Foot and Ankle Medical Residency Program
Introduction
 The Health Partners IME / Regions Hospital Foot and Ankle Surgical Residency is an PSR-36 program that will provide the resident with hands on experience in all aspects of Foot and Ankle medicine and surgery. The program is a three-year commitment and accepts one resident per year.
The residency program is housed at 2 main institutions including: Regions Hospital, a level-one trauma center serving St. Paul, Minnesota, a city of approximately 300,000.
Health Partners Same Day Surgery Center; and several Health Partners clinics.
Surgical cases at this program are broad-based, ranging from reconstructive forefoot and rearfoot procedures, to foot and ankle trauma with the podiatry and orthopedic faculty, to emergent and elective diabetic limb salvage. Cases are divided up among all residents on the podiatry service, including the RPR resident. Clinical experience here is vast with active participation in pre-op and post-op care, inpatient care, office procedures, and wound care. Residents are on call for one week at a time (Monday to Sunday) and are responsible for ER consults, inpatient rounds and consults, and fielding patient calls. This well-rounded curriculum will allow the graduating resident to practice all aspects of podiatric medicine and surgery in a professional and confident manner.
Directory of Foot and Ankle Medical Residency
Directory of Foot and Ankle Medical Residency
Facilities
Regions Hospital
HealthPartners Same Day Surgery Center
HealthPartners Riverside Clinic
Conferences
Health Partners Foot and Ankle Case Conference
The first Tuesday of each month, the HealthPartners foot and ankle staff, residents, and students meet at Regions Hospital to discuss interesting and difficult cases. This meeting allows staff to consult with each other and provides the residents and students opportunity to work up several very challenging cases. Furthermore, students are able to interact with some of the other academic staff at the program and patients benefit from the staff and residents sharing their combined experience to create a well balanced treatment plan.
Metro Foot and Ankle Conference
The last Wednesday of each month, the podiatry staff, residents, and students meet at Hennepin County Medical Center with the HCMC staff, residents, and students to discuss challenging cases. This conference provides the residents and student with exposure to additional difficult cases and faculty approaches outside of those in their respective program.
Minnesota Foot and Ankle Medical Associations Annual Scientific Mega Conference
This conference occurs in mid-November each year. It is a scientific meeting in a format similar to the annual ACFAS meeting. Speakers range from well-recognized national figures to local leaders in Foot and Ankle medicine and surgery. Residents at this program are generally expected to give one or more scientific lectures each year. In addition to the obvious educational benefits, residents and students are given the opportunity to network with local and national leaders in the profession.
Weekly Lecture Series
Each week on online lecture is reviewed and discussed. The foot and ankle staff, residents, and students review the lecture on their own time. In addition, we meet as a group to discuss the lecture and our current practices. The residents select topics. The purpose is to help students for CRIP interviews and residents for the board exams. The series covers the entire scope of podiatric surgery and medicine. This includes pre-operative evaluation, peri-operative care of the foot and ankle patient, and topics in surgery and general medicine.
Journal Club
Journal club meets monthly to discuss current literature. Residents and students are expected to stay current in JFAS, F&AI, JAPMA, and Foot and Ankle Clinics. In addition, each resident is assigned 2 or 3 additional non-podiatry journals to scan each month for relevant articles. Relevant articles are then copied and distributed to co-residents, students, and staff.
Curriculum
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PGY-1 Curriculum
Internal Medicine – 1 month (usually Aug)
General Surgery – 1 month (usually Sept)
Orthopedic Surgery – 1 month (usually Oct)
Behavioral Science – 2 weeks (usually Nov)
Pathology Lab – 2 weeks (usually Feb)
Medical Imaging – 2weeks (usually Mar)
Anesthesia – 2 weeks (usually Apr)
Plastic Surgery – 1 month (usually May)
Emergency Medicine – 1 month (usually June)
Podiatry -- ongoing
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PGY-2 Curriculum
Infectious Disease – 2 weeks (usually Nov)
Vascular Surgery – 2 weeks (usually Dec)
Podiatry -- ongoing
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PGY-3 Curriculum
Foot and Ankle Orthopedics and Podiatry – ongoing
Biomechanics – 2 Fridays a month
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Student Externship
The Healthpartners IME/Regions Hospital Foot and Ankle Surgical Residency Program accepts fourth year podiatric externs from all seven colleges of podiatric medicine. We offer one-month externships for all twelve months of the academic year and typically take one or two students each month.
Monday: Surgery and HPSC or Regions
Tuesday: Orthopedic Trauma Conference/Clinic/Surgery
Wednesday: Surgery
Thursday: Clinic
Friday: Surgery
There is rounding every morning when there are inhouse patients. Student will be given a pager and rotate call between students currently there.
Student Core Rotations
The HealthPartners IME / Regions Hospital Foot and Ankle Surgical Residency Program also accepts two Core Rotation Students from Des Moines University, College of Podiatric Medicine and Surgery. One student rotates in each of two four month periods, the first being October through January and the second being February through May. These students follow the same plan as the one month student externships.
Student Responsibilities
Pre-rotation: Students should call Chief Resident 651-629-1478 at least one week prior to your arrival to notify us of your arrival date so a meeting place and time can be established. Students should also have sent us a confirmation letter within 60 days from the time they are notified of their offer of externship. If you do not accept your externship or if you must cancel, you must notify us in writing at least 30 days prior to your expected arrival so another student can be offered the position. Students should also meet with their schools externship coordinators prior to arrival to ensure that all agreements between the school and our program are finalized.
Housing: The program does not offer housing. It is the externs responsibility to arrange housing for their stay. We are currently trying to assemble a list of potential housing opportunities for students to use for contacts. This will be posted when available.
Food: The program does not provide food to students. There are restaurants and cafeterias in or near all the clinics and hospitals. Students are encouraged to bring their own lunch as time may or may not allow for a break depending on the day. There are refrigerators at all facilities for students use.
Dress: While at the Surgery Center or Regions Hospital, students are permitted to wear scrubs all day. Clinic attire is appropriate for days not spent in the OR or at Regions Hospital.
Attendance: Students are expected to attend all surgeries and clinics as they are assigned by staff and residents. Morning rounds with the team are expected and some weekend rounds may be requested. We will make every attempt to accommodate visits / interviews with other programs, emergencies, or pre-arranged plans. Please notify us at the beginning of the rotation or as soon as possible when events arise.
Lectures: Each student is expected to present a power point presentation at the end of their monthly rotation. Each student will be assigned a topic near the beginning of their rotation.
Education: Students are expected to attend all formal lectures and meetings as directed by staff and residents. Students should also be actively reading to prepare for surgical cases, learning more about clinical issues, improving weaknesses in their knowledge base, and preparing for CRIP. A mock-CRIP interview will be provided to all students during their rotation.
For more information reguarding HealthPartners, click on: HealthPartners
Required Reading
Required Reading
Education
The following section covers some standard academic interview questions that a student may encounter at CRIP.
What antibiotics best cover the following problematic organisms:
1. MRSA / MRSE
2. Pseudomonas
3. Enterococcus
4. Aeromonas
What is the approximate rate of AVN for each stage of the Hawkins classification of talar neck fractures?
How soon after a pilon fracture can you fixate the fibula? The tibia?
A patient presents with a painful hallux valgus deformity. Radiographically the IM angle is 20, PASA is 6. What procedure is indicated?
What are the stages of wound healing and bone healing?
Describe flexor substitution, flexor stabilization, and extensor substitution? Which is the most common?
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