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Hello there! I'm a 3rd Year Pod Med student. My apologies if this post is inappropriate, I know this forum isn't designed to aid students with their homework, but I thought I'd give it a try anyway.
I was reviewing the biomechanics of the foot, and I came across the statement "When the STJ is maximally supinated, the forefoot is inverted relative to the rearfoot. When the STJ is maximally pronated, the forefoot is everted relative to the rearfoot".
The second half of the statement confuses me - isn't the STJ maximally pronated at the end of contact phase? And at the end of CP, the longitudinal axis of the MTJ is supinated, therefore inverted.
isn't the STJ maximally pronated at the end of contact phase?
In some people it might be, in others it will not be.
Quote:
Originally Posted by Hallux29
And at the end of CP, the longitudinal axis of the MTJ is supinated, therefore inverted.
According to Nester and co-workers from heel off to toe off the motion of the forefoot on the rearfoot about the midtarsal joint generates an axis which is due to either: inversion, dorsiflexion and abduction or eversion, plantarflexion and adduction. Viz, neither pronation nor supination.
Nester C.J., Findlow A., Bowker P.: Scientific Approach to the Axis of Rotation at the Midtarsal Joint. J Am Podiatr Med Assoc 91(2): 68-73, 2001
The motion of the rearfoot relative to the forefoot is also dependent upon whether these segments are moving in-phase or anti-phase with one another, which varies between individuals.
Chang R, Van Emerick R, Hamill J: Quantifying rearfoot-forefoot coordination in Human Walking. Journal of Biomechanics (41) 3101-3105, 2008
Quote:
Originally Posted by Hallux29
Could someone explain this to me?
Ask your lecturer the answer THEY are looking for, its probably not the truth though...
Ask your lecturer the answer THEY are looking for, its probably not the truth.
Better yet, ask your lecturer to provide you with any current research done within the past 30 years that validates the presence of the "longitudinal midtarsal joint"...and that means new research.....not reporting on research from over 50 years ago.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
Better yet, ask your lecturer to provide you with any current research done within the past 30 years that validates the presence of the "longitudinal midtarsal joint"...and that mans new research.....not reporting on research from over 50 years ago.
Kevin, I'd just been glancing at the date and thinking that Chris was doing that midtarsal work over a decade ago. I was musing to myself- "I wonder how long it will take for undergraduate teaching to move forward?". I guess were on the same page If the lecturers aren't current, how do we expect the new graduates to take all of this on, when you and I and our ilk are gone? Having worked in education, I know from first hand that some lecturers get lazy and don't see any problem in not staying up to date, and churning out the same old, same old, year after year... clearly a decade nor half a century mean little to this teacher.
Meanwhile, I had a new graduate show up at my office with an apparent desire to learn more about biomechanics today... we'll see how keen he really is, if he responds here... he wanted to refer a patient to me, I said he should sit in on my assessment as he would learn more, he said he was really busy.... now, if when I was a few months out of college I'd have received such an offer from an experienced colleague, I'd have moved a patient to make that happen... I guess learning biomechanics doesn't hold the same gravitas as cutting toe-nails and earning money these days. Never mind.
.....If the lecturers aren't current, how do we expect the new graduates to take all of this on, when you and I and our ilk are gone? Having worked in education, I know from first hand that some lecturers get lazy and don't see any problem in not staying up to date, and churning out the same old, same old, year after year... clearly a decade nor half a century mean little to this teacher..
Which is why you owe it to yourself and the profession to do something about it now. As you know, there is an initiative to fill university research posts for leaders in our field within the next year.
Whilst chatting to Kevin at the Summer School, he mentioned that he hoped that others would take his work forward after he is gone, as part of his legacy (sorry to talk about you as if you're not in the room, Kevin....does he take sugar?). Think about it.
Which is why you owe it to yourself and the profession to do something about it now. As you know, there is an initiative to fill university research posts for leaders in our field within the next year.
Whilst chatting to Kevin at the Summer School, he mentioned that he hoped that others would take his work forward after he is gone, as part of his legacy (sorry to talk about you as if you're not in the room, Kevin....does he take sugar?). Think about it.
One can do quite a bit for one's profession without being a full time faculty member at a university or podiatric medical school. As a matter of fact, I have never been a full time faculty at CCPM or CSPM. The most I ever lectured there was once per month. Now I lecture about 3 times a year.
I don't think I would have done well as a full time lecturer...I would not have had a lot of patience for fellow faculty members wanting to teach old material that is not current (i.e. longitudinal midtarsal joint axis). Rather, I believe that it has been much better for me to be outside the confines of the podiatric medical school, being independent by having my own private practice, and trying to move our profession forward by doing research, writing and lecturing on my own schedule.
Dr. Spooner has already made an impact on the intellectual growth of our profession. I expect that he will continue to do so for many years to come.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
As you know, there is an initiative to fill university research posts for leaders in our field within the next year.
Setting the selection criteria at 40+ high quality papers, international recognition, extensive grant income to a University and having expertise in podiatric biomechanics, might just limit their field, in my opinion. The words" "unrealistic" and "expectations" spring to mind
One can do quite a bit for one's profession without being a full time faculty member at a university or podiatric medical school. As a matter of fact, I have never been a full time faculty at CCPM or CSPM. The most I ever lectured there was once per month. Now I lecture about 3 times a year.
I don't think I would have done well as a full time lecturer...I would not have had a lot of patience for fellow faculty members wanting to teach old material that is not current (i.e. longitudinal midtarsal joint axis). Rather, I believe that it has been much better for me to be outside the confines of the podiatric medical school, being independent by having my own private practice, and trying to move our profession forward by doing research, writing and lecturing on my own schedule.
Dr. Spooner has already made an impact on the intellectual growth of our profession. I expect that he will continue to do so for many years to come.
I agree and am sure he will. Like many others, I have learnt much from Simon both here and from his published work. A full time lecturing post could prove to be counter productive and I was not suggesting that at all. The UK government initiative for research posts (which are a mixture of full and part time, and not all demanding 40+ papers...) are advertised as resulting in associate professorship for those taking the lead in their field. I was actually affording him a compliment.
As we were discussing earlier, as a private practitioner in the UK it is virtually impossible to obtain ethical approval and insurance to carry out research if you are not employed by a university. So I guess the attraction of a part time uni post is greater here.
As we were discussing earlier, as a private practitioner in the UK it is virtually impossible to obtain ethical approval and insurance to carry out research if you are not employed by a university
unless of course you are carrying out research under the auspices of a university (ie as part of a higher degree).
unless of course you are carrying out research under the auspices of a university (ie as part of a higher degree).
Not at Teesside it doesn't. I wanted to do a RCT for my MSc dissertation, but tees ethics wouldn't allow it, and had to do a systematic review instead.
__________________
“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”
Not at Teesside it doesn't. I wanted to do a RCT for my MSc dissertation, but tees ethics wouldn't allow it, and had to do a systematic review instead.
Which is my point. `They` don`t make it easy for wannabe researchers here in the UK. Sorry to have taken this thread off topic. Whinge over.
BTW, Southampton may not have a rep for teaching state of the art biomechanics, but it was put to us that there is no such thing as a midtarsal joint axis in isolation and that the function of anatomical tissue is where it is at.
BTW, Southampton may not have a rep for teaching state of the art biomechanics, but it was put to us that there is no such thing as a midtarsal joint axis in isolation and that the function of anatomical tissue is where it is at.
Sorry, think I`ve taken too much codeine.....I meant we were taught MSK examination and functional anatomy, rather than any particular biomech paradigm. Not a bad thing, IMO. It was suggested that desription of the position of the MJA should not be oversimplified with just supination or pronation (nor can it 'lock') and we were encouraged to read Nesters work.
Does that make sense? Ah, just realised I omitted `longitudinal` from my post. Should have read "no such thing as a longitudinal midtarsal joint axis...."
Not sure what to say to the above discourse. When I was a PhD student, my first line supervisor (as against the figurehead) used to recon that 5 papers a year in journals such as "The Journal of Anatomy, The American Journal of Physical Anthropology, the Journal of Human Evolution, The Journal of Comparative Human Biology) was about right for one looking for promotion to Senior Lecturer from a routine lecturer (whatever the words are in your country). The truth is that one simply does not get promotion on academic ground to a senior position on less than about 40-50 papers and a grant record. One of my Sons-in-law is currently publishing 10-12 papers a year in serious journals - and also has ARC grants. Perhaps it is time to say less about what is required to achieve university positions, and more time to actually do it. Rob
__________________
Honorary Research Associate, Institute for Human Evolution, University of Witwatersrand
Adjunct Associate Professor (Human and Comparative Anatomy), University of Western Sydney
Fellow of The Centre For Human Biology, The University of Western Australia
"Please God, deliver me whole from Creationists......."
Not sure what to say to the above discourse. When I was a PhD student, my first line supervisor (as against the figurehead) used to recon that 5 papers a year in journals such as "The Journal of Anatomy, The American Journal of Physical Anthropology, the Journal of Human Evolution, The Journal of Comparative Human Biology) was about right for one looking for promotion to Senior Lecturer from a routine lecturer (whatever the words are in your country). The truth is that one simply does not get promotion on academic ground to a senior position on less than about 40-50 papers and a grant record. One of my Sons-in-law is currently publishing 10-12 papers a year in serious journals - and also has ARC grants. Perhaps it is time to say less about what is required to achieve university positions, and more time to actually do it. Rob
Personally, I went from a research assistant to lecturer to senior lecturer to principal lecturer with far fewer publications than that. A quick scan of Prof. Jim Woodburn's CV reveals 12 publications, of which he's first author on six. For the record, I've nothing against Jim, I just picked that as an example. I wonder how many publications Chris Nester had when he was made a professor, again just as an example? But you're right, we should just get on with doing it. Therein lies the problem...
I think one of the issues Blinda is pointing out is that anyone sitting outside of the University employee should find it difficult to engage in any research in which ethical approval is required here in the UK. Thus, it is difficult to enter into an academic research post within a University, simply because your publication and clearly your grant winning record will not be up to scratch. Sure you could give up your salary and take a research student position, but not many people can afford the luxury of this. Rather. some people want to carry-out and publish clinical research while maintaining their private practice. In the UK at the moment, this is becoming increasingly less possible.
Personally, I went from a research assistant to lecturer to senior lecturer to principal lecturer with far fewer publications than that. A quick scan of Prof. Jim Woodburn's CV reveals 12 publications, of which he's first author on six. For the record, I've nothing against Jim, I just picked that as an example. I wonder how many publications Chris Nester had when he was made a professor, again just as an example? But you're right, we should just get on with doing it. Therein lies the problem...
I think one of the issues Blinda is pointing out is that anyone sitting outside of the University employee should find it difficult to engage in any research in which ethical approval is required here in the UK. Thus, it is difficult to enter into an academic research post within a University, simply because your publication and clearly your grant winning record will not be up to scratch. Sure you could give up your salary and take a research student position, but not many people can afford the luxury of this. Rather. some people want to carry-out and publish clinical research while maintaining their private practice. In the UK at the moment, this is becoming increasingly less possible.
The "40 published papers" requirement seems rather odd, overly-restrictive and unrealistic to me for a minimum. It could be that they are just trying to exclude podiatrists in general from applying to the position.
I'm with Simon and Bel on this one. The academic side of podiatry should not be so isolated from the clinical world that an academic clinician finds it impossible to carry out research in their respective countries. Certainly there needs to be some leeway allowed in each country to carry out this important and necessary research that we all would benefit from.
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
What about NHS podiatrists maybe taking things forward - they have access to grants, related patient caseloads and in some cases have strong University links... It is what the other professions do.
Unfortunately, the grim reality is that NHS Pods are increasingly getting their nose to the grindstone treating pts, as NHS managers are beating their staff with the AQP stick/re-banding stick/value for money stick, ad nauseum.
__________________
“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”
Unfortunately, the grim reality is that NHS Pods are increasingly getting their nose to the grindstone treating pts, as NHS managers are beating their staff with the AQP stick/re-banding stick/value for money stick, ad nauseum.
And some of us are in private practice! What if the people with the know-how aren't employed by the NHS or a University? Why should these people be blocked from carrying out meaningful research?
They shouldn't, in fact I would guess the barriers are probably higher in PP.
Oh yes. That's why Blinda can't get ethical approval nor insurance to run her RCT, despite that fact that she's more knowledgable and experienced in that particular area than most others and moreover, willing to fund the research herself.
Here's another example, from another thread posted here recently. The advert is for a lecturer in podiatry in Australia at place with the same name as a city in the North East of England:
"Selection Criteria
1. Recognised degree in Podiatry
2. Completed PhD in Podiatry or related field
3. Eligibility for registration with the Podiatry Board of Australia
etc, etc."
From their application form: "Your application must include a statement addressing the selection criteria"
And that selection criteria rules you out of the running for starters Kirby, Payne etc... and dare I say the vast majority of lecturers currently working in podiatric education around the world and many other talented individuals who I'm sure should make excellent lecturers.
How many of the lecturers currently working at the podiatry school in question hold a PhD in podiatry or related field? How many PhD qualified podiatrists (you got to be eligible for registration with the Podiatry Board of Australia remember) exist A) in Australia, B) worldwide?
Certainly the Head of the school you mention has a PhD; I am not sure about the other staff. I am fairly certain that all the full time staff of the school with which I was last associated have a PhD. I was the first podiatrist in Australia with a PhD; that was 1994. The world has moved on a huge distant since then. In my last full time position (sort-of head of anatomy), the school I was working in had 100% PhD's among its staff; you simply do not get a job in science without one. Whether we like it or like it not, that is the world we live in now. I think you will find that nearly all podiatry teaching staff in Australia either have a PhD or are working towards one; there will be the odd exception though. As to absolute numbers in Australia, I make a gestimate of perhaps 25-30. An ex PhD student of mine (Tony Duffin) is a very successful private practitioner in the northern suburbs of Sydney, and I know of one hospital podiatrist in West Australia with a PhD. Rob
__________________
Honorary Research Associate, Institute for Human Evolution, University of Witwatersrand
Adjunct Associate Professor (Human and Comparative Anatomy), University of Western Sydney
Fellow of The Centre For Human Biology, The University of Western Australia
"Please God, deliver me whole from Creationists......."
Certainly the Head of the school you mention has a PhD; I am not sure about the other staff. I am fairly certain that all the full time staff of the school with which I was last associated have a PhD. I was the first podiatrist in Australia with a PhD; that was 1994. The world has moved on a huge distant since then. In my last full time position (sort-of head of anatomy), the school I was working in had 100% PhD's among its staff; you simply do not get a job in science without one. Whether we like it or like it not, that is the world we live in now. I think you will find that nearly all podiatry teaching staff in Australia either have a PhD or are working towards one; there will be the odd exception though. As to absolute numbers in Australia, I make a gestimate of perhaps 25-30. An ex PhD student of mine (Tony Duffin) is a very successful private practitioner in the northern suburbs of Sydney, and I know of one hospital podiatrist in West Australia with a PhD. Rob
When I got my PhD I was among the first handful of UK podiatrists with this qualification and certainly there are more now. Some are achieved by different routes now, but that's another story.
Perhaps you miss the point - I have two lives - 1) podiatry - and that has been only a tenuous connection for many years, and 2) hard science - comparative anatomy. It is the latter to which I was referring to. I do not regard podiatry, or any other health science, including medicine, as science in this context.
Also, please note, I did say either have one or are working towards one. I think you will find that those none PhD grads are PhD students - with the odd exception. Rob
Its now 12 hours since I wrote the above, but am still able to edit (presumably because it has not been accessed). You make the following comments: "When I got my PhD I was among the first handful of UK podiatrists with this qualification and certainly there are more now. Some are achieved by different routes now, but that's another story. " I assume you are referring to Professional Doctorates, etc.. These are fine for what they are, but not a PhD. Let us be quite clear. I am surprised that you seemed to have doubts about this. These are professional qualifications, perhaps on the same vein as a DPM - a professional, not a research qualification. One of my oldest friends, my Best Man even, has a professional Doctorate, but I am sure he would not regard this as the same as a PhD. Rob
__________________
Honorary Research Associate, Institute for Human Evolution, University of Witwatersrand
Adjunct Associate Professor (Human and Comparative Anatomy), University of Western Sydney
Fellow of The Centre For Human Biology, The University of Western Australia
"Please God, deliver me whole from Creationists......."
Perhaps you miss the point - I have two lives - 1) podiatry - and that has been only a tenuous connection for many years, and 2) hard science - comparative anatomy. It is the latter to which I was referring to. I do not regard podiatry, or any other health science, including medicine, as science in this context.
Also, please note, I did say either have one or are working towards one. I think you will find that those none PhD grads are PhD students - with the odd exception. Rob
Its now 12 hours since I wrote the above, but am still able to edit (presumably because it has not been accessed). You make the following comments: "When I got my PhD I was among the first handful of UK podiatrists with this qualification and certainly there are more now. Some are achieved by different routes now, but that's another story. " I assume you are referring to Professional Doctorates, etc.. These are fine for what they are, but not a PhD. Let us be quite clear. I am surprised that you seemed to have doubts about this. These are professional qualifications, perhaps on the same vein as a DPM - a professional, not a research qualification. One of my oldest friends, my Best Man even, has a professional Doctorate, but I am sure he would not regard this as the same as a PhD. Rob
Rob:
As Simon clearly states, the PhD degree is nice to have in some cases, but certainly not a requirement to become part of the teaching institution in a podiatric medical college. In fact, it is more common for faculty at the American Podiatric Medical Colleges to not have a PhD.
For example, I have included the full-time and part-time faculty list for the California School of Podiatric Medicine below. You will notice that there are only 2 PhDs out of a total of 12 full time faculty members.
Quote:
Podiatric Medicine Full-Time Faculty
Peter Barbosa, PhD
Professor
Department of Pre-Clinical Sciences
Albert Burns, DPM
Professor
Department of Podiatric Surgery
Joel Clark, DPM
Professor
Department of Podiatric Surgery
Timothy Dutra, DPM
Assistant Professor
Joshua Gerbert, DPM
Professor
Department of Podiatric Surgery
Carol Gilson, PhD
Associate Professor
Dept. of Basic Medical Sciences
Joseph Hewitson, DPM
Assistant Professor
William Jenkin, DPM
Professor
Department of Podiatric Surgery
Alexander Reyzelman, DPM
Associate Professor
Department of Medicine
Amy Splitter, DPM
Assistant Professor
Departments of Medicine & Podiatric Surgery
David Tran, DPM, MS
Assistant Professor
Department of Medicine
Bennett Zier, MD
Professor
Department of Medicine
Podiatric Medicine Part-Time Faculty
John Bolton, MD
Adjunct Associate Professor
Department of Medicine
Denten Eldredge, DPM
Assistant Professor
J. Keith Greer, JD
Adjunct Professor
Department of Medicine
Charles Hoover, PhD
Adjunct Associate Professor
Department of Basic Medical Sciences
Michael Huie, MD
Adjunct Assistant Professor
Department of Medicine
Eiman Mahmoud, MD
Adjunct Assistant Professor
Department of Basic Medical Sciences
Barbara Puder, PhD
Assistant Professor
Department of Medical Sciences
Carlos Quintana, MD
Adjunct Assistant Professor
Richard Rocco, PhD
Adjunct Associate Professor
Department of Basic Medical Sciences
Department of Medicine
Reed Rowan, PhD
Adjunct Assistant Professor
Department of Basic Medical Sciences
Core Programs and Affiliate Rotation Faculty Members
Jack Bois, DPM
Adjunct Clinical Associate Professor - CSPM Core
Stephen Geller, DPM
Adjunct Clinical Associate Professor - Arizona Core
Nan Hodge, DPM
Adjunct Clinical Assistant Professor - Utah Core
Lawrence Huppin, DPM
Adjunct Clinical Assistant Professor
Kevin Kirby, DPM
Adjunct Clinical Associate Professor
Adam Landsman, DPM, PhD
Adjunct Clinical Professor
Mark Margiotta, DPM
Adjunct Clinical Assistant Professor - New Mexico Core
Carolyn McAloon, DPM
Adjunct Clinical Assistant Professor – CSPM Core
Mark Reeves, DPM
Adjunct Clinical Assistant Professor
LTC. Kerry Sweet, DPM
Adjunct Clinical Assistant Professor - Washington Core
James Stavosky, DPM
Adjunct Clinical Professor - CSPM Core
Ross Talarico, DPM
Adjunct Clinical Assistant Professor – CSPM Core
From my persepective as a podiatry student, I would have much rather had an academically oreinted non-PhD podiatrist, such as Dr. Josh Gerbert, teaching me about how to treat feet than a PhD podiatrist who has spent very little time actually treating patients. I do respect the PhD degree. However, in my years of experience of attending lectures and meeting podatrists from all over my country and all over the world, very many of the best clinicians and teachers within podiatry never got a PhD.
Therefore, we again get to Simon's original point....why restrict podiatric faculty members to having a PhD when, in actuality, by doing so, we are likely preventing some of the best teachers within podiatry from educating our students?
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College
As Simon clearly states, the PhD degree is nice to have in some cases, but certainly not a requirement to become part of the teaching institution in a podiatric medical college. In fact, it is more common for faculty at the American Podiatric Medical Colleges to not have a PhD.
Therefore, we again get to Simon's original point....why restrict podiatric faculty members to having a PhD when, in actuality, by doing so, we are likely preventing some of the best teachers within podiatry from educating our students?
Bob, clearly doesn't consider research in podiatry or other branches of medicine as being "hard science", whereas looking at fossils presumably is. For the record my PhD was in genetics, so I'm hoping that this makes me a "hard" scientist too.
You are getting personal Boys - my writings are never personal. Whether like it or like it not, the academic world we live in, at least for those schools of podiatry with the "British model" , hold a PhD as the bench mark. In the 70's and 80's we strived to attain this - and now it seems we are complaining that we have got it. I wrote and presented a conference paper once titled "progress with no change" with a particular slant on this mentality. Simon, you are mixing what the staff are, per se, and what the profression is; you might have a PhD in genetics, but that does not make your podiatry practice hard science IMHO. It does however, make your genetics research and your genetics publications hard science. It is a mistake to get personal - destroys an argument. Rob
__________________
Honorary Research Associate, Institute for Human Evolution, University of Witwatersrand
Adjunct Associate Professor (Human and Comparative Anatomy), University of Western Sydney
Fellow of The Centre For Human Biology, The University of Western Australia
"Please God, deliver me whole from Creationists......."
You are getting personal Boys - my writings are never personal. Whether like it or like it not, the academic world we live in, at least for those schools of podiatry with the "British model" , hold a PhD as the bench mark. In the 70's and 80's we strived to attain this - and now it seems we are complaining that we have got it. I wrote and presented a conference paper once titled "progress with no change" with a particular slant on this mentality. Simon, you are mixing what the staff are, per se, and what the profression is; you might have a PhD in genetics, but that does not make your podiatry practice hard science IMHO. It does however, make your genetics research and your genetics publications hard science. It is a mistake to get personal - destroys an argument. Rob
Rob:
I don't quite see how I was getting personal. Please point out where I was getting personal in this conversation.
I am still interested in furthering this discussion since this subject seems to be quite important to many talented would-be teachers and professors who may or may not have a PhD.
Please answer this question:
Is a PhD required in order to be an effective and valuable teacher of the clinical practice of podiatry for our podiatry students?
__________________
Sincerely,
Kevin
**************************************************
Kevin A. Kirby, DPM
Adjunct Associate Professor
Department of Applied Biomechanics
California School of Podiatric Medicine at Samuel Merritt College