rin lein - apma · fellowship training erin e klein, dpm, ms fellowship trained foot & ankle...
TRANSCRIPT
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FELLOWSHIP TRAINING
ERIN E KLEIN, DPM, MS FELLOWSHIP TRAINED FOOT & ANKLE SURGEON
WEIL FOOT & ANKLE INSTITUTE
DES PLAINES, IL
CLINICAL INSTRUCTOR, DR WILLIAM M SCHOLL COLLEGE OF PODIATRIC MEDICINE AT
ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE
NORTH CHICAGO, IL
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MEDICAL EDUCATION, 1908
“There is probably no
other country in the
world in which there is
so great a distance and
so fatal a difference
between the best, the
average and the worst.”
-Abraham Flexner, 1908
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STANDARD OR EQUAL?
The AMA & CME worked to standardize medical education in the US
Graduating students had a similar knowledge base
Graduating residents had similar knowledge base and skill set
Can education keep up with state of the art cutting edge medicine?
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WHAT IS FELLOWSHIP?
Advanced level of focused training
After residency
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WHAT IS FELLOWSHIP?
Advanced level of focused training
After residency
“Fellowships, however, can not and
should not be a mere extension of the
surgical residency.” -Mary Crawford, DPM 2009
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FELLOWSHIP & ALLOPATHIC MEDICINE
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FELLOWSHIP & ALLOPATHIC MEDICINE
2014 appointment year
55 specialties
3552 programs
8243 positions
87.9% positions filled
Orthopedics uses a different system
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FOOT & ANKLE ORTHO
0
10
20
30
40
50
60
70
80
90
2010-2011 2011-2012 2012-2013 2013-2014
Programs Positions offered Applications Unfilled positions
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DPM FELLOWSHIPS 2008
24 fellowships
Only 33.3% accredited
9%
52%
35%
4%
4-8 weeks
1 year
2 years
3 years
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DPM FELLOWSHIPS 2014
41 fellowship programs
54 positions available
~9% of graduating residents
85%
11%
4%
Fellows per program
Solo fellow
Co-fellows
>293%
7%
Duration of programs
1 year
2 years
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FELLOWSHIP FOCUS
7%
10%
5%
7%
3%
3%
sports med
wound care
limb salvage
research
derm
public health
recon sx
65%
Reconstructive
Foot & Ankle
Surgery
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THE GOALS OF FELLOWSHIP
Scholarship
Leadership
Innovation
Advanced training
Research
Interdisciplinary collaboration
Practice management
Networking with other leaders in the profession
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APPLICATION REQUIREMENTS
Completion of podiatric residency
Application
Letter of interest
Letters of recommendation
Program specific
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APPLICATION REQUIREMENTS
Completion of podiatric residency
Application
Letter of interest
Letters of recommendation
Program specific
Self motivation
Desire to better yourself
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WHY PURSUE FELLOWSHIP?
Personal decision
Better yourself and accentuate your training
Better podiatric medicine/surgery
To be the best
Continue to be a self motivated life long learner
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PROS OF FELLOWSHIP
More focused training
Narrower spectrum of pathology
More complex case load
More intimate training environment
More personalized training
Networking opportunities
Presentation opportunities
Post-fellowship marketing advantage
Higher earning potential?
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CONS OF FELLOWSHIP
ABFAS board certification implication
Potential lost earnings
Relocation costs
No concrete evidence to suggest a greater
future earning potential
Sub-speciality issues
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WHY DID I CHOOSE
FELLOWSHIP?
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WHY DID I CHOOSE
FELLOWSHIP?
PERSONAL DECISION BASED ON AN
OVERWHELMING DESIRE TO BE THE
BEST I COULD BE.
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WHAT DOES THE FUTURE HOLD?
THOUGHTS ON THE FUTURE
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THE FELLOWSHIP TRAINED DPM
Integrated into the medical community
Provide a more specialized level of care
for complex patients
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THE FELLOWSHIP TRAINED DPM
Integrated into the medical community
Provide a more specialized level of care
for complex patients
Aid podiatry on the conquest for parity
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FELLOWS HERE TODAY
Wenjay Sung
Jeff Wunning
Cabell Adams
Dyane Tower
Kyle Bruce