Intermountain Healthcare/VAMC Salt Lake City, Utah

1. Intermountain Healthcare/VAMCSalt Lake City, Utah • Externships • Fourth Year Hospital Rotation (Core) • PM&S-36 Residency

2. Externships • 1 Month Podiatry Rotation • Available for 3rd or 4th Year Students • Students may spend 1-2 days each month outside the VA with a resident to experience the other 70% of our program. Just talk with Dr Young.

3. Student Hospital Rotation (Core)Four Students Selected-Eight Month Program • Vascular Surgery • Rehab Medicine • Medicine • General Surgery • Podiatry Clinic & Surgery • Medical Imaging • Emergency Medicine (only if your school requires) • 4 Months of Externships

5. VA Podiatry Rotation • Podiatric Surgery • Average 20 cases/month • Full H&Ps on all pre-op patients • Biomechanical based rationale for surgery • Students present at pre-op conference & scrub case • Podiatric Office Procedures • Average 30/month • Nail surgery (sharp)/Simple soft tissue • Molded shoes/ orthotics casting with complete biomechanical work up • Active hands on participation

6. VA Podiatry Rotation • Wound Care • 70-110 patient visits/week • Wound conference • Profore/Unna boot/Total contact cast therapy • Inpatient Service • 5-10 admissions/month • Independent admitting service • Majority are lower extremity infections • General Podiatry Clinic/Consults • 100-150 patient visits/week

7. VA Podiatry Staff • Gregg Young DPM • Program Director • Nan Hodge DPM • Clerkship Director Clinical and Surgical Staff: • Daniel Huff DPM • Mikol Anderson DPM

8. Vascular & General Surgery Rotation • High volume, includes ICU patients • Do admitting H&Ps • Scrub in on your patient’s surgery • Integrated with the U of U medical Students and Residents • 8-14 hour days

9. Rehab Medicine Rotation • Active amputee service • Learn how to perform EMG/NCV studies • Physical and Occupational Therapy exposure

10. Podiatric Office Rotation • Externship months may be spent at many of the local Podiatry Offices. See program website for list of attendings. (IMCPodiatryResidencyProgram.wordpress.com) • Diverse high volume private practices • Multiple office based procedures • Practice management • Hands on experience • Residents spend >70% of time outside the VA in these offices.

11. Didactics • Weekly Resident Lecture Series. Frequent cadaver, sawbones and subspecialty lectures and labs. • Grand Rounds Monthly @ IMC Hospital • Pre-op & Wound Care Conferences • Hospital Rounds • Access to all VA library resources • Journal Club • Student presentation required on Podiatry rotation

12. Intermountain Medical Center Residency • Full CPME approval as a PM&S-36 • Residents = 18 • Podiatry Attendings = >65

13. Current Hospital Affiliations: 2nd and 3rd Year Surgical Rotations. • Over 65 Podiatric and Orthopedic attendings. • Residents may choose which cases to scrub in over 25 hospitals and surgery centers allowing for specialization. • Case number requirements easily met during 2nd year. • (See website for case number total examples from current residents.) • 30% of time in the VA. • 70% of time in Private Practice.

14. Residency Rotations: Year 1 • Internal Medicine • General/Vascular Surgery • Dermatology (at the University of Utah) • Anesthesiology • Biomechanics • Rheumatology • Podiatry VA • Primary Care Podiatry • Medical Imaging • Emergency Department

15. Residency Rotations: Year 2 • Podiatric Surgery - 9 months • Alta View Hospital and SC • American Fork Hospital • Davis Surgery Center • Intermountain Medical Center and Surgery Center • Lakeview Hospital • LDS Hospital and Avenues Surgery Center • MckayDee Hospital and Surgery Center • Mountain West Surgery Center • Ogden Regional Medical Center • Orem Community Hospital • Riverton Hospital • Salt Lake Regional Hospital • Salt Lake Surgery Center • SLC VA Hospital • St Marks Hospital and 45th Street Surgery Center • St Marks Outpatient Surgery Center • Utah Valley Regional Medical and Surgical Center

16. Residency Rotations: Year 2 • St. Mark’s Medicine Rotations – 10 weeks • In-patient Medicine/Family Practice Medicine • Pediatric Medicine/Behavioral Medicine • Pathology

17. Residency Rotations: Year 3 • IMC/IHC Clinics Podiatry • VA Chief Podiatry Resident • Foot & Ankle Orthopedic Surgery, (exposure to IHC system). • St Marks Orthopedic/Podiatry Clinic, (exposure to Mountain Star system).

18. Statistics • Cases – >1000 • Procedures - >2000 • Reconstructive Rearfoot & Ankle - >400 • % “C” Procedures – All 75%; RRA 73% • The Match: • All six positions matched 2011 • Several of current residents top of their class • Excellent job placement post residency

19. Frequently Asked Questions • I’m not from Utah, what is there to do? • I’ve heard you only work in the VA and it is all wound care and cutting nails etc. What other experience will I gain? • The program is very time consuming, is there time for recreation? • What is the selection criteria?

21. 2002 Winter Olympic Games

22. The City

23. The Great Outdoors

24. Outdoor Recreation

26. Salt Lake Real 2009 MLS Cup Champions

27. BYU Cougars: Home of “The Jimmer”, Steve Young…

28. Utah Utes: Home of the original “BCS Busters”, Final Four appearances…

29. Frequently Asked Questions • I’m not from Utah, what is there to do? • I’ve heard you only work in the VA and it is all wound care and cutting nails etc. What other experience will I gain? • The program is very time consuming, is there time for recreation? • What is the selection criteria?

30. “My wife told me my foot smelled and made me come in."

31. 60 y/o male mountain biking alone; bad crash! He rode his bike to the VA hospital with this fracture.

32. Slipped and fell off a chair in the kitchen

33. Excision of Tumor and Repair Peroneus Brevis Tendon

34. Workshops held often

35. Frequently Asked Questions • I’m not from Utah, what is there to do? • I’ve heard you only work in the VA and it is all wound care and cutting nails etc. What other experience will I gain? • The program is very time consuming, is there time for recreation? • What is the selection criteria?

37. Dr. Reed- previous Chief Resident, fisherman extraordinaire…

38. Dan Preece and Family- 2nd year resident, hiking near Salt Lake City.

39. Frequently Asked Questions • I’m not from Utah, what is there to do? • I’ve heard you only work in the VA and it is all wound care and cutting nails etc. What other experience will I gain? • The program is very time consuming, is there time for recreation? • What is the selection criteria for the core and residency?

40. Residents/Students 2009-2010

41. Rotation Details • Andrew Black and Kenny Maisak • Co-Chief Residents • slcpodchief@gmail.com • 801 582-1565 Ask operator to page • Program E-mail: • VHASLCPodiatry@va.gov • Website • IMCPodiatryResidencyProgram.wordpress.com