The fellowship embraces total care of the foot and ankle. We manage a broad variety of diseases and deformities of the adult and child’s foot, encompassing the forefoot, hindfoot, and ankle with respect to diabetes, trauma, sports, arthritis, and tertiary reconstructive procedures.

The fellows benefit from working in the private clinics with one-on-one teaching. We have full-time orthotists, prosthetists, physical therapists, and nurses specifically trained in foot and ankle disorders. In addition, as part of our facility we have a pedobarographic system and a sports center with full capacity for dynamic physical assessment, and newly renovated 5,000-square-foot biomechanics laboratory including gait analysis, cadaver facilities, a wet lab, and materials testing capacity. A 4,000-square-foot orthobiologic laboratory permits studies in cellular and molecular human biology pertinent to the foot and ankle. A dedicated administrative research and editorial team assists the fellows in their endeavors. Weekly academic meetings, visiting lecturers, and morning city-wide foot and ankle journal club are highlights of the didactic experiences.

Approximately 1,900 foot and ankle surgical procedures are performed annually, providing the fellow an opportunity to participate in every aspect of foot and ankle reconstruction. Advanced computer skills are taught throughout the year, including data management, slide show presentations, digital photographic editing, video editing and technical animations. As product design and development from the foot and ankle faculty is ongoing, the fellow has the opportunity to learn about patents, intellectual property, and corporate interaction. A relationship with Johns Hopkins University’s Biomedical Engineering department across the street allows the fellow the option of interacting with projects from design to prototype. Additional collaborations with MedStar Institute, University of Maryland, Johns Hopkins, Goucher and Georgetown provide opportunities for unlimited exposure to diverse educational and research centers.

The goal of the Fellowship Program is to foster insight, understanding, and creativity with respect to all facets of treatment of foot and ankle disorders. This is provided through thoughtful and provocative interaction in a full service educationally conducive environment in the clinics, at the bedside, in the operating room, and in the biomechanics and cell biology laboratories.

Responsibilities

The responsibilities of the fellows are broad. Each fellow will benefit from approximately ten months of clinical rotations and two months dedicated time in biomechanics or biologic laboratories. Approved clinical research projects can be performed throughout the year prior to completing the fellowship, it is expected that a minimum of three papers will be prepared for publication in a peer-reviewed journal. Grant funding is available for these projects through the Orthopedic Research Committee at MUMH, Medstar Health Research Institute and the Schon Innovation fund.

We have an active teaching schedule with clinical, surgical, and laboratory teaching. Surgical procedures of the week are discussed at a weekly orthopedic conference which includes case presentations and didactic lectures. There is a monthly journal club and a quarterly research meeting for the foot and ankle staff. A monthly orthobiologic journal club will focus on studies pertinent to our team (i.e. tendon tissue engineering, tenocytes, human adult mesenchymal stem cells). Evening lectures on foot and ankle topics are held for fellows and residents throughout the year. Fellows will attend several national and local courses on Foot and Ankle. While the fellows are not primarily responsible for resident education, the fellows participate in helping to fulfill our responsibility for resident education.

Call

Each fellow takes call during the year. The call schedule will not impact on vacation, meeting, or sick time. The fellows share the emergencies and take back up call for the emergency room for foot and ankle trauma. Additionally, although the fellow may be on call for trauma, it is rare that he/she will need to be present in the emergency department or hospital, since the residents are primary responsible for emergency patient care.

Patient care

Fellowship responsibilities: all fellows assigned to foot and ankle attendings will be responsible for all aspects of patient care. This will include completion of all post-operative orders, prescription, discharge summaries and other necessary paperwork as well as rounding responsibilities. If a resident’s rotating on the foot and ankle service, then the duties are shared as appropriate. The fellow in the lab may have to cover the attending when a resident on the service is post call or off site for vacation or academic conference.

Vacation

Each fellow is allocated four weeks of vacation during their one-year training. However, only one week of vacation may be taken per quarter. Vacation may be taken conjunction with, but not in addition to, specialty meetings and national foot and ankle courses. Prior approval must be arranged with the Program Director to ensure adequate clinic, OR, and call coverage. All vacation plans are to be discussed as soon as possible with the attending staff to maximize patient care.

Performance feedback

Performance feedback for the fellows is ongoing throughout the year. This provides the fellow with assessment and real time feedback in conjunction with the clinical rotation. The fellow is also encouraged to participate in re-focusing or altering the formal and in-formal educational process during the year. At the end of each quarter the fellow is given written evaluations.