Rotations & Curriculum

A Comprehensive, Well-Balanced Experience 

The Legacy/Kaiser Podiatric Surgical Residency Program is structured to provide a broad base on which to build a strong clinical and surgical experience. Our residents are trained as physicians with full integration of the resident team at a tertiary medical center that includes a busy Level I Trauma Center. Integration with internal medicine students, surgical residents and fellows during non-podiatry focused rotations is emphasized in the Post Graduate Year (PGY)-1. Additional time is concentrated in foot and ankle surgery. Residents rotate through different hospital systems, taking advantage of unique relationships to complete a well-balanced experience, far exceeding the minimum requirements designated by the CPME. See:


PGY-1 Rotations

Internal Medicine - Residents develop a firm understanding of general principles for complete history and physical and medical work-up, including evaluation and management of the general medical patient.

Radiology - Residents acquire a general understanding of imaging techniques and interpretation in advanced imaging and plain film radiography.

General and Burn Surgery - Residents learn to evaluate and determine a management plan of the general surgical patient, including a peri-operative management plan, as well as general surgical principles.

Trauma - Residents become familiar with sequential evaluation and stabilization of the critical care patient in a trauma setting with appropriate patient evaluation, management and triage.

Emergency Medicine - Residents develop the ability to evaluate patients in the critical care setting with appropriate history and physical to acquire knowledge for consultation to various medical specialties.

Vascular Surgery - Residents gain experience in the evaluation of the vascular-compromised patient and understanding of alternatives for treatment. Emphasis is placed on the evaluation and management of the ischemic foot and lower extremities within a general vascular experience.

Anesthesia - Residents become experienced with the peri-operative evaluation of the patient requiring the monitoring of an anesthesiologist. Experience with various medications utilized in the peri-operative management of the surgical patient, obtaining and maintaining intravenous access and airway management are emphasized.

Podiatric Medicine and Surgery - Five months of podiatric medicine and surgery completes the first year of training. Residents participate in resident-driven clinics with dedicated staff, gaining clinical experience, performing podiatric surgical procedures in various settings and gaining experience rotating through private offices.

Pathology - Residents establish an understanding of the role of the pathologist in processing specimens to the aid in diagnosis.

Behavioral Science - Residents gain experience in the management of the socioeconomic issues effecting patient care and exposure to available resources to aid in the care of patients.

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PGY-2 Rotations

Podiatric Medicine and Surgery - 10 weeks focused on additional experience in the clinical and surgical management of foot and ankle disorders with the added responsibility of providing instruction to podiatric residents and students.

Pediatric Orthopedics - Residents participate in a formal rotation evaluating pediatric disorders and managing the injured child.

Infectious Disease - Concentration on consultation, history and physical taking and appropriate incorporation of the infectious disease specialist in the management of patients with complicated infectious disease.

Podiatric Medicine and Surgery Kaiser Foundation - Incorporation of resident involvement, with dedicated staff, in an evidence-based health maintenance organization. Residents gain experience in the full management of the podiatric patient from initial evaluation through discharge in a busy outpatient, inpatient and acute care and traumatized patient setting.

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PGY-3 Rotations

Podiatric Medicine and Surgery - Residents focus on complex foot and ankle reconstruction and injuries, as well as polishing skills in common podiatric clinical and surgical private practice. Senior residents also participate as role models and teachers to both podiatric residents and visiting students.

Orthopedic Trauma and Limb Deformity Correction - Direct formal exposure, in a Level I Trauma Center, to the evaluation and management of complex orthopedic foot and ankle trauma and lower extremity deformity correction from leaders in the field.

Podiatric Medicine and Surgery Kaiser Foundation - Resident focus on the compete evaluation with attention to initial encounter and management of complex foot and ankle conditions, deformities and injuries in a health maintenance organization setting. Additional experience gained in limb deformity correction and common foot and ankle disorders completes resident training.

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Academic meetings

Residents participate in organized bi-weekly meetings designed to provide academic insight to resident experiences, didactic laboratory training, presentation preparation and analysis of literature,inlcuding:

  • Weekly Resident Lecture Series - Resident-assigned presentation topics given weekly to an organized group designed to aid residents in the preparation and delivery of information in an academic environment.
  • Weekly Chapter Review - Textbook chapters are broken down and reviewed on a weekly basis. Designed to maintain the fundamentals of education and explore varying concepts of foot and ankle surgery.
  • Journal Club - Monthly meetings with community attendings and residents to review the current literature for the foot and ankle physician, while developing skills in critical analysis and increasing knowledge base.
  • Case Presentation and Discussion - Monthly organized discussion of interesting cases presented by residents and active attending physicians in an academic setting.
  • Cadaveric Dissection Laboratory - Monthly cadaveric dissection in the laboratory environment with formal didactic instruction of procedures and equipment.
  • Visiting Clinician Lecture Series - Monthly organized visiting clinician lecture series focused from the expertise of local leaders in the field. Lectures encompass specialties from all aspects of the medical management team.

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Other program highlights

Community involvement - Our residents and attending podiatrists are committed to community involvement and participate at the Wallace Medical Concern for indigent and uninsured patients in need. Participation in various nonprofit wellness forums are encouraged throughout the year.

State and national conference participation - Residents attend and participate as presenters at the Oregon Podiatric Medical Association Biannual Scientific Seminars and as manuscript and poster presenters at the annual American College of Foot and Ankle Surgeons and Scientific Seminar. Institutional support is provided to those residents who participate.

Externship Opportunity - The Legacy/Kaiser Podiatric Surgical Residency Program participates in a monthly externship program not formally associated with any school of podiatry. Two qualified students are selected each month to participate with our residents. The externship is designed to provide visiting students exposure to the culture of the program and expand experience in the profession of podiatry.

For information contact

Diane Sawyer, Program Coordinator
Graduate Medical Education
Legacy Health
1015 NW 22nd Ave, #23
Portland, Oregon 97210
podres@lhs.org