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AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations
APMA Meetings
House of Delegates · 2012 Annual Scientific Meeting
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations APMA Meetings House of Delegates • 2009 Annual Scientific Meeting
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations
APMA Meetings
House of Delegates · 2013 Annual Scientific Meeting
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations APMA Meetings House of Delegates • 2008 Annual Scientific Meeting
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
TO COMPONENT SOCIETIES AND AFFILIATED ORGANIZATIONS APMA MEETINGS HOUSE OF DELEGATES • 2010 ANNUAL SCIENTIFIC MEETING
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations
APMA Meetings
House of Delegates · 2014 Annual Scientific Meeting
AMERICAN PODIATRIC MEDICAL ASSOCIATION OFFICIAL NOTICE
To Component Societies and Affiliated Organizations APMA Meetings House of Delegates • 2011 Annual Scientific Meeting
Background
We hypothesized that the repetitive use of a toenail clipper by podiatric physicians could induce fatigue of the flexor digitorum superficialis (FDS) muscle, reducing the accuracy of toenail cutting.
Methods
We examined the consequences of cutting a plastic sheet, reproducing the resistance of thick toenails, with a podiatric medical clipper on the maximal handgrip force (Fmax) developed by the FDS muscle and an isometric handgrip sustained at 50% of Fmax, during which endurance to fatigue and changes in the power spectra of the surface FDS muscle electromyogram (root mean square and median frequency) were measured. The same participants randomly performed one or five runs of 30 successive cuttings, each on different days.
Results
After the first and fifth cutting runs, Fmax increased, suggesting a post-tetanic potentiation. During the handgrip sustained at 50% of Fmax, we measured a significant reduction in the tension-time index after the first cutting run. Moreover, after the fifth cutting run, the tension-time index decrease was significantly accentuated, and the decrease in FDS muscle median frequency was enhanced. No median frequency decline was measured during the cutting runs.
Conclusions
These results suggest that the efficacy of occupational podiatric medical tasks progressively declines with the repetition of toenail cutting. We propose solutions to remedy this situation.
A Diabetic Foot Ulcer Pilot Study
Does Silicone Gel Sheeting Reduce the Incidence of Reulceration?
Background: Silicone gel sheeting is an effective therapeutic intervention in the management of scar tissue. This pilot study was designed to examine the effect of silicone gel sheeting in preventing reulceration at former wound sites in diabetic patients.
Methods: Thirty patients with diabetes and a healed plantar neuropathic foot ulcer were enrolled and investigated in this randomized controlled trial. Participants with a newly healed ulcer were assigned to use either silicone gel sheeting or emollient cream daily for 3 months.
Results: Compared with emollient cream use, the use of silicone gel sheeting did not diminish and may have potentially increased the risk of reulceration.
Conclusions: Silicone gel sheeting does not seem to reduce the risk of reulceration in diabetic patients. The results of this trial should be viewed with caution given the small sample size. (J Am Podiatr Med Assoc 101(2): 116–123, 2011)
Background:
This study examined the differences between faculty and trained standardized patient (SP) evaluations on student professionalism during a second-year podiatric medicine standardized simulated patient encounter.
Methods:
Forty-nine second-year podiatric medicine students were evaluated for their professionalism behavior. Eleven SPs performed an assessment in real-time, and one faculty member performed a secondary assessment after observing a videotape of the encounter. Five domains were chosen for evaluation from a validated professionalism assessment tool.
Results:
Significant differences were identified in the professionalism domains of “build a relationship” (P = .008), “gather information” (P = .001), and share information (P = .002), where the faculty scored the students higher than the SP for 24.5%, 18.9%, and 26.5% of the cases, respectively. In addition, the faculty scores were higher than the SP scores in all of the “gather information” subdomains; however, the difference in scores was significant only in the “question appropriately” (P = .001) and “listen and clarify” (P = .003) subdomains.
Conclusions:
This study showed that professionalism scores for second-year podiatric medical students during a simulated patient encounter varied significantly between faculty and SPs. Further consideration needs to be given to determine the source of these differences.
