Clinical Presentation Skills: History of Present Illness

By: Stephen Geller, DPM

Have you ever stepped in a hole and twisted your ankle? Well I recently had a 27-year-old female who was otherwise healthy accept for right ankle pain 3-weeks after a similar inversion injury. No other part of her foot or leg hurts. Her pain is sharp, graded 6/10, localized to the anterolateral ankle without radiation. Standing and walking aggravates the pain and there is still residual swelling and bruising in the area. Improvement has been noted with ice, rest, and ace wrap. She has no prior history of ankle injuries.

Presenting a case is no different than telling a story. Granted, storytelling is an artform itself, but if you can become a good story teller, your attendings will remember you and your medical records will stand out from the rest. In medicine it has become acceptable to use poor grammar, run-on sentences, and be plain old boring. It doesn’t have to be that way. I bring up documentation here because your presentation should reflect your note.

‘A 27-year-old female presents for right ankle pain. The patient states that she stepped in a hole 3-weeks-ago suffering inversion injury. The patient states that her pain is sharp. The patient grades her pain as 6/10. The patient states that her pain is localized to the anterolateral ankle. The patient states that walking and standing aggravate her pain. The patient notes that swelling and bruising remain. The patient denies prior ankle injuries or pain in other areas of her foot or leg. The patient has attempted self-treatment using ice, rest, compression in ace wrap without relief.’

Compare the two presentations. Which one do you think would catch your attention and keep you attentive for the rest of the complaint?

Story telling begins with a hook. You need something to grab your attending’s attention so that they will remain attentive throughout the rest of your presentation. One sentence that conveys the story that is to follow.

“Excuse me Dr. Jones, but my patient has a severely infected diabetic foot ulcer that will need admitting”. Ok, that one is easy. Everyone is going to pay attention as soon as you say severely infected and need admitting. Still you have cleared a path to tell the rest of the medical history.

“Mr. Smith returns for a noninfected venous leg ulcer fifty percent improved from last week”. Here is a rather mundane medical issue. The patient is doing fine and just returning for follow up care. It’s the 50% improvement that will grab the listener’s attention, so you can go on with the rather routine presentation.

Once you have your audience hooked, you must tell the story. If it were a real story you would want to demonstrate a personal tie to the problem or evoke an emotional response. Let’s face it, in medicine that is frowned upon. What your audience is listening for in medicine is the information needed to make the diagnosis. This is where you will demonstrate your medical knowledge. Regardless of which pneumonic you prefer, NLDOCAT or OPQRST, you can still make it more interesting. Success at this level will require a thorough understanding of the differential diagnosis, end-organ effects of systemic illnesses, and complications of prior treatments.

‘You know how you say that heel pain isn’t always plantar fasciitis? Well Ms. Johnson is here for left heel pain, but it’s not typical. One-week ago she began a new exercise program and developed 8/10 sharp shooting pain in the plantar left heel. No known injury is reported. This pain radiates posterior to the medial malleolus, up her calf, thigh and to the hip. She doesn’t have to be active to experience pain and there is no relation to time of day or shoe gear. Ms. Johnson has a history of low back pain but has never been worked up for this complaint. No history of joint swelling or stiffness anywhere in her body is reported. Since the heel pain began there has been no progression and slight improvement treating with ice, stretching, ibuprofen, and cessation of exercise.’

Heel pain is one of the most common complaints we see. The differential includes plantar fasciitis, nerve entrapment in the foot, tarsal tunnel, radiculopathy, systemic arthropathy, stress fracture, etc. The above history takes the listener through the differential diagnosis as told by somewhat of a story. There is enough information to have a pretty good idea of what you will find in the exam.

This is presentation of a history of present illness. If you become good at telling the patient’s story everything will flow. Apply this practice to your notes as well. Obviously, there is less leeway for a casual introduction to hook the reader but convey the information in full sentences. Try to start each sentence with a new subject such as pain, onset, treatment. It is not acceptable to begin each sentence with “the patient states…” This is the history, so it is assumed that anything in quotations is exactly what the patient states.

 

PASSED! VA Provider Equity Act (HR-1058)

The ABPM congratulates the APMA, Ben Wallner, Director of Legislative Activities and congressman Brad Wenstrup, DPM for their indefatigable efforts toward passage of the VA Provider Equity Act, which passed in the senate at 4pm EST today (May 23, 2018).  The bill will be on President Trump’s desk tomorrow for signature.  The significance of this legislation cannot be overstated.  While it’s immediate affect is contained within the Veterans Health Administration, the ripple effect on the profession of podiatry with respect to parity will reach far and wide.

“This bill reflects significant advancement in the education, training, and licensure requirements for podiatric physicians over the past 40 years,” said ABPM Immediate Past President, Dr. Steve Goldman. “Podiatrists deserve parity within the VHA, and our patients deserve the proven benefits of the best-trained experts in lower extremity care as part of their health care team.”. Dr. Goldman was one of several physicians asked to speak on behalf of podiatrists. Others included: Jeffrey Robbins, DPM, Director of the Veterans Health Administration Headquarters Podiatry Services and Chief of the Podiatry Section at the Louis Stokes Cleveland VA Medical Center, and Seth Rubenstein, DPM, APMA treasurer.

Click here to watch Dr. Steve Goldman testify before the VA House Subcommittee on Health Committee on Veterans’ Affairs. Read his full testimony here.

 

Marathon Anyone? A Practice Profile: Katherine Dux, DPM

Katherine Dux, DPM

Katherine Dux, DPM

When your podiatrist decides to run a marathon just to understand the possible injuries better, you know they are passionate about their profession. Meet Dr. Katherine Dux.

“I was a volunteer at the Chicago Marathon for several years and I had patients that would come in with concerns after training or running a marathon,” explained Dux. “And while I had been to probably every different boutique fitness class in the Chicago area, and was active, I had never run a marathon. I thought, I can do this. “I always want to better understand how my patients get injured or the pain they are experiencing, so I can provide the best care. It helps me understand the shoes, the warm-ups, the training and overall movement. Running a marathon made sense.”

How the passion started and where it took her

Dr. Dux was first drawn to podiatry when she was 17 years old. “I had bunion treatment at that time and truly enjoyed the experience I had with the podiatrist and his office. I ended up working there in high school through my second year of college. I was able to get a good sense of the profession, shadow the doctor and see the real day-in-the-life of a podiatrist.”

Dr. Dux attended Loyola University as an undergraduate and podiatry school at Dr. William M. Scholl College of Podiatric Medicine.  “I am from the Midwest and so after undergraduate and podiatry school, I thought I wanted to venture out west. Yet I felt so at home as a student rotating through the Loyola/Hines program, and so enjoyed teaching junior residents, I jokingly told my mentor and residency director, Dr. Ron Sage, I never wanted to graduate residency, so I wouldn’t have to leave the Loyola program,” said Dux.

As luck would have it, during Dr. Dux’s senior year, a position opened for an attending podiatrist at Loyola and she was hired just two weeks after completing her residency. “It was quite the transition from being a resident to an attending, but I have enjoyed every minute of it over the past seven years!”

Dr. Dux is currently an attending podiatrist and assistant professor with the Department of Orthopaedic Surgery and Rehabilitation at Loyola University Medical Center where she also did her residency. She is also a consultant to the Department of Surgery, Division of Podiatry at the Hines VA.

Getting and staying involved

During podiatry school Dr. Dux continued to work for the podiatrist on holidays and breaks and became involved with as many student organizations as possible. She was Vice President of the Illinois Podiatric Medical Association and planned the annual midwinter seminar at the Rosalind Franklin University. She was also involved with the APMA at Scholl College and attended the APMA meeting in Florida during her third year. “My involvement in the different organizations enabled me to meet many practicing podiatrists and learn about different aspects of podiatry,” explained Dux.

Dr. Dux continues to remain active in her profession. She is a member of the Annual Scientific Conference Committee for ACFAS and the Cognitive Exam Committee for the American Board of Foot and Ankle Surgery. She is a journal reviewer for JFAS, judge for the International Post-Graduate Research Symposium at the Midwest Podiatry Conference, on the Rapid Response Committee and an Ambassador for ABPM. She encourages residents and especially young practitioners to get involved. “Use every moment, especially as a resident, to experience, learn and grow. Involve yourself in your profession – especially in your areas of interest both so you learn what you like, and you meet mentors to help you in developing as a professional.”

Board certification

Dr. Dux is dual board certified in medicine and surgery. “I sat for the ABPM board in 2012, the last year case submissions were mandatory. This required a lot of work but was a learning experience because it required me to review some of my first cases as a practicing podiatrist. The ABPM certification has been invaluable to me. It has allowed me to gain staff privileges at multiple facilities and has provided proof to my patients that I hold certification in the specialty of medicine. I think it is essential for all podiatrists to demonstrate their knowledge of the medical aspect as a foundational certification. The ABPM certification shows I know medicine and biomechanics and will look for the best ways to treat patients conservatively first. I am also certified with ABFAS. I am a huge proponent of achieving both credentials because it shows your patients you care about and are well-versed in primary podiatric medicine and podiatric surgery.”

Creating balance

Dr. Dux also believes in creating balance. While she is passionate about her work, she reminds residents especially, to remember to pursue other personal interests in addition to your profession. “Make time for yourself, your family and your friends – it will make you a better practitioner,” she explains. In addition to exercise, Dr. Dux can be found working on her golf game, learning about and collecting wine and traveling internationally – especially France.  As for that marathon, Dr. Dux says she learned a great deal training for, and participating, but she confesses, “I probably won’t do it again any time soon.”

 

Dr. Brad Wenstrup Receives APMA Award of Excellence

(L-R) Drs. Steve Goldman, Brad Wenstrup, William Chagares and Gina Painter

(L-R) Drs. Steve Goldman, Brad Wenstrup, William Chagares and Gina Painter

On March 17, 2018, Congressman Dr. Brad Wenstrup was honored by the APMA House of Delegates for his work advocating for the profession on Capital Hill.

Congressman Wenstrup took a few minutes to speak to members of ABPM leadership. Pictured are Dr. Steve Goldman,  immediate Past President,  Congressman Wenstrup,  Dr. William Chagares, ABPM Board of Director and Dr. Gina Painter,  the current President.  He thanked the ABPM for appearing before his subcommittee and testifying on behalf of the ABPM and the podiatric community.

Dr. Wenstrup is a strong advocate for veterans’ access to services. He has been an advocate for H.R. 1058, the VA Provider Equity Act that passed July of last year that improves veterans access to specialty care physicians by enabling the VA to better recruit and retain experts in lower extremity conditions. The Senate portion of the bill (S. 1871) was introduced in September of 2017 for deliberation.  Everyone is encouraged to contact their respective U.S. Senators to support the bill.   Visit the APMA website for guidance on the proper language and use of eAdvocacy.

Click here to watch Dr. Steve Goldman testify before the VA House Subcommittee on Health Committee on Veterans’ Affairs. Read his full testimony here.

 

Fellowship Overview with Timothy Ford, DPM

Timothy Ford, DPM

Timothy Ford, DPM

Reconstructive Foot and Diabetic Limb Salvage/Preservation Fellowship

Sponsoring Institutions: KentuckyOne Health Jewish Hospital and University of Louisville

 In continuing our series about CPME-approved residencies and fellowships, this month we are featuring a one-year reconstructive foot and diabetic limb salvage/preservation fellowship at KentuckyOne Health and the University of Louisville.  Below are insights about the program from Director, Timothy Ford, DPM.

 

ABPM: What are some key aspects of this fellowship?

Dr. Ford: This program is a mix of surgery and medicine – it offers the best of both worlds. Unlike being on one service, podiatry, our fellows are on a variety of services throughout their 12 months. These rotations include plastic surgery, ortho trauma, infectious disease, foot & ankle clinic and our fellows also take ER call at University of Louisville.

This fellowship offers a wide range of experiences, but it can also be customized. If our fellow is interested in a particular area, we work with them to ensure they get a little more time on that rotation. For instance, if a fellow is really interested in traumatology, we’ll give them a few more months on that service, and make sure the attending in that area is working closely with them.

Of course, there are certain requirements that must be met for a CPME approved fellowship. So, all our fellows have to complete ortho trauma, and plastic surgery rotations. In addition, they must take a micro vascular course and cover foot clinic. Otherwise, there is room to mold the experience.

ABPM: What sets this fellowship apart?

Dr. Ford: We think of our fellows as junior attendings. They are given a lot of autonomy, although there is always an attending nearby. This program is especially great for those who get out of residency and don’t feel that they have quite enough experience, or just want to learn a little more. Our fellows leave with at least a couple hundred procedures. This program forces fellows to grow a little more and gives them an opportunity to do things on their own. But at the same time, attendings are always there and available.

Also, because our fellows work with fellows in different medical subspecialties, there is an increased awareness of podiatry, and it builds a better understanding and respect for our medical specialty.

ABPM: What are the research requirements for this fellowship?

Dr. Ford: Research is encouraged, and there are a lot of research opportunities through the university that fellows can tap into. We also encourage fellows to partner in a research project with a first-year resident, who can continue the research.

While we don’t have strict research requirements, research is important for all podiatrists because it gives you a different perspective; it shows you how medicine evolves.

ABPM: Who is the ideal candidate for this fellowship? What are you looking for?

Dr. Ford: In general, CPME-approved fellowships are great for those interested in academic medicine, or those who don’t feel they got enough experience through their residency.

On paper, we’re looking for the same things as everyone else – good PRR logs, involvement in extra curricular activities, etc. But when it comes to the interview, we are looking for someone eager to learn and who can rise to the occasion. This fellowship is attached to a residency program, so our fellows get a lot of calls from residents – they become teachers. A good candidate for this fellowship won’t shy away from that aspect.

Most importantly, we’re looking for a candidate who knows what they are lacking and how this experience can fill that gap.

ABPM: What else do potential candidates need to know?

Dr. Ford: We send out a notice to all residency programs right after Labor Day. Applications should be submitted by the end of the year.  But we do encourage interested residents to contact us anytime.

Also, because you’re required to be licensed by the state of Kentucky before you can start the fellowship, it’s important you plan ahead. The state exam is normally in April or May.

As dual-boarded DPM in academic medicine, do you have any other words of wisdom?

As insurance becomes more and more important, credentials will become more and more important. So, get dual-boarded. Get the extra wound care certification offered by ABPM. Get certified in whatever you can! In my opinion, it’s easiest to do all this right after residency, when everything is fresh in your mind. Sit for all of it – one right after the other.

 

For additional information about this fellowship, visit http://www.kentuckyonehealth.org/fellowship-opportunities-podiatry-program

Interested Podiatrists may contact Dr. Timothy Ford, Fellowship Director at tcford03@louisville.edu

If you have or know of a CPME fellowship program that you would like featured in this series, please email admin@ABPMed.org

Dr. Marshall Solomon: A Profile of Lifelong Learning

Solomon

Dr. Marshall Solomon

It all started with talking to a close friend who was attending Podiatry school and then shadowing a few Doctors of Podiatric Medicine (DPMs) in his area. It was then that Dr. Marshall Solomon knew Podiatry was the field for him. Now, he’s had a successful podiatric practice – and partnership with former Ohio College of Podiatric Medicine (now Kent State University College of Podiatric Medicine) classmate – in the metro Detroit area for over 42 years.

Looking back over his career, Dr. Solomon encourages residents to get as much clinical and surgical experience as they can during residency. He also recommends getting involved in Podiatric research and continuing education.

“Lifelong learning is the key to professional awareness and happiness,” he said.

Dr. Solomon practices what he preaches. During residency, he authored and published a monograph-text on Biomechanical Radiographic Evaluation of the Foot, which was eventually used by the College of Podiatric Medicine (CPM). His commitment to education began early in his career as he has been a podiatric residency director for over 38 years, and has been involved in clerkship and resident training at Beaumont Hospital Farmington Hills (Botsford).

Dr. Solomon takes pride in his involvement with resident education, and says “It has given me the exposure and experience to see how important it is to integrate the educational goals of our students and residents into our curriculum. This leads to greater competency, and a better professional attitude and judgment.”

He is also involved in state and national resident education – as Chairman of both the Council on Teaching Hospitals (COTH) and the American Association of Colleges of Podiatric Medicine (AACPM).  In fact, he once served as Chairman for both organizations simultaneously. A challenge he says “resulted in meeting some outstanding individuals from various residency programs and college certifying boards. It gives you great excitement to work with similar individuals.”

In addition to his thriving practice, which has expanded to include four partners, and his extensive work in Podiatric education, Dr. Solomon is involved in medical administration at Beaumont Health System and Farmington Hills Hospital, and is a member of the hospital Executive Board and of the Graduate Medical Education Committee for both the hospital and the Beaumont Health System.

Dr. Solomon sat for the American Board of Podiatric Medicine (ABPM) certification in 1992, and is dual certified with both ABPM and the American Board of Foot and Ankle Surgery (ABFAS). He says, “ABPM really looks out for our new graduating DPMs by allowing them to sit for both qualification and certification the same year they graduate. This has a powerful psychological and economic benefit to a young DPM – it can open doors to privileges in our hospitals, and allow for additional professional contacts to help grow a young practice.”

Dr. Solomon also values his many interests outside of Podiatry, and credits his wife Suzanne with opening his world to new friends, and different lands and cultures. They love to travel, including spending time with their two sons and daughter-in-law in Northwest Seattle and Portland. Although they time these visits for the summer months, when there is much less rain. During cold weather, Dr. Solomon and Suzanne also enjoy spending time at their home in Florida.

Dr. Solomon’s words of wisdom are, “work hard to better yourself and your profession. Always be accountable. Give back in your professional and personal life. Try to “pay-it-forward” in any small way you can, and make a difference in whatever you do. If you live by these words, you will have improved our society and our profession.”

ABPM Encourages Those with Diabetes to “Save Your Soles”

During National Diabetes Month, the American Board of Podiatric Medicine (ABPM) encourages people with diabetes to “Save Your Soles” by taking steps toward better foot health.  Nerve damage from diabetes, also known as diabetic neuropathy, can cause feet to lose feeling. Injuries can go unnoticed, which is dangerous because untreated injuries can lead to infection. While up to 50% of patients have no symptoms, neuropathy may cause pain, burning, tingling, and/or numbness in your feet.

“Minor foot issues, such as an ingrown toenail or small cut, can lead to bigger problems for people with diabetes,” said Dr. Sari Priesand, ABPM-certified podiatrist and fellow at Michigan Medicine. “They may not notice that something is wrong until the situation is serious, or there may be no symptoms.”

People with diabetes may also have poor circulation, which can slow the healing process. So infections can worsen, and sometimes, result in ulcers or even the need for amputation. In 2014, approximately 108,000 U.S. adults had diabetes-related amputations.

“Diabetes-related foot issues can greatly reduce quality of life,” said Dr. Priesand. “However, by properly managing your diabetes, making foot care part of your daily routine, and getting checkups, most diabetic foot issues can be prevented.”

The ABPM recommends these steps to keep your feet as healthy as possible:

  • Get checkups. See an ABPM-certified podiatrist at least once a year for a diabetic foot assessment and risk assessment. Depending on your condition and risk factors, you may need to see your podiatrist more often.
  • Check your feet daily. Wash your feet every day and dry them thoroughly. Check for blisters, cracks, redness or sores. If you are unable to check your own feet, use a handheld mirror, or ask a friend or family member to help.
  • Apply a light coating of petroleum jelly or lotion to the bottom of your feet to help prevent skin cracking. However, don’t put it between the toes because it can cause infection.
  • Keep your toes dry. Apply cornstarch or powder between your toes to keep the skin dry.
  • Stop smoking. Smoking restricts blood flow to the skin, which impairs wound healing. Visit the Centers for Disease Control and Prevention (CDC) Web site for more information about smoking and resources to help you quit.
  • Get help. Don’t remove callouses, bunions, corns, or warts by yourself. Get assistance from an ABPM-certified podiatrist.
  • Protect your feet.
    • Always wear shoes or slippers.
    • Pick shoes that are comfortable, have a closed-toe and fit well. If you have difficulty finding shoes that fit correctly, talk to your doctor or podiatrist about prescription diabetic shoes.
    • Avoid pointy shoes.
    • Trim your toenails straight across, and try not to cut them too short.
    • Never soak your feet.

Hospital Appointment and Surgical Privileges Simplified

By Dr. James Stavosky

As a residency director and ABPM Board member, I have noticed some confusion among residents and new practitioners when applying for staff appointment and hospital and/or surgical privileges. The primary purpose of credentialing and privileging is to ensure that a practitioner is competent and meets the education, training and experience required by governing  bodies such as the Joint Commission of the Accreditation of Healthcare Organizations (JCAHO) and the Center for Medicare and Medicaid Services (CMS) . While the application process can be complex, sometimes even inconsistent, below, is a general summary of hospital requirements and what ABPM’s certification means to this process.

Credentialing

To work for, or provide services at, a hospital you will need to provide the medical staff office with your education, training and experience including primary source verification of your DPM degree, state license, DEA registration, residency training and board certification, as part of the credentialing process. Once the medical staff verifies this information, it typically goes to the Medical Executive Committee who reviews the material and approves you r appointment to the medical staff of the hospital.

There are various levels applied to the medical staff.  You may begin as “provisional staff” until you’ve been at the hospital and attended medical staff meetings for a defined period (6 months or a year); then, depending on your level of activity at the hospital you may be promoted to “active staff”.  Hospitals also have a “courtesy staff” designation for individuals who are not regular providers of services in the hospital.  As a member of the medical staff, you may be required to pay annual dues and attend meetings.

Privileging

Once on staff, you apply for privileges. While every podiatrist completes similar education (podiatric medical school and three years of residency training), experience is the differentiating factor for privileging.

Experience matters

Case logs will be used to determine your level of privileges.  During residency you may have met minimum case requirements for the Council on Podiatric Medical Education (CPME) but some residents will have experience beyond minimums in, e.g. trauma, diabetic foot and/or reconstruction. Privileges for podiatric surgery vary from hospital to hospital because of state law regarding scope-of-practice, as well as how the hospital bylaws are written. Some podiatry privileging forms are more simplified, granting core privileges (hospital admissions, consults, basic surgeries) and then privileges for advanced procedures in groups.  Other processes for privileging may require that each procedure be individually requested (e.g. 15 different types of bunions).  If you don’t have the case volume to receive privileges for a particular procedure, the department may require proctoring of a certain number of cases before those privileges are granted.  This is also true if you already have privileges and request to do a newly learned procedure.

Podiatry or another department?

Podiatry may be in its own hospital department or under another department such as surgery, vascular, plastics or orthopedics.  The department chair runs the privileging process.

ABPM Board Certification

Board certification is only one component of hospital credentialing and privileging.  The Council on Podiatric Medical Education (CPME), through the Joint Committee on Recognition of Specialty Boards (JCRSB) recognizes two certifying boards:  The American Board of Podiatric Medicine (ABPM) and the American Board of Foot and Ankle Surgery (ABFAS).

ABPM’s primary duty is to protect the public by ensuring the competence of those applying to become board certified.  Podiatrists completing a 3-year, CPME-approved residency, may take both the ABPM qualification and certification examination the year they complete their residency. We encourage you to maintain well-documented, thorough logs so you can show your experience and provide these when applying for credentialing and privileges, but they are not required for ABPM certification.   This requirement was lifted a few years ago after extensive correlation analysis on the pass rate by those with appropriate case documentation, making submission unnecessary. Since hospital bylaws generally require you to become certified within 5 years of residency training or lose your staff appointment, we encourage all podiatrists to take both the ABPM qualification and certification examinations in the year they complete their residency. .

Yet remember, your surgical privileges are not based on your certification alone, but on your education, training and experience; This is why ongoing case documentation and logs remain important.  Hospital departments that specifically require ABFAS certification for surgical privileges may have included this at a time when podiatric education was not standardized and did not include the level of education and residency required of today’s podiatrists.  These may require updating.  ABPM can assist hospital credentialing and medical staff offices with privileging language that is compliant with the requirements of the medical governing bodies.

If you have experienced any challenges in obtaining privileges or have any further questions, please contact Dr. Marc A. Benard, ABPM’s Executive Director, who will initiate a review of the situation to assist you however possible.

 

A Profile of Excellence: Rosemay Michel, DPM

Podiatry wins!

Rosemay Michel, DPM

Rosemay Michel, DPM

Dr. Rosemay Michel describes her path to podiatric medicine as “not glamorous!” As a child, she wanted to be a pediatrician, but when medical school didn’t work out, she looked into other medical professions. “Podiatry was the lucky winner,” Dr. Michel says. Podiatry may not have been Dr. Michel’s original plan, but it certainly worked out for the best. She now has a dynamic career punctuated with two fellowships, eight years as an assistant professor and a variety of volunteer work. She says that her open-mindedness, willingness to relocate and “occasionally adventurous nature” have contributed to her success and helped her navigate her post doctorate training and career path.

Dr. Michel attended the New York College of Podiatric Medicine, where she was involved in the National Podiatric Medical Association and participated in a number of community outreach projects under the mentorship of Simon Nzuzi, DPM. After residency, Dr. Michel was a surgical fellow at North General Hospital, and followed that experience with a Diabetic Foot/Limb Salvage Fellowship at University of Texas Health Science Center in San Antonio (UTHSCSA).

For the next 8 years she served UTHSCSA as assistant professor, an experience that gave her valuable confidence in her knowledge and skills, and helped prepare her for her current role as a podiatrist at the VA Medical Center in Fayetteville, NC.

Dr. Michel says that during her training years, mentors like Stephen Albert, DPM, Renato Giorgini, DPM and Lawrence Harkless, DPM, “greatly contributed to my professional and personal growth.” She encourages young podiatrists to find mentors who inspire them. She also advises residents to be open-minded, patient and prepared for any path you may be faced with.

“Life doesn’t always go as you plan or envision,”she says. “Go with the flow!”

Dr. Michel became ABPM certified in 2006 and ABFAS certified in 2005. She says that her experience in academic medicine taught her the value of being dual board certified. Being dual certified serves as testimony to the excellent knowledge and skills I have acquired, giving equal emphasis to both medical and surgical aspects of podiatry, since they work in tandem! Dr. Michel also recently received her Certification of Added Qualification in Amputation Prevention and Wound Care by the ABPM.

Dr. Michel is passionate about giving back  inside and outside of the podiatric community. During her fellowship years, Dr. Michel was involved with the in the Denver Boys and Girls Club and her local church. She also served on a medical mission to Haiti after the devastating earthquake in 2010. This experience had a particularly profound effect on her, as she is of Haitian descent. She was grateful to be able to serve in a variety of ways, from helping establish temporary medical camps to working at the local hospital in patient care and surgical procedures.

Currently, Dr. Michel is heavily involved with the ABPM. She serves on the Qualification/In-Training Subsection Examination Committee, Credentials Committee and MOC Committee, and is a liaison for the ABPM Residency Review Committee (RRC). She is also a Board Member for the American College of Foot and Ankle Orthopedics and Medicine, and serves on the Council of Podiatric Medical Education as a member of the RRC, one of the ABPM liaisons, and as an onsite residency program evaluator.

In her free time, Dr. Michel enjoys traveling, learning about different cultures, reading and spending time with family.

Congressman Brad Wenstrup, DPM interviewed on 60 Minutes

Wenstrup

Rep. Brad Wenstrup, DPM

Last June, during a practice baseball game, Congressman Steve Scalise was shot multiple times by a gunman. In the 60 Minutes interview that aired October 1, he shares his amazing recovery story and recollections of the day. The interview highlights the support Scalise has experienced and the bipartisan welcome he received on his first day back at work as Majority whip. Also interviewed is Congressman Brad Wenstrup, one of the first to his aid to apply pressure and later a tourniquet to the wound, that horrific day. Wenstrup, a veteran who served in Iraq, is a combat surgeon and colonel in the Army Reserves.

Dr. Wenstrup is also a podiatrist and a strong advocate for veterans’ access to services. He has been an advocate for H.R. 1058, the VA Provider Equity Act that passed July of this year that improves veterans access to specialty care physicians by enabling the VA to better recruit and retain experts in lower extremity conditions. The Senate portion of the bill (S. 1871) was introduced just last week for deliberation.   Everyone is encouraged to contact their respective U.S. Senators to support the bill.   Visit the APMA website for guidance on the proper language and use of eAdvocacy.

Earlier this year, Dr. Steve Goldman, ABPM immediate past president, also testified on behalf of the bill.

 

 

The American Board of Podiatric Medicine
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