Service Rotations

Service Rotations – Onsite

Podiatric Surgery

The podiatric resident will spend the majority of his/her months in the podiatric surgery rotation. Here he/she will gain valuable knowledge and skills to advance from a novice to an expert in the field of podiatric surgery. The resident will focus on gaining an understanding of the patient’s history and physical as it pertains to conservative versus surgical treatments, wound debridements, instrument selection for surgical type procedures, understanding surgical techniques and proper tissue handling. In addition, the resident will gain valuable experience in the perioperative care of the podiatric patient.

Podiatry Clinic

All podiatric residents will have the opportunity to see podiatric patients in The Jewish Hospital Clinic. The Clinic is located approximately ½ mile from the hospital at 6350 E. Galbraith Road. The clinic provides the podiatric residents an opportunity to prevent, diagnose and manage diseases, disorders and injuries of the pediatric and adult by non-surgical or surgical means. The residents are given opportunities to gain experience in problem-focused histories, neurological and vascular examinations and removal of lesions of the foot and ankle, as well as pre- and post-operative management of surgical patients.

Pathology

Residents will spend one month on a pathology rotation. Working alongside the clinical pathologists, the resident will gain exposure of correct techniques in procuring pathology specimens, recognizing normal and abnormal gross features of a specimen, utilizing appropriate specimen procurement methods and selecting the appropriate test while taking into consideration timeliness and cost-effectiveness.

Emergency Medicine

The goal of the Emergency Department rotation for the podiatric resident is to gain an understanding of disease diagnosis, prevention and management of the pediatric and adult patient (by educational, medical, physical, biomechanical or surgical means). During the emergency rotation, the resident should focus on performing and interpreting findings of a thorough problem-focused history and physical exam, ordering and interpreting appropriate diagnostic studies and correctly diagnosing patients.

General/Internal Medicine

The podiatric resident will spend one month in the first year with the internal medicine resident team under the direction of the program director, Stephen Goldberg, MD, at The Jewish Hospital. The residents meet in the Internal Medicine Conference Room Mon.–Fri. at 7:30 a.m. for morning report. Here the resident will touch base with the chief resident to determine his/her assignment. The goal for the General Medicine rotation is to assess and manage a patient’s general medical status, perform and interpret the findings of a comprehensive medical history and physical exam and recognize the need for and interpreting diagnostic studies.

General Surgery

Under the direction of Russell Vester, MD, the first year resident will rotate with the general surgery resident team. The residents meet in the OR control desk Mon.–Fri. at 5:30 a.m. for morning report, and then morning rounds, before going to the operating room at 7:30 a.m. The podiatry resident will work with the surgical team following patients on the floor and in the clinic. During the general surgery rotation, the podiatric resident will assess and manage a patient’s general medical status. He/she will gain knowledge in understanding the rationale for ordering diagnostic tests and formulate and implement an appropriate plan of management for the surgical patient, including appropriate consultations/referrals and general medical health promotion and education. Here the podiatric resident will gain exposure to vascular surgery.

Anesthesia

The podiatry resident will rotate for one month through the Department of Anesthesiology at The Jewish Hospital in his/her first year. Under the direction of Jeffrey Roth, MD, the resident will formulate and implement an appropriate plan of management, including appropriate anesthesia when indicated, choosing from local, general, spinal, epidural, regional and conscious sedation anesthesia. The resident will perform a pre-anesthetic evaluation, including history and physical examination, order and interpret preoperative diagnostic tests, assign a correct ASA status, position a patient properly, have the ability to practice intubations and assist in monitoring the patient during a surgical procedure.

Infectious Disease

The third-year podiatric resident will have the opportunity to participate in an Infectious Disease rotation under the tutelage of Richard Goodman, MD. In the hospital setting, the resident will be afforded the opportunity to study in greater detail the evaluation and management of patients with a broad range of infectious diseases, paying close attention to those with lower extremity infectious processes. Indications for various imaging and laboratory testing for the patient with infectious wounds will be studied in addition to the indications for medical versus surgical management. Emphasis will be placed upon the appropriate choice and monitoring of antibiotic therapy for common to rare infectious disease states.   

Service Rotations – Offsite

The chief resident determines case selection to the outside rotations. All podiatric cases must be covered at The Jewish Hospital before a resident is sent to an offsite rotation. In addition to Tri Sate Labs and University Hospital, the resident may visit the following locations:

Red Bank Surgery Center

The Red Bank Surgery Center is owned by The Christ Hospital. The state-of-the-art outpatient facility provides a highly-skilled surgical team trained in all areas of pre- and post-operative care. The podiatric resident will have the opportunity to gain exposure to outpatient foot cases.

Surgery Center of Cincinnati

The Surgery Center of Cincinnati, a member of Premiere Healthcare Partners (PCP), is a physician-owned company that manages Ambulatory Surgery Centers, Imaging Centers and Surgical Hospitals. This modern facility has over 16,000 square feet with five operating rooms and two endoscopy suites. There are seven pre-operative bays, ten recovery beds and six Phase II recovery areas and four 23-hour beds. This rotation provides the podiatric resident the opportunity to have exposure to select outpatient podiatric procedures.

Surgery Center of Evendale

The podiatry resident may go to the Surgery Center of Evendale to gain exposure to nerve decompression of the diabetic neuropathic foot.

ProScan Imaging

In the second year, the podiatric resident will spend one month with Stephen Pomeranz, MD, at ProScan Imaging. There the resident will become familiar with general principles of radiation physics and safety, gain an understanding of the correct technique for both weight and non-weight bearing radiographic studies and develop an understanding of normal and abnormal radiologic findings, with a special focus on MRIs. The podiatric residents also work with Dr. Steven Perlman, Medical Director of Radiology, on an ongoing basis to assess radiologic findings of patients at The Jewish Hospital.

Kurtzman Plastic Surgery Center

The podiatric resident will gain exposure to plastic surgery working with Lawrence Kurtzman, MD. He/she will gain knowledge in operative and non-operative aspects of a modern plastic surgery practice. The resident will perform suture repair of the skin utilizing appropriate plastic surgery techniques under the supervision of Dr. Kurtzman. He/she will demonstrate appropriate tissue-specific repair techniques and perform wound closures appropriately.

Talbert House

In the third year, the podiatric resident will have a one-month behavioral science rotation through the Talbert House affiliated with Gateways. On Wednesdays the resident will meet with the chemical dependency counselors and observe therapy groups with patients. The purpose of this rotation is to gain a more thorough understanding of the psychosocial and health care needs of patients in order to demonstrate sensitivity to cultural values, behaviors and preferences.

Clinical Research

Throughout their podiatric training, the residents are offered the opportunity to engage in clinical research under the guidance of Robert Joseph, DPM, Clinical Director of Research for the program and section editor of JFAS (Journal of Foot and Ankle Surgery). Through his practice at Kettering Medical Center, the residents can participate in clinical trials that will contribute to the body of evidence for podiatric medicine.