rin lein - apma · fellowship training erin e klein, dpm, ms fellowship trained foot & ankle...

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

THANK YOU!

ERIN E KLEIN, DPM, MS

EEKLEIN27@GMAIL.COM

708.308.7978