• 1

    Detsky AS: Problems in consultation medicine: why they occur and what can be done about them. .J Gen Intern Med 3::596. ,1988. .

  • 2

    Deyo RA: The internist as consultant. .Arch Intern Med 140::137. ,1980. .

  • 3

    Goldman L, Lee T, Rudd P: Ten commandments for effective consultations. .Arch Intern Med 143::1753. ,1983. .

  • 4

    Mangano DT, Goldman L: Preoperative assessment of patients with known or suspected coronary disease. .N Engl J Med 333::1750. ,1995. .

  • 5

    Mangano DT: Preoperative risk assessment: many studies, few solutions: is a cardiac risk assessment paradigm possible?. Anesthesiology 83::897. ,1995. .

  • 6

    Mangano DT: Preoperative assessment of the patient with cardiac disease. .Curr Opin Cardiol 10::530. ,1995. .

  • 7

    Smetana GW: Preoperative pulmonary evaluation. .N Engl J Med 340::937. ,1999. .

  • 8

    Klein LE, Levine DM, Moore RD, et al: The preoperative consultation: response to internists’ recommendations. .Arch Intern Med 143::743. ,1983. .

  • 9

    Goldman L, Cook EF, Johnson PA, et al: Prediction of the need for intensive care in patients who come to the emergency departments with acute chest pain. .N Engl J Med 334::1498. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Mangano DT, Layug EL, Wallace A, et al: Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery: Multicenter Study of Perioperative Ischemia Research Group. .N Engl J Med 335:: 1713. ,1996. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Shaheen WH, Sharma G: Preoperative testing. Available at: http://www.emedicine.com. Accessed October 31, 2002..

Perioperative Medical Assessment of the Podiatric Surgical Patient

Robert S. Crausman Division of Geriatrics, Department of Medicine, Memorial Hospital of Rhode Island and Brown Medical School, Pawtucket, RI. Dr. Crausman is now with the Rhode Island Board of Medical Licensure and Discipline, Department of Health–Rhode Island and Brown Medical School, Providence, RI.

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Douglas J. Glod Department of Podiatry, Memorial Hospital of Rhode Island and Brown Medical School, Pawtucket, RI.

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Patients undergoing podiatric surgery should receive a thorough perioperative evaluation. Medical “clearance” is no longer sufficient; rather, formal risk assessment should be performed and risk-reducing strategies provided. A collaborative, multidisciplinary approach involving practitioners in internal medicine, anesthesiology, and podiatry is generally most appropriate. Unfortunately, expertise and training in this critical dimension of clinical practice are variable. Thus podiatric physicians should develop independent competence in perioperative evaluation in order to ensure optimal care for their patients. A general systematic approach is described that can be readily incorporated into clinical practice. (J Am Podiatr Med Assoc 94(2): 86-89, 2004)

Corresponding author: Robert S. Crausman, MD, MMS, Rhode Island Board of Medical Licensure and Discipline, Department of Health, The Cannon Bldg, 3 Capitol Hill, Ste 205, Providence, RI 02908.