FYI : New Mexico scope of practice

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cool_vkb

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I wanted to share the new mexico scope of practice. its very similar to florida.

16.21.1.8 SCOPE OF PRACTICE: For the purpose of clarification of the Podiatry Act, Section 61-8-2(C) NMSA 1978, the practice of podiatry:

A. in regard to surgical treatment shall include the skin and subcutaneous tissues of the thigh and all structures distal to the tuberosity of the tibia;

B. does include amputation of any portion of the foot;

C. does allow the use of the services of a certified registered nurse anesthetist; and

D. a licensed podiatrist may assist a licensed medical or osteopathic physician in the performance of any surgery of the lower extremities
 
Define lower extremity for me please. Is it like the knees and below?
 
Darklord said:
Define lower extremity for me please. Is it like the knees and below?
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Lower extremity is the hip down. That new scope is pretty nice there in New Mexico!
 
Soft tissue from the thigh down allows us to take skin grafts when needed. Other than that, osseous pretty much just includes ankle and foot.
 
jonwill said:
Soft tissue from the thigh down allows us to take skin grafts when needed. Other than that, osseous pretty much just includes ankle and foot.
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Hey i heard that one advantage you have in florida, NJ, Georgia and now New mexico is that you can treat Pilon Fractures,fractures of proximal tibia or shaft fractures [The rule says anything below anterior tubercle is a fair game]. Plus Pods can treat muscles (not just tendons) of lower extremity right from their origin.I mean the ones originating below the knee like AT, PL, PB,etc

Coming from Illinois/Wisconsin where scope is limited till Malleoli and tendons, i find this very awesome. 🙂
 
cool_vkb said:
Hey i heard that one advantage you have in florida, NJ, Georgia and now New mexico is that you can treat Pilon Fractures,fractures of proximal tibia or shaft fractures [The rule says anything below anterior tubercle is a fair game]. Plus Pods can treat muscles (not just tendons) of lower extremity right from their origin.I mean the ones originating below the knee like AT, PL, PB,etc

Coming from Illinois/Wisconsin where scope is limited till Malleoli and tendons, i find this very awesome. 🙂
Click to expand...

There are quite a few states where we can treat pilon fractures because they involve the ankle joint. Other than that, it's really all irrelevant. I don't think you'll find pods in any of these states antegrading a tibial shaft fracture or plating a proximal tibia fracture. It doesn't matter what the law says. No hospital is going to grant privileges allowing a podiatrist to do that.

There may be exceptions but I've never heard of a pod doing any of those things. Remember, state law is only a small part of it. Your practice will more likely be governed by what hospitals grant you privileges to do. For instance, in Michigan, there is a good scope of practice. However, there are a few residency programs here that don't do ankles because the hospital won't give them privileges to do ankles. This all comes in to play when you apply for surgical privileges at a hospital. You apply for certain privileges and they review your training and decide whether you're qualified to perform them.
 
jonwill said:
There are quite a few states where we can treat pilon fractures because they involve the ankle joint. Other than that, it's really all irrelevant. I don't think you'll find pods in any of these states antegrading a tibial shaft fracture or plating a proximal tibia fracture. It doesn't matter what the law says. No hospital is going to grant privileges allowing a podiatrist to do that.

There may be exceptions but I've never heard of a pod doing any of those things. Remember, state law is only a small part of it. Your practice will more likely be governed by what hospitals grant you privileges to do. For instance, in Michigan, there is a good scope of practice. However, there are a few residency programs here that don't do ankles because the hospital won't give them privileges to do ankles. This all comes in to play when you apply for surgical privileges at a hospital. You apply for certain privileges and they review your training and decide whether you're qualified to perform them.
Click to expand...

Thats true. hospital is the boss🙁
 
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