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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

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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:

http://www.medicalprivileges.com

http://www.boardcertifiedpodiatrists.com

http://www.podiatry.in

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.