If you buy the above download of "fictional podiatry" music,
it is for private personal use only and not for public use.

New York Podiatry Law being recently passed by the NYS senate I believe
should be changed.
If you are a New York Podiatrist, please consider the section of S2992B
about surgical privileges of the ankle:
Please write to the members of the NYS assembly and ask that they
consider if S2992B violates any civil rights laws regarding age discrimination
and the favorable treatment of younger podiatrists that completed podiatric
residency training programs in the 1990's that are probably more than 10
years old. If more that 10 years old, how can such programs actually related
to a podiatrist's current competency in ankle surgery in 2010? In 1980's
there was a residency shortage and in the 1990's perhaps more programs
were available. Therefore more younger podiatrists are being able to have
the favorable treatement of having to avoid having the "commisioner" figure
out ways to approve podiatrists for competence at ankle surgery.
Please consider writing to the assembly persons. I believe they did not
yet vote on this issue yet.
http://assembly.state.ny.us/mem/
Ask them to clarify if civil rights laws are being violated by
favorable treatment for younger podiatrists who I believe may have
had more programs available and less of a residency shortage than
podiatrists in the 1980's. Bottom line is I believe all residency programs
in podiatry more than 10 years old generally do not reflect a podiatrist's
current competence at ankle surgery. If there is an acceptance of podiatric
residency training then it should be current and it should have been
completed after the year 2000 not in the 1900's. Better yet, why not
increase the scope in NY to allow all currently practicing podiatrists to
perform ankle surgery. This way they can legally train and obtain the
skills needed at independently performing ankle surgery. Without such a
license they cannot upgrade their skill unless enrolled in a formal training
program. Older podiatrists generally cannot leave their practices to complete
formal residency programs.

Please consider writing to governor Patterson and ask him to veto S2992B in
the current form because I believe it may possibly be discriminatory against
nonresidency trained podiatrist who did not complete residency programs
that would have represented outdated training unrelated to current
competence had such training been taken during the 1980's.

S2992B: Expands the definition of podiatry to include conditions of the ankle
and all soft tissue structures of the leg below the knee affecting the foot and
ankle

http://www.state.ny.us/governor/contact/GovernorContactForm.php

If this current law is not a form of age discrimination that would force older
podiatrists who cannot leave their
practices to complete certified podiatric residency program
then what is age discrimination? Not enough programs were
available in the 1980's. Please put yourself in the place of an
older currently competent podiatrist that was not afforded
podiatric residency training.
Surgery on the ankle being allowed because some
podiatrists completed podiatric residency training in the 1980's is
discriminatory against podiatrists that did not complete such training
because it is outdated training and does not relate to current competence.
I believe the governor should veto the current law that was passed by the NYS
senate and to then reapply with a new law which allows all podiatrists both
residency and not residency trained to operate on the ankle. For example, if a
podiatrist did not complete a surgical podiatric residency program in the
1980's and instead completed a one year non surgical podiatric residency
program, they now sould should qualify to do ankle surgery under the new
NYS law. Such non surgical residency training was outdated and not related
to current competence.
If residency training is required and accepted as a basis for ankle surgery,
then such training must be relevant and current. We are a small profession
and any potentially discriminatory laws
against older podiatrists who did not complete outdated
training should be brought to gov. Pattersons attention
before he looks at S2992B.
Discriminating against any minority class of podiatrists
who were not afforded podiatric residency training that
by now be outdated and unrelated to current
competence to "better the majority of podiatrists in NYS" is unfair and
abitrary regarding accepting outdated residency training regarding meeting
the criteria for current competence at ankle surgery. Why not think of it this
way, we as podiatrists are the minority in the healthcare field. I would like the
entire medical community to treat all podiatrists with fairness such as
supporting the legal right for podiatrists to call themselves podiatric
physicians and to increase the scope of practice for all currently
licensed podiatrists even those that did not complete outdated residency
training programs unrelated to current competence. How can the entire
medical community treat podiatrists with a sense of fairness if we as
podiatrists advocate for a NY law that may potentially discriminate against
other podiatrists that did not complete outdated residency programs?
Now I believe just because the "commisioner" can "qualify" non residency
trained podiatrists to demonstrate current competence in other ways
this does not get around that age discrimination is still occurring. Why?
Simple, unfair favorable treatment is being to younger podiatrists in the
1990's that completed podiatry residency programs when more were
available. Yet programs completed in the 1990's were still outdated and
unrelated to a podiatrists current competence for performing ankle surgery.
ANYTIME FAVORABLE TREATMENT IS GIVEN TO YOUNGER PODIATRISTS FOR
REASONS UNRELATED TO CURRENT COMPETENCE THIS IS WHAT I BELIEVE IS THE
DEFINITION OF AGE DISCRIMINATION YET I AM NOT AN ATTORNEY AND SO READ
DISCLAIMER AT BOTTOM. The favorable treatment is that there is not
requirement for younger podiatrists that completed podiatric residency
programs in the 1990's which are outdated and unrelated to current
competence to go through that extra step of having the "commisioner
decide how to approve of such current competence at ankle surgery. "
YET THE OFFICE OF CIVIL RIGHTS SHOULD STILL BE CALLED IN TO INVESTIAGE THIS
POTENTIAL ALLEGATION.
I have tried to be an advocate to allow podiatrists in NY to call themselves
podiatric physicians which I feel is more important than
to increase the scope of practice more for some
podiatrists than others when the residency criteria
being used includes outdated residency training that
in the 1980's that probably is not related to current
competence. In 1991 I performed as surgeon of record
implant surgery with grommets. If I were not
already licensed in NY l could not come from another
state and apply to get a licensed in NY because I never had such outdated
basic residency training from an "approved program".
What about receprocity from one state to another?
I am licensed in New Jersey to perform ankle surgery, so
why not New York? Why can't NY allow for years in
practice to be accepted in the place of an outdated
residency training program that is not related to one's
current competence?
Last comment is why is certification by the
ABPS the only board being mentioned for surgery on the
ankle where the ankle is being defined as including the skin and
subcutaneous tissue around the ankle. There are other
podiatric boards that certify podiatrists in the
taking of a "punch biopsy" of skin around the ankle.
These other boards should also be mentioned in such
legislation regarding surgery on the skin and subcutaneous
tissue and wound care of the ankle. What about the
ABPOPPM and othere boards? Why are these other
boards not mentioned? If someone comes in your office and
has an ankle ulceration that needs a culture and sensitivity
deep debridement of that ulcer is needed to get that
culture and sensitivity. If the ABPS is specifically mentioned in the proposed
law, why is there no direct mention of the
ABPOPPM and other boards? Please explain this to me. I don't know what the
concept of restraint of trade is.
What this new law did was to actually define the
"ankle" not only as consisting of bone, but including the
skin and subcutaneous and other soft tissue structures."
Those other structures are treated by many podiatrists
in their offices on a day to day basis and sometimes
surgery such as cutting on such skin and soft
tissue structures are needed for ulcer care and punch biopsies.
Also the most important need for a podiatrist to be defined as
a "podiatric physician" should be mentioned in any new proposed
law. I believe defining a podiatrist as a podiatric physician is more
important that "increasing the anatomic scope of podiatry regarding
ankle surgery and accepting podiatric residency training that may
be outdated and unrelated to current competence regarding
ankle surgery. The new law should allow all currently licensed
podiatrists the license to perform ankle surgery. If residency
training is accepted and a requirement then such training I believe
must be current and out dated residency training not acceptable.
Since residency training eventually gets outdated I am an advocate
of removing the ability of any state to require and accept such residency
training regarding state licensure unless such training is current.
Instead I feel the fair approach is to license all current podiatrists
to perform ankle surgery. In order to avoid any possibility of unfair
discrimination if the scope of practice is increased it must be applied to all
currently licensed podiatrists. Remember, just because one is licensed to
perform a podiatric procedure this does not make them currently competent
at such a procedure. This is similar to any profession with an unlimited
license. A holder of an unlimited license may not be currently competent
to perform all procedures they are legally licensed to do. The key is once the
license is gotten they can then legally aquire the training in that state to
accomplish learing such current competence. This is why all podiatrists
must be licensed to be able to perform ankle surgery in NY and why
I beleive the governer should veto the bill S2992B as currently worded.
Also I believe any new bill should include a podiatrist as being defined as
a "podiatric physician".

podiatrist1@optonline.net

disclaimer: do not rely on any of the personal opinions above
but consult with a licensed healthcare attorney in your state.Do not rely on any of the information on this fictional website or any of the music playing. Please consult with a licensed healthcare attorney in your state. This fictional podiatry music is copyrighted and not to be downloaded or saved on cd. If you decide to purchase the download of this fictional music, it is only for private personal use and not for public use.

podiatrist1@optonline.net