2022 Residency Directors Forum Archive


2022 Residency Directors Forum
Co-Hosted by ACFAS and the AACPM Council of Teaching Hospitals (COTH)
Wednesday, February 23, 2022

Download full agenda.
Download speaker biographies.

This year’s Forum was 80s themed – in honor of the Annual Scientific Conference’s 80th Anniversary – and we had a righteous program for you. The Forum started with a primer on milestones, exploring lessons learned from already proven milestones in an orthopaedic residency program. And, our bodacious experts explained how to incorporate a simulation lab within your program.

The Forum continued with a discussion of what you as an educator could do to increase your residents’ chance of becoming ABFAS Board Certified while reducing their risk for any grody legal exposure through appropriate chart documentation. And as requested by popular demand, we will shared examples of processes in managing your problematic residents in need of academic, behavioral, performance or legal remediation. In helping you to support your residents, we also discussed how you could recognize and help a burned-out resident or attending to overcome their difficult situation. Plus if that was not enough, we’ll shared the latest in resident education, GME funding and resident transfers as some programs across the nations are merging together.

To conclude the Forum, we dedicated time for you to veg out and listen to representatives from AACPM, COTH, CPME, PRR, ABFAS and ABPM on what is new and changing. It was a totally tubular program!

The Forum is complimentary for all school deans, residency directors and faculty. New for 2022, all fellowship directors and faculty were also invited to attend. Watch for next year's Forum in Los Angeles!

The Residency Directors Forum is complimentary for all attendees. 

4.0 CECH 

This activity has been planned and implemented in accordance with the standards and requirements for approval of providers of continuing education in podiatric medicine through a joint provider agreement between AACPM and ACFAS. AACPM is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. AACPM has approved this activity for a maximum of 4.0 Continuing Education Contact Hours (CECH).

No commercial interest provided financial support for this continuing education activity.

2022 Residency Directors Forum Agenda

Introduction and Session Goals
Download Session Slides

Randall Dei, DPM, FACFAS

I Would Walk 500 Miles – to Learn about Milestones

Download Session Slides
Paul Doughtery, MD
Jason Piraino, DPM, FACFAS (Moderator) 

Dr. Paul Dougherty, Chairman of the Orthopaedics Department at University of Florida College of Medicine, author of “The Orthopedic Educator” and nationally renowned medical educator gives insight to the ACGME process regarding orthopedic milestones.  This session will encompass history behind milestones, their advantages and their major shortcomings. Dr. Dougherty will discuss his opinions on what he believes are effective strategies to implement the milestones in residency programs.  We will also be given a brief update on where CPME is in implementing the milestone system.

Watchu Talkin’ ‘Bout Willis? Importance of Good Documentation

Download Session Slides
Ross Taubman, DPM, FACFAS
Roya Mirmiran, DPM, FACFAS (Moderator)

Whether the goal is to provide evidence for coding and billing services, support medical necessity for a suggested treatment or provide means to communicate with other providers, proper documentation is a must. With the new imposed 21st Century Act, progress notes are no longer just meant for other providers or insurance companies. In this presentation, we will discuss how you can help residents improve their methods of note taking to reduce patient calls and complaints. Furthermore, we will explore the medicolegal aspect of proper documentation and what residents need to know to excel in documenting clinical care. And, to help you increase the chances of your residents becoming board certified surgeons, a representative from the American Board of Foot and Ankle Surgery will discuss progress note elements considered and reviewed during surgical case review.  Information will be shared with you on common weaknesses seen in chart documentation that result in possible failure of ABFAS Case Review.

Weird Science: Sim Labs and Virtual Education

Download Session Slides
Steven A. Godwin, MD; Laura Sansosti, DPM, FACFAS; Bill Stiers, MD
David E. Waters, DPM, FACFAS (Moderator)

Traditionally and prior to Covid-19 pandemic, resident education and training was based on direct hands on and direct patient care model. With advancement in technology, we now have great tools to supplement our way of teaching and education. As a result of held or reduced elective cases, program directors and residents have seen a need to augment current training and surgical skills. Virtual and simulation learning provides another supplementary avenue in helping residents acquire both knowledge and skills. Virtual training gives residents a safe place to practice and hone their skills and knowledge base and to be able to take those skills and knowledge into the direct patient care model that exists. Simulation learning can also provide additional means for residents who need to improve any areas of deficiency. In this session, the program directors will be provided tips and suggestions on how best to utilize alternative options to traditional learning and maximize the training of students and residents.

You Wouldn’t Like Me When I’m Angry: Resident Remediation

Download Session Slides
Candice Mateja, DO, Rachel King, JD
Tatyana Hamilton, DPM, AACFAS (Moderator)

There are challenges and certainly challenging people in every residency program, regardless of type of the program. The goal of the session is to provide guidance and resolution recommendations in managing a resident with personal, academic, or behavioral obstacles.  Personality issues will affect interpersonal relationships with patients and colleagues. Academic deficiencies may result in unsafe care to patients due to inadequate surgical skills or gaps in medical knowledge. Behavioral obstacles such as substance abuse may yield in time management concerns, social media issues, or problems with the law. In this presentation, our expert speaker will provide tips on how to identify a problem resident and will recommend course of actions to help the resident, the faculty and the program director. There will be a discussion among a multi-disciplinary panel to pinpoint appropriate approaches to remediation and resident dismissal.

“I’ve Fallen and I Can’t Get Up” – Resident Burnout

Download Session Slides
Allison Ventura, PhD
Ramez Sakkab, DPM (Moderator)

Burnout is present amongst residents and attending physicians at a rate of 27-75 percent, depending on specialty. There are many factors within work, life, and training that contribute to burnout, which can then lead to psychological and physical distress. Such distress can cause physical or mental injury to a resident, as well as inferior patient care. Attendees will learn to describe the prevalence of clinical distress related to residency. As well as identify the differences between burnout and moral injury. Features of burnout can be recognized early to facilitate interventions. Solutions to address both burnout and moral injury within resident(s) and an organization are a group effort. Reconstructing our approach and interventions for burnout may improve resident lives and patient care.

Another One Bites the Dust: VA Disbursement Agreements

Download Session Slides
Keith Cook, DPM, FACFAS; Mark Hardy, DPM, FACFAS; Danae Lowell, DPM, FACFAS
Susan Claffey (Moderator)

This session focuses on VA Disbursement Agreements and how it is changing the landscape of VA Residency Programs. VA Section Chief, Jeffrey Robbins, DPM, will explain Disbursement Agreements, how many have been implemented among VA Residency Programs, and many more will come. Drs. Hardy and Lowell will give “after action reports” on the recent completion of their Distribution Agreement and merger.

Can I Buy a Vowel? Stakeholder Update

Download Session Slides - PRR
Download Session Slides - AACPM COTH
Download Session Slides - ABFAS
Download Session Slides - ABPM
Download Session Slides - CPME
Download Session Slides - ACFAS Research Committee

Randall Dei, DPM, FACFAS (moderator)

Learn as representatives from relative organizations give their latest updates: ABFAS and ABPM updates, what's new at AACPM/COTH, PRR revisions and progress of the CPME 320 re‐write. Also, hear from the ACFAS Research Committee regarding latest efforts in the College’s elevated support of research and scholarly activities.