podiatrist is not currently
competent at performing certain podiatric procedures, the credentials committee
should be enabled to consider that podiatrists current competence and
to over turn any negative or positive recommendation given by a podiatry chief.
disclaimer: the
above are the personal opinions of the author and is not to be
relied upon as any type of legal advice.
Once
a podiatrist is in private practice, it is
very
difficult to go ahead and quit private practice, give up all your
patients and to then complete a certified residency training program in
podiatric surgery. I am greatful to the hospital that has allowed me to
obtain non formal in hospital OR podiatric training and experience. I
believe "it is absurb for a hospital to require a certified podiatric
residency training
program and to then accept an outdated certified podiatric residency
training program regarding an applicant meeting any baseline criteria
that is set up regarding a hospitals delineation of privileges. It
would be more logical to
either uniformly require a current certified residency training program
in podiatry or
to completely omit such a requirement and rely soley on noncertified
current training and current experience in deciding a podiatrist's
delineation of privileges. Furthermore if board certification in
podiatric surgery is required, then such certification should be
current or
currently recertified as a requirement. Such current recertification
should involve some form of peer review. If current self assessment is
used to maintain certification in podiatric surgery this should not be
acceptable in the meeting of a hospital's
criteria regarding a podiatrists delineation of privileges if there is
no form of peer review. It is more logical to uniformly only accept
current certification or current recertification in podiatric surgery
or to completely omit such a requirement and rely soley on noncertified
current training and current experience in deciding a podiatrists
delineation of privileges."
Please read disclaimer
below.
DISCLAIMER: THE FOLLOWING REPRESENTS THE PERSONAL
OPINION OF THE AUTHOR. THESE OPINIONS ARE NOT BASED ON ANY FACTS. THESE
OPINIONS ARE NOT TO BE RELIED UPON BY ANYONE. I BELIEVE THAT EVERY
MEDICAL
STAFF AS A GROUP CAN ESTABLISH AND AMEND MEDICAL STAFF BYLAWS REGARDING
PODIATRIC SURGICAL CRITERIA.
I AM NOT SAYING THAT EVERY HOSPITAL SHOULD FOLLOW
OR MUST AGREE WITH MY OPINIONS. I MERELY STATE THAT
I AS A CITIZEN OF THIS COUNTRY HAVE A RIGHT TO
EXPRESS MY OPINION ON THE INTERNET AND ANY HOSPITAL
READING THIS OPINION CAN CONSIDER IT.
disclaimer: The owner of this website is not responsible for
any of the opinions that is listed or advertised. Do not rely on any of
the information posted on this
website. This website is just expressing personal
opinions. These personal opinions are not based on
any facts. All they are are personal opinions.
THE TOPIC OF THIS WEBPAGE WILL INVOLVE
PODIATRIC SURGICAL PRIVILEGES.
LET ME GIVE A HYPOTHETICAL EXAMPLE OF WHAT I BELIEVE CAN BE
CHANGED BY AMENDING A HOSPITALS BYLAWS TO BETTER ENABLE A PATIENT TO
CHOOSE WHICH PODIATRIST THEY WANT TO PROVIDE PODIATRIC CARE: A
HOSPITAL ALLOWS A PODIATRIST THE PRIVILEGE TO AVULSE A TOENAIL UNDER
LOCAL ANETHESIA OUTSIDE THE OPERATING ROOM. THAT PODIATRIST HAS A
PATIENT THAT NEEDS A TOENAIL AVULSION.THAT
PATIENT IS FORCED TO GIVE UP THE RIGHT TO CHOOSE TO HAVE THAT
PODIATRIST PERFORM THAT PROCEDURE IN THE OPERATING ROOM BECAUSE THEYARE
NOT BOARD CERTIFIED
IN PODIATRIC SURGERY OR RESIDENCY TRAINED, YET THAT PODIATRIST HAS
PERFORMED HUNDREDS OR THOUSANDS OF TOENAIL SURGICAL PROCEDURES OUTSIDE
THE OPERATING ROOM SETTING. THE HYPOTHETICAL PATIENT THEN CHOOSES TO
HAVE THE TOENAIL SURGERY DONE IN THE HOSPITAL OPERATING ROOM
BY
SOMEONE OTHER THAN THAT PODIATRIST.
I BELIEVE THAT HOSPITALS SHOULD BE
AWARE OF MY
OPINIONS THAT A LACK OF BOARD CERTIFICATION
IN PODIATRIC SURGERY OR PODIATRIC RESIDENCY TRAINING IN PODIATRIC
SURGERY SHOULD NOT BE USED AS REASONS TO DENY ACCESS TO THE OPERATING
ROOM FOR THE EXACT SAME ALREADY GRANTED TOENAIL SURGICAL PROCEDURES
OUTSIDE THE OPERATING ROOM AT THE PATIENT'S BEDSIDE WHEN MEDICALLY
INDICATED. IF A
PODIATRIST CAN PERFORM A PROCEDURE OUTSIDE THE
OPERATING ROOM, THEY PROBABLY CAN PERFORM
THAT VERY SAME TOENAIL SURGERY INSIDE THE OPERATING ROOM. I BELIEVE
THAT THE PATIENT'S RIGHT TO CHOOSE INVOLVES HAVING A PATIENT NOT TO BE
DENIED
THE RIGHT TO CHOOSE THEIR PODIATRIST TO PERFORM TOENAIL SURGERY IN THE
OPERATING ROOM IF THIER PODIATRIST IS GRANTED THE EXACT SAME PROCEDURE
OUTSIDE THE HOSPITAL OPERATING ROOM. I BELIEVE IT
SERVES NO USEFUL PURPOSE FOR A HOSPITAL TO CLAIM THAT A DIFFERENT
PODIATRIST MUST PERFORM THAT EXACT SAME PODIATRIC TOENAIL SURGICAL
PROCEDURE IN THE OPERATING ROOM BECAUSE ACCESS TO THE OPERATING ROOM
WILL BE CALLED OPERATING ROOM PRIVILEGES
WHICH REQUIRE PODIATRIC SURGICAL RESIDENCY TRAINING OR BOARD
CERTIFICATION IN PODIATRIC SURGERY"
MY PERSONAL
OPINION IS ONE POSSIBLE SOLUTION THAT CAN BE DISCUSSED BY THE ENTIRE
MEDICAL STAFF AS
A GROUP AND VOTED ON TO AMEND THE MEDICAL
STAFF BYLAWS:
A- REGARDING SURGICAL
PRIVILEGES GRANTED TO PODIATRISTS, THEY SHOULD BE DELINEATED. FOR
EXAMPLE:
TOENAIL SURGERY, HAMMERTOE SURGERY,
BUNION SURGERY, ETC.
B- THERE SHOULD BE NO CRITERIA SET UP
FOR GRANTING "OPERATING ROOM" PRIVILEGES.
THERE SHALL ONLY BE A SPECIFIC LIST OF PODIATRIC SURGICAL PROCEDURES
THAT ARE
MEDICALLY INDICATED AND ALLOWED TO BE PERFORMED IN THE OPERATING ROOM.
RATIONAL:
IT DOES NOT MATTER WHERE THE PROCEDURE IS PERFORMED. EITHER A PODIATRIST IS OR IS NOT
COMPETENT AT PERFORMING A SPECIFIC GIVEN PROCEDURE.
I BELIEVE THAT
EVERY HOSPITAL IN THE U.S. SHOULD CONSIDER MODIFYING THIER
BYLAWS AND CONSIDER MY
SUGGESTIONS.
C- ALLOW
A PODIATRIST WHO CANNOT AND HAS NOT
COMPLETED A FORMAL PODIATRIC SURGICAL RESIDENCY PROGRAM THE OPPORTUNITY
TO BOOK TOENAIL SURGERIES
AND PEHAPS HAMMERTOE SURGERIES AND TO BE OBSERVED
BY ANY STAFF PODIATRIST WHO IS CREDENTIALED TO INDEPENDENTLY PERFORM
SUCH A PROCEDURE AND TO
FORWARD THAT PEER RECOMMENDATION ON SUCH
PERFORMANCE TO THE PODIATRY CHIEF AND THE
CREDENTIALS COMITTEES FOR THEIR RECOMMENDATIONS.
NOT EVERY PODIATRY CHIEF IN EVERY HOSPITAL GETS ALONG WITH ALL MEMBERS
OF THE DEPT. SO DO NOT SOLEY
RELY ON THE PODIATRY CHIEF'S RECOMMENDATION REGARDING THE PEER
RECOMMENDATION. THE PODIATRIST
WHEN DETERMINED READY BY THE PODIATRISTS PEERS THEN CAN BOOK BUNION
SURGERIES SO LONG AS ASSISTED
BY PODIATRISTS THAT ARE FULLY CREDENTIALED TO INDEPENDENTLY PERFORM
SUCH PROCEDURES.
IT IS UP TO THE SURGEON PODIATRIST TO BE HONEST
WITH THEIR PATIENTS AS TO THE EXPERIENCE THAT THEY
HAVE PERFORMING SUCH A PROCEDURE. WITH ENOUGH
NON FORMAL IN HOSPITAL TRAINING THAT PODIATRIST CAN
OBTAIN A PEER RECOMMENDTION THAT IS FORWARDED TO THE PODIATRY CHIEF AND
THE CREDENTIALS COMMITTEE
WHEREBY THAT PODIATRIST IS GRANTED THE PRIVILEGE TO
INDEPENDENTLY PERFORM BUNION SURGERIES WITHOUT HAVING THE RESTRICTION
OF NEEDING A QUALIFIED ASSISTANT.
.
A PODIATRIST WITHOUT
PODIATRIC RESIDENCY TRAINING AND WITHOUT PODIATRIC SURGICAL
CERTIFICATION MAY HAVE ALREADY PERFORMED HUNDREDS OR THOUSANDS OF
TOENAIL PROCEDURES. SUCH A PODIATRIST MAY POSSIBLY BE MORE EXPERIENCED
AT TOENAIL SURGERY THAN A PODIATRIST FIRST FINISHING AN APPROVED
PODIATRIC RESIDENCY TRAINING PROGRAM.
FOR A HOSPITAL TO EXCLUDE AN EXPERIENCED PODIATRIST
BECAUSE OF A LACK OF PODIATRIC RESIDENCY TRAINING
OR A LACK OF BOARD CERTIFICATION I BELIEVE LIMITS
PATIENTS FREEDOM OF CHOICE TO
CHOOSE THIER PODIATRIST TO GIVE PODIATRIC TOENAIL
CARE AT A HOSPITAL OF THEIR CHOICE. I BELIEVE FREEDOM TO
CHOOSE INVOLVES A PATIENT BEING ABLE TO
CHOOSE WHICH PODIATRIST SHOULD TREAT THEM IN THE
OPERATING ROOM IF MEDICALLY NECESSARY
The Medical Staff cannot rely upon the
Governing Body's attorney whose interests lie with that of the
Governing Body and not necessarily protecting the rights
of the Medical Staff. I believe if an attorney does represent the
Governing Body and is present at Meetings of the Medical Staff
this should be announced at every Medical Staff Meeting that the
same attorney may be placed in a possible future conflict of interest
position. The role of the Medical
Staff's attorney I
believe is to consider advising the President of the Medical
Staff if any Medical Staff member requests that any
bylaw
amendment regarding amending podiatric departmental criteria for
operating room privileges be brought up at the Medical Staff meeting,
no matter how unfavorable on the surface it may seem, procedural due
process mandates that the President of the Medical Staff
should
present this or enable another Medical Staff member to present this for
both a discussion and a vote by the entire Medical Staff as a group.
Furthermore, that the entire Medical Staff as a group can even modify
or reject any recommendations regarding podiatric operaing room
criteria that are made by the Departmental Director. I believe this is
how most hospitals
function on paper as per written bylaws. Is this really occuring in
private practice by hospitals?
I am not an attorney and am
giving my own
personal
opinion which I am hoping that hospitals consider.
New topic: Regarding: Podiatric medical and orthopedic board certified podiatrists
What is more important from a finacial point of view, being board certified in
podiatric orthopedics and medicine vs. being board certified in podiatric surgery.
Well,
if an unfair requirement for board certification is required for
podiatric surgical privileges in hospitals than that same unfair
requirement for board certification should also be required for
podiatric medical privileges in hospitals. If board certification is a
requirement it should be required across every
privilege in every
podiatric subspecialty in the hospital. (for example: After a surgical
infection the prescribing of the correct antibiotics is a podiatric
medical privilege. Just because one is board certified in podiatric
surgical privileges does not mean that they are board certified in
podiatric medical or biomechanical privileges and visa versa. Thus if a
patient has a cellulitis requiring I V antibiotics, the podiatric
medical privilege for prescribing such antibiotics if board
certification is needed shouldn't podiatric medical board certification
be the specialty concerned with this? If there is a requirement that
all podiatry chiefs be board certified, then if a podiatry chief is
board certified only in podiatric surgery, then another second podiatry
chief should be appointed that is board certified in podiatric medicine
and orthopedics. Personally, I do not believe the advantages of board
certification outweigh the possiblity that perfectly currently
competent podiatrists are excluded just because of a lack of board
certification
in their subspecialty. There may be more podiatric medical procedures out there than podiatric
surgical procedures and if board certification is required for the delineation of privileges, this abitrary
requirement should be uniformly applied to (all podiatric medical as well as orthopedic as well as surgical
privileging
criteria.) There has been a lack of delineation of podiatric medical
and orthopedic procedures such as rx for infections, rx orthotics shoes
paddings, biomechanical evaluations, taking C&S in wound care
centers and Rx antibiotics in wound care centers and Rx propper
shoegear in wound care centers and clinics, etc...
disclaimer: the above are the personal opinions of the author and is not to be relied upon as any type of legal advise.
I feel that a very
wide sneaker has helped out some of my patients. disclaimer: the owner
of this website is not responsible for any of the products advertised
on this website.
Please first see a podiatrist or licensed healthcare
practitioner regarding the treatment of any podiatric problem you may
have.
.
PLEASE ALSO SEE:
DISCLAIMER: THE FOLLOWING REPRESENTS THE PERSONAL
OPINION OF THE AUTHOR. I BELIEVE THAT EVERY MEDICAL
STAFF AS A GROUP CAN ESTABLISH AND AMEND MEDICAL STAFF BYLAWS REGARDING
PODIATRIC SURGICAL CRITERIA.
I AM NOT SAYING THAT EVERY HOSPITAL SHOULD FOLLOW
OR MUST AGREE WITH MY OPINIONS. I MERELY STATE THAT
I AS A CITIZEN OF THIS COUNTRY HAVE A RIGHT TO
EXPRESS MY OPINION ON THE INTERNET. The owner of this
website is not responsible for any of the opinions that is listed or
advertised. Do not rely on any of
the information posted on this
website. This website is just expressing personal
opinions. These personal opinions are not based on
any facts. All they are are personal opinions.