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The American Board of Multiple Specialties in Podiatry Co-Sponsors World-Class Webinar in Podiatric Sports Medicine

Jun 29 2020 03:20:09 AM

Dr. Tim Dutra Assistant Professor of Applied Biomechanics with California School of Podiatric Medicine at Samuel Merritt University and Podiatric Consultant for Intercollegiate Athletics, University of California, Berkeley, Dr. Kenneth Rehm, Clinical Assistant Professor at the California School of Podiatric Medicine and Vice President of the American Board of Multiple Specialties in Podiatry (ABMSP) and Dr. Howard Liebeskind, all board-certified in Podiatric Sports Medicine by ABMSP, are proud to have facilitated the Podiatric Sports Medicine Webinar at the Virtual Western Foot & Ankle Conference, June 25-June 27th. Hats off to Dr. Liebeskind and Dr. Dutra who were the moderators and organizers of this event, sponsored in part, by the American Board of Multiple Specialties in Podiatry. The world-class speakers they arranged provided brilliant insights into the role that the podiatric sports medicine physician plays in professional, collegiate, and school sports programs. This webinar provided a pivotal opportunity for those board- certified in podiatric sports medicine to acquire knowledge in how to assert their specialized expertise. Professional certification in podiatric sports medicine is available to all medical practitioners of lower extremity medicine by the American Board of Multiple Specialties in Podiatry. This is an experienced-based, portfolio certification that requires no exam. You may find more information about or apply for certification in sports medicine at www.abmsp.org
 

President’s Letter to our Diplomates

Mar 29 2020 10:49:35 PM

To our Diplomates:

We realize that these are difficult times for all healthcare professionals, including you, the diplomates of ABMSP. During this unprecedented time, we are making adjustments to our policies to address the burdens presented by radically changing or temporarily imposed federal, state and local regulations, delayed and cancelled meetings and professional events where required CME is usually available and the culture-changing restraints imposed by social distancing and quarantine.

Your board is actively monitoring government policy, practice and market changes. As a result, in our effort to support you and your practice, we have assembled the following series of helpful articles outlining Telemedicine and Telehealth policies which have been posted to our website and can be found here:

  • APMA COVID-19 Update: Podiatrists Can Provide EM Services Remotely
  • APMA Frequently Asked Questions
  • Medicare Telehealth Information
  • States Emergency Declaration Licensure Requirements Covid-19
  • Telehealth Policy Changes COVID-19
  • Rule Concerning Telehealth and the CMMS
  • ABMSP is committed to help you through this difficult time. Please take care of yourselves and your families. We are here for you.

    Michael Salter, DPM

    President
    ABMSP

    Distinguished Authors Series
    The opinions expressed here are those of the authors and do not necessarily reflect the positions of the American Board of Multiple Specialties in Podiatry or its Directors.

    Establishing a podiatric sports medicine practice

    MARK J. MENDESZOON, D.P.M.

    As the field of podiatric medicine and surgery has evolved over the last several decades, an area that has become a big subspecialty of our profession is sports medicine. As a Doctor of Podiatric Medicine developing a sports medicine practice takes time, commitment, and a significant personal and financial investment.

    To institute and gain success as a sports practitioner one must really go back to the first two years of medical school and appreciate biomechanics. A thorough recognition and comprehension of biomechanics are crucial in order to work with athletes. The knowledge and application of biomechanics are what should separate us from our allopathic colleagues. A solid foundation in Root’s foot morphology theory, Kirby’s tissue stress theory, and Dananberg’s sagittal plane theory are paramount to master lower extremity overuse injuries. In addition to biomechanics, a proficiency in anatomy, physiology, physics, kinesiology, radiology, orthopedics, medicine, and physical therapy are all disciplines that must be mastered to ensure patients’ comprehensive care.

    To develop a clinical sports medicine practice, the podiatric physician must become part of that community. Most sports medicine people think they will work for collegiate and professional athletes but that is a rarity. Developing the infrastructure of a sports medicine practice will require innumerable hours of working with local youth sporting clubs, junior and high school athletics. Providing volunteer hours at practices, sporting events, fundraisers will allow the practitioner to become a reliable member of the community and a trustworthy physician. The more time spent on athletic venues can truly benefit one’s practice. In addition to being at the events, it is very important that a practitioner provides convenient hours so that athletes do not have to disturb their practice sessions or competition seasons. Evening hours and weekend hours definitely can help build one’s sports medicine practice so that convenience for the patient is provided and acute emergencies may be seen readily.

    Working in conjunction with family doctors, internists, nutritionists, sports psychologists, general sports medicine physicians, chiropractors, physical therapists, and orthopedists will further provide education and appreciation of their specialties. The knowledge gained from working with these colleagues will deepen your clinical acumen so that the podiatrist can appreciate other bodily injuries. It is not uncommon that a Doctor of Podiatric Medicine can become the team physician for local organizations and treat any type of on-field emergencies via the Good Samaritan Laws. Becoming certified in basic life-saving, advanced cardiac life saving, automatic electrical defibrillation (AED), Heimlich maneuver Is crucial in order to be an on-field treating physician.

    A physician’s first line of defense during practice sessions and competitions is a certified athletic trainer (ATC). These professionals not only are adept in treating acute emergencies but are of whom the athletes interact on a daily basis and typically trust them before anyone else when it comes to their injuries. In addition, their taping, bracing, and splinting skills are to be admired. All of these skill sets can be taught and learned to provide comprehensive care for your patients.

    During post-graduate training, it is imperative that the podiatrist truly maximizes their experiences in all of their rotations especially in medicine, radiology, rheumatology, orthopedics, and any other surgical disciplines. As podiatric fellowships are gaining more traction it would benefit the younger podiatrists to seek programs that will provide significant exposure to sports medicine and surgical cases. For the established practitioner, there are a tremendous amount of conferences, workshops, and virtual meetings that may enrich their practice. Joining the American Academy of Sports Medicine and the American Academy of Podiatric Sports Medicine will further enhance education and provide the resources to further specialize in sports medicine.

    Establishing a sports medicine practice requires learning the sports not only from a fan’s perspective but to appreciate the human movements and biomechanics involved with each individual sport. Having personal experience as an athlete is a definite bonus as the intricacies of that individual sport can be completely recognized. Many coaching supplements, clinics, and tutorials are readily available to further learn the individual sport. Not only is it important to understand the individual sports but it is of significance to respect the equipment utilized as well as the playing fields and surfaces. As a podiatrist, a thorough understanding of athletic shoe gear is an obligation. The science and technology of shoes are constantly changing and evolving and a well-versed podiatrist should be current on the anatomy, materials, function, and science of these valuable pieces of equipment. In conjunction with knowing about athletic shoes, the podiatrist must use their biomechanical expertise with the combination of shoe knowledge to ensure the athletes may perform at their optimal level.

    In recent years, the field of regenerative medicine has favorably assisted physicians in their treatment of athletes. Prolotherapy, platelet-rich plasma, bone marrow aspirate concentrate, amniotic tissue grafts, umbilical tissue grafts, stem cell transplants are examples of recent medical advancements that can be utilized non surgically or in conjunction with surgery to facilitate healing of injuries. In conjunction with appreciating regenerative medicine procedures, there are minimally invasive procedures that may assist the physician in treating the athlete. Being proficient in dry needling, coblation therapy, hydrodissection, percutaneous ultrasonic tenotomy, percutaneous hyrdotenotomy are some of the newer procedures that are imperative to utilize.

    As many overuse conditions may be treated appropriately with conservative measures including physical therapy, it is beneficial to work with orthopedists, physical therapists, chiropractors, massage therapists, orthotists, nutritionists and even sports psychologists to create a comprehensive team to provide complete care for the athlete. Being surgically trained in lower extremity surgery may allow podiatrists to be with their injured patients throughout the whole process. The ability to assist the patients from start to finish will create a physician-patient bond that is invaluable. An athlete-physician relationship is a special bond that should be valued however, it will require times where the physician has to be in control and in charge when it comes to the medical decision process. Many times, medical judgment may be influenced by the input from the athlete’s parents, coaches, and agents. It is imperative that the physician places the best interest of the athlete first and foremost and not sway from their medical skillset and experience. As medicine is a consumer business, it is not unusual for patients to shop around until they receive the answers that will appease them and think will satisfy their needs. Physicians should not take this personally.

    Every age level of treating athletes has different objectives and goals and it is necessary to be cognizant of the age and level of play the athlete participates in such that the ultimate logical and comprehensive medical care will be employed. Treating athletes is a daunting task that requires an assiduous approach and process but the rewards can be of Olympic proportions and tremendously enjoyable.

    Author Biography
    MARK J. MENDESZOON, D.P.M.

    Dr. Mendeszoon is a multi-board certified podiatrist who treats all surgical and non-surgical conditions of the leg, ankle, and foot in both adults and children. He specializes in trauma, sports medicine, diabetic foot and ankle conditions and reconstructive foot and ankle surgery, including Total Ankle Joint Replacement Surgery.

    Dr. Mendeszoon graduated from the
    Pennsylvania College of Podiatric Medicine with honors and completed his surgical training at Harvard Medical School-New England Deaconess Hospital-Joslin Diabetes Center. He then completed an orthopedic lower extremity, ankle & foot surgical fellowship. He continues to be active academically as the director of the Advanced Foot And Ankle Fellowship with University Hospitals Richmond Medical Center, clinical professor at Ohio University Heritage Medical School. He lectures nationally and internationally and is published in several medical journals.

    Champions Blog

    The Birth of Podiatric Sports Medicine: The Academy and Now Board Certification

    A number of important figures present and past have made possible the new podiatric sports medicine certification.

    BY KENNETH B. REHM, DPM

    The long-awaited board certification in podiatric sports medicine is now available to all doctors who want a valuable credential allowing them to declare that they are a qualified podiatric specialist in sports medicine. It has been a long and interesting journey involving two unique organizations and a host of talented individuals. Here is the full story… highlighting those whose contributions made it possible.

    The 1970’s brought about the birth of podiatric sports medicine. The impetus for most of the interest in sports medicine by podiatrists back then arose out of the running boom and the development of the American Association of Podiatric Sports Medicine. Doctors George Sheehan, Robert Barnes, George Pagliano, Richard Gilbert and Steven Subotnik brought the role of the podiatrist in sports medicine to national attention.

    The momentum they created has not stopped; and now the field is in full bloom where physicians such as Dr. Jeff Ross merges his expertise in diabetic foot medicine and surgery with biomechanics and sports medicine, culminating in an efficacious bridging of podiatry with collegiate and high-school sports. Dr. Ross served as team podiatric physician for the Baylor University football team and is a consultant for the University of Houston track team, while also playing an active role in high school sports. Adding to his credentials and fueled by his intense love for skiing, his in-depth research defined its biomechanics. His incredible passion was a driving force that propelled podiatric sports medicine to the pinnacle of recognition and the establishment of the highly anticipated board certification by the American Board of Multiple Specialties in Podiatry (ABMSP).

    “Dr. Richard Gilbert, podiatrist to the San Diego Chargers, was a pioneer in the development of the AAPSM.”

    The Trailblazers
    The idea of a board certification in podiatric sports medicine was initially seeded by the esteemed Dr. Richard Gilbert (Figure 1), pioneer in the development of the American Academy of Podiatric Sports Medicine (AAPSM) and podiatrist to the San Diego Chargers. His powerful motivation was to unite the various avenues of podiatric medicine and surgery through an amalgamation of talents vital to forming a complete spectrum of podiatric sports medicine expertise, where trained DPMs could interchange ideas and knowledge with seasoned professionals.
    Arguably, the first podiatric sports medicine celebrity was Dr. Steve Subotnik, an athlete himself who was featured in Runner’s World.

    Figure 1: Richard Gilbert, DPM, The Father of Podiatric Sports Medicine

    Magazine and author of The Running Foot Doctor (Figure 2). Because of his groundbreaking work in surgery, biomechanics and sports medicine, Dr. Subotnik was possibly the single most influential force in putting podiatry on the map. He cut his “sports medicine teeth” as a professor at the California College of Podiatric Medicine where he taught surgery and biomechanics. This period of his 50-plus year career was especially gratifying to him, particularly when established doctors, who were students of his in those fledgling years, came up to him at meetings and told him what an impact he had on their career.

    Dr Subotnik’s sports medicine career rocketed when he became a marathon runner, and his intense involvement and resulting contributions brought the podiatry profession new recognition and acceptance. His notable cabal included health-related celebrities such as Dr. George Sheehan, a cardiologist who became the legendary philosopher of the recreational running movement in the 1970’s and 1980’s.

    For years, Dr.Subotnik, one of the founding fathers of the American Academy of Podiatric Sports Medicine, felt that board certification in podiatric sports medicine would take this specialty to the next level, as it separates the spectators from the players. His commitment to board certification was key to the formation of the new certification by The ABMSP. Dr. Subotnik states: “Sports medicine helps define modern podiatry because biomechanics is the defining factor in podiatry and is also an integral part of sports medicine. The podiatric practice of sports medicine is so important, now more than ever, because it will continue to keep podiatry on the map; because through biomechanics we can make a real difference.” He goes on to say, “Once you’re an athlete who sustains a foot injury, and being active is part of your life, you will seek the help of a sports medicine podiatrist at any cost, regardless of any bureaucratic or insurance limitations.”
    His driving philosophy summarizes the importance of the foot and its biomechanics: “Controlling the feet controls the rest of the body”, which is philosophically apropos coming from this champion podiatric sports physician.

    “Arguably, the first podiatric sports medicine celebrity was Dr. Steve Subotnik, an athlete himself.”

    The Protégés
    From these trailblazers came their protégés who turned out to be the innovative architects of modern podiatric sports medicine. A key figure is Dr. Tim Dutra, who has advanced the traditional teachings as well as integrated this established doctrine with up-to-date sophisticated computerized gait and motion lab analysis of the athlete. His position as an assistant professor and clinical investigator at Samuel Merritt University allows him to parlay his knowledge of biomechanics and sports medicine into skillfully watermarked ideas and principles commendably driven into his students’ psyche. His uncompromising enthusiasm for improving the podiatric health of athletes is demonstrated through his tireless engagement in the Special Olympics, consulting for the Golden State Warriors basketball team as well as working with the University of California, Berkeley as a consultant for inter-collegiate sports. He has been active with the AAPSM since he started the student chapter while at the California College of Podiatric Medicine. What Dr. Dutra brings to sports medicine is merging the podiatry profession with the community; to memorialize the podiatrist’s vast training, knowledge and experience and to encourage the sporting community to take advantage of this valuable resource.

    Figure 2: What started it all: Dr. Steve Subotnik and The Running Foot Doctor

    Dr. Jeff Ross, president of the Texas Podiatric Medical Association and an associate professor of surgery in the division of vascular surgery and endovascular therapy, as well as a clinical associate professor in the department of medicine at Baylor College of Medicine, brings to sports medicine a whole new perspective. He not only served as president of the AAPSM but also co-chaired the Governor’s Council on Physical Fitness, served for 12 years as a member of the Texas Department of State Health Services Council and was an esteemed member of the Texas Diabetes Council. His credentials sanction him as a national and international expert in sports medicine, biomechanics, wound healing and limb preservation. Dr. Ross’s unique contribution, therefore, is being able to fuse the disciplines and surgical principles of diabetic foot medicine with sports medicine, as there are pathways common to both that are brought to light through his extensive lecturing and vast publications. Dr. Ross, inspiring to all, is a valued and motivated partner in the creation of the new certification.


    AAPSM and ABMSP

    This new board certification could not have happened without the genius of Stephen B. Permison, M.D., who serves as president of Standards Based Programs, Inc. (SBP Inc.), director of the ABMSP Standards Development Organization (www.abmsp-sdo.com) and a voting member of multiple professional boards. SBP Inc. has developed and is currently developing standards, credentialing and certification programs for private industry, medical professional boards and the U.S. Government. Professional credentials, such as the ABMSP certification in sports medicine for podiatrists, assures the public that certified professionals have the proper skills to practice their designated professions with consistent medical outcomes. These intensely scrutinized policies bestow a hand of trust, allowing the public to expect quality and consistency in both in the practice of podiatric sports medicine and any products or devices that support this discipline. Dr. Permison states that “the definition of professional is quality, consistency and integrity”, exactly what his expertise imprinted into the structure of the new board certification.

    “Dr. Earl Horowitz’s focus on the geriatric patient contributed powerfully to the unique quality of this new board certification.”

    Dr. Victor Quijano is Chief of Podiatric Medicine and Surgery at the Veterans Administration Medical Center in Portland, Oregon. His Ph.D. and his knowledge of molecular endocrinology boosts his pursuit of comprehensiveness in the practice of podiatric sports medicine beyond the treatment of the traditional athlete. He calls for more academic and clinical inclusiveness in the discipline of podiatric sports medicine to embrace those challenges that deal with diabetes and other metabolic disorders, as well as those conditions that affect our country’s veterans. His was a needed voice in the development of this quality certification.

    Dr. Earl Horowitz (Figure 3) is the president of the ABMSP and most recently became one of the first podiatrists in the United States to become board certified in Geriatric Podiatry. Dr. Horowitz is a true visionary with a passion for the health of the senior population. Preventing the geriatric patient from developing unnecessary muscle weakness, inactivity and immobility, through sports, exercise and precaution is what fuels Dr. Horowitz’s zeal for the field of podiatric sports medicine. “Maintaining foot health, balance and strength as we age are essential considerations in preventing such things as falls, which often starts a downhill spiral that can even lead to death in an elderly person. This can all be prevented by seriously addressing this part of our practice.” His focus on the geriatric patient contributed powerfully to the unique quality of this new board certification.

    Figure 3: Earl Horowitz DPM, A True Visionary, President of American Board of Multiple Specialties in Podiatry

    Rita Yates, executive director of the American Academy of Podiatric Sports Medicine worked hand in hand with the Executive Director of the American Board of Multiple Specialties in Podiatry, Joan Campbell, to formulate a meaningful advancement from Fellow of AAPSM to Board Certification by ABMSP. This was done in collaboration with the formative team which, in addition to those already discussed, also included the following doctors whose contributions were invaluable: David Jenkins, D.P.M; Diane Mitchell-Prey, D.P.M; Doug Taylor, D.P.M; Richard Blake, D.P.M; and Steven Tager, D.P.M.

    To summarize, world-class talent representing a wide range of expertise, each having intense passion for their individual niche, brought this board certification to fruition. The intended and expected outcome is to support the highest level of practice in sports medicine for the modern podiatrist; and to secure the optimum level of care for their patients. This bright light will undoubtedly ensure a brilliant future for the unabridged formidable field of podiatric medicine and surgery.

    In conclusion, podiatric sports medicine defines the future of podiatry because it’s an area where committed athletes are committed to staying in the game no matter what; and there is no better place to get help for those with sports-related problems of the lower extremity than a podiatric physician and surgeon who is board certified in podiatric sports medicine.