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My Journey in Choosing a Podiatric Career

Posted By PPMA, Monday, July 26, 2021

Written by By Emily Cziraky, PPMA TUSPM [Class of 2023] Student Rep


My name is Emily Cziraky, and I am a second-year student at Temple University School of Podiatric Medicine (TUSPM). I started my journey with the vision of a career in medicine, but was undecided on the exact route I would take post-graduation. Even though I grew up in Chadds Ford, Pennsylvania, I traveled down to North Carolina to pursue my undergraduate degree at UNC-Chapel Hill.

To increase my exposure and understanding of the healthcare system, I studied Health Policy and Management at UNC’s Gillings School of Global Public Health. The program was selective and small, and we collaborated on a multitude of projects from health behavior change program planning to a significant audit of a hospital’s financial reports. Through this program, I volunteered at local health centers and viewed patient encounters. I knew that while I enjoyed the business side of medicine, my future would focus on the clinical side of medicine.

While I was in school and studying for the MCAT, I suffered from an ingrown toenail during my marathon training. I visited Chapel Hill Foot and Ankle Associates for my treatment, and I had the most wonderful experience there as a patient. That prompted me to ask my podiatrist if I could return to shadow her and her colleagues, and that encounter is what sparked my interest in podiatry.

Once I finished at UNC-Chapel Hill, I wanted to gain more shadowing experiences before pursuing my podiatric education. I continued my public health training by completing an accelerated Masters in Public Health at Thomas Jefferson University in Philadelphia. I believe having my MPH gives me a good background in population-based medicine and identifying risk factors in vulnerable populations, which can help improve my treatment plan for future patients.

This program in Philadelphia was extremely advantageous to my interest in podiatry because I could visit TUSPM to shadow third-year students in clinic. I also developed a great relationship with a local TUSPM alumnus that practices at an orthopedic practice I visited for a past running injury, Delaware Orthopedic Specialists.

At her practice, I saw the direct impact she had on patients, the plethora of cases she saw daily, and her happiness as a provider. When pursuing a career option, I think it is critical to gain perspective from current practitioners. Seeing her enthusiasm for the profession truly solidified my decision to apply to podiatry school. I knew that TUSPM was where I wanted to study, so as soon as I was admitted into the program, I accepted my position in the class of 2023. When I first informed my family and friends that I would be attending podiatry school, they had a few misconceptions I had to “stomp” out right away. The first was a snicker followed by the comment, “You want to work with feet?!” Most individuals, my family included, hear the word podiatry and think immediately of nail care and cosmetic foot care procedures.

When I shared with them the broad spectrum of care that falls under podiatry, including surgery, they were astonished! They also did not realize the long journey ahead to becoming a podiatrist, and that podiatry school is four years alone plus an additional three to four years of residency. Despite the cloudiness surrounding the profession, my family and friends were incredibly supportive, which helped me excel during my first year at TUSPM.

At TUSPM, I was fortunate enough to live within walking distance to class (I kept the apartment that I had while at Jefferson, which was so lucky!), and spent many fall afternoons in the cadaver lab on campus. It took a week or two to transition to the course load, but adhering to a strict schedule helped me manage my time and balance my studies with exercise, social events, and extracurricular activities at TUSPM.

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Female Podiatrists Bring Diversity to Profession

Posted By PPMA, Friday, July 23, 2021

Originally shared in the Nov/Dec 2019 PPMA Newsletter


If the number of female DPM delegates at this year’s [2019] PPMA House was any indication of the growing presence of female podiatrists, then the profession is headed in the right direction. As PPMA always infers, “There’s strength in numbers,” and this is no different. It isn’t at all surprising either since the podiatric profession aligns so closely with a female’s priorities. “I chose a profession in podiatry after I shadowed Dr. Lana Grzybicki in college. She made it seem like a perfect profession to still have a normal life and raise your children,” says PPMA Vice President Laura Virtue, DPM. 

This was affirmed in a recent APMA Market Research Study on Student Recruitment that concluded “Many of Prospects’ Priorities Align with Podiatry,” and included Work-Life Balance; Quality Time with Patients; Patient Variety; Providing Immediate Relief to Patients. 

The Sky’s the Limit
According to Renae Daniels-Simmons, DPM, PPMA Delegate, she witnessed the growing number of women podiatrists in leading roles and as residency directors. “Women are more and more visible as leaders in our profession, which serves as a great recruitment tool for young women to follow in our footsteps and make our profession grow that much more,” she says.

She couldn’t agree more about the diversity within the podiatric profession in allowing women to succeed and choose to either work part-time or full-time; as a solo practitioner; or in a large practice or participate in cutting-edge research and hold government/hospital board positions. “The sky is the limit for women podiatrists,” she says. 

AAWP: A Voice for Women in Podiatry 
As a member of the American Association for Women Podiatrists (AAWP) since the mid-2000s, and AAWP President, PPMA Member Jennifer Spector, DPM, joined because she was impressed by the organization’s positivity and progressiveness. 

She says the AAWP’s goal is to “inclusively celebrate and support women in podiatry.” This means legislative advocacy, providing mentorship, guidance, and representation to both male and female members. It also means AAWP will continue to promote female faculty at conferences nationwide; hold an AAWP caucas at the APMA House of Delegates; have representation at the APMA National; and hold more scientific conferences!

Even though the general medical community must keep pushing for gender equality, leveling pay disparities, improving leadership inequity, and combatting bias, Dr. Spector believes as long as there are “strong leadership and grass-roots efforts by individuals and organizations, podiatry can contribute to this progress.” And the AAWP is one of those organizations. 

“The focus of AAWP is to represent the voice of women in the field of podiatric medicine and surgery,” says Sabrina Minhas, DPM, Secretary for the AAWP and PPMA’s in-coming President. As the new President of PPMA, Dr. Minhas wants to continue the Association’s efforts with Student Recruitment. This ties together in working with affiliated organizations such as the AAWP to spread the word about a podiatric career on a wider scale to prospective students. 

Female DPM Stats
Even though Dr. Spector can honestly say she has noticed more of a female DPM presence these days, there isn’t a whole lot of data out there to confirm a substantial increase. This is not to say there isn’t any. Take for instance the chart below from recent APMA member data. Of note is the data that indicates a growth in the percentage of females (37 percent) in the young physician member category vs. 23 percent of all members. This definitely shows promise.

Female DPM Characteristics
So what do female DPMs bring to the table in regards to personality and approach to podiatric medicine? Here’s a small sampling of what some of our doctor’s had to say: 

Dr. Maryann Hartzell, PPMA Past-President, had this to say about her attributes/philosophy as a female DPM—

  • A personal knowledge of fit-and-functional women’s shoes. 
  • Good shoes don’t have to look bad.
  • When performing nail procedures, I keep the result cosmetically pleasing because one day my work is going to be displayed in sandals. 
  • Bunion correction incisions are essentially my “signature” on someone’s foot. 
  • Likely the first thing they see each morning [their feet]. 
  • Cosmetic incision lines are critical to patient happiness. 


Dr. Jane Pontious, PPMA Board Member, had this to say about her attributes/philosophy as a female DPM—

  • I make more of an emotional connection with my patients.
  • I’m a very good listener.
  • I have a very close relationship with my patients, and I look forward to seeing them.


Dr. Laura Virtue, PPMA Vice President, says this about being a female podiatrist—

  • Podiatry is a perfect profession for females. 
  • My only challenge as a woman is juggling my children’s schedules around patient office visits.
  • We have a motherly instinct.


Rest assured, female DPMs are on the move and here to stay, and advance the profession in ways only they are capable!  

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Engaging New Students for Recruitment

Posted By PPMA, Friday, July 23, 2021

Originally shared in the JulyAugust 2019 PPMA Newsletter

By Susan Kramer


According to a recent APMA study on student recruitment, conducted by Edge Research, a career in podiatry is not foremost on the minds of students. The good news is that part of these findings “suggested that if you create opportunities, students will find you.” It’s time for PPMA/APMA members to join their peers and impact a student’s decision more aggressively in favor of podiatry.


Create the Opportunities to Engage Students
Increasing student enrollment in podiatric schools won’t happen on its own. You must create the occasion by calling your local elementary/high school guidance counselors and offer avenues to connect with those looking at careers in science or medicine. Another finding from the APMA study concluded that “Interest in medicine among Prospects occurs earlier than for Podiatry students,” a signal that educating students before and during high school will make the most impact.


There are many variables to consider with your action plan:

1) Set up speaking engagements at local schools.

  • APMA is able to provide members with presentations for prospective students. This study is part of several initiatives currently underway, watch for more to come. 
  • The American Association of Colleges of Podiatric Medicine (AACPM) can connect you with students and resources. Join the AACPM Mentoring Network. Registration is free, go to https://tinyurl.com/ybpzz67m.2)

 

2) Clinch the deal, schedule “shadowing” to pre-med or science students frequently.

3) Tell students the “Why” of Podiatry:

  • Podiatry’s range of practice settings
  • Salary-to-work and life-to-balance ratios
  • Residency opportunities
  • Ability to form meaningful patient relationships

4) The earlier the better to reach prospects, according to the APMA study; as well as focusing on ways to increase online Search Engine Optimization (SEO) and Word of Mouth (WOM).

5) According to APMA’s study, a high percentage of prospects were unaware or misinformed about certain key aspects of podiatry including:

  • DPMs Perform Surgery
  • The Costs of Podiatric Medical School vs. Medical School
  • A Podiatrist’s Salary
  • Variety of Patients, Conditions, and Practice Settings

 


Our PPMA members can attest to the APMA survey findings on the best methods for recruiting:

PPMA Member Simon Tabchi, DPM, had a recent Moravian College grad shadow him who just got accepted into the first-year class at Temple University School of Podiatric Medicine (TUSPM). “Many people think it is all foot care and ingrown toenails,” says Dr. Tabchi. His student was unaware that podiatrists treated and evaluated tendon and bony abnormalities, both in office and surgically; and that podiatrists treat ankle pathology.  (From the APMA survey, “48% of Podiatry students identify shadowing a professional as their most important resource for learning about Podiatry.”)

PPMA Vice President Laura Virtue, DPM, has been recruiting students for the past 15 years on her own. “I see tons of kids every day because there’s lots of pediatricians in my group,” she says. So she opens the conversation whenever she has the opportunity. Recently a student who shadowed her is graduating this year from Dr. Guido LaPorta’s residency program. According to Dr. Virtue, “When a student does shadow me, I try to bring them to the Wound Center and to my office.” This way they experience what a typical day is as a podiatrist.

PPMA Past President Joseph Smith, DPM, says, “I will say that words cannot express the satisfaction and pride that you feel when you get to see that student/doctor you have mentored and who has shadowed you in your office stand up and receive their lab coat during the White Coat Ceremony at Temple University School of Podiatric Medicine.  It is very rewarding, on a personal level, to know that you have changed someone’s entire life forever.  You have given that person a chance to have a wonderful career. You have helped to create another healthcare provider, and you have helped the profession of podiatric medicine grow. There is no other feeling like it.”


APMA’s Recruitment Event at the National 2018 Received A+
As instructed by the APMA House of Delegates to take a leading role in Student Recruitment efforts, APMA launched its first “Step into Podiatry” event during the 2018 National to expose local pre-health students and advisors to podiatry. Upon arrival, prospective students were invited to interact with a panel that consisted of a new practitioner, third-year resident, and third-year student at the Barry University School of Podiatric Medicine. Later these students shared lunch with AACPM members who answered questions about podiatry and their experiences entering a podiatric career.

In addition, these prospects were able to observe surgical workshops and tour the exhibit hall.
The event was such a huge success that APMA has scheduled a Second Annual “Step into Podiatry” event on July 12 during the 2019 National in Salt Lake City, Utah. APMA’s Career Development Manager Tiffany Kildale says, “We encourage any member to reach out to us with questions regarding recruitment presentations and support, and as always, to let us know what they’re doing individually so we can help promote them and their recruitment efforts!”

The next step for APMA will be to engage its Stakeholder Advisory Group in the coming months to start developing the brand neutral recruitment website, and launch the Student Recruitment toolkit early next year.

2019 Clinical Conference Recruitment Event Planned
The Goldfarb Foundation is also setting its sights on a Student Recruitment event at this year’s Clinical Conference, November 7–10, at Valley Forge Casino Resort. The Foundation recognizes the need to enhance student recruitment in both the quantity and quality of applicants to guarantee the continued success of our profession. To do this, Goldfarb Foundation Board Members Edwin Hart III, DPM, and Joseph C. Smith, DPM, are coordinating these efforts with the Temple University School of Podiatric Medicine (TUSPM) to offer a group of undergraduate students and their advisors the chance to interact with PPMA Board members and ask questions. The students will also be able to sample a lecture or two and have lunch with our members.

“Our goal is to expand and expose the career path of podiatric medicine to undergraduates in local colleges and universities in southeastern PA,” says Dr. Hart. The PPMA delegates have, over the past several years, put forth resolutions at the APMA House of Delegates to resolve the residency shortfall and to improve efforts in student recruitment and increase applications to podiatry schools. This event is only one step toward these goals. Dr. Smith says, “We believe that this is an excellent way to reach out to prospective students and local advisors. On a “grassroots” level, it will allow them to gain firsthand insight into the field of podiatry.”

Students at TUSPM are also returning to their undergraduate institutions to promote the specialty. “It is really an issue that requires efforts by us ALL to strengthen the profession’s bright future,” says Dr. Hart.

The school advisors will be invited to attend on Friday, November 8 of the Clinical Conference with the students being slated for Saturday, November 9.

It’s up to members to bring podiatry into the forefront to students interested in a career in medicine. Give them the chance to hear firsthand about a podiatric career from YOU, the best and most accurate source!

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Life after Residency

Posted By PPMA, Friday, July 23, 2021

Originally published in the July/Aug 2020 PPMA Newsletter

By PPMA Board Member Christine Nolan, DPM


 

It is that time of year. Residents are graduating and becoming attendings, joining the ranks of full immersion into practice-hood. It is a transition, and for myself and I am sure others, it’s a jump. You go from having a safety net to jumping off the trapeze without one. Often times as a resident, life seems so certain. You have all the answers to questions, you are prepared, but the reality remains that final decisions lie in the hands of another. 


As I sit here and start to write this article, it’s almost 8:00 p.m., and I am waiting for two add-on cases to go. I have already had a full day of clinic patients, and our Neurosurgical team just bumped me. Things do not always improve once you are an attending, just so you, as new residency graduates, know. 


As an Attending:

  • You will be stretched beyond whatever limits you thought you had;
  • Former instincts begin to flex;
  • Things you once thought to be absolute are not;
  • You will seemingly learn to doubt yourself and trust yourself simultaneously; and
  • Grow at what seems like a staggering pace.

I want to share some of my insights I have gained since becoming an attending not that many years ago—

Breathe (something I wish people had told me). The transition from resident to attending is greater than from student to resident. Not only are you managing patients, performing surgeries, dictating charts, and teaching residents, but also you are getting to know the ins and outs of both your practice and your hospital system. 


You will struggle. You may have failures and disappointments; these will resolve. You will become more accomplished, faster, smarter, and more flexible. It is important to understand and not be too hard on yourself. Take a breath. 


Use the resources of your past and your present. Reach out to residency attendings and co-residents. You have not isolated yourself from where you have been, you have merely acquired more resources. With modern technology, information can be shared at rapid paces. Take a few moments to step away, open a book, look online, text a friend. Though you are the point for the final decision, it does not need to come in isolation. Use your new resources as well; talk to your partners, setup a day or a month with them or local doctors to discuss complex patients and complications. Get to know your colleagues around you. 


Don’t give up. There are going to be those days. Every patient has a problem or complication and nothing seems to go right, but don’t give up. Hold on to your successes and learn from your failures. Complications tend to fatigue you both physically and emotionally. You question yourself as a provider. Know this: Everyone has complications. If you are a surgeon, you will have failures. Accept them, learn from them, but be determined to make your-self better because of them. Don’t hide them from yourself or your patients. If you do, they will grow. You will lose trust in yourself, and people will lose trust in you. 


Be confident. Your staff and those around you will see that. Your patients will see that. Prepare yourself and know what you are doing, even when you’re not sure of it yourself. Don’t shy away from cases because you’re new and don’t yet feel capable—get comfortable. You are never going to get competent until you do them. If you want to gain some confidence, ask a partner to scrub, do a cadaver lab, read and  watch videos. Do what  you need to in order to gain confidence. If you don’t, how will you ever get there. Always continue to seek and learn and to do the best for those you serve.


Don’t watch the clock. How long was the tourniquet time? How far am I behind on my schedule? What time is that next case? In the beginning, you are going to be slow. Your tourniquet time is going to be longer than you want. You are going to get behind in your schedule. Trust me when I say, you will get faster. 

As you start out, your focus should just be about doing what is best for the patient, not time. Don’t let anyone taunt you for how long it took or how far you are behind. Did you do what was right for the patient? Are you giving each patient the attention his or her condition needs? Then nothing else matters. Focus on your patients, your skills and the rest will come with time. 


Don’t expect yourself to be “first-rate” after one day or even one year. Success won’t happen overnight. We all have to start somewhere. I hope that you will read these tips and know, we’ve all been there, and we as your colleagues welcome you all.

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The Pennsylvania Podiatric Medical Association (PPMA) currently represents more than 875 Doctors of Podiatric Medicine (or podiatrists/DPM) across the Commonwealth of Pennsylvania.

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