Current through Register Vol. 50, No. 9, September 20, 2024
A. Certification of
an applicant for advanced practice may be issued by the board for either the
conservative treatment of the ankle or the surgical treatment of the ankle, or
both, depending upon an applicant's education and training.
B. Qualifications for Certification in
Conservative Treatment of the Ankle. To be eligible for certification for the
conservative treatment of the ankle an applicant who possesses and meets the
qualifications and requirements of §1305A.1.-5 of this Chapter shall have
completed at least one year of postgraduate podiatric training in an internship
or equivalent program accredited by the Council on Podiatric Medical Education
of the American Podiatric Medical Association or its successor association, and
approved by the board.
C. Scope of
Practice for Conservative Treatment of the Ankle. The scope of practice for the
conservative treatment of the ankle shall be limited to the following:
1. the prevention, examination, diagnosis,
medical, surgical, and adjuvant treatment of the human foot, as defined in
§1303 A, which is authorized for a
doctor of podiatric medicine without certification in advanced
practice;
2. the medical treatment
of the ankle to include the muscles or tendons of the lower leg governing the
functions of the foot and ankle;
3.
surgical treatment of the superficial conditions of the ankle involving the
skin and overlying tissues and extending proximally; and
4. assisting an orthopedic surgeon or a
doctor of podiatric medicine whose practice prerogatives include surgical
treatment of the ankle, as defined in this Section.
D. Qualifications for Certification in
Surgical Treatment of the Ankle. To be eligible for certification in the
surgical treatment of the ankle, whether for initial licensure or annual
renewal, an applicant who possesses and meets the qualifications and
requirements of
§1305.A 1-5 of this
Chapter shall:
1. have completed a surgical
residency approved by the Council on Podiatric Medical Education of the
American Podiatric Medical Association, consisting of:
a. a three-year podiatric surgery residency
(PSR 36) program or greater; or
b.
a three-year podiatric medicine and surgery residency (PM and S 36) program or
greater; or
c. a two-year podiatric
surgery residency (PSR 24) program and:
i. be
board-certified in reconstructive rear foot and ankle surgery (RRA) by the
American Board of Foot and Ankle Surgery (ABFAS), formerly the American Board
of Podiatric Surgery (APBS); or
ii.
be board-certified in foot surgery and board qualified in reconstructive rear
foot/ankle surgery (RRA) by the ABFAS.
E. Scope of Practice for Surgical
Treatment of the Ankle. The scope of practice for surgical treatment of the
ankle shall be limited to the following:
1.
the scope of practice as described in this Section for the conservative
treatment of the ankle; and
2.
surgical treatment of the ankle and muscles or tendons of the lower leg
governing the functions of the foot and ankle, limited to procedures listed by
the Council on Podiatric Medical Education (CPME) and the American Board of
Podiatric Surgery (ABPS) as found in the CPME 320 and ABPS 220 documents (and
their successors) as being required for graduate podiatric medical education
and board certification at the time that an applicant's application for initial
licensure or annual renewal is filed with the board.
F. Surgical procedures authorized under this
Section shall only be performed in the following types of facilities:
1. a licensed and accredited hospital as
defined in
R.S.
40:2102(A) and
R.S.
37:611(3)(a), if the
podiatrist is granted privileges to do the procedures;
2. a licensed and accredited trauma center as
defined in
R.S.
40:2171(3) and
R.S.
37:611(3)(a), if the
podiatrist is granted privileges to do the procedures; or
3. a licensed and accredited ambulatory
surgical center as defined in
R.S.
40:2133(A) and
R.S.
37:611(3)(a) if the
podiatrist is granted privileges to do the same procedure in a hospital as
described in §1307F.1 or a trauma center as described in §1307F.2 of this
Subsection.
G. Patient
history and examination. A podiatrist certified for advanced practice under
this Section:
1. with two or more years of
postgraduate training, may independently perform a complete history and
physical (H and P) on his or her patients for the purpose of preoperative
evaluation and diagnosis before a podiatric procedure the podiatrist is
authorized to perform under the scope of his or her license
2. may independently perform a complete H and
P for Institutional Review Board approved research studies.
H. The burden of satisfying the
board as to the qualifications and eligibility of the applicant for
certification of practice prerogatives shall be upon the applicant. An
applicant shall not be deemed to possess such qualifications unless the
applicant demonstrates and evidences such qualifications in the manner
prescribed by and to the satisfaction of the board.
AUTHORITY
NOTE: Promulgated in accordance with
R.S.
37:1270 and
37:611-37:628.
