Fellowships are great. Podiatry fellowships, unfortunately, are not. Too many are structured as financial schemes disguised as advanced training. The fellow becomes cheap labor, managing postoperative and global period patients while freeing the director to see new, revenue generating patients. That is not a fellowship. In a legitimate academic fellowship, i.e. orthopedics, the fellow develops surgical expertise, builds meaningful clinical volume, generate cases for boards and receives structured education and mentorship. If the primary beneficiary of the fellowship is the director’s bottom line rather than the fellow’s education, it is exploitation, not training.
And nobody is talking about it.