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12/25/2017 Steven Kravitz, DPM
The Death Knell of Podiatry in Illinois? (Bryan C. Markinson, DPM)
Dr. Markinson makes some very salient points that podiatrists should consider. There is no turning back the clock Physician extenders are here to stay. But the good news is that there’s been a change in podiatry recognition of this aspect of delivery care over the past 3 to 4 years. Assessment of the membership of a well- established physician (MD and DPM) only wound healing Association provides interesting data on a dramatic shift with podiatric perspective on NPs and PAs.
Four to five years ago, there was much more concern about competition with these practitioners and therefore a conflict of interest. But over the past two to three years more and more podiatrists are working with physician extenders. They, as Dr. Markinson points out, serve as a source of referral but also as extenders of a very busy podiatric practice as well.
The comparison of current podiatric practice to dentistry 10-15 years ago may no longer be valid. The big change is that dentistry at that time did not have anywhere near amount of services in hospitals that the podiatrist has today. Podiatry today continues to have an increasing role in the medical community in the hospital setting and in mainstream medicine. While this is especially true in wound healing it will continue expanding to other areas of medicine as well including orthopedics, dermatology, etc.
The new year presents an opportunity for podiatric physicians to expand their practice by networking with physician extenders and moving forward with them in the future of the ever changing healthcare delivery system.
I’ll close with one last piece of heart felt advice. If you’re involved with wound care and concerned about competition from physician extenders you must be certified in wound healing to protect your practice. In doing so I absolutely recommend you choose a certification that applies to podiatry and allopathic medicine equally. Choosing a podiatry specific certification will not provide any where near the value of being certified by an organization that puts YOU on the same playing field as the MD across the table at the wound healing center.
Steven Kravitz, DPM, Winston-Salem NC
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