Save 75% - Only $49.99 for 1 full year! digitalPLUS subscription offer ends 12/1

Maryland needs podiatrists

Colleges and UniversitiesDiabetesDiseases and IllnessesU.S. Department of Veterans AffairsGreater Baltimore Medical CenterUniversity of Maryland, College ParkU.S. Centers for Disease Control and Prevention

Most Marylanders are not aware of the shortage of one type medical specialists that will affect health care availability for decades: Podiatrists. Podiatry is the medical specialty that deals with foot and ankle injuries and disease. Don't laugh. This is serious business.

With the aging of our population and the explosion in diabetes, we're likely to see more diabetic foot conditions. Left untreated or undertreated, this disease can progress to chronic infections and lower limb amputations, resulting in disabling and life-changing consequences. The Centers for Disease Control and Prevention estimates that 24 million Americans have diabetes, and 86,000 undergo amputations each year.

But major studies have substantiated the beneficial effects and economic efficiencies of having podiatrists as part of the treatment team. They show that podiatrists provide preventive treatment and reduce the amputation rate. This avoids costly care. Estimates show that savings could be $3.5 billion per year in the U.S. More importantly, people can continue to walk, work and enjoy their lives.

As a medical doctor, one of us regularly calls on his podiatric colleagues to consult and manage a wide range of problems: everything from deep foot lacerations and embedded foreign bodies to foot bone fractures and diabetic foot maladies. Here too, as part of the health care team with physicians, nurses, and pharmacists, podiatrists play a key role.

Podiatric medical school education and training mirrors that of physicians. College graduation is followed by four years of podiatric medical school. After passing national board exams, the podiatrist completes a three-year residency training program involving both medical and surgical care before entering the community to practice.

Maryland is a center for training health care professionals in all fields, and our state taught podiatrists at such highly regarded institutions as the University of Maryland, Good Samaritan Hospital, Greater Baltimore Medical Center, Franklin Square and Mercy Hospital.

But no longer. Due complex budgetary and regulatory changes, the last non-federally funded podiatric residency training program closed in 2005. The Veterans Administration program was to be closed this year but has gained a one-year reprieve and will most likely close next year.

Many Maryland podiatrists are now approaching retirement age. According the State Board of Podiatry, there were 467 podiatrists in Maryland in 2008, but that's down to 436 in 2013. At the same time our state's population has grown and aged, making the access disparity worse. Because doctors often stay to practice in the region where they were trained, a new local program is essential. Without one, the number of Maryland podiatrists will continue to dwindle.

We call on our health care system administrators and regulators to find a way to fund new podiatric residency training programs, perhaps at one of our excellent academic centers. To control start-up costs, one could begin with as few as three podiatrists per year in a three-year training program. Eventually, the program would be graduating these specialists so that they can enter Maryland's health care work force. But even if a program were to start as early as 2014, the new residency graduates would not be available until at least 2017. That's why action is needed now.

We Marylanders are rightly proud of our health care system, and all the providers who work in it are needed. We can't overlook any one essential part. Standing up for podiatry and taking the initiative to ensure our state has enough of this essential provider group is a key first step. We cannot slip up and leave our citizens without the care that is — and will be — required.

Del. Dan K. Morhaim (, a physician, represents District 11 in Baltimore County. Sen. Catherine Pugh ( represents District 40 in Baltimore City. Both are Democrats. Enzo J. Leone is president of the Maryland Podiatric Medical Association.

Copyright © 2014, The Baltimore Sun
Related Content
Colleges and UniversitiesDiabetesDiseases and IllnessesU.S. Department of Veterans AffairsGreater Baltimore Medical CenterUniversity of Maryland, College ParkU.S. Centers for Disease Control and Prevention
  • Marathon training for beginners
    Marathon training for beginners

    As runners prepare for fall races, coaches, doctors offer tips

  • Report concludes Maryland can safely 'frack'
    Report concludes Maryland can safely 'frack'

    Maryland agencies have concluded that natural gas production from the Marcellus Shale by hydraulic fracturing (fracking) can be accomplished without unacceptable risks, but only if a suite of best practices is required, monitoring and inspections are rigorous, and enforcement is ironclad. The...

  • Cold War all over again?
    Cold War all over again?

    Reading the latest headlines transports me into my childhood, which was spent in a country that no longer exists. I grew up in St. Petersburg, then in the USSR, in the mid '70s and '80s. The Cold War was in full swing. The news stories that involve Russia now are almost identical to the ones...

  • 'OUR Walmart' is a union front
    'OUR Walmart' is a union front

    The Friday after Thanksgiving, also known as Black Friday, is reliably one of the busiest shopping days of the year. And, just as reliably, you can expect a group called OUR Walmart, which is financed by the United Food and Commercial Workers union (UFCW), to attempt to disrupt the day with...

  • Better management of manure long overdue
    Better management of manure long overdue

    We commend Gov. Martin O'Malley's decision to proceed with science-based management requirements to reduce the significant flow of Chesapeake Bay-choking phosphorus from farmland already saturated with an excess of the nutrient. We fully support the proposal and urge the new governor and...

  • Man's (and woman's) best friend
    Man's (and woman's) best friend

    My friends and I have been saying for years that when it comes to genuine caring, to loyalty and to good judgment, many dogs actually behave better than many people. For example, one cannot buy a dog's love and loyalty with toys and treats, but, sadly, there are some people who can be bought...