Service Rotations
Onsite Rotations 
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.
Pathology
The first year resident will spend one month on a pathology rotation.
Working along side of 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 lower extremity (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 with disorders of the foot and ankle.
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 Monday – Friday
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 Elliott J. Fegelman, MD, the first year resident
will rotate with the general surgery resident team. The residents
meet in the CVSU conference room Monday – Friday at 6 a.m.
for morning report, then morning rounds before going to the operating
room at 7:30 am. 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, 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, M.D., the resident will formulate
and implement an appropriate plan of management, including appropriate
anesthesia when indicated, chosing 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.
Radiology
In the second year, the podiatric resident will spend two weeks with
Dr. Pomeranz 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. Perlman, Medical
Director of Radiology, on an ongoing basis to assess radiologic findings
of patients at The Jewish Hospital.
Plastic Surgery
The podiatric resident will gain exposure to plastic surgery working
with Lawrence Kurtzman, MD. He/she will formulate and implement
an appropriate plan of management, including: appropriate surgical
management of soft tissue foot surgery. The resident will perform
suture repair of the skin utilizing appropriate plastic surgery techniques
for skin plasty, skin flaps syndactylization, desyndactylization
and debulking techniques. He/she will demonstrate appropriate tissue-specific
repair techniques and perform wound closures appropriately.
Behavioral Science
Engage in Behavioral Science Rotation. 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.
Infectious Disease
The third-year podiatric resident will have the opportunity to participate in an Infectious Disease rotation under the tutelage of Dr. Richard Goodman. 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.
Offsite Rotations
Case selection to the outside rotations is determined by the chief
resident. All podiatric cases must be covered at The Jewish Hospital
before a resident is sent to an offsite rotation.
Redbank Surgery Center
The Redbank Surgery Center is a partner of the Health Alliance of Greater
Cincinnati. 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 twenty-three hour beds. The
podiatric residents go to the Surgery Center of Cincinnati to work
with Drs. Robert and Ruth Ann Cooper. This rotation provides the
podiatric resident the opportunity to have exposure to select outpatient
podiatric procedures.
Good Samaritan Hospital in Dayton
Podiatric residents may go to Good Samaritan Hospital in Dayton, OH
to assist
Dr. Michael Regan with select limb salvage cases. Opportunities include
exposure to Charcot neuropathy, osteomyelitis, serial debridements
and reconstructive surgery.
Surgery Center of Evendale
Under the direction of Raymond Stolarski, DPM, the podiatry resident may go to the Surgery Center of Evendale to gain exposure to nerve decompression of the diabetic neuropathic foot.
