Surgical Training and Rotations

In addition to the non-podiatric rotations outlined below, residents in podiatric surgery can expect the following progression over the three-year training cycle: PGY-1 By end of the first year, the resident is expected to demonstrate basic proficiency in the performance of forefoot surgery and minor procedures of the rearfoot. These include: Soft tissue and nail procedures Toe surgery First Ray procedures Metatarsal procedures Basic non-reconstructive midfoot-rearfoot procedures A.O. fixation of the forefoot Laser surgery Debridement – wounds and soft-tissue Other Goals Take care of in-house patients Attend weekly meetings Teach students Attend attendings' office for clinical experience Perform year-level surgical cases Unique Rotations On-location rotation (private housing provided) – five weeks, resident covers all foot and ankle surgery cases in the hospital and ambulatory surgery center and also covers all hospital and ER calls. (Winchester Medical Center and Surgi-Center, Winchester, VA) Resident-run clinic – twice weekly for ten weeks (Merrifield Clinic) PGY-2 By end of the second year, the resident is expected to demonstrate increased proficiency in the first-year procedures and demonstrate basic proficiency in the performance of more advanced procedures of the rearfoot and ankle, including: Arthrodesis Nerve decompressions Tendon transfer and repair procedures Osteotomies Debridement – bone and soft-tissue Flat foot surgery Pes cavus surgery Fracture repair – forefoot A-O fixation – rearfoot Additional Goals Assist PGY-3 in case load Assist PGY-1 with in-house patients In charge of student education Perform year-level surgical cases Unique Rotations Wound care – twice weekly for ten weeks (Inova Mount Vernon Hospital) Resident-run clinic – twice weekly for ten weeks (Merrifield Clinic) Office rotation – twice weekly for one month (offices of our 40+ attendings) On-location rotation (private housing provided) – ten weeks, resident covers all foot and ankle surgery cases in the hospital and ambulatory surgery center and also covers all hospital and ER calls. (Winchester Medical Center and Surgi-Center, Winchester, VA) PGY-3 By end of the third year, the resident is expected to demonstrate increased proficiency in the performance of first and second year procedures and demonstrate proficiency in the performance of more advanced procedures of the rearfoot and ankle, including: Arthrodesis of ankle and total ankle replacement Midfoot and rearfoot fracture repair Ankle fracture repair Ankle arthroscopy Diabetic foot reconstruction Flat foot and cavus foot reconstruction External fixation Other Goals Administrative duties Oversee students and residents Perform year-level surgical cases Prepare for employment by attending offices Non-Podiatric Rotations (All rotations are at Inova Fairfax Hospital unless otherwise indicated) First Year Medicine – one month General surgery – one month Vascular surgery – one month Infectious disease – one month and two weeks Anesthesia – one week Pain management – one week (Offices of Fairfax Anesthesiology Pain Care) Psychiatry (behavioral science) – one week Radiology (MRI and ultrasonography) – one week (Offices of Fairfax Radiological Associates) Interventional radiology – one week Emergency medicine – one week Second Year Orthopaedic trauma – ten weeks Orthopedic oncology - two weeks Plastic surgery - one month Third Year Orthopedic oncology - two weeks Plastic surgery - one month