Helping Other Podiatrists - Standard of Care?


by Jarrod Shapiro, DPM
Joined practice July 2006 of
John K Throckmorton, DPM
Lansing, Michigan

You don't have to be a podiatrist for long before you hear the phrase “podiatrists eat their young.” Is this true in reality? While going through school and residency, I heard plenty of stories, but throughout my training, I came in contact predominantly with physicians who nurtured, mentored, and supported younger physicians. I had a couple of doozies who I'll refrain from mentioning, but for the most part my experiences have been positive.

What's my reality now that I'm in practice? I've worked with quite a few podiatrists in my community, both on the giving and receiving ends, and they're all pleasant, if not a little competitive with each other (welcome to human nature, Shapiro).

For example, when I first started in the area, I was proctored for surgical privileges by two podiatrists who treated me respectfully. I still maintain healthy relationships with them, often covering their office call when they're on vacation and vice versa.

Another physician in my town regularly calls me for advice on different issues. She's been in practice for quite some time and could take the attitude that she knows it all, but instead, she doesn't reach beyond her skill and training and asks for assistance, which I'm happy to provide.

How about my boss? He's the most well known podiatrist in the area, with a good reputation. He didn't receive this reputation by burning other doctors. Instead, he is a leader in the community, providing opportunities to younger doctors like me.

What about me? I've had the chance, more than once, to burn docs in my area. Here's a recent example. I was consulted to see a patient in the hospital regarding cellulitis and osteo of the 3rd toe, after having seen another podiatrist for acute Charcot. She was placed in serial total contact casts and subsequently noticed pain in her forefoot. The patient called the physician, who allegedly, rudely disregarded her complaint. The pain increased and she was subsequently admitted. It turned out the cast ulcerated her 3rd toe, which subsequently become osteomyelitic. I amputated her toe which healed uneventfully.

The patient and family were very angry at this physician - mostly because of his rude manner. Most of us know this is a recipe for a lawsuit. However, I explained to them that this unfortunate complication may occur, and this physician was guilty only of being rude (yes, he should have removed the cast when the patient complained of pain, but we often make judgements that are wrong in hindsight). The patient calmed down and won't be suing the doc.

How is it in the rest of the country? I really don't know. Write in and tell us your opinion. Are you a young doctor who is treated poorly in your area? Are you an older doc who mentors the younger generation? If so, good for you! If you're a physician who is willing to damage other podiatrists to get ahead of the pack, then watch out. What goes around comes around. Karma!!

For me, my goal is to follow the golden rule. Treat others as you would have them treat you, and podiatric life will be that much more uplifting.

Talk to me!



Jarrod Shapiro, DPM
PRESENT New Docs Editor
[email protected]

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