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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
  • 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

    Student/Resident Membership

    Jan 13 2019 05:13:46 AM

    American Board of Multiple Specialties in Podiatry is pleased to announce a student and resident membership. As a student/resident member, you will gain membership in an organization where you can eventually earn board certification in Primary Care in Podiatric Medicine, Foot and Ankle Surgery, Prevention and Treatment of Diabetic Foot Wounds, and Limb Preservation and Salvage. ABMSP is also working with various surgical vendors to provide student/resident training with specific products, and get a reduced rate for conferences. Furthermore, with the help of various sponsors, ABMSP is anticipating scholarship awards for our student and resident members.

    ABMSP plans to elect a student delegate from each school, representing that school, who will then report to a specified board member. The student delegate would be responsible for some student publication material. Student and resident members would be encouraged to submit original research, review articles, and interesting cases. Accepted materials would be posted on the ABMSP website in the student/resident tab.

    All student and residents are encouraged to apply. Please stay tuned for more information regarding this new membership. Any questions please feel free to contact Victor Quijano DPM, PhD at [email protected]

    Student delegate responsibilities

    1. Recruit and maintain membership at respective school
    2. Encourage members to contribute original research, review articles, and interesting case write ups.
    3. Monthly or bi-monthly phone conversations with specified board member regarding publication materials for the website or newsletter.
    4. Once student has been elected a school delegate, such delegate will be furnished with an ABMSP CD with organization and membership materials for informational sessions at the delegate’s school.
    5. Relay information that the student members may deem important to discuss in a newsletter.
    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.

    Biofilm in Chronic Wounds

    Windy Cole, DPM

    Acute wounds heal by a progression through a complex series of physiologic and molecular processes. In contrast, chronic wounds are characterized as having stalled in this healing progression due to a variety of systemic and local factors. Such factors include high microbial burden and excessive devitalized tissue.

    A crucial component of wound management is regular debridement. The goal of debridement is the removal of all necrotic and devitalized tissue from the wound bed. Devitalized tissue in wounds produces a physical barrier to formation of new tissue and therefore decreases healing rates. If devitalized tissue remains in the wound bed bacterial colonization is more likely. In some cases, although the debridement adequately removes devitalized tissue, the remaining wound bacteria may become problematic.

    Biofilm is an assemblage of surface-associated micro-organisms enclosed in a self-produced matrix. Identifying and managing biofilm have recently become two of the most important aspects of wound care. These polymicrobial colonies are commonly composed of bacteria, fungi, as well as other microorganisms. Biofilm bacteria share information and gene-expression through a cell- cell communication mechanism called quorum sensing.  Finally, biofilm colonies secrete a protective glycocalyx that also adheres to the wound surface. This entire process typically occurs in two to four days. This extra polymeric substance is difficult to penetrate with systemically administered antibiotics and topical therapies.

    Mature biofilms house mostly senescent bacteria that function at a lower energy state than active planktonic bacteria. As biofilms continue to evolve, they continue to change their phenotype and can their resistance to antibiotics with the community. Common wound care interventions include management of systemic conditions, proper off-loading in plantar surface wounds, compression therapy in venous wounds, and interventions to optimize arterial flow. Once all of these factors are addressed, biofilms may be the most important single cause of persistent wounds and delayed wound healing. Currently I am conducting several clinical trials to better understand biofilm mechanisms and to develop ways to combat biofilms in chronic wounds.

    Author Biography
    Windy Cole, DPM

    Dr. Windy Cole is a native Ohioan. She holds a bachelor’s degree in biology from the University of Cincinnati and graduated with honors from the Kent State University College of Podiatric Medicine in 1999. Dr. Cole’s practice is located in Northeast Ohio where she serves as Medical Director of the Wound Care Center, University Hospitals Ahuja Medical Center and Adjunct Professor and Director of Wound Care Research at Kent State University College of Podiatric Medicine. She is a dedicated healthcare advocate with interests focused on medical education, diabetic foot care, wound care, limb salvage, clinical research and humanitarian efforts. Dr. Cole has published on these topics and is a sought-after speaker both nationally and internationally.

    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.