Required Assessment for Podiatric Surgery

CSM Podiatric Medicine & Surgery Residency (PMSR) with an added credential in Reconstructive Rearfoot/Ankle Surgery Assessment / Validation Required Assessment for Podiatric Surgery Resident s Name: Date: No. of months in training program (i.e., 1-36): Evaluator s Name: Competencies for this Clinical Experience 1. Demonstrates the ability to perform and document a comprehensive history and physical.. 2. Demonstrates the ability to arrive at an accurate diagnosis and develop a treatment plan 3. Demonstrates the ability to justify, order, and interpret pertinent laboratory studies... 4. Demonstrates the ability to perform and interpret appropriate radiographic and special studies such as tenography, arthrography, computed tomography, magnetic resonance imaging, and stress radiography 5. Demonstrates the ability to present cases succinctly and defend the diagnosis 6. Demonstrates the ability to document patient encounters in an accurate and legible progress note. 7. Demonstrates the ability to assess a podiatric surgical patient preoperatively, including radiographic assessment, and indicate procedures and possible alternate procedures. (Putting it all together). 1 2 3 4 5 N/A

8. Demonstrates the ability to manage complications associated with the performance of these procedures.. 9. Demonstrates the ability to communicate findings, diagnosis, and treatment recommendations to the patient in a way that is easily understood 10. Demonstrates the ability to monitor the patient s progress in both the operative and nonoperative setting and alter the treatment plans accordingly... 11. Demonstrates the ability to utilize E&M, CPT, and ICDA codes accurately in a clinic/surgical setting. 12. Demonstrates appropriate professional and courteous interactions with attending staff, support staff, and patients... Competencies for this Surgical Experience 1. Is able to secure proper patient positioning... 2. Utilizes hemostatis appropriately, when indicated 3. Performs skin incisions appropriately 4. Performs appropriate anatomic dissection. 5. Demonstrates appropriate tissue-specific handling techniques. 6. Procures specimen for microbiology/pathology appropriately, when indicated... 7. Uses manual instrumentation appropriately.. 8. Uses power instrumentation appropriately 9. Utilizes wound irrigation appropriately. 10. Applies appropriate bandages, splints, and/or casts... 11. Ability to communicate findings, diagnosis, and treatment recommendations to the patient in a way that is easily understood. 12. Recognizes perioperative variations and adapts accordingly 13. Follows procedural steps correctly 14. Performs procedure(s) in an appropriate period of time 1 2 3 4 5 N/A

Competencies for this Surgical Experience: DIGITAL SURGERY 1. Partial ostectomy/exostectomy.. 2. Phalangectomy... 3. Arthroplasty (interphalangeal joint [IPJ]).. 4. Implant (IPJ).. 5. Diaphysectomy.. 6. Phalangeal osteotomy 7. Fusion (IPJ) 8. Amputation 9. Management of osseous tumor/neoplasm.. 10. Management of bone/joint infection.. 11. Open management of digital fracture/dislocation.. 12. Revision/repair of surgical outcome.. 13. Other osseous digital procedure not listed above.. Competencies for this Surgical Experience: FIRST RAY HALLUX VALGUS SURGERY 1. Bunionectomy (partial ostectomy/silver procedure).. 2. Bunionectomy with capsulotendon balancing procedure.. 3. Bunionectomy with phalangeal osteotomy 4. Bunionectomy with distal first metatarsal osteotomy

5. Bunionectomy with first metatarsal base or shaft osteotomy 6. Bunionectomy with first metatarsocuneiform fusion 7. Metatarsophalangeal joint (MPJ) fusion 8. MPJ implant... 9. MPJ arthroplasty Competencies for this Surgical Experience: FIRST RAY HALLUX LIMITUS SURGERY 1. Cheilectomy... 2. Joint salvage with phalangeal osteotomy (Kessel-Bonney, enclavement) 3. Joint salvage with distal metatarsal osteotomy.. 4. Joint salvage with first metatarsal shaft or base osteotomy.. 5. Joint salvage with first metatarsocuneiform fusion... 6. MPJ fusion. 7. MPJ implant... 8. MPJ arthroplasty Competencies for this Surgical Experience: FIRST RAY OTHER FIRST RAY SURGERIES 1. Tendon transfer/lengthening/capsulotendon balancing procedure 2. Osteotomy (e.g., dorsiflexory)... 3. Metatarsocuneiform fusion (other than for hallux valgus or hallux limitus). 4. Amputation 5. Management of osseous tumor/neoplasm (with or without bone graft)

6. Management of bone/joint infection (with or without bone graft) 7. Open management of fracture or MPJ dislocation 8. Corticotomy/callus distraction... 9. Revision/repair of surgical outcome (e.g., non-union, hallux varus). 10. Other first ray procedure(s) not listed above. Competencies for this Surgical Experience: OTHER SOFT TISSUE FOOT SURGERY 1. Excision of ossicle/sesamoid. 2. Excision of neuroma.. 3. Removal of deep foreign body (excluding hardware removal). 4. Plantar fasciotomy. 5. Lesser MPJ capsulotendon balancing 6. Tendon repair, lengthening, or transfer involving the forefoot (including digital flexor digitorum longus transfer).. 7. Open management of dislocation (MPJ/tarsometatarsal).. 8. Incision and drainage/wide debridement of soft tissue infection (including plantar space).. 9. Plantar fasciectomy 10. Excision of soft tissue tumor/mass of the foot (without reconstructive surgery).. 11. External neurolysis/decompression (excluding tarsal tunnel)... 12. Plastic surgery techniques (including skin graft, skin plasty, flaps, syndactylization, desyndactylization, and debulking procedures limited to the forefoot). 13. Microscopic nerve/vascular repair (forefoot only) 14. Other soft tissue procedures not listed above (limited to the foot) Competencies for this Surgical Experience: OTHER OSSEOUS FOOT SURGERY

1. Partial ostectomy (distal to and including the talus).. 2. Lesser MPJ arthroplasty. 3. Bunionectomy of the fifth metatarsal without osteotomy.. 4. Metatarsal head resection (single or multiple).. 5. Lesser MPJ implant 6. Central metatarsal osteotomy. 7. Bunionectomy of the fifth metatarsal with osteotomy... 8. Open management of lesser metatarsal fractures... 9. Harvesting of bone graft distal to the ankle... 10. Amputation (lesser ray, transmetatarsal amputation) 11. Management of bone/joint infection distal to the tarsometatarsal joints (with or without bone graft). 12. Management of bone tumor/neoplasm distal to the tarsometatarsal joints (with or without bone graft)... 13. Open management of tarsometatarsal fracture/dislocation 14. Multiple osteotomy management of metatarsus adductus. 15. Tarsometatarsal fusion... 16. Corticotomy/callus distraction of lesser metatarsal... 17. Revision/repair of surgical outcome in the forefoot.. 18. Other osseous procedures not listed above (distal to the tarsometatarsal joint) Competencies for this Surgical Experience: RECONSTRUCTIVE REARFOOT AND ANKLE ELECTIVE; SOFT TISSUE 1. Plastic surgery techniques involving the midfoot, rearfoot, or ankle 2. Tendon transfer involving the midfoot, rearfoot, ankle, or leg. 3. Tendon lengthening involving the midfoot, rearfoot, ankle, or

leg... 4. Soft tissue repair of complex congenital foot/ankle deformity (clubfoot, vertical talus).. 5. Delayed repair of ligamentous structures.. 6. Ligament or tendon augmentation/supplementation/restoration... 7. Open synovectomy of the rearfoot/ankle... 8. Tarsal tunnel decompression.. 9. Other elective rearfoot reconstructive/ankle soft tissue surgery not listed above. Competencies for this Surgical Experience: RECONSTRUCTIVE REARFOOT AND ANKLE ELECTIVE; OSSEOUS 1. Operative arthroscopy 2. Detachment/reattachment of Achilles tendon with partial ostectomy... 3. Subtalar arthroeresis.. 4. Midfoot, rearfoot, or ankle fusion.. 5. Midfoot, rearfoot, or tibial osteotomy 6. Coalition resection. 7. Open management of talar dome lesion (with or without osteotomy).. 8. Ankle arthrotomy with removal of loose body or other osteochondral debridement 9. Ankle implant. 10. Corticotomy or osteotomy with callus distraction/correction of complex deformity of the midfoot, rearfoot, ankle, or tibia... 11. Other elective rearfoot reconstructive/ankle osseous surgery not listed above.

Competencies for this Surgical Experience: RECONSTRUCTIVE REARFOOT AND ANKLE NON-ELECTIVE; SOFT TISSUE 1. Repair of acute tendon injury. 2. Repair of acute ligament injury.. 3. Microscopic nerve/vascular repair of the midfoot, rearfoot, or ankle... 4. Excision of soft tissue tumor/mass of the foot (with reconstructive surgery)... 5. Excision of soft tissue tumor/mass of the ankle (with or without reconstructive surgery) 6. Open repair of dislocation (proximal to tarsometatarsal joints) 7. Other non-elective rearfoot reconstructive/ankle soft tissue surgery not listed. Competencies for this Surgical Experience: RECONSTRUCTIVE REARFOOT AND ANKLE NON-ELECTIVE; OSSEOUS 1. Open repair of adult midfoot fracture 2. Open repair of adult rearfoot fracture 3. Open repair of adult ankle fracture 4. Open repair of pediatric rearfoot/ankle fractures or dislocations.. 5. Management of bone tumor/neoplasm (with or without bone graft). 6. Management of bone/joint infection (with or without bone graft) 7. Amputation proximal to the tarsometatarsal joints 8. Other non-elective rearfoot reconstructive/ankle osseous surgery not listed above..

Specific Explanation of Any Unsatisfactory or Marginal Ratings from Above: Specific Compliments: Additional or General Comments or Remarks: Resident s signature Date Faculty signature Date Director of Podiatric Medical Education Date