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Is back history valuable or just padding when writing papers?

Is back history valuable or just padding when writing papers?

Nearly all modern papers commence with the background history of a condition. So we meet the inevitable older problem, that is, who initiated a treatment or described a condition?   Asked to give a talk at the London Podiatry Sports meeting in December, one simply knows you cannot widen discussion given limited talking time. It seemed reasonable for Consultingfootpain to pick up the tale and expand over the next few months with more information on this perhaps more common subject than we might think.

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Chairing Professional meeting – etiquette

Chairing Professional meeting – etiquette

When chairing professional meetings there is an etiquette that is being eroded. As a privilege to be invited to a conference some professionals decided to exercise a certain amount of hubris. Don’t be one of these people and recognise the esteemed role you have been given.  In this article I look at the role of the Chair.

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The Meaning of OSGO

The Meaning of OSGO

The idea came to Tony Gavin in 2009 through inspiration from an idea about embracing the business and creating better practices for tomorrow. Having interviewed him in 2020 when putting my book Selling Foot Health as Podiatry together, I was impressed by his depth of understanding behind the business and how he saw podiatry fitting in with the ethos of business modelling. After all, like it or not, we are a business which delivers care and promotes foot health education.

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Does the Ugh Factor affect Podiatry Recruitment?

Does the Ugh Factor affect Podiatry Recruitment?

Like medicine, podiatry has a recruitment and retention crisis. The value behind podiatry is not optimised and unless we stand back and re-evaluate the concerns that the profession is actually not able to deliver we must accept that our EFFICIENCY is dropping and our EFFECTIVENESS  is in doubt; recruitment came from FAILED FIRST CHOICERS – as in not getting into medicine, dentistry and veterinary science, general science and pharmacology were common subjects. FAMILY experience, where someone influenced the younger member using their professional knowledge of podiatry as an existing practitioner, or from a POSITIVE experience as patient or role model. IGTN and verruca treatments were undeniably high on the list. 

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The Football Stud and Soles

The Football Stud and Soles

Historically, football boots were made of leather, initially without studs but subsequently also leather studs (shown). However, these were heavy, particularly when wet and were superseded by more lightweight versions which traditionally had two types of stud configuration, metal and moulded.

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Chilblains and presenting features

Chilblains and presenting features

Chilblains and their presenting features might well appear in the infamous list of conditions associated with podiatry such as IGTN, hard skin, corns and bunions. Podiatry is a medically based profession and has been for over 50 years when the original chiropody courses expanded with the older form of regulation. As clinicians gain more confidence they can expand the medical tests and assessments to best fit their specialty but GP podiatrists do need to ensure a good grounding upon which improved referral can be made.

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Falling Out with Employees

Falling Out with Employees

The narrative surrounds a case on a podiatry Facebook page where a new graduate was ‘let go’. Two crucial pieces of information came to the fore. First, the person had complaints against her, and secondly that an agreement was made not to set up a clinic under 10 miles from her employer’s practice. Lastly, should she, the employer do anything? As with all FB clinical posts, the evidence provided is thin, and more would be required to aid readers who could quickly become biased and empathic.

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Tales of educational development

Tales of educational development

My first introduction to steroid injection therapy was all the way back in 1997 on a visit to see Dr Tim Kilmartin.  I had qualified as a podiatric surgeon the year before and was in the process of setting up a unit in Cumbria, but to keep my eye in I organised a few visits to other teams while I was away from surgical practice.  One such visit was to Doncaster, where Tim had set up the service now run by his former trainee, Tony Wilkinson.  The day consisted of a busy outpatient clinic in the morning and a busy theatre list in the afternoon.  Tim did several corticosteroid injections (CSIs) in clinic, the first time I had seen a colleague perform these.  Tim was working under what we would refer to now as a Patient Specific Direction (PSD).

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Be a black box thinker

Be a black box thinker

The Black Box Thinker concept comes from incident data within aviation. Aircraft have a so-called Black Box, which happens to be orange, and even when disasters are fatal, events are recorded until the aircraft ceases to be a conveyance for travelling. Learning from the data stored in this so-called black box continues to be valuable after the event. However, the real value of the data can only come from sharing information openly without attributing blame. Beyond aviation, Syed points out, it is not about creating a literal black box but a willingness to investigate the lessons and exploit their value.

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