Podiatry Malpractice : What is a Podiatrist (internship, residency and fellowship)

INTERNSHIP, RESIDENCY & FELLOWSHIP 

A majority of states do require one year of podiatric residency training for licensure after matriculation from podiatry school. However, this training is in no way standardized or uniform and can vary from state to state as well as from program to program.


Podiatry residency programs range from one to four years and fall within four different categories; Rotating Podiatric Residency (RPR); Primary Podiatric Medical Residency (PPMR) ; Podiatric Orthopedic Residency (POR) or Podiatric Surgical Residency (PSR). An internship is essentially defined as the first year of training.  The PSR programs are further numerically differentiated as PSR-12, PSR-24, PSR-36 and PSR-48 which simply denote the number of months in the program. As their titles denote, each type of program exposes the resident to different aspects of podiatric care. Generally, a graduate of orthopedic and medical programs have limited surgical experiences.

Tip : Since extent and level of training may vastly differ amongst practitioners, the degree of training should be investigated in order to determine whether or not a defendant / expert was formally trained in the practice area or procedure.  The resident log book may provide some insight into the exposure obtained during training.

Continue Reading...

Podiatrist Defense Verdict: Diabetic Foot Ulcer (IN)

From November 1996 to February 2000  defendant podiatrist had treated Ronald Vice in connection with diabetic foot ulcers. Vice alleged that defendant’s lack of treatment, patient education and diagnostic studies  led to bilateral, below-the-knee amputations.

The plaintiffs alleged that defendant failed to recognize the seriousness of a diabetic foot ulcer, and refer the patient to a vascular surgeon, order vascular and arterial pressure studies and make proper assessments of right foot wounds while attempting to treat the left foot. Other allegations included failures to order antibiotics, blood work, x-rays, MRIs, bone scan, CBC, metabolic panel, sedimentation rate and serum protein with albumin; moreover, the plaintiffs asserted that defendant had failed to hospitalize plaintiff, and inform him of the seriousness of potential leg loss. The plaintiffs further argued defendant failed to perform incision and drainage procedures with deep debridement and order bone and soft tissue biopsies and wound cultures.

According to a medical review panel opinion dated Feb. 10, 2003, the medical review panel found evidence supported the conclusion that defendant had failed to meet the appropriate standard of care as charged in the plaintiffs' complaint. However, the panel found defendant's conduct was not a factor in the plaintiffs' resulting damages. Moreover, the panel determined evidence did not support the conclusion defendant had failed to meet the appropriate standard of care.

In their answer, the defendants generally denied the plaintiffs' allegations. By way of affirmative defense, the defendants argued Vice had been contributorily negligent and had incurred the risk of a known danger. The podiatrist, in denying negligence, asserted Vice had suffered from several other medical conditions besides foot ulcers, including uncontrolled diabetes, congestive heart failure, coronary artery disease, hypertension, renal insufficiency and peripheral vascular disease. Defendant contended her care and treatment met or exceeded the applicable standard of care in all respects.

Result: Defendant’s verdict

Plaintiff’s Experts: Stephen G. Lalka, MD; Michael A. Salcedo, DPM, South Bend, IN; Robert E. Clemency, MD, South Bend, IN.; Sheree L. Peglow, MD, South Bend, IN; Stephen F. Mitros, MD, South Bend, IN; Charles E. Petersen, MD, South Bend, IN; R. Gregory Credi, MD, South Bend, IN.

Defendant’s Experts: Maria F. Curfman, MD, Fort Wayne, IN; Bruce L. Gewertz, MD, Los Angeles, CA; Michelle Cervin, DO, South Bend, IN; Daniel E. Scherb, MD, South Bend, IN; Frank C. Toepp, DPM, South Bend, IN; Jeff Niespodziany, DPM, Mishawaka, IN; Theodore A. Vorenkamp, DPM, South Bend, IN; Brian Rolfe, DPM, South Bend, IN; William Fox, DPM, Niles, MI; Nelson Worden, DPM, Mishawaka, IN; John Grady, DPM, Oak Lawn, IL, Thomas Wicks, DPM, New Castle, IN; Richard M. Hilker, DPM, Fort Wayne, IN.; Randolph J. Ferlic, MD, South Bend, IN; Bruce J. Brincko, DPM, Knox, IN.

Source: West's Jury Verdicts - Indiana Reports

$3.5 Million Dollar Verdict- CRPS and Partial Foot Amputation (VA)

A jury in Virginia has entered a $3.5 million verdict in favor of Donita Franklin who sued her foot doctor, podiatrist, Dr. Jennifer Feeny,  over a 2003 surgery that she says caused incurable chronic pain  (crps) and led to the amputation of the front of her right foot.





Continue Reading...