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St. John Hospital and Medical Center Podiatric Surgery Clerkship Manual
TABLE OF CONTENTS Program Introduction and Description..2 Clerkship Student Duties and Responsibilities3 Clerkship Rotation Goals5 St John Hospital Foot and Ankle Surgery Locations..8 Surgery Paperwork and Preparation.9 Useful Skills, Topics to Know, Suggested Readings...10 Clerkship Checklist11
INTRODUCTION
The purpose of this Clerkship Manual is to present a relatively detailed description of the St. John Hospital and Medical Center Podiatric Surgery Residency Program, so that the podiatric student selected for the Clerkship, or Core Clerkship, may adequately prepare for the rotation. If there are any questions that are not addressed by this manual, do not hesitate to call or e-mail.
B.
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PODIATRIC SURGERY
Objectives a. To provide the clerk with the knowledge and experience involved in evaluating a podiatric surgical patient b. To provide the clerk with exposure to operating room protocol. c. To provide the clerk with experience in sterile technique, familiarity of instrumentation, and podiatric surgical assistance. d. To provide the clerk with exposure to surgical anatomy. e. To provide the clerk with exposure to general surgical anatomy, surgical technique, and tissue handling. Implementation a. The clerk will assist the resident in the performance of history and physical examination of the podiatric surgical patient. b. The clerk will review preoperative laboratory studies, prior to participating in surgical procedures. c. The clerk will scrub on podiatric surgical cases and assist in the procedure at the discretion of the resident and attending surgeon. d. The clerk will assist the resident with postoperative orders, postoperative notes, and dictation of the operative reports. e. The clerk will follow the patient postoperatively on a daily basis.
MEDICAL IMAGING
Objectives a. To provide the clerk with the opportunity to evaluate podiatric radiographs, to be exposed to advanced radiograph technique, and interpretation of these modalities. b. To provide the clerk exposure to non-podiatric radiographs. Implementation a. The clerk will be responsible for drawing biomechanical interpretation on podiatric radiographs, as well as quantization of these angular relationships. b. The clerk will attend daily radiographic rounds with the residents and will be involved in the evaluation and interpretation of postoperative and preoperative podiatric x-rays, C.T. scans, post-traumatic radiographs, arthrograms, and tenograms.
b.
The emergency room patient will be followed by the resident and clerk in the outpatient podiatric clinic for continued evaluation and treatment when other priorities are fulfilled and scheduling permits.
VASCULAR SURGERY, GENERAL SURGERY, FAMILY PRACTICE, RADIOLOGY, ANESTHESIA, INFECTOUS DISEASE, AND EMERGENCY MEDICINE SERVICES
Objective a. To provide the clerk with an exposure to the diagnosis, evaluation and management of patients in the Vascular Surgery, General Surgery, Family Practice, Radiology, Anesthesia, Infectious Disease, or Emergency Medicine services at St. John Hospital and Medical Center. Implementation a. Participation in these services is primarily observational with clerkship student involvement level at the discretion of attending physicians; no direct patient contact will necessarily be provided for the clerk. b. The clerk will attend all conferences and lectures when participating in the non-podiatric service rotations.
St John River District Hospital 4100 River Rd East China Township, MI 48054 810-329-7111 St John St. Clair Shores Medical Center (12 Mile Surgery Center) 21000 12 Mile Road St. Clair Shores, MI 48081 (586) 447-5000 St John Macomb Township Medical Center (23 Mile Surgery Center) 17700 23 Mile Rd Macomb Township, MI 48044 586-416-7500 Beaumont Grosse Pointe Hospital (Bon Secours) 468 Cadieux Road Grosse Pointe, MI 48230 313-343-1000 Crittenton Hospital 1101 West University Drive Rochester, Michigan 48307 248.652.5000 Henry Ford Cottage Hospital 159 Kercheval Grosse Pointe Farms, MI 48236 313-640-1000 Henry Ford Medical Center - Lakeside 14500 Hall Road Sterling Heights, MI 48313 (586) 247-2700 McLaren - Macomb 1000 Harrington Blvd Mount Clemens, MI 48043 (586) 493-8000 Utica Surgery Center 11051 Hall Road Suite 230 Utica, Michigan 48317 586 254 2280
-Perlman et al. Traumatic classifications of the foot and ankle. J Foot Surg. 1989 NovDec; 28(6):551-85. -Frykberg et al. Diabetic foot disorders. A clinical practice guideline (2006 revision). J Foot Ankle Surg. 2006 Sep-Oct; 45(5 Supply):S1-66. -Lee et al. Diagnosis and treatment of adult flatfoot. J Foot Ankle Surg. 2005 Mar-Apr; 44(2):78-113. -Vanore et al. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 1: Hallux valgus. J Foot Ankle Surg. 2003 May-Jun; 42(3):112-23. -Vanore et al. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 2: Hallux rigidus. J Foot Ankle Surg. 2003 May-Jun; 42(3):124-36. -Mayle et al. Current concepts review: venous thromboembolic disease in foot and ankle surgery. Foot Ankle Int. 2007 Nov; 28(11):1207-16. -Desmond et al. Current concepts review: Lisfranc injuries. Foot Ankle Int. 2006 Aug; 27(8):653-60. -Schoenhaus et al. Etiology of the bunion. J Foot Surg. 1992 Jan-Feb; 31(1):25-9. -Yablon et al. The key role of the lateral malleolus in displaced fractures of the ankle. J Bone Joint Surgery Am. 1977 Mar; 59(2):169-73. -Bratzler et al. Antimicrobial prophylaxis for surgery: an advisory statement from the National Surgical Infection Prevention Project. Clinical Infection Dis. 2004 Jun 15; 38(12):1706-15. Textbooks:
-McGlamrys Comprehensive Textbook of Foot & Ankle Surgery by Alan Banks et al* -Surgery of the Foot and Ankle by Michael Coughlin et al -Master Techniques in Podiatric Surgery: The Foot and Ankle by Thomas Chang -Reconstructive Foot and Ankle Surgery by Mark Myerson -Functional Reconstruction of the Foot and Ankle by Sigvard Hansen -Skeletal Trauma by Bruce Browner et al (pilon, ankle, calc, foot fractures are in Vol 2) *2010-11 residents textbook review selection (residents read and present on chapters)
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Clerkship Checklist
Prior to Arriving at St John Hospital [ ] Contact Anne Dwyer, Podiatric Clerkship Coordinator, regarding clerkship housing, arrival date, and resident contact information [ ] Contact residents by telephone one month prior to introduce yourself, arrange time and location to report on first day of clerkship. 313-343-6395 Upon Arrival at the Hospital [ ] Contact Anne Dwyer regarding St John Hospital ID badge, scrubs, tour [ ] Provide your email and phone contact information to residents, especially the ER/Clinic/Floor resident, if you have not already [ ] Review the schedule of upcoming academic events during your rotation
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