Summary

Surgical residents will have structured learning experiences in patient management along with training in the diagnosis and care of podiatric pathology.

All required curricular elements must be completed within 36 months. (Reference CPME 320 for additional details).

Essential Functions

1. Prevent, diagnose, and medically and surgically manage diseases, disorders, and injuries of the pediatric and adult lower extremity.

• Perform and interpret the findings of a thorough problem-focused history and physical exam, including problem-focused history, neurologic examination, vascular examination, dermatologic examination, musculoskeletal examination, biomechanical examination, and gait analysis.
• Formulate an appropriate diagnosis and/or differential diagnosis.
• Perform (and/or order) and interpret appropriate diagnostic studies, including:

Medical imaging, including plain radiography, stress radiography, fluoroscopy, nuclear medicine imaging, MRI, CT, diagnostic ultrasound, vascular imaging. Laboratory tests in hematology, serology/immunology, toxicology, and microbiology, to include blood chemistries, drug screens, coagulation studies, blood gases, synovial fluid analysis, urinalysis. Pathology, including anatomic and cellular pathology. Other diagnostic studies, including electrodiagnostic studies, noninvasive vascular studies, bone mineral densitometry studies, compartment pressure studies.

• Formulate and implement an appropriate plan of management, including:

Direct participation of the resident in the evaluation and management of patients in a clinic/office setting.

• perform biomechanical cases and manage patients with lower extremity disorders utilizing a variety of prosthetics, orthotics, and footwear.

• Management when indicated, including dermatologic conditions.

manipulation/mobilization of foot/ankle joint to increase range of motion/reduce associated pain and of congenital foot deformity. closed fractures and dislocations including pedal fractures and dislocations and ankle fracture/dislocation. cast management. tape immobilization. orthotic, brace, prosthetic, and custom shoe management. footwear and padding. injections and aspirations. physical therapy. pharmacologic management, including the use of NSAIDs, antibiotics, antifungals, narcotic analgesics, muscle relaxants, medications for neuropathy, sedative/hypnotics, peripheral vascular agents, anticoagulants, antihyperuricemic/uricosuric agents, tetanus toxoid/immune globulin, laxatives/cathartics, fluid and electrolyte management, corticosteroids, anti-rheumatic medications.

• Surgical management when indicated, including:

evaluating, diagnosing, selecting appropriate treatment, and avoiding complications. progressive development of knowledge, attitudes, and skills in preoperative, intraoperative, and postoperative assessment and management in surgical areas including, but not limited to, the following: Digital Surgery, First Ray Surgery, Other Soft Tissue Foot Surgery, Other Osseous Foot Surgery, Reconstructive Rearfoot/Ankle Surgery (added credential only), Other Procedures.

• Anesthesia management when indicated, including local and general, spinal, epidural, regional, and conscious sedation anesthesia.
• Consultation and/or referrals.
• Lower extremity health promotion and education.

. Assess and manage the patient’s general medical and surgical status.

• Perform and interpret the findings of comprehensive medical history and physical examinations (including pre-operative history and physical examination), including:

Comprehensive medical history. Comprehensive physical examination.

• vital signs.

• physical examination including head, eyes, ears, nose, and throat, neck, chest/breast, heart, lungs, abdomen, genitourinary, rectal, upper extremities, neurologic examination.

• Formulate an appropriate differential diagnosis of the patient’s general medical problem(s).

• Recognize the need for (and/or order) additional diagnostic studies, when indicated, including:

• EKG.

• Medical imaging including plain radiography, nuclear medicine imaging, MRI, CT, diagnostic ultrasound.

• Laboratory studies including hematology, serology/immunology, blood chemistries, toxicology/drug screens, coagulation studies, blood gases, microbiology, synovial fluid analysis, urinalysis.

• Other diagnostic studies.

• Formulate and implement an appropriate plan of management, when indicated, including appropriate therapeutic intervention, appropriate consultations and/or referrals, and appropriate general medical health promotion and education.

• Participate actively in medicine and medical subspecialties rotations that include medical evaluation and management of patients from diverse populations, including variations in age, sex, psychosocial status, and socioeconomic status.

• Participate actively in general surgery and surgical subspecialties rotations that include surgical evaluation and management of non-podiatric patients including, but not limited, to:

Understanding management of preoperative and postoperative surgical patients with emphasis on complications. Enhancing surgical skills, such as suturing, retracting, and performing surgical procedures under appropriate supervision. Understanding surgical procedures and principles applicable to non-podiatric surgical specialties.

• Participate actively in an anesthesiology rotation that includes pre-anesthetic and post-anesthetic evaluation and care, as well as the opportunity to observe and/or assist in the administration of anesthetics. Training experiences must include, but not be limited to:

Local anesthesia. General, spinal, epidural, regional, and conscious sedation anesthesia.

• Participate actively in an emergency medicine rotation that includes emergent evaluation and management of podiatric and non-podiatric patients.
• Participate actively in an infectious disease rotation that includes, but is not limited to, the following training experiences:

Recognizing and diagnosing common infective organisms. Using appropriate antimicrobial therapy.

Interpreting laboratory data including blood cultures, gram stains, microbiological studies, and antibiosis monitoring. Exposure to local and systemic infected wound care.

• Participate actively in a behavioral science rotation that includes, but is not limited to:

Understanding of psychosocial aspects of health care delivery. Knowledge of and experience in effective patient-physician communication skills. Understanding cultural, ethnic and socioeconomic diversity of patients.

Knowledge of the implications of prevention and wellness.

Practice with professionalism, compassion, and concern in a legal, ethical, and moral fashion.

• Abide by state and federal laws, including the Health Insurance Portability and Accountability Act (HIPAA), governing the practice of podiatric medicine and surgery.
• Practice and abide by the principles of informed consent.
• Understand and respect the ethical boundaries of interactions with patients, colleagues, and employees.
• Demonstrate professional humanistic qualities.

Demonstrate ability to formulate a methodical and comprehensive treatment plan with appreciation of health-care costs.

4. Communicate effectively and function in a multi-disciplinary setting.

• Communicate in oral and written form with patients, colleagues, payers, and the public.
• Maintain appropriate medical records.

5. Manage individuals and populations in a variety of socioeconomic and

health-care settings.

• Demonstrate an understanding of the psychosocial and health-care needs for patients in all life stages: pediatric through geriatric.
• Demonstrate sensitivity and responsiveness to cultural values, behaviors, and preferences of one’s patients when providing care to persons whose race, ethnicity, nation of origin, religion, gender, and/or sexual orientation is/are different from one’s own.
• Demonstrate an understanding of public health concepts, health promotion, and disease prevention.

. Understand podiatric practice management in a multitude of health-care delivery settings.

• Demonstrate familiarity with utilization management and quality improvement.
• Understand health-care reimbursement.
• Understand insurance issues including professional and general liability, disability, and Workers’ Compensation.
• Understand medical-legal considerations involving health-care delivery.
• Demonstrate understanding of common business practices.

Be professionally inquisitive, life-long learners and teachers utilizing research, scholarly activity, and information technologies to enhance professional knowledge and clinical practice.

• Read, interpret, and critically examine and present medical and scientific literature.
• Collect and interpret data and present the findings in a formal study related to podiatric medicine and surgery.
• Demonstrate information technology skills in learning, teaching, and clinical practice.
• Participate in continuing education activities.

Qualifications/Requirements

• Podiatric Medicine - DPM degree is required.

Scheduled Weekly Hours: 40

Benefits: Barry University offers a comprehensive benefits package to full-time employees that includes health, dental, vision, life insurance, retirement, tuition assistance, paid time off and work/life balance initiatives such as wellness programs, spirituality in the workplace, and training and development.

Barry University is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.