There are a variety of different podiatric surgical residency programs out there. As you may or may not know, many residency program are currently undergoing changes to fit into one of two new podiatric surgical residency program models. By the time you apply for residency programs, most of the programs will have been converted into one of the two new models and very few will be in the old model. The two new models will allow all grads to be trained in podiatric surgical procedures. PM&S-24 (Two years) will train grads to perform mainly forefoot procedures. PM&S-36 (Three years or more) will train grads to perform both forefoot and reconstructive rearfoot procedures. However, all new resident grads will need to pass the respective ABPS exams to be boarded for their respective surgical priviledges.
I am currently in a three year podiatric surgical residency program in the greater Philadelphia area. In my program, I usually arrive at the hospital somewhere between 6-7:30 am during weekdays depending if I have surgery that day or not. I also have to come in on the weekends to round on patient if I am on call. On surgery days, I would arrive earlier. I usually have to round on the in house patients, see patients in the clinics or see preop / postop patients in private practice, scrub in surgical cases, do consults on the hospital floors or in the ER and admit patients to the hospital for my attendings. On the average, I usually don't leave the hospital before 6 pm. On the average, I will leave around 7 or 8 pm. In terms of call, my residency program allows us to take call from home. So, I don't have to sleep in the hospital for call. However, it also means that I have to live within reasonable driving distance to the hospital. Most of my calls are usually from the ER, the hospital floors, or patients with issues from my attending offices after hours. In my residency progarm, we have an awesome relationship with the orthopedics department. We are fortunately since podiatry in many hospitals in the greater Philadelphia do not have a good relationship with orthopedic surgery. Since there are no orthopedic residents at my hospital, we basically cross cover and serve as ortho residents. We cover all of the orthopedic cases as well as the podiatry cases at my hospital. If there is an ankle case or a foot case, the orthopedic surgeon will let us do the entire procedure skin to skin, provided that you have scrub enough with the orthopedic surgeon and gain his / her trust. My surgical cases include hammertoe surgery, bunion surgery, plantar fasciotomy, I&D of foot infection, amputations, ankle arthroscopy, neuroma surgery, ORIF of ankle fracture and other foot fractures, flatfoot reconstruction surgery, triple arthrodesis, ankle fusion, etc... Recently, one of my attending applied a Depuy IM Versanail for ankle fusion. On the average, we do about 15-20 cases a week. We also do rotation with other medical and surgical specialties. When we are on Internal Medicine or General Surgery service, we are required to take in house call as dictated on those services. In terms of the clinics and floor consults, we do everything from routine foot care to bedside procedures. Since my program puts an emphasis on rearfoot reconstruction surgery, I am currently applying for one of the AO/ASIF Trauma Fellowship in Europe. Several podiatric surgical residents get nominated for the AO/ASIF Trauma Fellowship annually along with the orthopedic surgeons. My residency program also has journal clubs, residents giving lectures, attending giving lectures, cadaver lab, etc...
As you begin your residency program search, you will discover that there are a variety of residency programs, as I said earlier. There are programs where you just have a 9-5 job and you do minimal work. There are other programs, which are very intensive and you will see about 30-40 cases a week and work long hours. There are some excellent podiatric surgical residency programs out there. It really depends on what you are looking for. However, with the change in the residency model, everyone will now be exposed to podiatric surgery.
Well, hopefully, I have been able to answer some of your questions. If you have any other questions, feel free to ask. Good luck
jays2cool4u said:
1. Are the cases interesting?
2. What time do you arrive at the hospital and how long is a typical day?
3. How many cases do you have a day?
4. How many days in the week do you operate?
5. Do you have any on-calls?
I heard that podiatric surgical residents just clip toenails and their days are the 9-5er. Please bury the rumors.
Jays2Cool4u