3RD YEAR
CLINICAL ROTATIONS
CORE ROTATION
PMED 1701 A/B/C
ROTATION SYLLABUS
MIDWESTERN UNIVERSITY
Arizona School of Podiatric Medicine
12.0 CREDIT HOURS
1
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. Podiatry Program Mission and Vision Statements
XII. Rotation Evaluation Sample Form
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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 podiatric rotation consists of three one-month training
experiences at three separate locations during the third year. The overall
goal of the rotation is to develop skills in documentation, history taking,
interpretation of diagnostic tests and physical examination techniques.
Students will be exposed to a wide variety of patients of all ages and
differing pathologies.
III. PREREQUISITES
The first two years of didactic curriculum plus the third year didactic
curriculum must be completed successfully prior to beginning this rotation.
IV. ROTATION GOALS
1.
2.
3.
4.
5.
6.
7.
Develop skills in history taking
Develop skills in physical examination techniques
Develop skills in ordering tests and procedures
Develop skills in interpretation of diagnostic tests
Develop skills in patient diagnosis and management
Develop skills in patient communication and education
Develop skills in charting and documentation
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 interest in their own education by asking appropriate
questions, following patients, putting in extra time, and reading about
encountered clinical problems.
Note: All objectives are to be met under the direct supervision of a licensed Podiatrist.
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General Objectives
1. Demonstrate the ability to recognize their knowledge and skill limitations.
2. Demonstrate a commitment to improve one’s knowledge and ability.
3. Make informed decisions based on patient information and up-to-date
scientific evidence.
4. Follow protocol for cleanliness/universal precautions.
5. Complete assignments e.g., research, presentations, journal club etc.
Communication
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 caring/respectful behaviors with patients, physicians and
staff.
5. Gather essential and accurate information about their patients.
6. Present cases in a concise, clear and organized manner.
Rotation-Specific Educational Competencies:
PODIATRIC COMPETENCIES
CODE HISTORY TAKING
3.1.1
Perform a comprehensive or focused podiatric history on assigned patients in a
podiatric clinic or office (e.g. new or established patient).
CODE PHYSICAL EXAM
3.1.2
3.1.3
3.1.4
3.1.5
3.1.6
3.1.7
3.1.8
3.1.9
3.1.10
Demonstrate skills in taking vital signs.
Perform an appropriate physical exam.
Perform a dermatologic exam.
Perform a vascular examination including arterial, venous and lymphatic
components.
Perform a neurologic examination entailing sensory and motor components.
Perform a musculoskeletal exam entailing strength testing and range of motion.
Perform a non-weight-bearing biomechanical exam and interpret the data
collected.
Perform a weight-bearing biomechanical exam and interpret the data collected.
Assess gait patterns and correlate findings with the biomechanical exam.
CODE ORDERING TESTS AND PROCEDURES
3.1.11
3.1.12
3.1.13
3.1.14
3.1.15
Order appropriate lab tests
Order the appropriate series of radiographs to visualize foot pathology.
Order the appropriate series of radiographs to visualize ankle pathology.
Order appropriate special imaging studies e.g. CT, bone scans, MRI
Apply principles of x-ray protection and radiation safety.
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3.1.16
3.1.17
Recognize the indications for each of the plain film projections of the foot and
ankle.
Differentiate between weight bearing and non weight bearing films.
CODE DATA INTERPRETATION
3.1.18
3.1.19
3.1.20
3.1.21
3.1.22
Interpret lab tests
Interpret radiographs to visualize foot pathology.
Interpret radiographs to visualize ankle pathology.
Interpret special imaging studies e.g. CT, bone scans, MRI
Draw appropriate radiographic angles and evaluate their relationships.
CODE PODIATRIC MEDICAL MANAGEMENT
3.1.23
3.1.24
3.1.25
3.1.26
3.1.27
3.1.28
3.1.29
3.1.30
3.1.31
CODE
3.1.32
3.1.33
3.1.34
3.1.35
3.1.36
3.1.37
3.1.38
Perform proper aseptic technique in preparation for clinical injections.
Perform a local anesthetic block of the foot or ankle.
Perform a corticosteroid injection or joint aspiration on the foot or ankle.
Prescribe oral medications for management of infection, pain, inflammation,
etc.
Prescribe topical medications for management of infection, inflammation, pain,
etc.
Perform adequate debridement of pathologic nails.
Perform adequate debridement of hyperkeratotic lesions.
Perform adequate debridement of ulcers and apply appropriate medications
and dressings.
Perform nonsurgical treatment of verruca.
BIOMECHANICAL MANAGEMENT
Apply foot/ankle strapping (low-dye, J-strap, basket weave).
Justify the design, fabricate and apply the correct padding e.g. met pad,
dancer’s pad etc.
Apply a lower leg splint or cast e.g. cast, Unna boot etc.
Accurately obtain and evaluate a neutral position cast.
Appropriately prescribe a functional or accommodative orthosis.
Modify and/or adjust an orthotic device.
Prescribe appropriate shoe gear based on patient foot type and orthotic use.
CODE SURGICAL MANAGEMENT
3.1.39
3.1.40
3.1.41
3.1.42
3.1.44
3.1.45
CODE
3.1.46
3.1.47
3.1.48
3.1.49
3.1.50
3.1.51
3.1.52
Perform surgical treatment of verruca.
Demonstrate proper surgical aseptic technique.
Redress a surgical wound or other open lesion.
Remove sutures.
Perform a partial or total nail avulsion with or without matricectomy.
Perform a wound debridement or incision/drainage procedure.
CHARTING AND DOCUMENTATION
Keep accurate and up-to-date medical records and maintain confidentiality.
Record a patient’s vitals.
Record a dermatologic exam.
Record a vascular examination including arterial, venous and lymphatic
components.
Record a neurologic examination entailing sensory and motor components.
Record a musculoskeletal exam entailing strength testing and range of
motion.
Complete a surgical consent form.
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VI. SCHEDULE
The day to day schedule is dependent upon the attending preceptor, and/or
supervisor. Students are required to contact the rotation site/preceptor one
week in advance to verify the department’s schedule.
VII. 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
VIII. HEALTH AND SAFETY – Refer to Clinical Handbook
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Incident Reporting
Safety
Supervision
Clinical Background Checks
Rotation Requirements
Immunizations
Student Health Insurance
Basic Life Support/Advanced Life Support
Student Identification Badge
Curriculum Vitae
Code of Ethics
IX. 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.
In order to receive a passing grade for each CORE Rotation, the following MUST
be completed:
1. Preceptor’s Evaluation of Student – completed by the deadline as stated
in the Clinical Handbook and the Arizona School of Podiatric Medicine
Rotation Website.
2. Student’s Evaluation of Rotation/Site – completed by the deadlines as
stated in the Clinical Handbook and the Arizona School of Podiatric
Medicine Rotation Website.
3. Student Case Logs - completed by the deadlines as stated in the Clinical
Handbook and the Arizona School of Podiatric Medicine Rotation Website.
4. Successful passage of each of the associated Competency-Based Exams
(CBE).
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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.
COMPETENCY – BASED EXAM (CBE)
Students will be required to participate in four CBE modules during the third year
and one multiple-choice format written exam. The first module is used to
familiarize the student with the CBE process. Each student will be required to
take and pass the remaining three modules. Passage of each of the CORE
Rotations requires successful passage of the associated module and the taking
of and passing of the written exam. Successful passage of the module is
determined by the final total score for that module, as it is possible to fail one or
more component parts or stations and still pass the exam. If a student fails an
entire CBE module he/she must remediate that module. Failure to remediate a
CBE module may result in a grade of incomplete, or a failure for the rotation,
and/or require the student to appear before the AZPod Academic Review
Committee.
Please refer to the Competency-Based Examination Handbook for more
information regarding the CBE.
X. REQUIRED TEXTBOOK/READING
1.
Reading materials and assignments will be given at the discretion of the
rotation preceptors and directors.
XI. AZPOD MISSION STATEMENT
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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
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AZPOD CORE PODIATRIC CLINICAL ROTATION EVALUATION
YEAR 3
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
6
7
8
9 10 N/A
1. Demonstrate the ability to recognize their knowledge and
skill limitations.
2. Demonstrate a commitment to improve one’s knowledge
and ability.
3. Make informed decisions based on patient information and
up-to-date scientific evidence.
4. Follow protocol for cleanliness/universal precautions.
5. Complete assignments e.g., research, presentations,
journal club etc.
COMMUNICATION
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 caring/respectful behaviors with patients,
physicians and staff.
5. Gather essential and accurate information about their
patients.
6. Present cases in a concise, clear and organized manner.
9
PODIATRIC COMPETENCIES
CODE
3.1.1
HISTORY TAKING
3.1.6
3.1.7
3.1.8
3.1.9
3.1.10
3.1.13
3.1.14
3.1.15
3.1.16
3.1.17
CODE
3.1.18
3.1.19
3.1.20
3.1.21
3.1.22
3.1.24
3.1.25
10
N/A
6
7 8
9
10
N/A
6
7
8
9
10
N/A
6
7
8
9
10
N/A
6
7
8
9
10
N/A
Order appropriate lab tests
Order the appropriate series of radiographs to
visualize foot pathology.
Order the appropriate series of radiographs to
visualize ankle pathology.
Order appropriate special imaging studies e.g. CT,
bone scans, MRI
Apply principles of x-ray protection and radiation
safety.
Recognize the indications for each of the plain film
projections of the foot and ankle.
Differentiate between weight bearing and non weight
bearing films.
DATA INTERPRETATION
Interpret lab tests
Interpret radiographs to visualize foot pathology.
Interpret radiographs to visualize ankle pathology.
Interpret special imaging studies e.g. CT, bone scans,
MRI
Draw appropriate radiographic angles and evaluate
their relationships.
CODE PODIATRIC MEDICAL MANAGEMENT
3.1.23
9
Demonstrate skills in taking vital signs.
Perform an appropriate physical exam.
Perform a dermatologic exam.
Perform a vascular examination including arterial,
venous and lymphatic components.
Perform a neurologic examination entailing sensory
and motor components.
Perform a musculoskeletal exam entailing strength
testing and range of motion.
Perform a non-weight-bearing biomechanical exam
and interpret the data collected.
Perform a weight-bearing biomechanical exam and
interpret the data collected.
Assess gait patterns and correlate findings with the
biomechanical exam.
CODE ORDERING TESTS AND PROCEDURES
3.1.11
3.1.12
7 8
Perform a comprehensive or focused podiatric history
on assigned patients in a podiatric clinic or office (e.g.
new or established patient).
CODE PHYSICAL EXAM
3.1.2
3.1.3
3.1.4
3.1.5
6
Perform proper aseptic technique in preparation for
clinical injections.
Perform a local anesthetic block of the foot or ankle.
Perform a corticosteroid injection or joint aspiration on
the foot or ankle.
10
3.1.26
3.1.27
3.1.28
3.1.29
3.1.30
3.1.31
CODE
3.1.32
3.1.33
3.1.34
3.1.35
3.1.36
3.1.37
3.1.38
CODE
3.1.39
3.1.40
3.1.41
3.1.42
3.1.43
3.1.44
Prescribe oral medications for management of
infection, pain, inflammation, etc.
Prescribe topical medications for management of
infection, inflammation, pain, etc.
Perform adequate debridement of pathologic nails.
Perform adequate debridement of hyperkeratotic
lesions.
Perform adequate debridement of ulcers and apply
appropriate medications and dressings.
Perform nonsurgical treatment of verruca.
BIOMECHANICAL MANAGEMENT
3.1.46
3.1.47
3.1.48
3.1.49
3.1.50
3.1.51
7
8
9
10
N/A
6
7
8
9
10
N/A
6
7
8
9
10
N/A
Apply foot/ankle strapping (low-dye, J-strap, basket
weave).
Justify the design, fabricate and apply the correct
padding e.g. met pad, dancer’s pad etc.
Apply a lower leg splint or cast e.g. cast, Unna boot
etc.
Accurately obtain and evaluate a neutral position
cast.
Appropriately prescribe a functional or
accommodative orthosis.
Modify and/or adjust an orthotic device.
Prescribe appropriate shoe gear based on patient
foot type and orthotic use.
SURGICAL MANAGEMENT
Perform surgical treatment of verruca.
Demonstrate proper surgical aseptic technique.
Redress a surgical wound or other open lesion.
Remove sutures.
Perform a partial or total nail avulsion with or without
matricectomy.
Perform a wound debridement or incision/drainage
procedure.
CODE CHARTING AND DOCUMENTATION
3.1.45
6
Keep accurate and up-to-date medical records and
maintain confidentiality.
Record a patient’s vitals.
Record a dermatologic exam.
Record a vascular examination including arterial,
venous and lymphatic components.
Record a neurologic examination entailing sensory
and motor components.
Record a musculoskeletal exam entailing strength
testing and range of motion.
Complete a surgical consent form.
COMMENTS:
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Has this evaluation been discussed with the student?
_____Yes
____No
Signature of Preceptor __________________________________ Date _______
Signature of Student _____________________________________Date_______
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