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Phoenix VA Health Care System

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Podiatry Externship - Goals and Objectives

Podiatry Externship Links: Mission Statement / Program Description / Rules and Regulations /   
Podiatry Residency Links: Mission Statement, Introduction, and Contact Information / Application / Goals and Objectives 

Goals

To prepare residents to...

  • successfully progress on to a surgical residency;
  • function comfortably and effectively in hospital, multidisciplinary, extended care, and private practice settings.

To develop...

  • a resident who understands the basic principles of research methodology;
  • a culturally sensitive practitioner;
  • a practitioner with high ethical standards and professionalism;
  • a practitioner with the ability to read scientific literature critically;
  • a practitioner who is civic minded and willing to give to the community.
     

To qualify the resident for board qualification in primary podiatric medicine.

First Year Objectives

  1. Podiatric Medicine Residents usually begin their residency immediately after graduating from podiatric medical school. As such they are expected to perform a generic history and physical, establish a differential diagnosis and initial diagnostic and treatment plan using basic concepts and principles learned in their several core externships.

  2. In contrast to a medical student who participates in activities primarily to learn, the first year resident is expected to assume responsibility for the care of the patient. This means that she/he reports to the designated clinical setting at the proper time, dressed in appropriate attire, answers pages promptly, responds promptly to emergencies, sees patients in a timely manner, maintains good written notes in the chart, takes call as assigned and contributes as a team member.

  3. The resident will demonstrate knowledge and use of policies and procedures of the department through which he or she rotates at the Veterans Affairs Medical Center relevant to the care of their patients.

  4. On various rotations throughout the first year, operating in the ambulatory setting, emergency center community living center and medical and surgical floors, the resident will demonstrate increasing fluency in basic patient management skills with multiple patients which include interviewing and physical examination skills gathering information relevant to the problem(s), writing orders and progress notes, obtaining and interpreting laboratory, imaging and other studies, such as noninvasive vascular studies.

  5. The resident will demonstrate the capability of establishing a relationship with the patients that engenders trust and will demonstrate early skill in counseling and instructing patients.

  6. The resident will demonstrate effective communication with other health care professionals in the coordination of care of patients.

  7. As the resident progresses through the first year he or she will increasingly demonstrate that the information he or she gathers fits into a conceptual working framework - - showing the ability to expand his or her differential diagnosis and proposed alternative treatment plans used in discussion with the clinical team. The resident will be able to articulate common complications of the diagnostic and treatment plans.

  8. The resident will demonstrate capability of prioritizing multiple demands based on potential serious consequences with a priority ranking of: (1) important (consequential) and urgent, (2) important and less urgent, (3) urgent and less consequential, and (4) neither important nor urgent, by effectively evaluating the situation and negotiating a mutually satisfactory plan of action.

  9. The resident will show improving time management skills throughout the first year associated with the above ability to prioritize tasks.

  10. The resident will be able to determine when she/he does not have necessary knowledge and skills and to whom she or he can turn in a timely manner.

  11. The resident will demonstrate the ability to monitor the course of the disease(s) of patients under their care using appropriate historical, physical, laboratory, imaging and functional findings, dressing changes, and documenting these in the patient's chart.

  12. In the ambulatory clinic, the resident will develop the ability to progress from gathering clinical data on the patient to generating workable assessments and plans for discussion with the supervising attending physician utilizing evidence from the literature for justifying management decisions for common foot complaints.

  13. The resident will demonstrate early awareness of activities used to prevent adverse drug events.

  14. The resident will demonstrate the ability to do an electronic literature search gathering evidence for relevant clinical questions.

  15. By the end of the first year the resident will demonstrate the ability to supervise medical students and demonstrate effective leadership skills.

  16. By the end of the first year, the resident will demonstrate mastery of fundamental surgical skills including suturing, proper tissue handling, casting, and incision placement for simple procedures.

  17. By the end of the first year, the resident will be able to perform, without assistance, at least the following procedures: nail surgery, wart removal, hammertoe correction, tissue biopsy, digital amputation, incision and drainage.

  18. By the end of the first year, the resident will display basic public speaking skills.

  19. By the end of the first year, the resident will demonstrate fundamental skills in podiatric orthopedics including:

    1. Perform a thorough biomechanic evaluation
    2. Prepare an accurate negative impression cast
    3. Prescribe appropriate prescription footwear.
    4. Manage musculoskeletal complaints conservatively.
       
  20. The resident will display ethical conduct and professional attitudes.