Twitter Twitter mobile icon
News & Info
Latest News

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.

    LATEST TRENDS IN RUNNING SHOE DESIGN AND PERFORMANCE

    Tim Dutra, DPM

    Stephen W. Hill, PhD

    Jennifer M. Wong, c.Ped, Cfts, CCWSc

    (Based on the abstract of the workshop at the 5th Motion Analysis Research Center Symposium: Biomechanics of Human Performance: Injury Mechanisms, Rehabilitation, and Prevention, presented March 6-7 at Samuel Merritt University with permission from the authors [1]Timothy Dutra, [2]Stephen Hill, and [3]Jennifer Wong)

    Running shoe companies have recently made substantial advances in materials and designs, accelerating the progress of running performance. Shoe manufacturers are incorporating combinations of responsive midsole materials for cushioning and energy return. A stiff carbon fiber plate in the midsole makes the shoe stiffer about the metatarsophalangeal joint, shifting the center of pressure further toward the front of the shoe, and increasing available elastic energy for push-off (e.g.: Willwacher et al., 2013), but inserting a stiff plate directly under the foot may cause discomfort (Oh & Park, 2017). Stack height (midsole thickness) of up to 39.5 mm, in combination with heel-to-forefoot ‘drop’ (height change, or offset) between zero to 10 mm are being used in various running shoes. One study by Malisoux et al. (2017) concluded that heel-to-forefoot drop of standard cushioned shoes did not seem to influence long term running biomechanics; however, many designs do include variations in this parameter. Attitudes about stability features including dual density midsole materials, and wider based midsole-outsole platforms continue to change.

    Rocker bottom running shoes (e.g.: Sobhani et al., 2014) intended to facilitate forward progression and decrease injury rate tend to be heavier due to the thicker midsole, unless lighter more expensive materials are incorporated to compensate for greater volume of material. Shoe uppers benefit from new materials and fabrication to be light weight, breathable, hydrophilic, and yet provide secure supportive fit. A wide range of shoes is being developed to address specific running distances, speeds, surfaces, foot mechanics, cushioning/support preferences, and running styles. Accordingly, avid runners now incorporate a variety of running shoe types in their “rotation” for specific categories of runs (speed, tempo/threshold, long, race, easy/recovery) and surface/weather conditions. Advances in shoe mechanics may enhance the ability of the individual to improve running biomechanics (Moore, 2016), to increase performance while decreasing the risk of injury.

    Workshops, such as the one cited here, intend to inform and explore the latest trends in running shoe design, and give participants the opportunity to see and feel examples of the wide variety of high performance running shoes currently available.

    The evolving and expanding range and sophistication of running shoe technologies raise a critical question of clinical significance: can the combination of a mechanically efficient running shoe and an efficient running technique improve a runner’s performance while decreasing the risk of injury? As we develop responses to this question, we must underscore the importance of understanding contributions of emerging trends and the considerable range of midsole, outsole and upper materials and designs incorporated in today’s running shoes, intended for specific running distances, speeds, surfaces, and running mechanics.

    [1]
    DPM, Assistant Professor/ Clinical Investigator, California School of Podiatric Medicine at Samuel Merritt University, [email protected]()
    [2]
    PhD, Assistant Professor, Laboratory Manager, Motion Analysis Research Center, Samuel Merritt University, [email protected]()
    [3]
    c.Ped, Cfts, CCWS, New Balance Athletics, Inc. [email protected]()
    Author Biography
    Tim Dutra, DPM

    Dr. Dutra is Assistant Professor in Applied Biomechanics and Clinical Investigator at the California School of Podiatric Medicine at Samuel Merritt University in Oakland, CA. He served as a principle investigator in clinical trials in diabetic wound care at Highland Hospital, Oakland. He was in private practice for over 20 years in San Leandro, CA. Dr. Dutra is a Distinguished Practitioner of the National Academies of Practice/ Podiatric Medicine Academy. He is a podiatric consultant for the intercollegiate athletic teams at the University of California at Berkeley. Dr. Dutra is board certified in Podiatric Sports Medicine (ABMSP). He serves as Clinical Director for Special Olympics Northern California Healthy Athlete Fit Feet Program. He is currently the Vice Chair of the Joint Commission on Sports Medicine & Science. He is a past president of the Alameda-Contra Costa Podiatric Medical Association (1995-1997 & 2012-2014), and a past president of the American Academy of Podiatric Sports Medicine (2006-2007). He is a fellow of the following organizations: American College of Sports Medicine, American Academy of Podiatric Sports Medicine, American College of Foot and Ankle Orthopedics and Medicine, and National Academies of Practice/ Podiatric Medicine Academy. He has Masters Degrees in both Kinesiology (Sports Medicine emphasis) and Health Care Administration.

    Author Biography
    Stephen W. Hill, PhD

    Stephen W. Hill, PhD is Assistant Professor, Laboratory Manager, Motion Analysis Research Center, and Adjunct Professor for: California School of Podiatric Medicine, and departments of Occupational Therapy and Physical Therapy at Samuel Merritt University. Steve received his BSc, MSc and PhD in Kinesiology (Biomechanics) from the University of Waterloo (Canada), followed by a Post-Doctoral Fellowship in Mobility at Toronto Rehab Institute/Sunnybrook Hospital/University of Toronto. He has been a member of the Gait and Clinical Movement Analysis Society and the International Society of Posture and Gait Research since their inception, as well as a member of the Canadian Society for Biomechanics, and Society for Neuroscience.

    Dr. Hill conducts collaborative clinical biomechanics teaching and research with faculty and students at SMU, UCSF/UC Berkeley Ergonomics, and industry partners. He also provides interactive hands-on experiences in the MARC to engage high school students in the Oakland community interested in health sciences careers. Currently, Dr. Hill and Timothy Dutra DPM are conducting the SMU Faculty Research Seed Grant study “The efficacy of custom foot orthoses in the protection from non-contact injuries of the anterior cruciate ligament of the knee”. Below are some of his recently published journal articles and conference abstracts:

    Dutra T, Hill S (2020) Clinical Teaching Collaborative Program with California School of Podiatric Medicine and the Samuel Merritt University Motion Analysis Research Center, Clinics in Podiatric Medicine and Surgery, 37(2): 263-277. https://doi.org/10.1016/j.cpm.2019.12.007

    Hill S, Breger Stanton D, Abbott B, Kaur N, Montano N, Rayes B, Stoll K and Yoshimizu T (2020) Post-CVA upper limb 3D motion analysis: occupational performance comparing three interventions. 25th Annual Meeting of the Gait & Clinical Movement Analysis Society, West Chester PA.

    Harris-Adamson C, Lam E, Fathallah F, Tone AD, Hill S, Smith A (2019) The ergonomic impact of a mattress lift tool and bottom sheet type on hotel room cleaners while making beds. Applied Ergonomics, 81: 102880.

    Hill S, Choate C, Dutra T, Smith A, Chen L, Ralstin S, Kenwood I, Cripe K, Tong L (2018) Maximalist running shoes compared to neutral running shoes: lower limb kinetics during running. Proceedings of Gait and Clinical Movement Analysis Society Conference, Indianapolis IN.

    Author Biography
    Jennifer M. Wong, c.Ped, Cfts, CCWSc

    Jennifer M. Wong c.Ped, Cfts, CCWS is a Certified Pedorthist, Certified Therapeutic Shoe Fitter, Certified Good Form Instructor and Certified Corporate Wellness Specialist with 21 years of experience in the footwear industry and working with medical professionals. She works at New Balance doing corporate wellness partnerships, retail business development, retail footwear, apparel and insoles sales training, sales rep training, medical marketing, social media marketing and creating technical product videos. She is also a competitive cyclist, trail runner, rock climber, Brand Ambassador for Science in Sport Nutrition and aspiring burro pack racer.

    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.