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Posted By Halyna Muzychak, 2nd Year TUSPM,
Friday, September 6, 2024
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Reflecting on my first year as a podiatry student at Temple University's School of Podiatric Medicine, I am filled with gratitude and pride. It has undoubtedly been one of the most challenging years of my academic journey. The rigors of the curriculum tested my perseverance and dedication. Yet, the support from outstanding professors like Dr. Griffin, who taught Lower Extremity Anatomy, and Dr. Thatcher, our Physiology instructor, made all the difference. Their ability to convey complex topics with clarity and compassion helped me navigate the demanding coursework. Dr. Griffin's Lower Extremity Anatomy class, in particular, was a highlight for me. It deepened my passion for medicine and solidified my commitment to the podiatry field. The hands-on dissection skills we honed in the cadaver lab were invaluable, offering a profound understanding of the human body that will be crucial as we advance to surgical training in residency. Despite the strenuous schedule and limited free time, the sense of community among my classmates was a beacon of support and joy. The small cadaver-to-student ratio provided ample learning opportunities, fostering a collaborative learning environment that enhanced our educational experience. The bonds we formed amidst the shared struggles and triumphs have been a source of strength, and I am confident these friendships will endure well into our future careers as podiatrists. This year has not only been a testament to my resilience and love for podiatric medicine but also a reminder of the incredible people I am fortunate to share this journey with. As we move forward, I am excited to continue growing alongside such inspiring peers and mentors.

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Posted By Helena Fortinash, 2nd Year TUSPM,
Thursday, September 5, 2024
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I never did good research in the past; it just never was of interest to me. And to be even more honest, if you had asked me in August if I would join a research project while at TUSPM, I would have laughed and said no. After my first year at TUSPM, I am officially CITI Program Trained, have a Redcap account, and am a part of two separate research projects with two different professors at Temple Health. When I first offered to participate in these projects, I had to step out of my comfort zone to say yes. At this point, we were swamped with test upon test, and I thought I needed a resume boost due to those tests if you understand. However, now, I have never been so happy to be a part of something at TUSPM. These projects can give a crazy busy first/second/third-year space not to be a student, even if it’s just thirty minutes to take down data; that break from studying is super helpful to the psyche.
Not only is the physical/mental health boost excellent when it comes to research, but if it’s a topic you love, you will have genuine fun taking part in the project. For example, one of the projects that I was a part of this year required extra foot dissections, and since my favorite course in my first year was lower extremity anatomy, I happily said yes, and this was how I got my foot wet in the world of medical research, just being one of the dissectors. Even a “small” role like dissecting feet will probably play a more significant role in this project, and I got to take part in it, all while having a good time in the lab. To conclude, my favorite part of my first year at podiatry school must be stepping out of my comfort zone to take part in research, and I cannot wait to continue doing so during my time at TUSPM.

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Posted By Camellia Russell, Parliamentarian Executive SGA National Foot & Ankle Review Associate Editor,
Wednesday, May 8, 2024
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Embarking on the acknowledgment that shortcuts are a myth, some may question me for not recommending the path of least resistance. However, I contest this notion by emphasizing that challenges are intrinsic to growth and skill development. As one starts on the journey to medical school, it becomes evident that every new endeavor presents its unique set of challenges essential for personal development. Upon entering medical school, expectations of a gentle introduction quickly fade as the intensity of the curriculum becomes apparent. The initial weeks are a whirlwind of information overload, pushing students to their limits. Despite initial struggles and burnout, perseverance leads to adaptation, transforming students into resilient individuals capable of navigating the demands of medical education. Dr. Nina Ahuja, MD, FRCSC, CHE, aptly notes that “personal transformation occurs when individuals overcome obstacles.” The medical school embodies this principle, offering a transformative experience filled with challenges that shape future physicians. The responsibilities and rigors of medical training mold individuals, preparing them for the profound responsibilities of a medical career. Medical school goes beyond just gaining knowledge; it's about personal growth and resilience. Students transform from passive learners to active contributors in healthcare. The intense training refines not only clinical abilities but also empathy and the ability to make tough decisions. Furthermore, the lessons from medical school aren't limited to academics. They shape ethical values, a dedication to continuous learning, and a sense of duty to patients and society. These form the core of a successful medical career, setting the stage for meaningful contributions to healthcare and patient welfare. While the path to medical school may be arduous, the rewards are immeasurable. It's not just about earning a degree; it's about evolving into a healer, a leader, and a lifelong advocate for health and humanity. View Fox 40 Story Resources Ahuja BScHons, MD, FRCSC, CHE, N. (n.d.). Personal Transformation Is a Continual Process. Psychology Today. https://www.psychologytoday.com/us/contributors/nina-ahuja-bschons-md-frcsc-che

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Posted By Danielle Buro, President-Elect of Student Government Association,
Monday, July 31, 2023
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The feelings of emotional exhaustion, reduced accomplishment and self-efficacy, high
levels of stress, depersonalization, and social withdrawal are some of the feared, yet commonly
associated symptoms of burn-out. Burn-out is experienced by an abundance of students in
podiatry school; it is commonly described as a state of mental, emotional and physical
exhaustion associated with the academic pressure, heavy workloads, lack of work-life balance,
high expectations, limited control over schedules, exposure to emotionally challenging
situations, chronic stress and overwhelming demands placed on medical students. The goal of
this article is to provide insight and tips for podiatry students to prevent this state of fatigue and
feeling run-down. Preventing burn-out should begin early on in a student doctor’s journey.
My first semester of podiatry school, I had not yet realized the importance of avoiding
burn-out, or how being burnt-out would negatively impact me as a student. Every time I would
practice self-care, I felt an enormous amount of guilt for not studying and fear that this would get
in the way of achieving my best grades. I was exhausted, overworked, and feeling pretty
unhappy. The following semester, I began to prioritize my physical well-being, managing stress,
exercising, practicing effective time management, and nurturing mental and emotional health.
This provided me with a better mindset and more motivation to participate in my studies. I
achieved better grades, felt empowered, and even became more inclined to get involved at
school. After reflecting on the stark differences between my first two semesters, I understood
that self-care is not a luxury, but a necessity that empowers individuals to perform at their best
academically.
There are many more self-care strategies that can contribute to preventing burn-out in
podiatry school. Some of the best advice I received was to participate in shadowing. Shadowing
a clinician allows students to connect with their initial desire to pursue the field and remember
why they started this journey in the first place. This experience exposes students to the future
they will have, while providing them with the necessary exposure and education in the field.
Volunteering in the field can have similar effects as well. Podiatry students can do much more
non-podiatry related activities to prevent tiring themselves out. Students can take time to
strengthen their personal relationships, spend time with people who make them truly happy,
participate in their favorite hobbies, watch a tv show, and the list goes on. Your own happiness
is extremely valuable and your mindset will reflect on your future patients and their recovery!
Aside from self-care, many podiatry schools and institutions are becoming increasingly
aware of the impact of burn-out on students' well-being and academic performance. This is
done in hopes to implement support systems and resources to avoid and/or treat this academic
exhaustion. If a student is experiencing symptoms of burn-out in medical school, it is crucial to
seek support and explore the resources offered by their institution. Currently, all podiatry
schools provide their students with counseling services, faculty advisors, and mentors who can
provide guidance, resources, and help their students develop strategies to manage stress and
prevent burn-out. Taking care of your well-being throughout your medical education is essential
for your personal growth, academic success, and long-term career satisfaction.
In the pursuit of academic success, prioritizing self-care is fundamental, but usually
overlooked. By focusing on and nurturing one’s mental and emotional health, students can feel
empowered, energized to achieve better grades, and obtain more success. Once podiatry
students begin to recognize the strong correlation between self-care and academic success,
students can foster a balanced life along their journey in podiatry school. In summation, let us
embrace self-care as an essential investment in our academic journey and professional
development. Working hard is crucial, but not at the expense of your own sanity.

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Posted By Jordan Jefferson President Elect, Diversity Inclusion Community Education,
Monday, July 31, 2023
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ABC's of Lower Extremity Anatomy
Lower Extremity Anatomy is an extremely important course for podiatry students as it lays out
the groundwork for our field. Here are a few important structures and diagnostic tests seen in lectures
and labs. This is not an all-inclusive review.
Achilles Tendon
• Tendon of gastrocnemius and soleus attaches to the posterior surface of the calcaneus.
Baxter’s Nerve • Nerve on plantar surface of the foot. Motor innervation includes flexor digitorum brevis,
quadratus plantae, and abductor digiti minimi. Sensory Innervation: calcaneal periosteum and
long plantar ligament.
Crural Fascia
• The deep fascia covering the compartments of the leg.
Dorsalis Pedis
• Branch of the anterior tibial artery. Can give rise to cutaneous branches that supply skin on the
dorsum of the foot. Clinical Point: dorsalis pedis pulse is checked when assessing blood flow to
the fleet.
Extensor Expansion • Triangular membranous sheath that surrounds the dorsum and sides of an MTPJ and extends
beyond DIPJ.
Flexor Retinaculum
• Holds the tendon of tibialis posterior, tendon of flexor digitorum longus, posterior tibial
vasculature, tibial nerve, and flexor hallucis longus
Great Saphenous Vein
• This vein runs on the medial side of the lower extremity and terminates past the medial
malleolus in the medial marginal vein contributing to the dorsal venous network.
Hallucal Sesamoids
• Constant, small, rounded bones, associated with the tendon of flexor hallucis brevis. Functions
can include altering the pull of a tendon, providing mechanical advantage and protecting tendon
from friction.
Intrinsic Muscles of the Foot
• Medial Compartment: abductor hallucis and flexor hallucis brevis
• Central Compartment: flexor digitorum brevis, quadratus plantae, lumbricals, adductor hallucis,
and interossei
• Lateral Compartment: abductor digiti minimi and Flexor digiti minimi
Joints Proximal Interphalangeal - Joint (PIPJ), Interphalangeal Joint (IPJ), Distal Phalangeal Joint (DIPJ),
Metatarsophalangeal Joint (MTPJ). Can be insertion sites for Flexor Digitorum Brexis and aid in
plantarflexion and dorsiflexion of the toes.
Kager’s Triangle
• Fat-filled space separating the Achilles tendon from the deep transverse intermuscular septum. Lumbricals
• Have an attachment to the flexor digitorum longus tendon and are all innervated by lateral
plantar nerve EXCEPT the first lumbrical. The lumbricals simultaneously plantarflex the MTPJ
and dorsiflex the IPJs of the lateral digits
Metatarsals
• Miniature long bones numbered 1-5 beginning with medial ray (hallux). The head articulates
distally while the base articulates proximally.
Neuroma (Morton’s) • Not a true tumor but a perineural fibrosis. Can have radiating forefoot pain also numbness
between affected digits.
Oblique Popliteal Ligament • Inside the knee joint capsule and associated with the middle genicular artery.
Posterior Tibial Artery
• Branches include circumflex fibular, fibular, nutrient artery to tibia, muscular, communicating,
posterior medial malleolar, medial and lateral plantar, and medial calcaneal.
Quadratus Plantae • Muscle in medial compartment of the plantar foot, innervation and blood supply come from
lateral plantar neurovasculature. Major action is to assist flexor digitorum longus in
Plantarflexion of the lateral MTPJ and IPJ.
Recurrent Branch of Posterior Tibial
• When present this artery is the first branch from the anterior tibial artery, followed by
circumflex fibular and recurrent branch of tibial artery.
Spring Ligament
• Also known as the plantar calcaneonavicular ligament. This ligament brings support to the
medial longitudinal arch of the foot. Dysfunction in this ligament can cause a flat foot deformity.
Tibial Nerve
• Innervates posterior muscular compartment of leg including flexor hallucis longus, flexor
digitorum longus, tibialis posterior, popliteus, plantaris, gastrocnemius, and soleus.
Ultrasounds
• Diagnostic imaging can help determine if there is a deep vein thrombosis of the lower extremity.
Venous Comitantes
• Two or more deep veins that travel with an artery. The relationship between the accompanying
vein and artery allows for an arteriovenous pump and a countercurrent heat exchange.
Wing/Hood
• Two triangular sheets, one on each side of the toe, which meet at their dorsal edges
X-rays
• Diagnostic imaging that can be used to visualize the bones of the lower extremity.
Y-shaped Inferior extensor retinaculum
• Holds tendons of four muscles: fibularis tertius, extensor digitorum longus, tibialis anterior, and
extensor hallucis longus.
Zeugopod
• Limb segment including the tibia and fibula.

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Posted By Jensen Saluga ,
Monday, November 21, 2022
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Jensen lived in Pittsburgh, PA, her entire life until moving to Philadelphia to study at Temple University for undergrad. She discovered the field of podiatry from a family friend and additionally from pre-professional health studies at Temple. Podiatry offers the opportunity to specialize in such an essential body part and the various subspecialties, which was attractive to her!
In talking to Jensen, she thinks that PPMA can support other students like Jensen, by advocating for podiatry students to be current professionals in the field.
Furthermore, to recruit more podiatry students, she states, "We must educate prospective students in the area, as many need to be made aware of the opportunities that come with becoming a podiatrist."
PPMA looks forward to working with Jensen during her time at TUSPM!

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Posted By Chad Kleinsmith,
Monday, October 3, 2022
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Medical school provides many challenges and obstacles that incoming and current students need to adapt to. A significant personal skill a student needs to develop is time management, which may be overwhelming at first, but doable. Students may overlook the balance between studying, attending classes, and finding time to eat healthily. This especially applies to the first two didactic years when classes and studying are a priority. Planning for healthy meals is never discussed and is often overlooked when developing a schedule. Numerous excuses can be made that sway a student to take the easier route and not eat the right foods. Another complementary component is exercise, which can easily be the first activity students take away in times of stress. Eating healthy and exercising are huge components of a successful student in the classroom and being Eating healthy and exercising are huge components of a successful student in the classroom and being an all-around elite student. Many students do not want to take time away to exercise or make the right foods. However, having these scheduled into your day can help you manage medical school stresses and maintain a healthy lifestyle. I had exercised my whole life through high school and college when the information load was not as heavy as in medical school. It was easier to have free time dedicated to eating right and exercising. Working out and eating healthy are not aspects I plan on deleting from my daily life, so I had to strengthen my time management skills to keep that same regimen. A key component is setting a strict schedule which may include going to the grocery store at the same time on the same day of the week, exercising at the same time every day, and being smart with the A student can get quick healthy options to optimize health and time efficiency. A considerable barrier is class load, information load, and student exhaustion. These are the main factors that prevent a student from accomplishing these goals. Medical school is all about balance. Time management was vital when classes were taking off, and I was bombarded with information. Waking up early as 4:30 to work out before class is innovative and efficient. This leaves the rest of the day to focus on school without worrying about dedicating time to exercise. I advise incoming students to implement this lifestyle before coming to school so that it is already something they are used to. Waking up early to finish tasks opens doors to effective studying, exercising, and eating healthy. The combination of these aspects will leave students feeling more confident and realizing they can push themselves ever further personally and professionally in a healthy way.

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Posted By Daniel Ruggiero ,
Monday, August 15, 2022
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As I reflect on the first year of my podiatric medical education, I am grateful to have grown as an individual while also being relieved the year is behind me. The rigors of our academic year culminated in final exams, followed by the summer break, incidentally the last prolonged “off-period” our class will have in our education before beginning our professional careers. Although for most of us, the summer feels much needed, to me, it almost feels as if it is the calm before the storm. When I was younger, the school year and the summer seemingly lasted forever. As an adult, time flies so quickly that it still feels like I just moved to Philadelphia to begin school. Time is going to pass by - we’ll be back in the routine of school, and eventually, my classmates and I will find ourselves in the same position as the students a year ahead of us: preparing for our first round of board exams. With everything the future holds in mind, here are some things I’m doing to enjoy the last summer break from my education while still preparing for the challenging year ahead of me. Through the challenges of the first year of medical school, I had to put school first in a way I never had before. Two of my favorite hobbies are playing golf on the weekends or playing video games online to stay in touch with my friends from home. My hobbies had to take a back seat with a complex and time-consuming course load. With the summer break, I have the time to enjoy these things again, in some capacity. I haven’t been able to pick up a golf club for nearly a year, and the product certainly doesn’t look pretty. Some leisure activities are excellent for occupying downtime and boosting your mental health. Everyone always says, “the last thing you want to think about while on vacation is work.” While that is true, keeping your mind sharp also doesn’t hurt.
One of the biggest tips I’ve gotten from upper-level students is to use these few months to review and prepare. Since it’s not final exam season, I don’t expect myself to be spending the majority of my waking hours studying, but spending some time here and there to reinforce concepts from the first year or to familiarize myself with concepts for the coming year will pay off when it comes time to prepare for my first board exams. By the time this piece is printed, my final summer will have ended, the school will be back in session, and the next phase of my life and career will seemingly begin. Although my first year was challenging, I am grateful for its lessons. And as the summer ends, I am glad I was able to use my time to both enjoy the hobbies of my past and prepare for my future. Daniel Ruggiero TUSPM Class of 2025 PPMA Delegate

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Posted By Jeannette Louise,
Friday, March 11, 2022
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Navigating the first year of residency Nick Cronin The beginning of residency is full of excitement. There are many highs and even more lows. School is finally over, and I am looking forward to starting professional life. The first year is when there is a feeling of imposter syndrome initially. Nobody tells you how to find a balance in your life—becoming efficient needs to be figured out many times. The first year is not easy, but plenty of strategies will make it manageable. After initially learning your responsibilities and managing the whirlwind of changes that come with it, the first step is finding stability in your work life. Getting paid a salary for the first time takes some getting used to after years of being a student. Buying that cafeteria lunch or going out to eat may seem more tempting than ever after getting paid. Packing a lunch can provide stability to your intern year in both a financial and routine sense, as attractive as buying or even skipping lunch, maybe. Returning to previous routines or creating new practices help provide that stability. Finding some small recreational activity outside of the hospital is a great way to maintain mental health during a stressful filled intern year. Sometimes it will seem like there is no time for anything but work. Getting to the gym, playing a pick-up game of basketball or whatever sport you like, picking up an old hobby or new are all great ways to break up the pressure of a busy week. Relationships are a crucial part of the first year. Depending on your program, you may get to know internal medicine residents that start with you. Those connections are things not to take for granted, as those people can blossom into friends and people you have in your corner. It certainly helps when you have patients in common with those residents with who you’ve formed relationships. Having a support system is integral in dealing with the inevitable stress of the first year, and it can be easy to feel isolated. It’s essential to have a more senior resident to talk to. They can often help you deal with that stress and specific situations at work, teaching you some tricks to become more efficient. The first year of residency teaches you an abundance of lessons about becoming a podiatric surgeon, but it also grows you as a working professional. New experiences, people, and responsibilities tend to initially upset the balance in life. The important thing is to focus and get that balance back through a good routine, support system, and work ethic.

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