Your thoughts on the new attack from AAOS?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

DexterMorganSK

Full Member
Staff member
Administrator
Volunteer Staff
10+ Year Member
Joined
Jul 17, 2016
Messages
3,093
Reaction score
4,337
This section below is 100% correct... and he could've used prior years with even more (600+) DPMs matriculating, graduating...

"...Did you know that the number of residency spots for podiatric surgery is not capped by the Centers for Medicare & Medicaid Services; therefore, there is no limit to the number of podiatrists being trained each year? The AAOS Position Statement on the Financing of Graduate Medical Education states, 'The unlimited number of funded podiatry training positions serves as an advantage to podiatrists, who are more limited than orthopaedic surgeons in the type of musculoskeletal services they can provide. Exclusions to the resident limits should be eliminated.'

Orthopaedic residency positions are federally regulated, tightly capped, and highly competitive. In 2025, 929 allopathic medical students matched into orthopaedic residency programs with no unmatched spots. In a typical year, approximately one-third of medical school applicants for orthopaedic surgery residency slots do not match. In 2025, 57 orthopaedic residents matched into orthopaedic foot and ankle fellowships. In contrast, in the fall of 2024, 525 students matriculated into podiatric school, all of whom will go on to do a three-year residency upon completion. As a result, podiatric workforce growth has outpaced orthopaedic training growth, and podiatrists are increasingly being credentialed for procedures beyond their traditional scope, without meeting equivalent standards of education and training.... "


Sadly, there is really nothing in the article that's not true.

When I was a student or resident, this stuff irked me.
Out in practice, I see the HUGE variance in training.
Our residencies are "standardized" in length only - quality and competence is still all over the board.
The MD/DO programs - ortho or otherwise - do a much better job of fairly standard competence and volume and quality.

The mandatory "everyone gets a 3 year residency" approach (as opposed to dent model... most general, a small fraction sugical) for podiatry and the rapid expansion of new podiatry schools really bites on inability to ever improve admissions standards or residency training quality (as well as jobs, income, etc). There is simply not that much F&A surgery need... not at all. There are also not that many qualified students. Thordarson pokes at podiatry a bit more than needed, but he is not wrong. It's not good.
 
The commentary is demonstrably false and defamatory. It should be retracted. It was authored by the President of AOFAS and published by the AAOS. My letter to the AOFAS is attached and I sent a similar letter to the editor of AAOS Now, requesting they retract the article.
 

Attachments

As someone who continues to dislike elective surgery the more I practice I care about this type of stuff less and less year after year. I just want to run a good clinic, do soft tissue/PF/toe amps and sleep well at the end of the day.

Also the elephant in the room here is a vast majority of F&A surgeries are stuff that F&A orthos don’t want to do
 
Kind of a nothing burger. They mention pods allowed to do hand? Aside from Alaska where healthcare is scarce I’ve never heard of a pod even considering it and never even doing it

If we’re being honest, look around at what specialty is doing most of the foot/ankle surgeries in the country. Not just totals, or recons but overall, I’d say it’s mainly Pods. Ortho does more hind foot cases but I think it’s fair to say the F&A land has been conquered.

This discussion is a boomer discussion which is why no surprise an old timer like Thordarson is hashing up all this stuff up. For the record he’s brilliant and I love reading his papers but this convo is so tired. I’d equate it to a boomer talking about a pension, everyone needs to realize and accept times have changed.
 
Top