Dean's Chat - All Things Podiatric Medicine

Dean's Chat hosts Dr. Jeffrey Jensen and Dr. Johanna Richey are joined by Dr. Jason Hanft, the founder of Defender Operations.

This Part 1 episode highlights the diabetic foot problem plaguing so many! Insightful discussions on physician entrepreneurship, product development, patents, intellectual property, exit strategies, risk, and reward.

Dr. Hanft, from Miami, has long been a leader in podiatric medicine as an educator, researcher, residency director, and a clinical trial expert in the wound care space. He's one of the best minds in the profession!

Listen to the last few minutes to understand the potential perils of inventing products and partnering with companies having few scruples.

Dr. Hanft as a leader, innovator, inventor, entrepreneur, researcher, and educator. Dr. Hanft discusses his background, including his education at the Illinois College of Podiatric Medicine and his surgical residency training at Larkin General Hospital. Dr. Hanft shares his experiences in the podiatry field and the opportunities it has provided him. He also mentions that he is married to a podiatrist who runs a clinical research business.

Tune in to learn more about Dr. Hanft's journey and his contributions to the podiatric medicine industry! Dr. Hanft delves into the topic of risk tolerance behavior in entrepreneurship. They both agree that while some individuals may naturally possess the ability to tolerate risk, a significant portion of risk tolerance behavior is acquired through training and experience. They emphasize that individuals who can effectively compartmentalize and tolerate risk are more likely to see their entrepreneurial endeavors through to success. They explain that although everyone experiences some level of risk, those who can effectively deal with it are the ones who are able to complete their projects.

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Drs. Richey and Jensen welcome Dr. Brian Loder to Dean's Chat. This episode is sponsored by Bako Diagnostics!

Dr. Loder's career has been focused on student, resident, and fellowship training for the past 25 years! He was the residency director at Henry Ford Macomb Hospital from 2005-2023, where he not only trained residents, but had a clerkship program accepting students from all colleges of podiatric medicine. His work includes working with ACFAS on minimal incision training for their surgical curriculum and workshops.

Most recently, Dr. Loder became the fellowship director for the Michigan Minimal Invasive Foot and Reconstructive Foot and Ankle Fellowship. He is also an Assistant Professor at the Michigan State University – College of Osteopathic Medicine. Dr. Loder can be reached at [email protected]

This episode highlights how fellowships in podiatric medicine are increasingly recognized as vital opportunities for mentorship and personal growth, transcending the notion of merely extending training. Dr. Brian Loder portrays the fellowship experience as a supportive environment where residents can develop their skills and confidence under the guidance of experienced mentors.

Dr. Loder emphasizes that fellowships differ fundamentally from residency programs. While residencies concentrate on the technical aspects of medical training, fellowships prioritize mentorship. He describes the fellowship as a "mentoring program," where the relationship between the fellow and faculty is more personal and interactive. This mentorship is crucial for helping fellows navigate the technical challenges of podiatric surgery and the complexities of balancing professional and personal life.

A key benefit of a fellowship is the opportunity for residents to build confidence in their abilities. Dr. Loder notes that many residents enter the fellowship feeling uncertain about their skills, as illustrated by a fellow who expressed feeling "dumber" on his first day than he had anticipated. This feeling is common, but the supportive environment of a fellowship allows residents to confront these insecurities head-on. With dedicated mentorship, they can refine their techniques and gain the assurance needed to handle complex cases independently.

A significant focus of Dr. Loder's fellowship is on Minimally Invasive Surgery (MIS), which has gained traction in the field of podiatric medicine. He discusses how MIS techniques can reduce trauma and improve patient outcomes, making it an attractive option for both surgeons and patients. The evolution of MIS has led to a growing demand for specialized training, and fellowships are now seen as a critical avenue for acquiring these skills.

Dr. Loder's experience with MIS began in 2010 when he recognized the potential benefits of these techniques. He emphasizes the importance of understanding anatomy and biomechanics through open procedures before transitioning to MIS. This foundational knowledge is crucial for residents to develop the necessary skills and confidence to perform surgeries effectively.

Tune in for this fascinating episode sponsored by Bako Diagnostics! 

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Dean's Chat hosts Drs. Jeffrey Jensen and Johanna Richey,  welcome Dr. Ronald Ray DPM, who currently practices in Great Falls Montana.

Dr. Ray completed his undergraduate degree at California State University at Long Beach with a Bachelors of Science in Physical Therapy. He worked as a Physical Therapist for several years and ultimately became interested in podiatry from his interest in the mechanics of the lower extremity.  

Through his work, he explored podiatric medicine and decided to return for his Doctor of Podiatric Medicine degree obtained from the California College of Podiatric Medicine. 

He went on to complete his surgical residency training at one of the top programs in the country at Waldo Podiatric Surgical Residency Program in Seattle Washington (now known as the Swedish residency program). Here he was introduced to many of his mentors. It was through his training he met Dr. Sig Hansen MD with Harborview Medical Center and had the privilege of doing an AO Fellowship with him. 

 Listen, as we hear his experience of working with Dr. Hanson and the beautiful lessons that he learned watching a master of surgery. Join us as we discuss all things podiatric medicine and surgery as we discuss Dr. Ray's many service opportunities.  

Dr. Ray discusses what it means to be involved with professional organizations. As a past president of the American Board of Foot and Ankle Surgery as well as leader in the American College of Foot and Ankle Surgeons (serving on many different committee including: Annual Scientific meeting, Leadership Development Committee and Surgical Skills Committee). 

Dr. Ray is no stranger to advancing our profession in the education world. His continued dedication and service are predicated on his passion, which is clear as you hear him speak.  Dr. Ray discusses tricks to elevate speaking in public which our students will surely benefit.

Tune in, as he discusses his mentors, Dr. Jeffrey Christensen DPM and Richard Bouche DPM, who helped encourage him to take on lecture opportunities and get engaged in the profession. He provides great wisdom and tips into stretching your comfort zone and being willing to jump in and take the leap into the unknown. His physical therapist framework of learning and developing a skill set-verbalizing, and saying lectures out loud to develop proprioception and muscle memory to improve public speaking are fascinating! 

Dr. Ray has been integral in the development of the American College of Foot and Ankle Surgeons collaboration with the AO Foundation to build the curriculum for the Advanced Principles Course for Foot and Ankle Trauma and Surgery. He talks about how this collaborative effort has been a harmonious, but delicate balance of earning trust and maintaining the highest standards to propel our profession forward.  

If you are interested in more information about how to join the American College of Foot and Ankle Surgeons or the AO North America

https://www.aofoundation.org/aona/engage-with-us/Become-a-member

https://www.acfas.org/membership/joinrenew

 To find upcoming AO-ACFAS courses:

 https://www.aofoundation.org/aona/our-community/DPM/DPM-courses-and-events#sortCriteria=%40startdate%20ascending&f-speciality=DPM

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Dean's Chat host, Drs. Jeffrey Jensen and Johanna Richey, are joined by leadership of the American Board of Foot and Ankle Surgery, Ms. Kathy Kreiter, CEO, and President, Michelle Butterworth, DPM, FACFAS. Join us for a fun discussion highlighting Board Certification in foot and ankle surgery!  

This Dean's Chat episode is sponsored by Bako Diagnostics!  

An overview of the American Board of Foot and Ankle Surgery (ABFAS) from their website: 

"ABFAS safeguards public health and well-being by certifying and continuously assessing the knowledge, skills, and abilities of podiatric surgeons to ensure excellence in surgical care. 

Our Core Purpose is to promote the health and well-being of the public. 

Our Values -

Excellence: Embracing innovation, continuous improvement, and adaptability.

Integrity: Upholding fairness and transparency in all our actions.

Quality: Committing to high standards and trustworthiness.

Service: Dedicated to serving the profession and the public. 

Recognizing the need for a surgical specialty board within the field of podiatry, the Council on Podiatric Medical Education (CPME) approved the creation of the National Board of Podiatric Surgery. Today, that board is called the American Board of Foot and Ankle Surgery® (ABFAS).

 The primary function of ABFAS is to certify qualified foot and ankle surgeons. Initially, we offered a single certification in foot and ankle surgery. Today, ABFAS offers board certification in foot surgery or foot and reconstructive rearfoot/ankle (RRA) surgery. 

Prior to achieving ABFAS Board Certification, candidates must become ABFAS Board Qualified in Foot Surgery or ABFAS Board Qualified in Foot and RRA Surgery. To become ABFAS Board Qualified, DPMs must complete a three-year residency program and pass ABFAS Part I Board Qualification Exams (or the equivalent Final-year In-training Exams). Once board qualified (or "board eligible"), candidates must pass the rigorous Case Review process to achieve ABFAS Board Certification. 

ABFAS board-certified surgeons, called ABFAS Diplomates, engage in a process of continuous learning to remain certified through the LEAD Continuous Certification Program." 

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Drs. Johanna Richey and Jeffrey Jensen again welcome Dr. Allen Jacobs back to Dean's Chat - this is his 3rd interview and we are calling it "Allen Jacobs, DPM: Unplugged Part 2".

Dr. Jacobs is an icon in our profession, never one to mince words or bite his tongue, he "tells it like it is" with no fluff and not pulling any punches! Enjoy!

Dr. Jacobs is a 1973 Summa Cum Laude graduate of the Pennsylvania College of Podiatric Medicine. He completed his residency in surgery at Monsignor Clement Kern Hospital for special surgery in Warren, Michigan in 1975. Dr. Jacobs is in private practice in St. Louis, Missouri. He is board certified in reconstructive surgery of the foot and ankle by the American Board of Podiatric Surgery, and is a Fellow of the American College of Foot and Ankle Surgeons. For 25 years,

Dr. Jacobs served as a Director of Podiatric Surgical Residency Training; and has also served as a contributing editor to the Journal of Foot Surgery, Podiatry Today, Foot and Ankle Quarterly and Clinics in Podiatric Medicine and Surgery. Additionally, Dr. Jacobs has served as the Scientific Chairman of the American Podiatric Medical Association, The Missouri Podiatry Society, and on the Journal Management Committee of the American College of Foot and Ankle Surgery.

He was the first podiatrist to receive the rank of Fellow by Temple University. He was voted a Lifetime Achievement Award and to The Podiatry Hall of Fame. He has received numerous awards from the APMA and ACFAS for his dedication to podiatry and podiatric education, as well as recognition from the governors of Missouri, Arkansas and Massachusetts. He has published over 80 scientific articles in various publications and 17 chapter contributions in various textbooks, and has presented over 1000 papers at podiatric and medical society meetings. He is a nationally recognized author, researcher and a noted authority of surgery of the foot.

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Drs. Richey and Jensen welcome Dr. Howard Liebeskind to Dean's Chat. Dr. Howard Liebeskind is a board certified podiatric sports medicine specialist who provides non-surgical orthopedic care of the foot and ankle to recreational, intercollegiate and professional athletes.

The national and international medical communities recognize him as one of his professions most respected and experienced practitioners and as a leader in the field of podiatric sports medicine.

Dr. Liebeskind concurrently serves as the team podiatrist to the Los Angeles Lakers, Los Angeles Football Club, Los Angeles Galaxy, Pepperdine University Athletics Department and United States Men's and Women's National Soccer Teams where he has served the United States Soccer Federation for more than a quarter of a century. Additionally, Dr. Liebeskind has served as consultant and podiatric liaison to many of the world's elite football clubs including Chelsea F.C., F.C. Internaziolale Milano, Real Madrid C.F. and Manchester United, F.C. during their respective pre-season North American tours from 2005-2018.

Past associations during his career have included the UCLA Athletics Department, Los Angeles Kings, Los Angeles Clippers, Chivas USA of Major League Soccer, Los Angeles Sol, Los Angeles Avengers, Los Angeles Riptide, USA Field Hockey, Cirque du Soleil and Los Angeles Ballet.

Dr. Liebeskind is a graduate of Syracuse University and the Rosalind Franklin University of Medicine and Science, where he received BA, BS and DPM degrees respectively. He later completed a residency in Podiatric Surgery at Van Nuys Community Hospital. Fluent in Spanish Howard is a regularly sought lecturer in both Europe and the America's.

As an expert in the biomechanical design concepts in athletic footgear Liebeskind's knowledge is often shared with athletic shoe fabricators and members of the sports medicine community. In addition to being Board Certified in Podiatric Sports Medicine by the American Academy of Multiple Specialties in Podiatry, Dr. Liebeskind is a longtime respected member and associate of the American Academy Podiatric Sports Medicine. Howard maintains an active podiatric sports medicine practice in the Los Angeles community of West Hills.

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Drs. Johanna Richey and Jeffrey Jensen welcome Dr. Allen Jacobs back to Dean's Chat - this is his 2nd interview and we are calling it Allen Jacobs, DPM - "Unplugged". Dr. Jacobs is an icon in our profession, never one to mince words or bite his tongue, he "tells it like it is" with no fluff and not pulling any punches! Enjoy!.......Unplugged Part 2 will be released next week!

Dr. Jacobs is a 1973 Summa Cum Laude graduate of the Pennsylvania College of Podiatric Medicine. He completed his residency in surgery at Monsignor Clement Kern Hospital for special surgery in Warren, Michigan in 1975.

Dr. Jacobs is in private practice in St. Louis, Missouri. He is board certified in reconstructive surgery of the foot and ankle by the American Board of Podiatric Surgery, and is a Fellow of the American College of Foot and Ankle Surgeons.

For 25 years, Dr. Jacobs served as a Director of Podiatric Surgical Residency Training; and has also served as a contributing editor to the Journal of Foot Surgery, Podiatry Today, Foot and Ankle Quarterly and Clinics in Podiatric Medicine and Surgery. Additionally, Dr. Jacobs has served as the Scientific Chairman of the American Podiatric Medical Association, The Missouri Podiatry Society, and on the Journal Management Committee of the American College of Foot and Ankle Surgery. He was the first podiatrist to receive the rank of Fellow by Temple University.

He was voted a Lifetime Achievement Award and to The Podiatry Hall of Fame. He has received numerous awards from the APMA and ACFAS for his dedication to podiatry and podiatric education, as well as recognition from the governors of Missouri, Arkansas and Massachusetts. He has published over 80 scientific articles in various publications and 17 chapter contributions in various textbooks, and has presented over 1000 papers at podiatric and medical society meetings. He is a nationally recognized author, researcher and a noted authority of surgery of the foot.

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Dean's Chat host, Drs. Jeffrey Jensen and Johanna Richey, are joined by Dr. Gary Rothenberg. This Dean's Chat episode is sponsored by Bako Diagnostics!

Dr. Gary Rothenberg is a Board Certified Podiatrist, a Certified Diabetes Care and Education Specialist and Certified Wound Specialist who currently holds an Associate Professor of Internal Medicine appointment within the Endocrinology Division at the University of Michigan School of Medicine in Ann Arbor, Michigan. He is also the Director of Fellowship Training for the 2-year research-based fellowship at that institution.

Additionally, he serves as the Director of Medical Affairs for Podimetrics, a mission-driven company committed to preventing avoidable amputations among people living with diabetes.

A graduate of the Ohio College of Podiatric Medicine, he completed 3 years of residency training at the University of Texas Health Science Center in San Antonio followed by 4 years of private practice in Atlanta, Georgia. After private practice, Dr. Rothenberg served the veteran population as an Attending Physician and Director of Resident Training at the Miami VA Healthcare System for 11 years.

His private practice, VA and academic practices have all focused on conservative and surgical management of the diabetic foot. Education has always been his passion -- whether working with students, residents, colleagues, or most importantly, patients, Dr. Rothenberg believes education is the key to successful avoidance of diabetes-related lower extremity complications.

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Clerkships are so important in the podiatric medical education process. There is a good reason why they are referred to as "Audition Rotations" – Each school or college of podiatric medicine varies in the number of clerkships available – but oftentimes where students spend these month-long rotations is where they match for residency! 

Please join us for discussions on all considerations for clerkships and if you have any questions please send questions to [email protected]. 

Dr. Jensen and Dr. Richey emphasize the importance of personalizing the externship selection process, much like financial advice, and guide students in identifying key considerations as they plan their schedules for their fourth year. Tune in for valuable insights and practical tips that can help students navigate their clerkship choices effectively.

Selecting clerkships is a deeply personal process for students, and it is essential to prioritize individual interests, support systems, and desired training areas rather than relying solely on program rankings. This approach ensures that the clerkship experience aligns with personal and professional goals, ultimately leading to a more fulfilling residency and career.

Another critical factor in choosing clerkships is the presence of support systems. This episode highlights that students with families or significant others should consider geographical locations that provide a strong social support network. For single students, the decision may be less complicated, but those with partners or families need to factor in how the move will affect their loved ones. Emotional and logistical support from family and friends can significantly impact a student's well-being during the demanding fourth year of medical school and residency.

Dr. Jensen and Dr. Richey's discussion also emphasizes the importance of obtaining a well-rounded education during clerkships. Students are advised to treat their fourth year as an educational experience rather than merely a stepping stone to residency. This mindset encourages them to seek out programs that offer a variety of training opportunities, allowing them to explore different facets of podiatric medicine. By focusing on the quality of training rather than just the prestige of a program, students can maximize their learning and skill acquisition.

Students should approach their clerkships with a mindset of learning and growth. Being open to feedback from residents and attendings can enhance their skills and demonstrate a willingness to improve. As discussed in the episode, residency programs are looking for teachable candidates, and showing that you are receptive to constructive criticism can set you apart.

Enjoy!

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Dean's Chat host, Dr. Jeffrey Jensen is joined by AZCPM class of 2026 students, Ali DeCleene, Layla Galavotti, and Clayton Winn, discuss the APMLE Part 1 exam.

This Dean's Chat episode is sponsored by Bako Diagnostics!

They initially discuss the exam from a 30,000 foot view: how to approach the exam which has 150 scored questions and 55 questions being tested for future exams. We discuss allotted time, and then each section of the exam is discussed in detail; Lower Extremity Anatomy (25%), Pharmacology (15%), Microbiology and Immunology (15%), General Anatomy (13%), Physiology (13%), Pathology (12%), and Biochemistry (7%). 

Great discussion to deliver "high yield" advice!

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