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About innovation and about taboos

Discussion in 'General Issues and Discussion Forum' started by Podosophia, Jul 23, 2010.

  1. Podosophia

    Podosophia Member


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    Dear podiatrists,
    I'm an editor - not a podiatrist myself- at Podosophia, the Dutch journal for podiatrists. From this position I am always looking for interesting topics for the journal and I'm also curious about what internationaly is going on. On the latter I have not much in sight. I understand that the content of the professions varies worldwide. Hence a call to readers of this forum:
    1. Who do you see as the innovators of the profession (in your country or international)/ or which podiatrist do you think has interesting ideas which will help the profession forward?
    2. What do you see as important (new) developments which will influence the profession? (in positive or negative way)
    3. What would you regard as the contemporary taboos in the profession?

    Why this last question? For example: in the Netherlands it's still a taboo for podiatrist to participate in the operating room. In other countries this has been established quite a while. So what is a taboo now, can be common sense in the near future.
    What could be the next taboo to be tackled?
    This is an example of an external taboo, but maybe there are also taboos within the profession.

    (Please explain your answers, so I can understand the reason for your answers).

    I'm very curious for your answers.

    Kind regards,

    Maureen
     
  2. Podosophia

    Podosophia Member

    I apologize for my English. Before you ask yourself what's this about: I think the correct word for operating room needs to be surgery room.

    Kind regards,

    Maureen
     
  3. I guess it depends on the aspect of podiatry you are talking about: surgery, diabetic foot, rheumatology, geriatrics, biomechanics etc..


    For my money Prof. Kirby has been at the forefront of international podiatric biomechanics for the last decade or more. He is an outstanding teacher, role-model and friend. Without doubt he has made the greatest impact upon me and my thinking in podiatric biomechanics. I continue to look to him as my inspiration and sounding board.
     
  4. Graham

    Graham RIP

    Kevin Kirby
    Howard Dananberg
    Eric Fuller
    Simon Spooner
    Craig Payne
    Hylton Menz

    In Canada we have a limited list of inspirational collegues. Perhaps Chris MacLean and Norman Murphy (neither of who are Podiatrists)!

    I see the continued development of in-shoe data collection as the key to progress.

    Taboos? Disagreeing with Kevin:drinks Just Kidding - Perhaps the commercialization of products and services in the advancement of Profits before ethical patient care.
     
  5. Add Graham Curryer to the list;).
    Quintessential. But first there needs to be a significant leap forward in the available technology- once we're into 3D force characterisation at the foot-orthosis interface, we're laughing.

    Too many people in it for the money who haven't got a clue- nor care less. Too many people who think that to have "made it" in podiatric biomechanics they need to have developed a new "paradigm"- hate that word now, I blame Craig for introducing it to podiatric biomechanics in the first place :drinks
     
  6. Graham

    Graham RIP

    Agreed:drinks
     
  7. I think everyone brings different strengths to the party. Howard Danenburg for EG has made a huge impact on biomechanics, however as an Educator I would not rate him so highly as, say, Craig Payne.

    McPoil and Cornwall have contributed a huge amount of really vital data to the sum of human knowledge, and much of it is not the exciting sexy data which gets noticed, just the solid base knowledge we all use.

    Kevin is amazingly unselfish at sharing his knowledge and expertise. His willingness to share his knowledge, not just at seminars or for money, but with anyone who shares his passion, has "made" many a podiatrist fall in love with biomechanics.

    Simon brings his own unique brand of intellectual honesty to the table. If there is one thing I've learned from him its how to say "we don't know that" and that is the most galvanising thing for any science, particularly biomechanics, where so much has been presumed, then shown false.

    Craig Birthed the arena. I don't think one can overestimate the importance of bringing some of the greatest minds into the same place.

    Eric Fuller brings a methodical and meticulous approach to biomechanics, along with the willingness to face the horror of Finite element analysis.

    I could go on. The point is I don't think one can rate these as the innovators or stimulants to the profession. If Podiatry and / or biomechanics is a house, they are variously the bricky, the plumber, the decorator, etc etc. Each brings something different.

    In terms of developments, I keep the faith that we can push the tissue stress "mindset" (as opposed to the "normalising" mindset) to become the majority concept in biomechanics. Great strides have been made, and great effort continues to be made, but I suspect more podiatrists than not still think in terms of "correcting overpronation by holding the foot in sub talar neutral."
     
  8. Graham

    Graham RIP

    Too true I'm afraid! :boohoo:
     
  9. Funny that, I feel I've learned much about the art of intellectual fallacy from you. I don't mean that in a bad way.
     
  10. Podosophia

    Podosophia Member

    Thank you all for your comments!

    Simon, you say it depends on what aspect you highlight. If you could pick one, what do you see as essential in that area which will influence the profession? And if other readers want to give their opinion on one of those aspects, please feel free to comment.

    Graham, in what time do you - or others - expect something like this will be available in the podiatric practice?

    In general:
    In the Netherlands I see an increase of others who are performing aspects of podiatric work (for example: specialized shops for running shoes, who provided their customers with increasingly specialized research on their gait, also with RS-scans, insole pressure devices etc., but there are also others who for example make insoles). If in-shoe data collection will become available I think others too will use this. Will the work for podiatrists be narrowed in the near future?

    Another question I'm curious of: is podiatry in your countries covered by insurance companies?

    Thank you all for sharing your thoughts with me!

    Kind regards,

    Maureen
     
  11. Maureen, my area is biomechanics. Essential to this area is understanding how the variation in the physical characteristics of foot orthoses relates to the variations observed in the kinetic effects at the foot-orthosis interface and moreover, how this effects the body's function. That's been "my bag" for the last several years. Essential to this area are a number of things; not least, the ability to measure 3-dimensional forces at the foot-orthosis interface. The development and implementation of a commercial 3-dimensional flexible-film force sensor is key to this.

    One could also look to the use of "real" foot axes in inverse dynamics. Currently, most inverse dynamics studies employ a "foot axis" that is longitudinal, bisecting the heel and the second toe.

    Also more bone pin studies please, with the foot on top of various foot orthoses designs.
     
  12. Graham

    Graham RIP

    :pigs::pigs::pigs::pigs::pigs::pigs:

    Not in my lifetime I fear!

    Most insurance plans cover podiatry services in Canada:
     
  13. Having come to a country where Podiatry is 4 years old- Most donĀ“t consider than Podiatry is limited to a small amount of countries.

    I hope in the future that Podiatry will spread all forms and be welcomed in more countries.
     
  14. Keep plugging Mike!

    Must be exciting to be one of the original trailblazers.
     
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