I have taken the liberty of updating the previous Gundersen review to reflect more up to date information.
Given the broad discussions in regards to ROI on this forum, I would recommend that you investigate the training provided by this program and the benefits provided to residents. This program is in a low cost of living area without being in a corn field. Check out the residency webpage (link below) to view the HIGH compensation, subsidized housing, great benefits, and numerous perks. The residency allows you to be three years ahead financially, while still having solid training.
Program Name: Gundersen Health System, La Crosse, Wisconsin
General Program/Hospital Info: Gundersen Medical Center (now part of Emplify Health) is a regional academic medical center and tertiary care center. It serves as the Western academic campus for the University of Wisconsin School of Medicine and Public Health. There are over 100 residents/fellows at Gundersen at any given time. Importantly, there is no orthopedic residency, so all foot/ankle cases can be covered by podiatry residents.
Attendings: Program has 8 core podiatry attendings (3 fellowship trained and one non-operative). Other main faculty include 3 fellowship trained orthopedic trauma surgeons and 1 fellowship trained pediatric orthopedic surgeon. The residents also work closely with general medicine teaching teams, vascular surgery, infectious disease, plastic surgery, among many other service lines.
Residents: There are a total of 6 residents (two per year).
Didactics: Education includes book club, journal club, grand/radiology rounds, dry labs, wet labs, industry labs, and the yearly Western Wisconsin Foot and Ankle Symposium. The system has an onsite surgical training lab (link below). Residents have cadaver specimens onsite for training. This allows for labs akin to ACFAS courses several times a month.
OR Experience: Residents receive training in trauma, Limb salvage, forefoot reconstruction, and rearfoot reconstruction. Required surgical numbers are typically met early to mid second year.
Clinic Experience: Residents are able to have continuity of care seeing patients pre-op in clinic, perform the cases, and are able to follow post-operatively. This provides added strength to the program as residents are competent in appropriate work-up and are comfortable with identification/management of complications.
Research Opportunities: This is a significant opportunity for research. Residents have access to a research department with coordinators, medical writers, and statisticians. There is in-house IRB and compliance. Residents typically graduate with some combination of poster presentation, manuscript presentation, and/or publication.
Lifestyle: The lifestyle of residents is well rounded. There are post-call days and wellness days. Resident housing is on campus and allows for cheap, safe, and close housing.
Pros: Very balanced program. High surgical volume (significantly higher than previous years) with full access to orthopedic trauma and pediatric orthopedic specialties. Residents are paid well with subsidized housing and great benefits.
Cons: Not really a con, but residents are expected to be well read. There are more academics than some programs. This does require effort, however it will pay off when ABFAS/ABPM board cert comes around.
Overall Conclusion: Underrated due to location. This program provides solid training and allows better ROI on podiatry investment due to compensation/perks.
Location: La Crosse, Wisconsin is located directly on the Mississippi river with the hospital and residency less than 2 blocks from the river. La Crosse is home to the University of Wisconsin - La Crosse and Viterbo University. This gives the area a college town atmosphere. La Crosse has ample nightlife with one of the highest bar per capita ratios in the country. There are multiple breweries and a distillery. The area has a growing collection of foodie establishments. Ample outdoor activities are available (hiking on bluffs, river walks, water sports, hunting/fishing, ect).
Links:
Podiatric Medicine & Surgery Residency
Integrated Center for Education (ICE House)
Explore the La Crosse Region - ExploreLaCrosse