First, podiatric medicine suffers from low public visibility.

Many high school and early undergraduate students are familiar with traditional medical paths (MD, DO, nursing, PA, and dentistry), but they often have limited exposure to podiatrists. Few people grow up knowing what a podiatric physician truly does beyond “foot care,” and career counselors rarely emphasize it. When students do not encounter podiatrists during formative academic years, the field fails to enter the consideration set alongside other medical professions. In comparison, professions like dentistry or pharmacy have decades of mainstream visibility embedded in household experiences, while podiatry often appears niche or secondary simply because students have not met providers who practice at the full surgical scope the profession permits.

Second, misconceptions about the scope of practice persist, even within the broader medical community.

Many pre-medical students and sometimes university advisors mistakenly believe that podiatrists are limited to toenail trimming, orthotics, or minor procedures. They are often unaware that modern DPMs perform complex reconstructive surgeries, trauma care, limb salvage procedures, and full ankle surgeries in many states. This misinformation significantly narrows the applicant pool: highly ambitious pre-med students who would be drawn to surgical fields often do not realize that podiatry aligns with their goals, while other students falsely assume that podiatry is a “backup option” for those who didn’t get into MD or DO programs. Both misunderstandings create barriers that have little to do with the profession itself but everything to do with awareness.

Third, competitive stigma within pre-medical culture plays a major role.

Medical school admissions are often viewed through a hierarchy created by students, not by patient outcomes. Within this hierarchy, MD programs are perceived as the top tier, DO programs as an alternative, and everything else as lower prestige. Even though podiatrists enjoy meaningful autonomy, surgical privileges, specialty status, and strong earning potential, the cultural pressure to pursue MD/DO degrees discourages students from exploring podiatric medicine on its own merits. Some students fear that choosing podiatry signals they “couldn’t get into” traditional medical school, even if podiatry aligns better with their interests or long-term goals.

Fourth, there are systemic institutional limitations.

Only eleven accredited podiatric medical schools exist in the United States, compared to more than 200 MD and DO programs combined. This limited geographic presence restricts outreach, shadowing opportunities, and pipeline programs. Many prospective students never encounter a podiatric program simply because none exist in their region, and schools lack the extensive feeder systems that other professions have built over decades.

Fifth, podiatric medicine faces competition from rapidly expanding health professions.

Fields such as PA, NP, PT, and OT have grown dramatically, offering shorter or more flexible training timelines. Students who are interested in healthcare, but reluctant to commit to a multi-year doctoral-level curriculum often choose these paths. Even though podiatric medicine offers long-term earning potential that exceeds many of these careers, shorter training and broader public familiarity make alternative professions more appealing upfront.

Sixth, the profession still faces historical baggage, especially regarding insurance battles, scope limitations in certain states, and past variability in residency training.

While the modern landscape is far more standardized, particularly with universal three-year surgical residencies, the reputation lags behind the reality. Students influenced by outdated information may incorrectly assume that fewer opportunities or tougher job markets exist today than actually do.

Finally, the field struggles to communicate its strengths in a unified manner.

Many prospective students are simply unaware that podiatry provides stable employment, high surgical volume, excellent work-life balance for many practitioners, and opportunities in private practice, hospital settings, and academic medicine. Without coordinated national marketing or strong presences in undergraduate pre-health advising ecosystems, these advantages remain under-publicized.

In summary, the difficulty in recruiting students into podiatric medicine is not due to the profession’s value; indeed, the “4 4–3” system, surgical scope, and $300,000+ earning potential are major strengths. Instead, the issue lies in visibility, misunderstanding, student culture, institutional limitations, and outdated perceptions. Addressing these barriers requires not only outreach and education but also reframing podiatric medicine as a first-choice surgical specialty rather than a backup option. When students fully understand what DPMs truly do, the recruitment gap may begin to close.

Camelia Russell is a fourth year student at Temple University School of Podiatric Medicine (TUSPM) in Philadelphia, PA.

As a podiatrist practicing in Pennsylvania for 36 years, I am the Medical Director of Wound Care Services at Fulton County Medical Center. I am also a husband of 36 years, a father of three, and a grandfather in a growing family. It is important to me to be involved in my community, in which I serve on the District Eagle Scout Review Board. I am a Deacon and Cantor at my church. One of my hobbies is gardening, and I am currently enrolled in a program at Penn State University to become a Master Gardener. As Past President of PPMA, I serve our association as a Consultant, and I am the APMA PAC coordinator for Pennsylvania. To be able to wear all of these hats, a work-personal life balance is vital to my success!

The concept of work–life balance refers to the equilibrium in which an individual can fulfill professional obligations while still having the time, energy, and emotional resources to enjoy personal pursuits, nurture relationships, and care for their physical and mental well-being. 

Achieving this balance is not a static accomplishment but an ongoing process requiring mindful planning, adaptability, and self-awareness. As the boundaries between work and home blur, understanding how to manage this balance has become essential for long-term personal fulfillment and sustainable professional success.

One of the first steps toward achieving a healthy work–life balance is acknowledging that it is profoundly personal.

What constitutes balance for one person may feel chaotic or unfulfilling for another. Professionals at different stages of life and career often face unique demands: early-career podiatrists may struggle with long hours and steep learning curves; parents must juggle childcare and household responsibilities; and seasoned workers may find themselves managing both leadership roles and the care of aging parents. Because circumstances vary, the pursuit of balance begins with self-reflection. Individuals must identify their priorities—whether they include career advancement, family time, creative hobbies, health goals, or community engagement—and determine how much time and energy they realistically want to allocate to each. This clarity becomes the foundation for making more intentional decisions about work and personal commitments.

Time management is another central component of work–life balance. 

Modern practices often measure productivity by output rather than hours, yet many doctors still feel pressure to remain constantly available. This can lead to a cycle of overwork that ultimately reduces productivity and increases burnout. Burnout can lead to excessive stress, causing self-medication using addictive behaviors like drugs, alcohol, gambling, sex, and even shopping as a coping mechanism.

If you struggle with substance abuse, help can be found confidentially through the Physicians Recovery Network. (717) 558-7819.

Effective time management is one way to avoid unhealthy behaviors. It involves setting boundaries, such as designating work-specific hours, limiting after-hours email responses, and learning to delegate tasks when possible. 

Utilizing helpful tools such as digital calendars, task managers, and time-blocking techniques can help individuals structure their days more efficiently. By organizing tasks based on urgency and importance, workers can prevent less meaningful activities from consuming energy that could otherwise be invested in personal well-being.

Equally important is the ability to disconnect. 

With smartphones, messaging apps, and collaboration platforms available around the clock, many people experience “continuous partial attention,” a persistent state of being mentally tied to work. This reduces the quality of personal time and heightens stress levels. Establishing rituals that reinforce separation between work and home - such as shutting down the computer at a set time, taking a walk after work, or creating a dedicated workspace helps signal to the brain that it is time to shift gears. Physical and psychological boundaries are essential to prevent professional obligations from overtaking personal environments.

Another crucial component in achieving work–life balance is open communication. 

Employees should feel empowered to discuss workload concerns, flexible scheduling, or personal constraints with supervisors. Many organizations now recognize the importance of supporting work–life balance through policies like mental health days, compressed workweeks, and wellness programs. However, these initiatives are only effective if employees feel safe utilizing them. Open dialogue fosters a culture of trust and understanding, which not only improves morale but also enhances performance and retention. For leaders, encouraging realistic expectations and modeling healthy boundaries can set the tone for an entire practice.

Furthermore, fostering personal well-being requires attention to physical and mental health.

Chronic stress is one of the most common consequences of poor work–life balance and has serious long-term effects, including anxiety, depression, sleep problems, and cardiovascular issues. Regular exercise, healthy eating, sufficient rest and sleep, and stress-management techniques such as meditation, prayer, or journaling are not luxuries—they are foundational to functioning well in both professional and personal spheres. Mental health support, whether through counseling, peer groups, or having trusted friends to talk to, can also play a vital role in preventing burnout.

Beyond individual strategies, it is essential to recognize that work–life balance is influenced by societal and cultural expectations.

Some cultures value long work hours as a sign of commitment, while others emphasize leisure and family time. Economic factors—such as job insecurity, school/personal debt, or cost of living—also shape how freely individuals can adjust their work commitments. While personal responsibility matters, systemic conditions often determine the feasibility of a proper balance. Therefore, promoting work–life balance is not solely an individual task; it is also a collective endeavor involving employers, policymakers, families, and communities. Laws regarding paid family leave, maximum working hours, and fair wages are examples of structural support that help doctors maintain healthier lives.

Technology, while often a source of imbalance, can also be a powerful tool for enhancing it when used wisely. Electronic calendars and appointment books can help manage time better.

Health-tracking apps provide insights into stress levels and lifestyle habits. However, leveraging technology for balance requires self-discipline and conscious design. Turning off notifications during non-work hours or using apps that limit screen time can help ensure that technology serves personal well-being rather than undermining it.

Ultimately, achieving work–life balance is a continuous, dynamic process rather than a one-time achievement. Life circumstances shift, career roles evolve, and personal priorities change with time.

What matters is cultivating an approach that allows regular reassessment and adjustment. Individuals can periodically evaluate whether their time aligns with their values, whether stress is becoming unmanageable, or whether relationships are receiving adequate attention. Minor adjustments—such as recalibrating a weekly schedule, reassigning tasks, or carving out dedicated personal time—can have a profound cumulative effect. Find what YOU love to do and make time for it!

Whether you choose to work in a private practice (self-employed), small-group or large-group, interdisciplinary, or hospital-based model, the challenges may be both similar and different. Whatever you choose, it is essential to remember you are not locked in ANY decision you make. If your employment does not meet your needs, you can make a change.

In conclusion, managing work and personal life balance is essential to sustained fulfillment, productivity, and overall well-being.

It requires clarity about one’s priorities, structured time management, healthy boundaries, and honest communication with family and work. Moreover, it demands attention to physical and mental health while acknowledging the broader social and organizational contexts that shape how people live and work. Although perfect balance may be elusive, striving for harmony between professional responsibilities and personal needs allows individuals not only to perform better at work but also to live richer, more meaningful lives outside of it. By embracing both personal strategies and collective support systems, we create a more humane and sustainable way of living, one in which achievement and well-being can coexist.

Gerald E. Gronborg, DPM, CWS, FACFAS, FACCWS, is a podiatrist in Bedford, Pennsylvania.

As someone passionate about running since high school, I’ve always looked up to and dreamed of being a part of the Boston Marathon. I’ve completed three half marathons and recently ran my first full marathon in Philadelphia this past fall. At TUSPM, I’m also involved in the running club, which has helped me stay connected to sport while balancing the demands of school. So, when the opportunity came to volunteer at one of the most elite marathons in the world, I knew I had to be a part of it.

The Boston Marathon is more than just a race. It’s a powerful display of endurance, discipline, and unity. Every participant must qualify to run, making the field incredibly competitive and inspiring. Over 30,000 runners from all walks of life take on the 26.2-mile challenge, and witnessing their journey up close was nothing short of humbling.

Our team from the Temple University School of Podiatric Medicine (TUSPM) Sports Medicine Club had the privilege of volunteering at the Saint James Medical Tent just a few blocks from the finish line. This long-standing tradition is made possible by the dedication of our faculty, advisors, and students. This year, nine of us represented TUSPM, joining a collaborative medical team that included doctors, nurses, pharmacists, scribes, physical therapists, athletic trainers, and other medical students.

Podiatry had a unique floating role in the tent, which meant we stepped in wherever needed, treating everything from blistered, swollen feet and detached toenails to twisted ankles. One runner, incredibly, had run the entire marathon on a previously injured ankle. Our job was to ensure he was stable, safe, and supported in the post-race. The runners were genuinely grateful for the care they received, and it was a reminder of how deeply appreciated our work can be, even in brief interactions.

The vibe throughout the day was electric. Boston comes alive during the marathon, with the whole city rallying behind the runners. There’s a special magic in the air—one of resilience, achievement, and collective celebration. Whenever a runner entered our tent, they met with applause and congratulations. It’s that kind of energy that makes the Boston Marathon so unique.

The presence of podiatric professionals at the event was strong. We worked alongside Dr. Jonathan Kaplan, Dr. Paul Heffernan, Dr. Tara Blitz, Dr. Robert Kelemen, Dr. Brandon Kelemen, and Dr. David Sipala. We were joined by several TUSPM alumni volunteering at other locations. Reconnecting with TUSPM alumni Dr. Grace Jurgiel and Dr. Rose Lipari, now Residents at Mount Auburn and Yale New Haven, respectively, was another highlight of the weekend.

The weather on race day was perfect—not too hot or cold, which helped minimize serious injuries. Still, we saw many blister-related cases and minor sports injuries. For any aspiring podiatrist or medical student, I can’t recommend this experience enough. There’s simply no classroom or clinic that can replicate a marathon medical tent's fast-paced, collaborative environment.

Volunteering at the Boston Marathon reminded me exactly why I chose podiatry. As a lifelong dancer and runner, I’ve always understood the importance of mobility—helping people get back on their feet to continue doing what they love. This experience reaffirmed my commitment to community service and to podiatry's unique, hands-on care.

The Boston Marathon was an entire weekend of learning, connecting, and celebrating the spirit of endurance, which I’ll carry for years.

Neha Metgud is a podiatry student attending Temple University School of Podiatric Medicine. She is a APMSA Delegate, AAWP National Liason, and is scheduled to graduate in 2026.

Many of our members have found that their work as podiatrists is gratifying and that there are different routes to explore within the profession.

Have you considered leveraging your experience and becoming a trusted resource as a mentor? Are you early in your career and could benefit from an experienced podiatrist?

PPMA caught up with Past President Sabrina Minhas about her mentoring experiences, including those as a mentor and mentee.

Dr. Minhas has had several mentors in her career thus far who have supported her goals. She states, "I am very fortunate to have had several mentors in my career, ranging from colleagues to employers to professional contacts. Dr. Joseph Pasquino of Pittsburgh mentored me early in my career as a podiatrist and helped me expand my professional networks with advice to manage work-life balance. Mr. Michael Davis, Retired Executive Director of PPMA, is one of the most important non-podiatric mentors that I have had; he taught me to give back to the profession and how to handle important state podiatric issues. He also helped me navigate business and practice questions that have come up in my career."

Minhas has been very involved in many organizations related to advancing and advocating for the profession. These experiences have positioned her to help others grow in their careers. She recently transitioned into a role as a professor at Temple University School of Podiatric Medicine (TUSPM). In this role, she is ultimately viewed as a mentor to podiatric students learning the profession she influences over in her day-to-day responsibilities early on in their careers. As she transitioned her career to that of a professor at TUSPM, almost immediately, several students involved in clubs on the TUSPM campus reached out to her, requesting her to become an advisor. In doing so, she was able to build relationships, fully maximize her role at the podiatric school, and support students with their academic and professional goals as needed.

"It is essential to mention that I am both a female and a minority who has been placed in a leadership role. Many students appreciate this, inspiring them to work hard and strive to be their best. I can only hope that one day, they will have an opportunity to help others and that the positive cycle repeats itself. I hope that the podiatrists that I interact with regularly have had a positive experience while at TUSPM and that I have served as a good role model for them. To be a good leader, one has to lead by example, and I strive to be a good example. It does not mean I am perfect, but I try to be a good example and a trusted resource. In doing so, I provide sound advice and support to mentees. I am compassionate in dealing with them and their situations and try to help problem-solve with them by using innovative approaches while leveraging strong leadership skills," says Minhas.

We spoke with one of the students mentored at TUSPM to understand the outcome of Minhas' time investment. Netanya Flores is a student at TUSPM who has taken on a leadership role as TUSPM Chapter President of The American Association of Women Podiatrists. Flores and her group have benefitted from interactions with Dr. Minhas in that outcomes resulted in improvements to the club, adding its first "Women in Podiatry Day" and encouraging members to think beyond medicine while developing relationships and growing trust. Flores states, "Dr. Minhas has been an absolute blessing during my time at TUSPM. Since I met her during my second year as the new advisor for the TUSPM Chapter of the American Association of Women Podiatrists, she has never failed to give genuine aid and advice. Over time, she became a club advisor for me and someone I could trust for anything beyond podiatry. Whenever I consider what kind of podiatrist I want to be one day, I always think of her."

While DPMS from all backgrounds could benefit from a mentor, as work and home life evolve, Flores thinks that a female doctor has commonalities with other female doctors that make this matchup a win in learning how to balance challenges that come up along the way.

Mentors provide guidance, education, support, and experiences that can be appreciated. A DPM who has advanced their career by participating in networking opportunities and solving problems can pass along meaningful advice.

Minhas has found her role in helping others extraordinarily fulfilling and gratifying to guide young practitioners or students and help them in their careers. "It renews my passion for our profession and helps me enhance my leadership skills and my own goals for life-long learning. Giving some time and support to someone who will thrive from its benefits is enriching."

While Minhas's role at the school places her in direct contact with podiatrists who need development, she feels that podiatrists in Pennsylvania can either mentor another podiatrist or be mentored, depending on where the DPM is in their podiatric journey.

Minhas feels other seasoned DPMs can actively advance podiatry by mentoring less experienced DPMs in the beginning stages of their careers. She thinks creating opportunities to encourage these connections and build relationships is necessary for podiatrists to thrive.

In Dr. Minhas' opinion, seasoned podiatrists must collaborate to connect with other podiatrists in a formal mentoring program. Organizing and executing in-person and virtual events to connect mentors and mentees at the state level may support the need to get podiatrists involved as early as students. Our podiatrists throughout the state can be involved in this to help inspire and advance the profession.

Dr. Minhas lives, works, and plays in the Philadelphia, PA, area and is employed by Temple University School of Podiatric Medicine. She is an active member of PPMA, a Past President of the organization, and currently serves on the Board of The Goldfarb Foundation.

Many of our members have found that their work as podiatrists is gratifying and that there are different routes to explore within the profession.

Have you considered leveraging your experience and becoming a trusted resource as a mentor? Are you early in your career and could benefit from an experienced podiatrist?

PPMA caught up with Past President Sabrina Minhas about her mentoring experiences, including those as a mentor and mentee.

Dr. Minhas has had several mentors in her career thus far who have supported her goals. She states, "I am very fortunate to have had several mentors in my career, ranging from colleagues to employers to professional contacts. Dr. Joseph Pasquino of Pittsburgh mentored me early in my career as a podiatrist and helped me expand my professional networks with advice to manage work-life balance. Mr. Michael Davis, Retired Executive Director of PPMA, is one of the most important non-podiatric mentors that I have had; he taught me to give back to the profession and how to handle important state podiatric issues. He also helped me navigate business and practice questions that have come up in my career."

Minhas has been very involved in many organizations related to advancing and advocating for the profession. These experiences have positioned her to be able to help others grow in their careers. She recently transitioned into a role as a professor at Temple University School of Podiatric Medicine (TUSPM). In this role, she is ultimately viewed as a mentor to podiatric students learning the profession she influences over in her day-to-day responsibilities early on in their careers. As she transitioned her career to that of a professor at TUSPM, almost immediately, several students involved in clubs on the TUSPM campus reached out to her, requesting her to become an advisor. In doing so, she was able to build relationships, fully maximize her role at the podiatric school, and support students with their academic and professional goals as needed.

"It is essential to mention that I am both a female and a minority who has been placed in a leadership role. Many students appreciate this, inspiring them to work hard and strive to be their best. I can only hope that one day, they will have an opportunity to help others and that the positive cycle repeats itself.I hope that the podiatrists that I interact with regularly have had a positive experience while at TUSPM and that I have served as a good role model for them. To be a good leader, one has to lead by example, and I strive to be a good example. It does not mean I am perfect, but I try to be a good example and a trusted resource. In doing so, I provide sound advice and support to mentees. I am compassionate in dealing with them and their situations and try to help problem-solve with them by using innovative approaches while leveraging strong leadership skills," says Minhas.

We spoke with one of the students mentored at TUSPM to understand the outcome of Minhas' time investment. Netanya Flores is a student at TUSPM who has taken on a leadership role as TUSPM Chapter President of The American Association of Women Podiatrists. Flores and her group have benefitted from interactions with Dr. Minhas in that outcomes resulted in improvements to the club, adding its first "Women in Podiatry Day" and encouraging members to think beyond medicine while developing relationships and growing trust. Flores states, "Dr. Minhas has been an absolute blessing during my time at TUSPM. Since I met her during my second year as the new advisor for the TUSPM Chapter of the American Association of Women Podiatrists, she has never failed to give genuine aid and advice. Over time, she became a club advisor for me and someone I could trust for anything beyond podiatry. Whenever I consider what kind of podiatrist I want to be one day, I always think of her."

While DPMS from all backgrounds could benefit from a mentor, as work and home life evolve, Flores thinks that a female doctor has commonalities with other female doctors that make this matchup a win in learning how to balance challenges that come up along the way.

Mentors provide guidance, education, support, and experiences that can be appreciated. A DPM who has advanced their career by participating in networking opportunities and solving problems can pass along meaningful advice.

Minhas has found her role in helping others extraordinarily fulfilling and gratifying to guide young practitioners or students and help them in their careers. "It renews my passion for our profession and helps me enhance my leadership skills and my own goals for life-long learning. Giving some time and support to someone who will thrive from its benefits is enriching."

While Minhas's role at the school places her in direct contact with podiatrists who need development, she feels that podiatrists in Pennsylvania can either mentor another podiatrist or be mentored, depending on where the DPM is in their podiatric journey.

Minhas feels other seasoned DPMs can actively advance podiatry by mentoring less experienced DPMs in the beginning stages of their careers. She thinks creating opportunities to encourage these connections and build relationships is necessary for podiatrists to thrive.

In Dr. Minhas' opinion, seasoned podiatrists must collaborate to connect with other podiatrists in a formal mentoring program. Organizing and executing in-person and virtual events to connect mentors and mentees at the state level may support the need to get podiatrists involved as early as students. Our podiatrists throughout the state can be involved in this to help inspire and advance the profession.

Dr. Minhas lives, works, and plays in the Philadelphia, PA, area and is employed by Temple University School of Podiatric Medicine. She is an active member of PPMA, a Past President of the organization, and currently serves on the Board of The Goldfarb Foundation.

Group Photo Featuring: John Susz, DPM; Chris Hess, DPM; Dan Olson, DPM; Rick Tomassi, DPM; Kelsey German, BA and Rosina Generose, DPM; Chris German BOCO/CPed; Vraj Gokhale, DPM; Larry Assalita, DPM; Sydney Assalita; John Zeigler DPM PA Clinical Director; Tom Pokabla, DPM; Bilal Louzati, DPM; Michelle Sparks, DPM; Gill Rice, CO/CPed

Submitted by Larry J Assalita, DPM, State College, PA

We are likely familiar with the proverb "Absence Makes the Heart Grow Fonder." In various ways, during the past few Covid-19 Pandemic years, we have had forced absences from family, friends, and many activities. This loss also applies to Fit Feet volunteers who have not seen each other and Special Olympians since the 2019 Summer Games.

It has been three years since The Pennsylvania Special Olympics Summer Games, held at Penn State's University Park Campus, were able to resume in person. Since we, as The Healthy Athletes Fit Feet Team, under the direction of Dr. John Ziegler (Meadville), were able to work together to provide screenings to those participants who wanted our services.   

For those of us returning to volunteer, our hearts indeed were happy and warmed by once again experiencing this event, held on June 3rd and 4th. We were busy visiting with colleagues, interacting with Special Olympians and their families, and of course, providing this small measure of critical Podiatric Care and Recommendations to this community.

In "Happy Valley," there is an expression, "If God was not a Penn State fan, why did he make the sky blue and white?" The 2022 PA Special Olympic Games were held over a weekend with beautiful weather, including a perfect blue sky accented with white clouds. We are grateful for two lovely days at this outdoor event where our volunteers provide Fit Feet screenings in our medical tent.

Uniquely in Pennsylvania, we provide a variety of heat-molded or semi-rigid adjustable, fitted arch supports to those athletes whose foot conditions warrant the need, which is the majority of those we see. We also provide socks and, when appropriate, tinea pedis medications, hygiene shoe sprays to eliminate odor in their shoes, and limited nail/blister care as needed. Each athlete receives a combined Healthy Athletes passport from all the disciplines they visit. 

A summary of foot and ankle conditions that athletes should receive follow-up care for is included in this passport. The follow-up care may consist of appointments related to the biomechanical and general medical foot exams, urgent or non-urgent referrals if appropriate, and any care recommendations, as well as measured foot size/shoe recommendations. Studies have found a large percentage of ill-fitted and inappropriate footwear. 

We also had the opportunity to enjoy time in the Olympic Village, where free food, entertainment, a petting zoo, and games are available to all athletes, their coaches and families, and all volunteers.

The Special Olympics is the largest statewide competition, bringing over 2,000 athletes and 750 coaches. Competition in athletics, basketball, equestrian, golf, gymnastics, softball, swimming, and tennis highlight the three-day event. Weeks of hard work and dedication in training are rewarded as athletes are cheered on and supported during competition by more than 1,000 enthusiastic volunteers.

The following individuals and organizations generously supported the event:

• Kris and Kelsey German, Hanger Clinic, and Aetrex Worldwide for supplying more than 100 formable inserts
• Gil Rice, Walkrite and Verne Blintz Co. for supplying 100 pairs of BrikoBasic inserts
• John Dutka, Tetra Corporation for the support of Fungi Foam, Clean Sweep Products & uvBeast V3 365nm Minis
• Bryan Hershberger, Organogenesis sponsoring and coordinating the CE presentation and Friday evening dinner at Toftrees Resort.
  

The Special Olympics has ongoing activities in your community or county year-round in Pennsylvania for any level of volunteering and support. Visit their website at https://specialolympicspa.org/.

Contact John Ziegler, DPM to learn more about the event at jzieglerdpm@windstream.net.

Front row seated facing left to right:

'Gill' Rice, BC Ped, BCOF    

Kelsey German          

Michelle Sparkes, DPM

Robyn Gansner, MD       

 Lex Barte, DPM 

Back row left to right

Larry Assalita, DPM 

 Dan Olson, DPM     

 Kris German, BOCO/L, CPed/L  

Josh Burchell, DPM (1^st year resident)       

John Susz, DPM 

Rick Tomassi DPM 

John Ziegler, DPM * PA Fit Feet Clinical Director          

Tom Pokabla II, DPM 

The profession of Podiatry is becoming more and more difficult every day. Ongoing decreases in reimbursements by insurance companies, increasing regulatory and record-keeping requirements, encroachment by non-physician practitioners into fields that were traditionally controlled by Doctors of Medicine, Osteopathy or Podiatry all play a part in making our lives and jobs more difficult and making it more difficult to get quality students to consider Podiatry as a career.

In addition to student recruitment efforts, becoming a Mentor to help develop students, both undergraduate and podiatry, and even during residency and early careers will help ensure Podiatry has a bright future. There are both long and short-term benefits to Mentorship for the Mentee and Mentor. I'll cover a few of these in this brief article about how to become a Mentor:

1.   Introduction to the Profession:

Student recruitment is the first step. Much of this has been covered in meetings, articles, etc. Merely asking a student to consider Podiatry as a career isn't enough. That's where the aspects of Mentoring come in. Have them follow you and answer questions (preferably on a day that's not too busy that you can't focus on them at times). Pick a day with some interesting things coming in so they don't get the impression that Podiatry is only about at-risk foot care. Share the pros and cons about the profession. Be honest about the bad parts, but play up the good parts. If you can't find good parts, you should probably not go further in being a Mentor.

2.   Early Mentoring:

This is still close to student recruitment, but also has aspects of mentoring. Once a High School or early College student expresses an interest in Podiatry as a potential career, be available to answer questions. Maybe they're wondering about elective classes to sign up for that will help when they get into Podiatry school. I've wished I had taken some basic anatomy classes as an undergraduate rather than botany classes. I'm sure most of us have similar regrets for the parts of Podiatry school we found a bit more difficult. Passing that knowledge on to a pre-Podiatry student can help smooth their path to becoming a colleague.

3.   Mid Path Mentoring:

MCAT time! Help them prep for it. Give suggestions on study guides, etc. Some of us that have been out of Podiatry School for more than a few...well...decades are saying, "how will I know that" (I'll cover that shortly). Help keep their confidence up. Something as simple as making sure they have access to a quiet space to study (maybe your office for a few hours on the weekend) could be helpful.   Then it becomes time to pick a Podiatry School. Naturally, each and every one of us went to the BEST Podiatry School and we have a connection there. However, that school may not be the best for your Mentee. Help them carefully consider their school choice. They may do better in a school with family support nearby rather than the closest school to their undergrad school. Help them understand their choices. Merely talking it out with someone who has undergone the same things helps a lot in making their decision. 

4.   Late Path Mentoring:

This will probably be the most involved for you as a Mentor as it will involve both mentoring a new podiatry student and on to residency. This is the scariest time in the students' training. They will be covering things they may not have seen before or in much greater depth than they previously learned. This will likely be the time you get more questions more frequently. You may have to look things up to help them out. Their instructors, just as yours were, are pretty good at what they do, but sometimes having it explained in a different way makes it easier to understand.  

Suggest outside rotations that may lead to a better residency. Help them through the Match process. Once they become a resident, your job isn't done. They'll still have questions. They may want to seek alternate viewpoints. Never criticize the Attending, but offer your point of view if asked as a possible alternative. This will help very much with their professional development.    

5.   Early Career Mentoring:

Now your Mentee is ready to go out on their own. This is a scary time. Residency is ending. Time to get on insurance plans, and decide on a practice to join. Sadly, this is another issue that both Podiatry and Medical Schools seem to fall short on (from my personal experience). I think this is a great disservice to students in Podiatry School, and most hospital-based residency programs don't give them any training at all. This is where you will become what most people would call a 'True Mentor'. Give guidance on how to navigate the minefields of business. One of my better memories of Podiatry School was during a surgery rotation in the school surgery center with several of us that were late 4th year students. The attending had his patient cancel the surgery at the last minute, so he asks us: "I can do the lecture on hammertoe surgery, but you've already seen several...what do you want to talk about?" It wound up being an hour lecture on practice management, pros/cons of being a sole practitioner (he was at the time), having a partner (had one formerly), keeping an eye on your money (previous practice manager had been skimming cash), dealing with insurances, etc. It was probably the most practical lecture we had and all the students enjoyed it. Be available to answer questions on patient care and business-related questions. Your Mentee may now be your new Associate in your practice, be working for a competitor, or even working across the country. You are still tasked with developing a highly respected and successful colleague.   

6.   Sharing Mentoring:

This falls back on how to study for the MCAT as mentioned in #3. I'd find the newest resident or rotating student and get their opinion and pass that on. Never be afraid to tell your Mentee, "I don't know the answer to that", but always be willing to ask someone that may know. If your Mentee thinks they may want to do complicated reconstructive surgeries (as a student), but you don't do them, see if you can find a substitute Mentor that will let them watch some cases. Share the load and the knowledge. Be available to other Mentors to help their Mentees.

7.   Passing on the Mantle:

After your Mentee has been out of residency for a while, they probably won't need to ask questions anymore. That's the time to recommend to them that they begin the process with their own Mentee. If you've been a good Mentor, they will probably jump at the opportunity.

8.   Benefits for the Mentor:

See One, Do One, Teach One. The old adage from Medicine. It applies here. Some of us are associated with a residency program, but many are not.  
By teaching your Mentee, you actually learn and build your professional capabilities. If they ask a question you can't answer, you'll learn by helping them find the answer. If you've done a good job, you will have a well-respected Podiatrist colleague that will help to grow the profession.    

9.   Losing the Mentee:

It will happen. That new freshmen college student may decide he wants to become an engineer instead of a Podiatrist. Maybe you did such a good job that they get a perfect score on the MCAT and are recruited by Harvard Medical School. So what? It was not time wasted, as now there's a professional out there that understands the profession of Podiatry better, and that gains our profession more respect. You've still done a good job. Your job was never to force them into Podiatry, but to give them guidance when they needed it.

There are clear benefits to you as an individual doctor, such as developing yourself professionally and gaining respect from your colleagues. There are also clear benefits for our profession...having a new, well-trained Podiatrist can only help strengthen both other medical professionals and the public's views of our profession and allow Podiatry to be a viable profession well into the future.

• Did you look at any other medical specialties and what made you pick podiatry?
• What is your favorite/least favorite part of podiatry?
• How hard is it to get into podiatry school, what should I do to prepare?
• Work/life balance questions
• What is residency like?
• What is podiatry school like; is it harder than college?
• And many others

• Diagnosing a foot problem
• How to formulate a treatment plan
• How to bill and code
• Wound care

• He was very easy to talk to.
• He knows something about everything. 
• He takes the time to explain what he’s doing to a patient, not only for my benefit, but the patient’s as well. 
• He was very flexible and willing to help at the drop of a hat. 
• He seemed just as focused on having me succeed as I was on succeeding myself. 
• He cares about how I’m doing. He still sends a text every once in a while just to check up.

Originally shared in the May/June 2018 PPMA Newsletter 

Become a Mentor: What is that?

The American Association of Colleges of Podiatric Medicine (AACPM) explains on their website that they will make the connection between your practice and an interested student:

• “DPMs who volunteer their time to allow students to shadow their practice are a very valuable resource to the Network. As such, we expect DPMs to prepare for their shadowing experience, too.
• “Alert your staff to the visit, be familiar with the general admissions guidelines; speak neutrally about each college of podiatric medicine; and offer your specific experiences as narratives to what a new student might expect from becoming a DPM student. Request AACPM brochures as needed and be familiar with the information and materials available on www.aacpm.org and portal.aacpmas.org.
• “You may be asked to provide either a letter of recommendation or a letter of shadowing hours.
• “Mentorship may be a few hours per month or several times per year; it’s a flexible schedule that you set to meet your needs.”

Familiarize yourself with the available resources:

1. Go to www.aacpm.org and look at the resources available to you as a potential student recruiter. On that page, sign up to become a mentor. 

• Advances in the treatment of sports injuries coupled with the active lifestyles of the aging baby-boomer population have made podiatrists an important part of our healthcare teams.
• Podiatric medicine is an ideal career choice. Doctors of Podiatric Medicine (DPMs) enjoy a challenging work environment, rewarding patient interaction, and flexible hours.

2. AACPM Student Brochure:

• Prospective Student Reference Guide.

3. AACPM College Information Book:

• For more information about podiatry as a career and individual college requirements, see our College Information Book.

4. 2018 Podiatric Medicine Internship Programs 

• A list of the 2018 internship opportunities for undergraduates interested in exploring careers in podiatric medicine. 

Once you become a “recruiter,” spread your knowledge and experience: 
Each one of us graduated from a college that has a premed or science guidance program. Take a weekday and go back to your alma mater in order to meet with the guidance counselor or interested students. If your college is a long drive, then contact the guidance department of your local high school. Take a couple of hours and let them know what you do and how you became a podiatric physician. Use all of the material referenced in this article.  

This is the professional recruitment equivalent of a “grass-roots” political campaign. I heard an explanation from a TUSPM student when we were discussing recruitment. He said, “We grow up seeing a family physician, an optometrist, a dentist, or a nurse ... we never had to see a podiatrist.”    

This was a real wake up statement to me. Our profession is not a required “screen” for public education. So unless we had foot or ankle problems, we were never taken to a podiatric physician. It is no wonder that we need to engage in a grass-roots campaign. 

So I need each of you to do just that. BECOME INVOLVED in the future of our profession. It takes a small amount of time, but it is absolutely required if our future is to be as positive as out past has been. 

“A lot of students seeking a career in medicine either don’t know about podiatry as an option, or do not know the many aspects a career in podiatric medicine and surgery has to offer.” –Jaclyn Reed

I first found out about podiatry as a potential career when I was playing Division I College Softball and suffered a season-ending ankle injury. I was referred to a podiatrist by my mom’s friend, who had recently been evaluated for foot pain. An MRI revealed the extent of my injuries, and I underwent surgery to repair my lateral ankle ligaments and peroneus longus tendon.  

Throughout the course of my treatment, my podiatrist took the time to get to know me and my career aspirations. I was a Biology major and Chemistry minor with an interest in medicine. However, I was unsure of which route I wanted to pursue since it was still early on in my college education. She offered for me to shadow her so I could see the full spectrum of what a career in podiatry had to offer. Two years later, in the summer of my Junior year, I reached out and decided to take her up on the offer. 

While shadowing in both the clinic and operating room, I saw a multitude of pathologies and procedures ranging from a calcaneal fracture, bunionectomies, pediatric flatfoot reconstruction, neurologic disorders, diabetic foot wounds, and everything in between. Shortly after I began shadowing, it became apparent that there was a strong doctor-patient relationship that was built. She truly took the time to get to know all of her patients and made conversation amidst evaluating the patients.  

The ability to improve patients’ quality of life and to see the gratitude that her patients expressed also strongly impacted my decision to choose podiatry as my career. I knew that I would have the ability to help patients in the same capacity, while establishing a rapport with my patients. 

Her personable and outgoing demeanor led her to learn about my potential interest in a career in podiatry. In my own practice, I hope to recruit aspiring students into a career in podiatry and provide them with the shadowing experience and exposure that I was fortunate enough to have. I think the best way to recruit new students to the field is within your own office, just as I had been introduced to the field. A lot of students seeking a career in medicine either don’t know about podiatry as an option, or do not know the many aspects a career in podiatric medicine and surgery has to offer.  

I wanted a career that allowed me to work with my hands and interact with people throughout the day, while applying my clinical and surgical skills. The myriad of surgical and office-based procedures that you can perform, combined with the variety in patient population and pathologies, ultimately was what led to my decision to pursue my career in podiatry. The influence and exposure that my podiatrist provided me was the gateway to my career, which I will always be grateful for!  

What a tumultuous time these past few months have been! Our entire world has seemingly turned upside down overnight. What better opportunity to revisit Charles Dickens and arguably the best opening paragraph ever written: “It was the best of times, it was the worst of times …” Finding the silver lining in the cloud of losing the independence and freedom we have become accustomed to hasn’t been as difficult as I thought it would be. 

For years, I have fantasized about working at a less frenetic pace, carving more time to spend with the kids, getting in shape, and becoming more active in the community. With the imposition of ‘stay at home’ orders and social distancing, I now magically have time to do all those things. The irony is that it took a deadly pandemic to make it happen.  

FAMILY LIFE 
While it has been challenging to set aside my anguish for those more directly impacted by the COVID-19 infection, or the financial devastation of not being able to work, I have also become keenly aware of my own good fortune. I am so grateful that my family, friends, and coworkers so far have been spared. 

At home, I have one son in high school and one in college. Currently, they are both at home and taking their online classes.  It is a wonderful and completely unexpected blessing having them home and getting to spend more time together. We have been playing cards, board games, doing yard work, and just talking more. I cannot remember the last time we spent so much extended time in such close quarters, doing nothing more than just being a family.  

It has been fun connecting on a different level. It is so rewarding to leisurely watch my ‘little boys’ turn into the fine young men I had always envisioned. Their interest in what is going on in their world, as well as concern and compassion for those who are affected, has made me proud. I particularly enjoyed helping my youngest son start a GoFundMe account to raise money to deliver takeout lunches to our local first responders. The funds raised are for local restaurants to make and deliver lunches for EMS, police officers, fire fighters, doctors, and nurses. It helps the local restaurants stay open and retain staff, while also letting our local heroes know that the community is thinking about them and grateful for their sacrifice at the front line of this pandemic. These unique opportunities to serve would not have happened if not for the strange circumstances of the COVID -19 pandemic.    

PRACTICE LIFE 
At my seven-physician practice, we have remained open as we are considered "Essential."  All elective procedures have been postponed indefinitely or cancelled. Our schedules are limited to emergencies, post-op patients, diabetic ulcers, and acute problems.  The practice continues to see patients to prevent them from undertaking the risk of COVID-19 exposure at an Urgent Care Center or the hospital emergency department.  

Our schedules have shrunk significantly, and we are only seeing about a quarter of our regularly scheduled patients. This whole experience has generated mixed feelings. On the one hand, it feels great to help our patients while keeping them out of the hospital; but on the other hand, every patient encounter is fraught with the anxiety of possible exposure despite all manner of safety precautions having been instituted. 

Everyone always wears a mask, the waiting room is closed, patients are seen alone, and checkout procedures are non-existent. 

Despite the drastic reduction in the number of patients seen and decreased revenue, we have tried to maintain the employment hours of ancillary support staff by giving them other work.  For example, they have pitched in to scrub down the entire office every evening.  This sense of obligation to our staff has been foremost in our minds throughout this crisis. We know they are counting on us to keep them financially solvent. 

What has become abundantly clear is that we are all interdependent. Every once in a while, our need to work together and cooperatively find solutions and tackle crises becomes glaringly obvious. This is one of those times. This is apparent in every aspect of my life: as a business owner, physician, parent, son, and citizen.  Not only is our individual well-being important, but also that of our professional bodies and political organizations. 

PPMA DURING COVID 
During the disruption caused by the COVID-19 pandemic, I have found myself more actively involved in the Pennsylvania Podiatric Medical Association and the Goldfarb Foundation.  Both Boards meet weekly on ZOOM to discuss best ways to help the members and our profession get through these very lean and difficult times.  

The PPMA, under the able leadership of Mr. Michael Davis and President Sabrina Minhas (another fellow Temple graduate), has implemented several new initiatives, details of which are on the PPMA website and are sent out in email blasts weekly— 

• Membership dues for the first quarter of 2020/2021 have been waived.
• Information to apply for PPP loans and information about getting discounts on malpractice insurance during the pandemic have been disseminated.
• The procedures and guidelines to perform a Telemedicine visit has been explained so that doctors receive proper reimbursement.
• The PPMA has also worked with the State Board of Podiatry to make all CMEs available online during this license renewal year.
• At the Goldfarb Foundation, we have made plenty of Online CMEs easily available for all podiatrists through the Foundation website, including 24 online videos and 20.75 CE contact hours (link: https://www.goldfarbfoundation.org/Online-Lectures).

At this point, no one can accurately predict the extent of the damage caused by the pandemic. We worry about how we are going to pay our bills and about how we are going to keep ourselves, our families, patients, and staff safe. There are many unknowns. What is almost certain is that there will be permanent changes in the mode and methods of our medical practice. 

• Telemedicine may play a greater role in our day-to-day practice, at least for a subgroup of patients.
• Masks and social distancing could very well become the norm in the near future.
• Crowded waiting rooms and double booking may become outdated.
• Waiting rooms and patient-flow patterns would need permanent modifications in our practices and our clinics.

Perhaps this change to focusing on the individual patient is a welcome reminder of what is important, and we should start thinking about ways in which insurance companies and other payors can support these changes moving forward. One thing that I am certain of is that our small, but mighty, podiatric medical profession is resilient, and that we will adapt and come out stronger than we were before this pandemic. That is the American way.  We just need to continue to work together as a profession and be grateful for the little things. 

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.

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!  

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!

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.