The podiatric resident is assigned to an anesthesiologist and exposed to the indications, pharmacology, anatomy, physiological effects and techniques involved in the administration of general, regional and local anesthesia. Daily tasks include intubation, resuscitation, administering local and general anesthesia, establish IV routes, preoperative, perioperative and postoperative assessment of patient's health status.
Emergency Medicine and Traumatology
The rotation provides the resident with an appreciation of the emergency room procedures. The resident becomes competent with regards to acute injury, acute illness, drug overdose, cardiopulmonary resuscitation, airway management, insertion of IV's catheters, nasogastric tube insertion, gastric lavage and podiatric lower extremity trauma.
Diagnostic Imaging (Radiology)
The resident becomes competent in podiatric radiographic techniques including stress radiographs, arthrography, ultrasound, MRI and CT Scan. The resident reviews non-podiatric studies encompassing chest films, arteriograms arthrograms, venograms and nuclear scan. A special two-week rotation provides magnetic resonance imaging experience. An advanced radiographic imaging (MRI, CT, Nuclear Scan) teaching file was created and is available as an ongoing educational benefit to residents.
Rheumatology and Internal Medicine
These rotations permit the resident to be familiar with diagnosing and treating patients with rheumatologic diseases as well as general medical conditions. Participation in EKG reading and performance is included. The resident accompanies the rheumatologist and internist at Botsford Hospital and office setting and examines, performs history & physical examinations and contributes to many patients' diagnosis and treatment. These medicine rotations enhance the resident’s medicine foundation.
The resident reviews and identifies soft tissue and bony pathology, both grossly and with a pathologist. The resident assists in autopsies, microscopic techniques and analysis. Didactic sessions are offered by the pathologist which the resident attends. Clinical Pathology/Podiatric Case Presentations are conducted throughout the academic year.
The resident becomes competent to perform surgical procedures encompassing soft tissue, digital surgery, lesser metatarsal surgery, surgery of the first ray, midfoot surgery, tendon transfers and general/reconstructive rearfoot and ankle surgical procedures. The resident performs both medical and podiatric history and physical examinations on the patient. He or she reviews preoperative films and special studies such as CT and MRIs. The resident is trained in perioperative management of the podiatric surgical patient. The resident also experiences enhanced podiatric and orthopedic foot & ankle reconstruction/trauma rotations for advanced skills & judgment.
General Surgery, Plastic Surgery, Vascular Surgery, Orthopedic Foot/Ankle, Sports Medicine and Pediatric Orthopedic Surgery
These rotations provide the resident with an appreciation of the anatomy, surgical techniques, tissue handling, preoperative and postoperative considerations in non-podiatric surgical procedure. The resident discusses preoperative and postoperative issues with the surgeon and is given lectures dealing with the anatomy encountered in the particular surgery. The resident acts as an active first and second assistant in those cases.
Podiatric Medicine/Biomechanics/Office Rotations
The resident is exposed to the clinical experience of podiatric patient care. The resident has the opportunity to work up patients surgically, biomechanically, perform palliative care, diagnose and treat dermatologic conditions of the feet, work-up of podopediatric conditions, perform tapings, casting for orthotic devices, diagnose and treat various arthritic conditions, perform podiatric history and physical examination, write prescriptions for medications, orthotic devices, orthopedic shoes, and work-up sports related conditions. This also includes the Botsford Podiatry Clinics and private practitioner office rotations. The resident is also involved in diabetic education and treatment of disenfranchised patients.
The objective of this rotation provides the resident with a thorough understanding of antibiotics, their bacterial spectrums, dosages, toxicities and complications. The resident performs and reads gram-stains; recognizes diagnoses and treats local skin infections and abscesses; recognizes and treats wet gangrene, septicemia, osteomyelitis; diagnoses etiologies of fever; treats foot infections; recognizes and treats postoperative infections.
Physical Medicine and Rehabilitation
A rotation in Rehabilitative Medicine exposes the resident to patients with musculoskeletal and neurological pain problems. It also offers exposure to neurological manifestations of disease processes. The podiatric resident attends muscular dystrophy clinics.
The resident rotates through Botsford Wound Care Clinic and is exposed to the latest techniques in lower extremity and diabetic wound care. This is a multiple specialty clinic, sponsored by podiatrists, general surgeons, vascular surgeons and wound care nurses.
Behavioral science rotation involves the podiatric resident with staff trainers participating in a variety of learning experiences with patients of all ages to recognize the implications of life changes on health and disease. Behavioral science lectures by staff psychiatrists and social workers support the resident's didactic education