rin lein - apma · fellowship training erin e klein, dpm, ms fellowship trained foot & ankle...
TRANSCRIPT
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
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
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?
WHAT IS FELLOWSHIP?
Advanced level of focused training
After residency
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
FELLOWSHIP & ALLOPATHIC MEDICINE
FELLOWSHIP & ALLOPATHIC MEDICINE
2014 appointment year
55 specialties
3552 programs
8243 positions
87.9% positions filled
Orthopedics uses a different system
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
DPM FELLOWSHIPS 2008
24 fellowships
Only 33.3% accredited
9%
52%
35%
4%
4-8 weeks
1 year
2 years
3 years
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
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
THE GOALS OF FELLOWSHIP
Scholarship
Leadership
Innovation
Advanced training
Research
Interdisciplinary collaboration
Practice management
Networking with other leaders in the profession
APPLICATION REQUIREMENTS
Completion of podiatric residency
Application
Letter of interest
Letters of recommendation
Program specific
APPLICATION REQUIREMENTS
Completion of podiatric residency
Application
Letter of interest
Letters of recommendation
Program specific
Self motivation
Desire to better yourself
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
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?
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
WHY DID I CHOOSE
FELLOWSHIP?
WHY DID I CHOOSE
FELLOWSHIP?
PERSONAL DECISION BASED ON AN
OVERWHELMING DESIRE TO BE THE
BEST I COULD BE.
WHAT DOES THE FUTURE HOLD?
THOUGHTS ON THE FUTURE
THE FELLOWSHIP TRAINED DPM
Integrated into the medical community
Provide a more specialized level of care
for complex patients
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
FELLOWS HERE TODAY
Wenjay Sung
Jeff Wunning
Cabell Adams
Dyane Tower
Kyle Bruce
