PM&S-36 Residency Program Rotation Goals & Summaries

2009 - 2010 Training Year

Rotation: Anesthesiology

Rotation Duration:
• PGY 1 Residents
• 2 weeks
• Begins on the 1st of the month – ends on the 15th of the month OR.
• Begins on the 16th of the month – ends on the last day of the month.
• Mon – Fri, 7AM until dismissed.

Goal: Upon completion of this experience the podiatric resident will be expected to have developed an understanding of how the various types of anesthesia are used in the management of medical and surgical conditions when indicated, including local and general, spinal, epidural, regional, and conscious sedation anesthesia.

Rotation: Behavioral Science

Rotation Duration:
• PGY1 Residents
• 2 weeks
• Begins on the 1st of the month – ends on the 15th of the month.
• Mon – Fri, 8:00AM – 5:00PM.
• First day, report to Psychiatry Service office, 12th floor, 8:00AM.

Goal: Upon completion of this experience the podiatric resident will be able to describe and discuss the psychiatric workup and treatment options.

Rotation: Dermatology

Rotation Duration:
• PGY1 Residents
• 1 month
• Monday (General Clinic), 8:30AM until dismissed (approx 11:00 – 11:30AM).
• Tuesday, (Surgical Clinic) 8:30AM until dismissed (approx 1:00 – 2:00PM).

Goal: Upon completion of this experience the podiatric resident will be expected to have developed an understanding of how dermatologic conditions are evaluated, classified, diagnosed and managed both surgically and non-surgically.

Rotation: Emergency Medicine I

Rotation Duration:
• PGY1 Residents
• 2 weeks during PGY1 training year (along with Infectious Disease Rotation)
• Begins on the 1st of the month – ends on the 15th of the month or:
• Begins on the 16th of the month – ends on the last day of the month.

Rotation Schedule (Emergency Room):
• Mon, Wed & Fri: 8:00AM – 1:00PM

Rotation Schedule Summary with Infectious Disease:
Weekday                   Times                            Experiences                                                            
Mon, Wed & Fri          8:00AM – 1:00PM         Emergency Medicine I
                                  1:00PM – 1:30PM         Break
                                  1:30PM – 4:30PM         Infectious Disease Rounds

Tue & Thu                  8:00AM – Noon             Infectious Disease Clinic
                                     Noon – 1:30PM          Break
                                  1:30PM – 4:30PM         Infectious Disease Rounds

Goal: Upon completion of this experience the podiatric resident will be expected to recognize common emergency events and function in the care of the acute patient with podiatric and non-podiatric conditions.

Rotation: Emergency Medicine II

Rotation Duration:
• PGY2 Residents
• 2 weeks (PGY2 training year)
• Begins on the 1st of the month – ends on the 15th of the month or:
• Begins on the 16th of the month – ends on the last day of the month.
• Mon – Fri, 8:00AM – 5:00PM.

Goal: Upon completion of this experience the podiatric resident will be expected to recognize common emergency events and function in the care of the acute patient with podiatric and non-podiatric conditions. This PGY2 rotation builds upon experiences obtained in the PGY1 residency year.

Rotation: General Surgery

Rotation Duration:
• PGY2 Residents
• 1 month
• Mon – Fri: Hours per Chief Surgical Resident
• Sat, Sun and on-call: At the discretion of the Chief Surgical Resident

Goal: Upon completion of this experience the podiatric resident will be expected to be able to accurately work-up and diagnosis general surgical disorders, develop an appropriate management plan and perform as surgical assistant.

Rotation: Infectious Disease

Rotation Duration:
• PGY1 Residents
• 2 weeks (along with Emergency Medicine I Rotation
• Rounds: Meet on 5B
• Clinic: Meet in A-level Clinic

Rotation Schedule:
• Mon – Fri: 1:30 – 4:30PM Infectious Disease Rounds
• Tue & Thu: 8:00AM – Noon Infectious Disease Clinic

Rotation Schedule Summary with Emergency Medicine I:
Weekday                   Times                            Experiences
Mon, Wed & Fri          8:00AM – 1:00PM          Emergency Medicine I
                                  1:00PM – 1:30PM         Break
                                  1:30PM – 4:30PM         Infectious Disease Rounds

Tue & Thu                  8:00AM – Noon             Infectious Disease Clinic
                                     Noon – 1:30PM          Break
                                  1:30PM – 4:30PM         Infectious Disease Rounds

Goal: Upon completion of this experience the podiatric resident will be expected to be able to describe the clinical syndromes associated with infectious disease, how those conditions affect the lower extremity, psychosocial implications and referral options. The resident will also gain an understanding of how micro-organisms are identified utilizing various techniques.

Rotation: Medical Imaging

Rotation Duration:
• 2 weeks
• Begins on the 1st of the month – ends on the 15th of the month or:
• Begins on the 16th of the month – ends on the last day of the month.
• Mon – Fri, 2:00PM – 5:00PM.
• VA, Lyons Campus, Building 1, Radiology Department

Goal: Upon completion of this experience the podiatric resident will be expected to have developed an understanding of how various medical imaging studies are interpreted in the diagnosis and ongoing management of medical conditions.

Rotation: Medicine

Rotation Duration:
• 2 Months
• Mon – Fri, usually 7:00 AM – 5:00PM or until dismissed.
• On-call every 4th day including weekends. Usually dismissed at 8:00PM on on-call days.

Goals: Upon completion of this experience the podiatric resident will be expected to:
1. be able to perform a complete history and physical examination and articulate the role of the podiatrist in the complete medical care of the patient.
2. have developed an understanding of how the various medical imaging modalities are used and interpreted in the diagnosis and ongoing management of medical conditions.
3. be able to describe, order and interpret the results of diagnostic laboratory tests and examinations.

Rotation: Podiatric Orthopedics/Pediatrics

Location: New York College of Podiatric Medicine
53 East 124th Street
New York, NY 10035
(212) 410-8000

Rotation Duration:
• Wed & Thu for 1 month
• Begins on the 1st of the month – ends on the last day of the month.

Rotation Schedule:
Weekday              Times                               Experiences
Wednesday          9:00AM                            Shuttle leaves from NYCPM for
                                                                     Metropolitan Hospital
                             9:15AM – 1:00PM            *Pediatrics Clinic, Metropolitan Hospital
                             2:00PM – 8:00PM            Orthopedics/Pediatrics Clinic, NYCPM
                             (or until dismissed)

Thursday              9:00AM – Noon                Orthopedics Clinic, NYCPM
                             (or until dismissed)
                             1:00PM – 4:00PM            Lecture/Workshop, NYCPM

Goal: Upon completion of this experience the podiatric resident will be capable of evaluating, diagnosing, and treating both adult and pediatric patients with locomotor deformities caused by congenital, neurological, and heritable factors. The resident will develop skills in the prescription and/or fabrication, dispensing, and modification of corrective shoes, foot orthosis and lower extremity braces. The resident will develop an understanding and appreciation for the importance of the lower extremity arthrometric and gait evaluation.

Rotation: OCFASA – Podiatric Office I

Location: Ocean County Foot & Ankle Surgical Associates
89 Bey Lea Road
Toms River, NJ 08753
(732) 505-4500

Rotation Summary:
• 2 months PGY 1 & 2 years
• Begins on the 1st of the month – ends on the last day of the month.
• Every Tues & Wed
• Arrive at 30 min prior to first scheduled case each morning (usually 7:00AM). If no surgery is scheduled early, arrive 30 min prior to office hours. May leave when dismissed (usually between 6:00 – 7:00PM).

Goal 1: Upon completion of this experience the podiatric resident will be expected to obtain and analyze patient data, formulate a differential diagnosis and develop and implement a management plan.

Goal 2: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to perform a complete biomechanical exam and formulate and implement a management plan.

Rotation: OCFASA - Podiatric Office II

Location: Ocean County Foot & Ankle Surgical Associates
89 Bey Lea Road
Toms River, NJ 08753
(732) 505-4500

Rotation Summary:
• 2 months PGY 3 year
• Begins on the 1st of the month – ends on the last day of the month.
• Every Tues & Wed
• Arrive at 30 min prior to first scheduled case each morning (usually 7:00AM). If no surgery is scheduled early, arrive 30 min prior to office hours. May leave when dismissed (usually between 6:00 – 7:00PM).

Goal 1: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to independently evaluate and diagnose non-surgical podiatric cases.

Goal 2: Upon completion of this experience the podiatric resident should have developed advanced diagnostic and treatment skills in podiatric medicine.
Goal 3: Upon completion of this experience the podiatric resident should be able to demonstrate a basic understanding of private practice business management, human resource issues and healthcare reimbursement.

Rotation: OCFASA – Podiatric Surgery I

Location: Ocean County Foot & Ankle Surgical Associates & Bea Lea Ambulatory Surgical Center
89 Bey Lea Road
Toms River, NJ 08753
(732) 505-4500

Rotation Summary:
• 2 months PGY 1 & 2 years
• Begins on the 1st of the month – ends on the last day of the month.
• Every Tues & Wed
• Arrive at 30 min prior to first scheduled case each morning (usually 7:00AM). If no surgery is scheduled early, arrive 30 min prior to office hours. May leave when dismissed (usually between 6:00 – 7:00PM).

Goal: Upon completion of this experience the podiatric resident should become proficient in the evaluation of foot deformities including the indications and contraindications for surgical intervention. The resident should be able to articulate appropriate pre, peri and post-operative management plans and develop skills in the performance of surgical procedures.

Rotation: OCFASA – Podiatric Surgery II

Location: Ocean County Foot & Ankle Surgical Associates
& Bea Lea Ambulatory Surgical Center
89 Bey Lea Road
Toms River, NJ 08753
(732) 505-4500

Rotation Summary:
• 2 months PGY 3 year
• Begins on the 1st of the month – ends on the last day of the month.
• Every Tues & Wed
• Arrive at 30 min prior to first scheduled case each morning (usually 7:00AM). If no surgery is scheduled early, arrive 30 min prior to office hours. May leave when dismissed (usually between 6:00 – 7:00PM).

Goal 1: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to independently evaluate and diagnose surgical patients, and make recommendations for surgical treatment.

Goal 2: Upon completion of this experience the podiatric resident will be expected to demonstrate a level of expertise in surgical foot and ankle care comparable with other residents having similar training.

Rotation: Pathology

Rotation Duration:
• 2 weeks
• Begins on the 1st of the month – ends on the 15th of the month or:
• Begins on the 16th of the month – ends on the last day of the month.
• Mon – Fri, 8:30AM – 12:30PM.

Goal: Upon completion of this experience the podiatric resident will be expected to have developed an understanding of how specimens are evaluated via gross examination and microscopically.

Rotation: Physical Medicine & Rehabilitation

Rotation Duration:
• 2 weeks
• Begins on the 1st of the month – ends on the 15th of the month OR.
• Begins on the 16th of the month – ends on the last day of the month.
• Mon – Fri, 8AM until dismissed (approximately 4:30PM).

Goal: Upon completion of this experience the podiatric resident will be expected to have developed an understanding of how patients with physical limitations and/or disabilities are managed.

Rotation: Palisades Medical Center, Podiatric Surgery I

Location: Palisades Medical Center
7600 River Road
North Bergen, NJ 07047
(201) 854-5000

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 1&2 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal: Upon completion of this experience the podiatric resident should become more knowledgeable and experienced in the performance of surgical procedures.

Rotation: Palisades Medical Center, Podiatric Surgery II

Location: Palisades Medical Center
7600 River Road
North Bergen, NJ 07047
(201) 854-5000

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 3 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal: Upon completion of this experience the podiatric resident will be expected to demonstrate a level of expertise in surgical foot and ankle care comparable with other residents having similar training.

Rotation: RWJSC Podiatric Surgery I

Location: Robert Wood Johnson Surgery Center
561 Cranbury Road
East Brunswick, NJ 08816
(732) 390-4300

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 1&2 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal: Upon completion of this experience the podiatric resident should become proficient in the evaluation of foot deformities including the indications and contraindications for surgical intervention. The resident should be able to articulate appropriate pre, peri and post-operative management plans and develop skills in the performance of surgical procedures.

Rotation: RWJSC Podiatric Surgery II

Location: Robert Wood Johnson Surgery Center
561 Cranbury Road
East Brunswick, NJ 08816
(732) 390-4300

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 3 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal: Upon completion of this experience the podiatric resident will be expected to demonstrate a level of expertise in surgical foot and ankle care comparable with other residents having similar training.

Rotation: Trinitas Hospital, Podiatric Surgery I

Location: Trinitas Hospital
Williamson Street Campus
225 Williamson Street
Elizabeth, NJ 07207
(908) 994-5000

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 1&2 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal: Upon completion of this experience the podiatric resident should become proficient in the evaluation of foot deformities including the indications and contraindications for surgical intervention. The resident should be able to articulate appropriate pre, peri and post-operative management plans and develop skills in the performance of surgical procedures.

Rotation: Trinitas Hospital, Podiatric Surgery II

Location: Trinitas Hospital
Williamson Street Campus
225 Williamson Street
Elizabeth, NJ 07207
(908) 994-5000

Rotation Summary:
• Part of EPM&S rotation – cover surgical cases at affiliated sites.
• PGY 3 residents
• 2 months
• Begins on the 1st of the month – ends on the last day of the month.
• Arrive at least 30 min prior to first scheduled case.
• When cases conclude, return to the VA podiatry clinic.

Goal 1: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to independently evaluate and diagnose surgical patients, and make recommendations for surgical treatment.

Goal 2: Upon completion of this experience the podiatric resident will be expected to demonstrate a level of expertise in surgical foot and ankle care comparable with other residents having similar training.

Rotation: VA Podiatric Medicine I

Rotation Duration:
1. PGY 1 Year:
    a. Approx 3 months (usually non-consecutive)
    b. Mon – Fri, 7:00AM until dismissed.
2. PGY 2 Year:
    a. Approx 6 months (usually non-consecutive)
    b. Mon – Fri, 7:00AM until dismissed.

This multi-month experience occurs through the VANJHCS, East Orange Campus under the direction of Julia M. McCall, DPM. Residents will also work under the direction of W. Aaron Broyles, DPM, Joseph G. Green, DPM, and John Milano, DPM. The resident will provide direct care to inpatients and outpatients in the podiatry clinic, inpatient rooms and the emergency room. Training experiences will include performing problem-focused history and physical examinations, performing biomechanical evaluations and managing patients with lower extremity disorders, and ordering and interpreting diagnostic studies. Residents will evaluate, diagnose, formulate differential diagnoses, and treat a wide variety of acute and chronic foot and ankle conditions and trauma. The resident will be expected to become more independent in patient care management as training progresses.

Goal 1: Upon completion of this experience the podiatric resident will be expected to obtain and analyze patient data, formulate a differential diagnosis and develop and implement a management plan.

Goal 2: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to perform a complete biomechanical exam and formulate and implement a management plan.

Goal 3: Upon completion of this experience the podiatric resident will be expected to have prepared and properly delivered two, formal PowerPoint lectures to his/her peers on a medical/surgical topic.

Rotation: VA Podiatric Medicine II

Rotation Duration (PGY 3 Year):
• Approx 9 months
• Mon – Fri, 7:00AM until dismissed.

This multi-month experience occurs through the VANJHCS, East Orange Campus under the direction of John Milano, DPM. Residents will also work under the direction of W. Aaron Broyles, DPM, Joseph G. Green, DPM and Julia M. McCall, DPM. The resident will be expected to become more independent in the management of non-surgical podiatric cases as training progresses.

Goal 1: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to independently evaluate and diagnose non-surgical podiatric cases.

Goal 2: Upon completion of this experience the podiatric resident should have developed advanced diagnostic and treatment skills in podiatric medicine. Additionally, the resident will have demonstrated teaching skills by assisting in the education of first and second year residents and podiatry externs in primary podiatric medicine.

Goal 3: Upon completion of this experience the podiatric resident will be expected to have prepared and properly delivered two, formal PowerPoint lectures to his/her peers on a medical/surgical topic.

Rotation: VA Podiatric Surgery I

Rotation Duration:
3. PGY 1 Year:
    a. 1 month
    b. Mon – Fri, 7:00AM until dismissed.
4. PGY 2 Year:
    a. 2 months (non-consecutive)
    b. Mon – Fri, 7:00AM until dismissed.

This multi-month experience occurs through the VANJHCS, East Orange Campus under the direction of W. Aaron Broyles, DPM. Residents will also work under the direction of Joseph G. Green, DPM, Julia M. McCall, DPM and John Milano, DPM. It will involve the pre-operative, peri-operative and post-operative care of patients in the inpatient and outpatient settings.

Goal: Upon completion of this experience the podiatric resident should become proficient in the evaluation of foot deformities including the indications and contraindications for surgical intervention. The resident should be able to articulate appropriate pre, peri and post-operative management plans and develop skills in the performance of surgical procedures.

Rotation: VA Podiatric Surgery II

Rotation Duration (PGY 3 Year):
• 3 months (non-consecutive)
• Mon – Fri, 7:00AM until dismissed.

This multi-month experience occurs through the VANJHCS, East Orange Campus under the direction of W. Aaron Broyles, DPM. Residents will also work under the direction of Joseph G. Green, DPM, Julia M. McCall, DPM and John Milano, DPM. It will involve the pre-operative, peri-operative and post-operative care of patients in the inpatient and outpatient settings. The resident will be expected to become more independent in the peri-operative management of surgical cases as training progresses.

Goal 1: Upon completion of this experience the podiatric resident will be expected to demonstrate the ability to independently evaluate and diagnose surgical patients, and make recommendations for surgical treatment.

Goal 2: Upon completion of this experience the podiatric resident will be expected to demonstrate a level of expertise in surgical foot and ankle care comparable with other residents having similar training.