4th YEAR
CLINICAL ROTATIONS
Podiatric CORE Rotation
PMED 1801
ROTATION SYLLABUS
MIDWESTERN UNIVERSITY
Arizona School of Podiatric Medicine
12 CREDIT HOURS
TABLE OF CONTENTS
I. AZPod Liaisons
II. Rotation Description
III. Prerequisites
IV. Rotation Goals
V. Rotation Educational Objectives
VI. Schedule
VII. Policies and Procedures
VIII. Health and Safety
IX. Evaluation Policy
X. Required Textbooks/Reading
XI. Recommended Textbook/Reading
XII. Podiatry Program Mission and Vision Statements
XIII. Rotation Evaluation Sample Form
PMED 1801 Podiatric CORE
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I. AZPod LIAISONS
Clinical Director: Dr. Denise Freeman
Phone: 623-572-3452
Email: dfreem@midwestern.edu
Clinical Education Coordinator: Randi Carlson
Phone: 623-582-3447
Email: rcarls@midwestern.edu
II. ROTATION DESCRIPTION
The CORE rotation consists of three months of training in podiatric medicine,
biomechanics and surgery. In collaboration with the office of clinical education,
students play a role in selecting the location of this rotation. The training experiences
take place at established podiatric student training programs nationwide. The overall
goal of the rotation is to enhance skills of diagnosis and management of podiatric
patients. In addition, students will improve skills in documentation, history taking,
interpretation of diagnostic tests and physical examination techniques.
III. PREREQUISITES
The first three years of didactic curriculum must be completed successfully, as well as
fully completing the 3rd year clinical educational program (including all preceptor
evaluations, student rotation evaluations and activity logs being submitted fully) prior
to beginning this rotation.
In addition to completing and submitting paperwork from the clinical rotations, students
will be required to have taken and meet competency levels of the third year
Competency-Based Exam.
IV. ROTATION GOALS
1. Develop the necessary skills to diagnosis and manage podiatric patient. I
2. Develop the necessary skills in documentation, history taking, and interpretation of
diagnostic tests.
3. Develop the necessary skills in physical examination techniques.
V. ROTATION OBJECTIVES
The rotation objectives are provided to assist students in their clinical learning
experiences. In addition to specified objectives, students must take a fundamental
PMED 1801 Podiatric CORE
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interest in their own education by asking appropriate questions, following patients,
putting in extra time, and reading about encountered clinical problems.
General Objectives
1. Demonstrate compassionate treatment of patients, and respect for their privacy
and dignity.
2. Demonstrate sensitivity and responsiveness to patient’s culture, age, gender,
and disabilities.
3. Demonstrate a commitment to ethical principles pertaining to informed consent &
confidentiality.
4. Demonstrate the ability to recognize their knowledge and skill limitations.
5. Demonstrate a commitment to improve one’s knowledge and ability.
6. Demonstrate caring/respectful behaviors with patients, physicians and staff.
7. Gather essential and accurate information about their patients.
8. Present cases in a concise, clear and organized manner.
9. Make informed decisions based on patient information and up-to-date scientific
evidence.
10. Follow protocol for cleanliness/universal precautions.
11. Complete assignments e.g., research, presentations, journal club etc.
Rotation-Specific Educational Objectives:
CODE PODIATRIC MEDICINE COMPETENCIES:
4.1.1
4.1.2
4.1.3
4.1.4
4.1.5
4.1.6
4.1.7
4.1.8
4.1.9
4.1.10
4.1.11
4.1.12
Perform and record a complete history and physical examination.
Order and interpret appropriate diagnostic labs (pre-op labs, rheumatologic
diseases, systemic disease, infection etc.).
Order and interpret non-invasive vascular studies (ABI, TCOM, venous duplex,
etc.).
Order and interpret nerve conduction study and EMG.
Perform palliative foot care (debridement of pathologic nails or hyperkeratotic
lesions).
Perform anesthetic block of the foot/ankle.
Perform therapeutic injection or aspiration of the foot/ankle.
Provide appropriate care of ulcers/wounds affecting the lower extremity.
Recommend appropriate in/outpatient medical management of pain
Recommend appropriate in/outpatient medical management of infection
Recommend appropriate in/outpatient medical management of inflammation
Recommend appropriate in/outpatient medical management of dermatitis
PMED 1801 Podiatric CORE
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CODE PODIATRIC BIOMECHANICS COMPETENCIES:
4.2.1
4.2.2
4.2.3
4.2.4
4.2.5
4.2.6
4.2.7
4.2.8
4.2.9
4.2.10
4.2.11
4.2.12
4.2.13
4.2.14
Apply a below knee cast or Jones compression type cast
Perform a complete lower extremity biomechanical exam including arthrometric
and gait analysis.
Accurately obtain and evaluate a cast for a Functional Foot Orthosis (FFO).
Accurately obtain and evaluate a cast for an Ankle Foot Orthosis (AFO).
Appropriately write a prescription for a Functional Foot Orthosis (FFO)
Appropriately write a prescription for an Accommodative orthosis
Appropriately write a prescription for an Ankle Foot Orthosis (AFO).
Modify or adjust orthotics to conform to patient’s foot after fabrication.
Using biomechanical principles manage Forefoot deformities.
Using biomechanical principles, manage Rearfoot deformities
Using biomechanical principles, manage Ankle deformities
Using biomechanical principles, manage Torsional deformities
Prescribe appropriate shoe for use with a functional or accommodative orthosis
Prescribe prosthetic devices for the neuropathic, dysvascular or partially
amputated patient
CODE PODIATRIC SURGERY COMPETENCIES:
4.3.1
4.3.2
4.3.3
4.3.4
4.3.5
4.3.6
4.3.7
4.3.8
4.3.9
4.3.10
Evaluate and develop a differential diagnosis and treatment plan for a patient
needing a surgical repair/reconstruction
Perform various soft tissue procedures to repair nail and soft tissue pathology.
Perform excisions and biopsies
Perform wound closure of a laceration or surgical incision.
Following proper operating room protocol, assist in forefoot surgery
Following proper operating room protocol, assist in rearfoot surgery
Following proper operating room protocol, assist in ankle surgery
Perform a pre-operative clinical and radiographic evaluation of a patient with a
bunion deformity.
Perform a pre-operative clinical and radiographic evaluation of a patient with a
hammer toe deformity.
Perform a pre-operative clinical and radiographic evaluation of a patient with
Ankle pathology.
Perform a post-operative clinical evaluation of patients with various structural foot
and ankle pathology.
VI. POLICIES and PROCEDURES – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
General Requirements.
Student Rotation Changes
Failure of a Rotation
Attendance
Communication with the Podiatric Program
Charting and Prescriptive Activities
Professionalism
PMED 1801 Podiatric CORE
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VII. HEALTH AND SAFETY – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
8.
Incident Reporting
Safety
Clinical Background Checks
Rotation Requirements
Immunizations
Student Health Insurance
Supervision
Code of Ethics
VIII. EVALUATION POLICY
The Arizona School of Podiatric Medicine is the final authority in determining whether a
student has met the requirements to satisfactorily pass a rotation.
For each rotation the following MUST be completed by the deadline as stated in
the Clinical Handbook:
1. Preceptor’s Evaluation of Student
2. Student’s Evaluation of Rotation/Site
3. Student Case Logs
A passing grade from the assigned preceptor in each rotation is required for
passage of the rotation. An average grade of 80 or greater is required for
successful completion in the General Objectives portion of the student
evaluation. A student with an average grade of 70 or below will be interviewed by the
Clinical Director to determine why the grade was given. Additionally, an average
grade of 80 or greater is required for successful completion of the Specific Rotation
Objectives portion of the student evaluation. After consulting with the student and the
clinician who gave the failing grade, the Clinical Director will render a decision with
respect to additional time in the clinic for remediation. Students are encouraged to
review their evaluations with the attending.
In addition to completing and submitting paperwork for the clinical rotations, the
students will be required to participate in one high stakes CBE during the spring quarter
of their fourth year (see Calendar for specific dates). The hands-on assessment will
gauge the progression of clinical skills and knowledge. Students must display a
minimum competency level before being allowed to graduate.
IX. REQUIRED TEXTBOOK/READING
1.
Reading materials and assignments will be given at the discretion of the rotation
preceptors and directors.
PMED 1801 Podiatric CORE
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X. AZPOD MISSION STATEMENT
As a leader in podiatric medical education, our mission is to ensure excellence in an
environment that nurtures diversity, professionalism, dedication and creativity. Our
vision is to be the standard of excellence by which podiatric medical education will be
measured through:
1.
2.
3.
4.
5.
Innovative curriculum
Cutting edge research
Compassionate patient care
Contemporary graduate and continuing medical education
Service to community
PMED 1801 Podiatric CORE
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AZPOD CORE PODIATRIC CLINICAL ROTATION EVALUATION
YEAR 4
Student Name ________________________________________
Rotation Dates _______________________________________
Evaluator’s Name _____________________________________
Please use the flowing grading scale:
6-Unsatisfactory
7-Unsatisfactory but Improving
8-Competent Performance
9-Competent and Progressing
10-Outstanding Performance
N/A-Not Applicable/Not Performed
At the end of this rotation the student, under the supervision of a preceptor, will be able
to:
GENERAL OBJECTIVES
6 7 8 9 10
N/A
1. Demonstrate compassionate treatment of patients, and
respect for their privacy and dignity.
2. Demonstrate sensitivity and responsiveness to patient’s
culture, age, gender, and disabilities.
3. Demonstrate a commitment to ethical principles
pertaining to informed consent & confidentiality.
4. Demonstrate the ability to recognize their knowledge
and skill limitations.
5. Demonstrate a commitment to improve one’s knowledge
and ability.
6. Demonstrate caring/respectful behaviors with patients,
physicians and staff.
7. Gather essential and accurate information about their
patients.
8. Present cases in a concise, clear and organized
manner.
9. Make informed decisions based on patient information
and up-to-date scientific evidence.
10. Follow protocol for cleanliness/universal precautions.
11. Complete assignments e.g., research, presentations,
journal club etc.
PMED 1801 Podiatric CORE
8
CODE
4.1.1
4.1.2
4.1.4
4.1.5
4.1.6
4.1.7
4.1.8
4.1.9
4.1.10
4.1.11
4.1.12
4.1.13
CODE
4.2.1
4.2.2
4.2.3
4.2.4
4.2.5
4.2.6
4.2.7
4.2.8
4.2.9
4.2.10
PODIATRIC MEDICINE COMPETENCIES:
Student performed and recorded a complete history
and physical examination.
Student was able to order and interpret appropriate
diagnostic labs (pre-op labs, rheumatologic diseases,
systemic disease, infection etc.).
Student was able to order and interpret non-invasive
vascular studies (ABI, TCOM, venous duplex, etc.).
Student was able to order and interpret nerve
conduction study and EMG.
Student performed palliative foot care (debridement of
pathologic nails or hyperkeratotic lesions).
Student performed an anesthetic block of the
foot/ankle.
Student performed a therapeutic injection or aspiration
of the foot/ankle.
Student provided appropriate care of ulcers/wounds
affecting the lower extremity.
Student was able to recommend appropriate
in/outpatient medical management of pain
Student was able to recommend appropriate
in/outpatient medical management of infection
Student was able to recommend appropriate
in/outpatient medical management of inflammation
Student was able to recommend appropriate
in/outpatient medical management of dermatitis
PODIATRIC BIOMECHANICS COMPETENCIES:
Student was able to apply a below knee cast or Jones
compression type cast
Student performed a complete lower extremity
biomechanical exam including arthrometric and gait
analysis.
Student accurately obtained and evaluated a cast for a
Functional Foot Orthosis (FFO).
Student accurately obtained and evaluated a cast for
an Ankle Foot Orthosis (AFO).
Student appropriately wrote a prescription for a
Functional Orthosis (FFO)
Student appropriately wrote a prescription for an
Accommodative orthosis
Student appropriately wrote a prescription for an Ankle
Foot Orthosis (AFO.
Student was able to modify or adjust orthotics to
conform to patient’s foot after fabrication.
Using biomechanical principles, the student was able
to manage Forefoot deformities.
Using biomechanical principles, the student was able
to manage Rearfoot deformities.
PMED 1801 Podiatric CORE
6 7
8
9
10
N/A
6 7 8 9 10
N/A
9
CODE
PODIATRIC BIOMECHANICS COMPETENCIES
6 7 8 9 10 N/A
(continued):
4.2.11 Using biomechanical principles, the student was able
to manage Ankle deformities.
4.2.12 Using biomechanical principles, the student was able
to manage Torsional deformities.
4.2.13 Student was able to prescribe appropriate shoe for
use with a functional or accommodative orthosis
4.2.14 Student was able to prescribe prosthetic devices for
the neuropathic, dysvascular or partially amputated
patient
CODE PODIATRIC SURGERY COMPETENCIES:
6 7 8 9 10 N/A
4.3.1 Student was able to evaluate and develop a
differential diagnosis and treatment plan for a patient
needing a surgical repair/reconstruction
4.3.2 Student was able to perform various soft tissue
procedures to repair nail and soft tissue pathology.
4.3.3 Student was able to perform excisions and biopsies.
4.3.4 Student was able to perform wound closure of a
laceration or surgical incision.
4.3.5 Following proper operating room protocol, student
assisted in forefoot surgery
4.3.6 Following proper operating room protocol, student
assisted in rearfoot surgery
4.3.7 Following proper operating room protocol, student
assised in ankle surgery
4.3.8 Student performed a pre-operative clinical and
radiographic evaluation of a patient with a bunion
deformity.
4.3.9 Student performed a pre-operative clinical and
radiographic evaluation of a patient with a hammer toe
deformity.
4.4.10 Student performed a pre-operative clinical and
radiographic evaluation of a patient with a ankle
pathology.
4.4.11 Student performed a post-operative clinical evaluation
of patients with various structural foot and ankle
pathology.
COMMENTS:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________
Has this evaluation been discussed with the student?
_____Yes
____No
Signature of Student ________________________________________Date________
PMED 1801 Podiatric CORE
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