ACFAS Update (Vol. 29 No. 2)

ACFAS VOLUME 29 ISSUE 2

NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

ACFAS 2022 BREAKS RECORDS IN AUSTIN! The Annual Scientific Conference in Austin broke records once again as being the most attended conference with over 1,900 attendees, and it didn’t stop there. The Exhibit Hall was not only sold out — it was the largest number of exhibitors ever at an ACFAS conference! Thank you to our exhibitors and to everyone who joined us in Austin to celebrate 80 years of ACFAS!

Save the

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Conference Chair, Naohiro Shibuya, DPM, MS, FACFAS called this year’s meeting festive. “There were a lot of record-breaking people and events. This year’s meeting had a lot of academic options for the attendees to choose from. They could go see the lectures, debates, case panels, International Symposium, research, posters, live surgery, (continued on page 4)

Join us February 9-12, 2023 for the 81st Annual Scientific Conference in Los Angeles, CA. Watch for registration details coming soon!

Dr. Scot Malay Receives 2022 Distinguished Service Award page 14

Resident Comprehensive Course Coming

President’s Perspective

THE MANY FACETS OF “FELLOWSHIP” page 5

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perspective

THE MANY FACETS OF “FELLOWSHIP” May joy and good fellowship reign…—Pierre de Coubertin, father of the modern Olympic Games.

It’s been only a short time since I returned to my office after a truly memorable experience at the 2022 ACFAS Annual Scientific Conference in Austin. I imagine a lot of you feel as recharged as I do after an ASC, but that’s been especially true this year, following the most attended ASC to date. No doubt, so many of us were ready to get back together again.

Through the pandemic, we’ve found easier ways to access our continuing education virtually. In place of exhibit halls, we’ve had to find alternative methods to engage with our industry partners on whom we depend in our daily practices. As sure as necessity is the mother of invention, the technology world stepped up to our needs, and we will continue to benefit from optimized virtual platforms.

Nevertheless, when the opportunity finally presented itself, more of us got together in Austin than at any previous ASC. Throughout the meeting and since, I’ve done some earnest thinking as to why this has been the case.

One of the things I think we’ve been longing for is the sense of fellowship we experience when we are able to congregate in large numbers, with those we’ve known since we started down our shared pathways, with others we’ve since met along the way, and with whom we want to share what we’ve been doing since we last met and what we expect we’ll be doing until we meet again. For foot and ankle surgeons, there’s no better place to do it than the ASC.

“Fellowship” is a term we encounter frequently within the realm of what we do as foot and ankle surgeons. In this particular case, it refers to “friendly association, especially with people who share one's interests.” Most recently, if you were to ask our professional community what the first thing that comes to mind when we hear the word “fellowship,” many would likely associate it with post-residency advanced training. Indeed, as the knowledge base of foot and ankle surgery expands and as new technologies continue to develop, it is quite practical to address this with additional training in subspecialty areas. The growth in the number of fellowship training programs has been substantial, and back in 2010 the ACFAS anticipated the potential ramifications of this with the creation of its Fellowship Recognition Initiative. The intent was and remains to foster high-quality programs by establishing specific criteria that must be met to become an ACFAS Recognized Fellowship. Today, the college recognizes over fifty such fellowship programs. For more information, please visit the Fellowship Center at acfas.org.

Fellowship might mean something different to some of our newest members. In Austin, I had the distinct honor of assisting ACFAS Immediate Past President Dr. Thanh Dinh in presenting Fellow pins to those foot and ankle surgeons who this year achieved Fellowship member status in ACFAS. Fellowship in

Questions for Dr. Cornelison? Write him at president@acfas.org.

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ACFAS, as is typical of medical specialty colleges, represents considerably more than just being a member. Another specialty college, the American College of Surgeons, describes being a fellow thusly: The letters FACS (Fellow, American College of Surgeons) after a surgeon’s name mean that the surgeon’s education and training, professional qualifications, surgical competence, and ethical conduct have passed a rigorous evaluation, and have been found to be consistent with the high standards established and demanded by the College Likewise, the post-nominal letters FACFAS indicate that the foot and ankle surgeon has met the threshold of high standards demanded by our own College; in our case, these include board certification specifically by the American Board of Foot and Ankle Surgery (ABFAS), the only board recognized by the Joint Committee on the Recognition of Specialty Boards certifying Doctors of Podiatric Medicine in foot and ankle surgery.

Fellowship, in this sense, represents a brand that the public and referring health care professionals can depend upon when seeking surgical care of the foot and ankle.

Returning to the notion of fellowship defining a cordial (continued on page 5)

Michael J. Cornelison, DPM, FACFAS ACFAS President

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education

Arthroscopy Courses Back with Full Line Up for 2022

2022 EDUCATION PROGRAMS June 9-10, 2022 (Thursday/Friday)

Coding and Billing for the Foot and Ankle Surgeon Live-Stream July 9-10, 2022 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Surgical Skills Course Orthopaedic Learning Center (OLC), Chicago, IL August 25 (Thursday)

Coding Fundamentals In-Person Walt Disney World Dolphin Hotel, Orlando, FL August 26-27 (Friday/Saturday)

Coding and Billing for the Foot and Ankle Surgeon In-person Walt Disney World Dolphin Hotel, Orlando, FL

ACFAS’ popular Arthroscopy of the Foot and Ankle Surgical Skills Course is back in full swing for 2022, but don’t wait… spaces are limited! Join us at one of these upcoming courses and get the latest techniques, didactic lectures and surgical demonstrations at the Orthopaedic Learning Center (OLC) in Chicago.

May 21-22, 2022

SOLD OUT

July 9-10, 2022 October 1-2, 2022 November 12-13, 2022

These two-day, interactive courses led by skilled arthroscopy surgeons will give you the opportunity to learn and practice established and cutting-edge techniques in foot and ankle surgery with 9+ hours of hands-on lab time with the latest equipment and techniques. The lecture presentations will include videos of actual arthroscopy cases with ample time for faculty interaction.

Visit acfas.org/skills for more information and to secure your spot at one of these upcoming highly interactive course dates.

October 1-2, 2022 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Course Orthopaedic Learning Center (OLC), Chicago, IL October 15-16, 2022 (Saturday/Sunday)

Comprehensive Surgical Management of Challenging Cases MERCI Labs, Chicago, IL November 10-11, 2022 (Thursday/Friday)

Comprehensive Fixation for the Ankle and Foot: A Resident's Course Marriott O’Hare Chicago, Chicago, IL November 12-13, 2022 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Course Orthopaedic Learning Center (OLC), Chicago, IL

December 10-11, 2022

December 10-11, 2022 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Surgical Skills Course

In Memory

Orthopaedic Learning Center (OLC), Chicago, IL

Mark A. Lambert, DPM, FACFAS Pensacola, FL

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Peter M. Myskiw, DPM, FACFAS Phoenix, AZ

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Kevan R. Kreitman, DPM, FACFAS Roseville, MI

To be waitlisted, please contact Maggie Hjelm at hjelm@acfas.org.

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education

ACFAS 2022 BREAKS RECORDS IN AUSTIN! (continued from cover)

workshops, the HUB, and Industry Theater to name a few. Anywhere you look, there was ACFAS everywhere within the Convention Center.”

This year’s International Symposium was also a hit and the Program Committee was happy to see not only a number of international speakers, but also international attendees who flew in from all over the world to see their colleagues speak in the US. “We were very happy to see this trend as our intention was to make our conference

the most recognized and respected foot and ankle conference in the world.”

Dr. Shibuya also mentioned how this year’s attendees noticed a shift in the meeting content. “Many attendees noticed that we had much more manuscript-based, scientific presentations this year. Whether it was the manuscript session, poster exhibits, International Symposium, or the past manuscript winners presentation, we had a lot of data-driven presentations.” He was especially thrilled to see a lot of involve-

ment from younger members, “I was happy to see so many young, motivated members being part of this year’s conference.”

Dr. Shibuya credits the Conference Program Committee for this year’s success. “I've never seen anything like this. There was a lot of traffic and activities at the poster and manuscript sessions. People were interested in the latest research! Our committee did a great job attracting people to these “scientific” venues at ACFAS 2022.

“We were very happy to see this trend as our intention was to make our conference the most recognized and respected foot and ankle conference in the world.” — Naohiro Shibuya, DPM, MS, FACFAS

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education

Resident Comprehensive Fixation Course Coming November 10-11 (Thursday/Friday) Marriott O’Hare Chicago Chicago, IL Join expert faculty for a deep dive into podiatric internal fixation surgery with Comprehensive Fixation for the Ankle and Foot: A Resident's Course. This course (continuing from the previous AO/AAFAO workshops) brings together innovators in the field of podiatric internal fixation surgery.

This two-day workshop will give the knowledge and skills to apply the principles

of internal and external fixation to foot and ankle surgery—including major rearfoot and ankle arthrodesis techniques; identify the problems, complications, and intraoperative difficulties that can result from internal and external fixation; implement principles and techniques in a wide variety of complex foot and ankle fractures, multiple revisional and reconstructive surgical techniques of

THE MANY FACETS OF “FELLOWSHIP” group of people sharing common interests, perhaps we should consider ourselves to be in “fellowship” in a more general sense with other organizations or specialties outside of our own. Over the duration of my 25 years as a Doctor of Podiatric Medicine, I have frequently heard about real or presumed differences and conflicts between professional organizations, many with other medical specialties but also others within our own.

More recently, there has been an earnest recognition that in many cases, those that have differences with us oftentimes share much more in common with us. There is no

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the lower extremity—including specialty plating and external fixation techniques; avoid complications and improve outcomes through preoperative planning; and apply psycho-motor skills developed in extensive practical lab exercises.

Visit acfas.org/skills for more information and to register today.

(continued from page 2)

better illustration of this than the collaboration that has been fostered by the Joint Task Force of Podiatric and Orthopaedic Surgeons, composed of the ACFAS, the APMA, the American Academy of Orthopaedic Surgeons (AAOS), and the American Orthopaedic Foot and Ankle Society (AOFAS). Representatives within the Task Force will continue to convene to work on mutually-experienced challenges surrounding issues such as reimbursement, CPT code valuation, pre-authorization practices, and unilateral exclusions of specific procedures, modalities and surgical devices by payors, to

name a few. Significant progress has already been made in these endeavors which never would have been possible without the collaborative efforts of the Task Force.

So “fellowship” means a number of things to the College, all of which it constantly takes quite seriously. As I enter into my term as President, to me it reflects firstly the common bond all ACFAS members have of being Proven Leaders and Lifelong Learners who are positively impacting the lives of our patients. Per the College’s stated mission, I look forward to doing my part to help empower you as a member of the College.

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HIGHLIGHTS

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This year’s manuscript competition received 58 submissions for the 2022 Annual ACFAS Manuscript Awards of Excellence competition. All submissions were blind reviewed by a panel of ACFAS Fellows to select 42 to be presented at ACFAS 2022 in Austin. Winners were announced during the ACFAS Honors and Awards Ceremony on February 25 and split $10,000 in award money funded in part by Organogenesis and the Podiatry Foundation of Pittsburgh.

Manuscript submissions for the 2023 Annual Scientific Conference in Los Angeles are due August 3, 2022.

2022 Manuscript Winners

First Place

Honorable Mentions

An Analysis of 50 Consecutive Total Ankle Replacements undergoing Pre-operative CT Scan-based, Engineer-provided Planning from a Single Non-Inventor, NonConsultant Surgeon

Effects of Patient-Specific Instrumentation and Ancillary Surgery Performed in Conjunction with Total Ankle Implant Arthroplasty: Postoperative Radiographic Findings

Health Disparities in North American NonTraumatic Lower Extremity Amputations: A Systematic Review and Meta-Analysis

Garrett M. Biela, DPM Thomas S. Roukis, DPM, PhD, FACFAS Jason A. Piraino, DPM, MS, FACFAS

Cody J. Togher, DPM, AACFAS Stephanie L. Golding, DPM Jordan B. Butterfield, DPM Thomas D. Ferrise, DPM Amber M. Shane, DPM, FACFAS Christopher L. Reeves, DPM, MS, FACFAS

Second Place Patient Reported Outcome of Dorsal Approach Plantar Plate Repair – A Ten Year Follow Up Erin E. Klein, DPM, MS, FACFAS Lowell Weil, Jr., DPM, MBA, FACFAS Jeffrey R. Baker, DPM, FACFAS Sarah Langer, BS Adam E. Fleischer, DPM, MPH, FACFAS

Third Place Hounsfield Unit Assessed Bone Density amongst Non-Traumatic and Post-Traumatic Arthritic Total Ankle Arthroplasty Patients John M. Thompson, DPM, AACFAS Brian Houng, DPM, AACFAS Eric So, DPM, MS, FACFAS Christopher F. Hyer, DPM, MS FACFAS Gregory Berlet, MD, FRCS(C), FAOA

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The Determinate Value of theMedial Clear Space for Deltoid Integrity in Lateral Malleolar Fractures: A Correlative Analysis of Arthroscopic and Radiographic Findings David R. Collman, DPM, FACFAS Myles A. Knutson, DPM Sheng-Fang Jiang, MS Irina Bazarov, DPM David R. Collman, DPM, FACFAS

Coronal Hindfoot Alignment in Midfoot Charcot Neuroarthropathy: A Radiographic Study Korey S. DuBois, DPM, AACFAS Nicole K. Cates, DPM, AACFAS Nathan N. O'Hara, PhD Bradley M. Lamm, DPM, FACFAS Jacob Wynes, DPM, MS, FACFAS

Arthur Tarricone, DPM, MPH Karla De La Mata, DPM Wayne R. Axman, DPM, FACFAS Louis Primavera, PhD Michael J. Trepal, DPM, FACFAS

One- and Two-Year Analysis of a Five-Year Prospective Multicenter Study Assessing Radiographic and Patient Reported Outcomes Following Triplanar Tarsometatarsal Arthrodesis with Early Weightbearing George Tye Liu, DPM, FACFAS Avneesh Chhabra, MD Mindi J. Dayton, DPM, MPH, FACFAS Paul D. Dayton, DPM, MS, FACFAS William J. Duke, DPM, FACFAS Daniel C. Farber, MD Daniel J. Hatch, DPM, FACFAS Diedre A. Kile, MS Jennifer Koay, MD JP McAleer, DPM, FACFAS Abdi Raissi, MD Katherine M. Raspovic, DPM, FACFAS Robert D. Santrock, MD Robert P. Taylor, DPM, FACFAS Michael D. VanPelt, DPM, FACFAS Dane K. Wukich, MD

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2022 Poster Winners

The ACFAS 2022 poster display captured another impressive selection at this year’s meeting. Of the 432 submissions, attendees were able to peruse a total of 286 case study, scientific and Student Club posters.

Congratulations to this year’s winners—posted below. All poster entries will be available for viewing at acfas.org. Watch for information on next year’s poster competition at ACFAS 2023.

Poster submissions are due September 7, 2022.

ANNUAL SCIENTIFIC COMMITTEE CHOICE AWARD Predictive Value of Neutrophil to Lymphocyte Ratio in Wound Healing Among Patients Undergoing Transmetatarsal Amputations: A Retrospective Cohort Study

SCIENTIFIC FORMAT

SYSTEMATIC FORMAT

First Place

First Place

Calcaneocuboid Joint Preparation in Charcot Reconstruction and its Effect on Postoperative Outcome

Time to Revision After Periprosthetic Joint Infection in Total Ankle Arthroplasty: A Systematic Review

Taylor J. Bunka, DPM Nicole K. Cates, DPM, AACFAS Jacob Wynes, DPM, MS, FACFAS John S. Steinberg, DPM, FACFAS Caitlin S. Zarick, DPM, FACFAS

Samantha A. Miner, DPM, AACFAS John A. Martucci, DPM, AACFAS Stephen A. Brigido, DPM, FACFAS Lawrence A. DiDomenico, DPM, FACFAS

Second Place

Second Place

First Place

Risk Factors and Surgical Outcomes in Patients with Positive Soft Tissue Cultures at Time of Closure

Functional Outcomes and Complications Associated with Total Talus Arthroplasty: A Systematic Review

Comparison of Open versus Minimally Invasive Surgery in the Correction of Hallux Valgus Deformity

Helene R. Cook, DPM Nicole K. Cates, DPM, AACFAS Robert Scheckler, DPM Daniel Popovsky, MS Kevin Delijani, BS Kenneth L. Fan, MD Christopher E. Attinger, MD John S. Steinberg, DPM, FACFAS

Alex J. Bischoff, DPM Ryan J. Stone, DPM Steven L. Anderson, DPM Tung V. Dao, DPM Zachary P. Hill, DPM Brian Steginsky, DO Robert W. Mendicino, DPM, FACFAS

Temple University School of Podiatric Medicine

Third Place

Third Place

Outcomes in Drainage Ankle Disarticulation versus Guillotine Transtibial Amputation in the Staged Approach to Below Knee Amputation

Prevalence of Pseudomonas Aeruginosa in Diabetic Foot Infections in the United States: A Systematic Review and MetaAnalysis

Alissa M. Mayer, DPM Nicole K. Cates, DPM, AACFAS Eshetu Tefera, MS Kevin K. Ragothaman, DPM, AACFAS Kenneth L. Fan, MD Karen K. Evans, MD John S. Steinberg, DPM, FACFAS Christopher E. Attinger, MD

Tyler L. Coye, DPM Courtney M. Foote, DPM Paul Stasko, DPM, FACFAS

Jonathan D. Furmanek, DPM Jayson N. Atves, DPM, AACFAS Lance T. Hopkin, DPM

CASE STUDY FORMAT

First Place Incidence of Nonunion Following Naviculocuneiform Arthrodesis - A Retrospective Review of 61 Cases Steven A. Tocci, DPM Jacob A. Harder, DPM Andrew M. Ganshirt, DPM David M. Sved, DPM Joseph F. Albers, DPM Dan W. Guehlstorf, MD

Second Place Z-Shortening Technique to Repair an Overlengthened Achilles Tendon: A Case Report Troy J. Boffeli, DPM, FACFAS Kristen M. Brett, DPM

Third Place Pediatric Transmetatarsal Amputation Secondary to Complications of COVID-19 Sandeep K. Sandhu, DPM Mark Granata, DPM

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2022 Poster Winners

STUDENT CLUB

Second Place Conservative vs. Surgical FirstLine Treatment of Navicular Stress Fractures in the Athlete Population: A Systematic Review and Meta Analysis Midwestern University College of Podiatric Medicine

Third Place Return to Activity After Excision of the Symptomatic OS Trigonum: A Systematic Review Comparing Arthroscopic Verses Open Excision Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science

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THANK YOU TO THE MANUSCRIPT & POSTER JUDGES! ACFAS would like to thank those members who volunteered to review and judge entries for the manuscript and poster competitions for this year’s Annual Scientific Conference. The College greatly appreciates the time, dedication, and consideration these judges put into evaluating each entry.

Brian T. Dix, DPM, FACFAS Michael D. Dujela, DPM, FACFAS Duane J. Ehredt, Jr., DPM, FACFAS Adam E. Fleischer, DPM, MPH, FACFAS Timothy C. Ford, DPM, FACFAS Melissa M. Galli, DPM, FACFAS Alan G. Garrett, DPM, FACFAS Jon R. Goldsmith, DPM, FACFAS Paul L. Goodman, DPM, FACFAS Tyson E. Green, DPM, FACFAS Brandon R. Gumbiner, DPM, FACFAS Daniel J. Hatch, DPM, FACFAS Jeffrey D. Haupt, DPM, FACFAS Kimberlee B. Hobizal, DPM, FACFAS Kristine M. Hoffman, DPM, FACFAS Matthew A. Hopson, DPM, FACFAS Allen M. Jacobs, DPM, FACFAS Steven W. Jasonowicz, DPM, FACFAS Brandi M. Johnson, DPM, FACFAS Lisbeth M. Keplinger, DPM, FACFAS Paul J. Kim, DPM, FACFAS Erin E. Klein, DPM, MS, FACFAS Javier La Fontaine, DPM, MS, FACFAS Thurmond D. Lanier, DPM, MPH, FACFAS Lisa T. Levick-Doane, DPM, FACFAS Brian G. Loder, DPM, FACFAS Nicholas J. Lowery, DPM, FACFAS Alan A. MacGill, DPM, FACFAS Kieran T. Mahan, DPM, FACFAS

2022 Manuscript Judges Ryan B. Rigby, DPM, FACFAS, Chair Jarrett D. Cain, DPM, MS, FACFAS Michael W. Downey, DPM, FACFAS Matthew D. Doyle, DPM, MS, AACFAS Bruce I. Kaczander, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS Roland S. Ramdass, DPM, FACFAS Jonathan J. Sharpe, DPM, FACFAS Michael H. Theodoulou, DPM, FACFAS

2022 Poster Judges Patrick Agnew, DPM, FACFAS Jeffrey R. Baker, DPM, FACFAS Nicholas J. Bevilacqua, DPM, FACFAS Mark A. Birmingham, DPM, FACFAS Jonathan A. Blum, DPM, FACFAS Georgeanne Botek, DPM, FACFAS Maryellen P. Brucato, DPM, FACFAS Maria M. Buitrago, DPM, MS, FACFAS Brian J. Burgess, DPM, FACFAS Michelle L. Butterworth, DPM, FACFAS Jarrett D. Cain, DPM, FACFAS Gage M. Caudell, DPM, FACFAS Mindi L. Dayton, DPM, FACFAS Paul D. Dayton, DPM, MS, FACFAS William T. DeCarbo, DPM, FACFAS Randall L. Dei, DPM, FACFAS Jason George DeVries, DPM, FACFAS

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Jeffrey E. McAlister, DPM, FACFAS Ryan L. McMillen, DPM, FACFAS Joshua L. Moore, DPM, FACFAS Jennifer R. Mulhern, DPM, FACFAS Elliane M. Nasser, DPM, FACFAS Aksone Nouvong, DPM, FACFAS Kyle S. Peterson, DPM, FACFAS Kelly M. Pirozzi, DPM, FACFAS Crystal L. Ramanujam, DPM, FACFAS Roland S. Ramdass, DPM, FACFAS Katherine M. Raspovic, DPM, FACFAS Rahn A. Ravenell, DPM, FACFAS Brett D. Sachs, DPM, FACFAS James C. Sang, DPM, FACFAS Harry P. Schneider, DPM, FACFAS Monica H. Schweinberger, DPM, FACFAS Ryan T. Scott, DPM, FACFAS Jonathan J. Sharpe, DPM, FAFAS Nicholas C. Smith, DPM, FACFAS Kristin L. Strannigan, DPM, FACFAS Michael H. Theodoulou, DPM, FACFAS James L. Thomas, DPM, FACFAS Jonathan C. Thompson, DPM, MHA, FACFAS Jakob C. Thorud, DPM, MS, FACFAS Dyane E. Tower, DPM, MPH, MS, FACFAS Nsima M. Usen, DPM, MPH, FACFAS Michael D. Vaardahl, DPM, FACFAS Mitzi L. Williams, DPM, FACFAS Michael Ryan Zimmerman, DPM, FACFAS

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THANK YOU TO OUR 2021-2022 VOLUNTEERS! Rachel H. Albright, DPM, MPH, AACFAS Elizabeth A. Ansert, DPM Jayson N. Atves, DPM, AACFAS Jeffrey R. Baker, DPM, FACFAS Richard E. Baker, Jr., DPM, FACFAS Nicholas J. Bevilacqua, DPM, FACFAS Mark A. Birmingham, DPM, FACFAS Michael F. Bowen, DPM, FACFAS Maryellen P. Brucato, DPM, FACFAS Donald E. Buddecke, Jr., DPM, FACFAS Adam M. Budny, DPM, FACFAS Brian J. Burgess, DPM, FACFAS Michelle L. Butterworth, DPM, FACFAS Danielle N. Butto, DPM, FACFAS Jarrett D. Cain, DPM, MS, FACFAS Scott C. Carrington, DPM, FACFAS Nicole K. Cates, DPM, AACFAS Gage M. Caudell, DPM, FACFAS Dick Chung, DPM, AACFAS Lacey D. Clawson, DPM, FACFAS John R. Clements, DPM, FACFAS James C. Connors, DPM, FACFAS Steven Cooperman, DPM Kristina Corley, DPM Michael A. Coyer, DPM, FACFAS Peter A. Crisologo, DPM, AACFAS Benjamin D. Cullen, DPM, FACFAS Matthew C. Dairman, DPM, FACFAS Dennis Zack Dawson, DPM, AACFAS Paul D. Dayton, DPM, MS, FACFAS Karla De La Mata, DPM William T. DeCarbo, DPM, FACFAS Randall L. Dei, DPM, FACFAS Michelle D. Detweiler, DPM, FACFAS Jason George DeVries, DPM, FACFAS Lawrence A. DiDomenico, DPM, FACFAS Michael D. Dujela, DPM, FACFAS Katherine E. Dux, DPM, FACFAS Adrienne M. Estes, DPM, FACFAS Kyle C. Fiala, DPM, FACFAS Adam E. Fleischer, DPM, MPH, FACFAS Robert Fridman, DPM, FACFAS Michael A. Gentile, DPM, FACFAS Devon N. Glazer, DPM, FACFAS Jon R. Goldsmith, DPM, FACFAS

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Paul L. Goodman, DPM, FACFAS Chandana Halaharvi, DPM, AACFAS Shane Oliver Hall Tatyana Astafiev Hamilton, DPM, AACFAS Daniel J. Hatch, DPM, FACFAS Shane M. Hollawell, DPM, FACFAS Jeffrey P. Holmes, DPM, FACFAS Matthew A. Hopson, DPM, FACFAS Christopher F. Hyer, DPM, MS, FACFAS Allen M. Jacobs, DPM, FACFAS Steven W. Jasonowicz, DPM, FACFAS Brandi M. Johnson, DPM, FACFAS Robert M. Joseph, DPM, PhD, FACFAS Lisbeth Marie Keplinger, DPM, FACFAS Shawn B. Khademi, DPM, AACFAS Paul J. Kim, DPM, MS, FACFAS Adam S. Landsman, DPM, PhD, FACFAS Thurmond D. Lanier, DPM, MPH, FACFAS Lawrence A. Lavery, DPM, MPH, FACFAS Gretchen A. Lawrence, DPM, AACFAS Michael S. Lee, DPM, FACFAS Lisa T. Levick-Doane, DPM, FACFAS Jeffrey D. Loveland, DPM, FACFAS Frank A. Luckino, III, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS Patrick J. McKee, DPM, FACFAS Ryan L. McMillen, DPM, FACFAS Frederick S. Mechanik, DPM, FACFAS Mark J. Mendeszoon, DPM, FACFAS Robert W. Mendicino, DPM, FACFAS J. Michael Miller, DPM, FACFAS Roya Mirmiran, DPM, FACFAS Lt Colin M. Mizuo, DPM, AACFAS Marnell P. Moore, DPM, FACFAS Ellianne M. Nasser, DPM, FACFAS Samuel Nava, Jr., DPM, FACFAS Aksone Nouvong, DPM, FACFAS Bela A. Pandit, DPM, FACFAS Bryce A. Paschold, DPM, FACFAS Kyle S. Peterson, DPM, FACFAS Jason A. Piraino, DPM, MS, FACFAS Kelly M. Pirozzi, DPM, FACFAS Mark A. Prissel, DPM, FACFAS Roland S. Ramdass, DPM, FACFAS Katherine M. Raspovic, DPM, FACFAS

Ronald G. Ray, DPM, FACFAS Ryan B. Rigby, DPM, FACFAS Erin R. Robles-Sherman, DPM, FACFAS Diana Evelyn Rogers, DPM, MS, FACFAS Calvin J. Rushing, DPM, AACFAS Bryan S. Russell, DPM, FACFAS Brett D. Sachs, DPM, FACFAS Hannah Jo Sahli, DPM, AACFAS Ramez S. Sakkab, DPM James C. Sang, DPM, FACFAS Laura Elizabeth Sansosti, DPM, FACFAS Amol Saxena, DPM, FACFAS Harry P. Schneider, DPM, FACFAS Monica H. Schweinberger, DPM, FACFAS Ryan T. Scott, DPM, FACFAS Josh A. Sebag, DPM, AACFAS Jennifer Rose Seifert, DPM, FACFAS Amber M. Shane, DPM, FACFAS Jonathan J. Sharpe, DPM, FACFAS Eric Fan Shi, DPM, FACFAS Nicholas C. Smith, DPM, FACFAS Mark E. Solomon, DPM, FACFAS Gregory P. Still, DPM, FACFAS Kristin L. Strannigan, DPM, FACFAS Michael Subik, DPM, FACFAS Hendrik Ryan Tan, DPM Arthur Tarricone, DPM Michael H. Theodoulou, DPM, FACFAS Jacqueline B. Truong, DPM, MPH, FACFAS Michael D. Vaardahl, DPM, FACFAS Jennifer C. Van, DPM, FACFAS Kyle L. Vaughn, DPM, FACFAS Ryan Vazales, DPM, AACFAS Eric G. Walter, DPM, FACFAS David E. Waters, DPM, FACFAS Andre M. Williams, DPM, FACFAS Mitzi L. Williams, DPM, FACFAS Garrett M. Wobst, DPM, FACFAS Tonda R. Wooten, DPM, AACFAS Kayla L. Wright, DPM Jacob Wynes, DPM, MS, FACFAS William A. Yoder, DPM, FACFAS Caitlin S. Zarick, DPM, FACFAS Michael Ryan Zimmerman, DPM, FACFAS Emily E. Zulauf, DPM, AACFAS

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education

You Can't Afford to Miss ACFAS’ Coding Workshops!

Over 150 attendees took home valuable reimbursement information from ACFAS 2022's coding and billing courses, including the newest course—Coding Fundamentals, to help change the way they are paid for patient care in their practices.

Coding Fundamentals Coding Fundamentals made its debut in Austin as a foundational course designed to teach or remind attendees the basics of coding and billing—all specific to foot and ankle surgeons.

Attendees filled the room to hear from expert faculty Danielle Butto, DPM, FACFAS and Sean Grambart, DPM, FACFAS on terminology, E & M Coding, modifiers as well as some basic procedure coding scenarios – all while earning 2.5 CME. “Coding is hard for a new practitioner, and we’ve heard from members and past attendees that a course where we really break down definitions and the basics of coding would be reassuring and helpful.” Dr. Butto explains. “So, we are really excited to be bringing Coding Fundamentals to life as a first step or refresher of the basics before taking ACFAS’ regular Coding and Billing course to help attendees start at the beginning and walk through the basics before moving on to the next course.”

Faculty member Dr. Grambart explains many of the attendees this year were residents or fellows who are going to start to practice soon.

“During residency or fellowship, our surgeons are concentrating on perfecting their surgical skills. As they get closer to graduation, they start to feel the need to receive more education with coding and billing. Coding Fundamentals is designed to help them feel more comfortable transitioning into their practice,” Dr. Grambart said.

If you missed Coding Fundamentals in Austin, the next program is set for August 25 as both a standalone program and as a preconference course with Coding and Billing for the Foot and Ankle Surgeon immediately following on August 26-27 at the Walt Disney World Dolphin Hotel in Orlando.. Attendees can sign up for the full learning series in August to take advantage of one time and location for a complete deep dive into coding and billing.

Visit acfas.org/PracticeManagement to register for all courses.

Coding and Billing for the Foot and Ankle Surgeon The Coding and Billing for the Foot and Ankle Surgeon course didn't disappoint either! The full-day course helped to build upon the foundation of the Coding Fundamentals offering attendees real-

practice scenarios and the latest in coding to help them get properly reimbursed in their practices.

According to faculty member, Troy Boffeli, DPM, FACFAS, “Coding and Billing is an important course for foot and ankle surgeons and coding staff for many reasons, but especially because the coding rules are constantly changing. Surgeons experience a constant down trend in reimbursement, productivity and salary over the years unless they invest time and energy to keep up with changing codes and documentation requirements,” he adds.

If you haven’t made it to a Coding and Billing course yet this year, there’s still time to join us to make sure you’re maximizing your coding and billing efforts for your practice. Coding and Billing for the Foot and Ankle Surgeon offers 8.5 CME and is being offered as a live-streamed program June 9-10 and then again in person August 26-27 with Coding Fundamentals offered the day before on August 25 at the Walt Disney World Dolphin Hotel in Orlando. Visit acfas.org/PracticeManagement to register for all courses.

“Attending this course will typically result in many takeaways that a surgeon or coder can immediately incorporate into their daily practice.” — Danielle Butto, DPM, FACFAS 12

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news from the college

CODING AND BILLING EDUCATION SERIES

Meet Your New JFAS Editor: Dr. Naohiro Shibuya

Hear the latest on how to get properly reimbursed for the care you provide with Coding Fundamentals and Coding and Billing for the Foot and Ankle Surgeon. Take one or both depending on your needs.

scientific investigation within the field of foot and ankle surgery is extensive, but moreover, his enthusiasm for elevating the quality of it is unparalleled. Dr. Shibuya’s track record for innovation through his participation in many aspects of the College, most recently as Chair of our Annual Scientific Committee, leave no doubt in my mind that his stewardship of the Journal of Foot & Ankle Surgery will take it to new levels of excellence,” he adds.

Coding and Billing for the Foot and Ankle Surgeon Live-Stream June 9-10 8.5 CME

Coding Fundamentals In-Person August 25 (day before full Coding and Billing course) Walt Disney World Dolphin Hotel Orlando 3.5 CME

Coding and Billing for the Foot and Ankle Surgeon In-person August 26-27 Walt Disney World Dolphin Hotel Orlando 8.5 CME

To register for one or both courses, visit acfas.org/PracticeManagement

The College is pleased to announce Naohiro Shibuya, DPM, MS, FACFAS as the new Editor-in-Chief of the Journal of Foot & Ankle Surgery (JFAS). Dr. Shibuya will officially step into the editor role on May 1 and will oversee the editorial content and management of the Journal, taking over for the retiring D. Scot Malay, DPM, MSCE, FACFAS. "I can't think of a better person to follow Dr. Malay than Dr. Shibuya,” said ACFAS President Michael Cornelison, DPM, FACFAS. “Hiro's experience in the realm of

Dr. Shibuya currently serves as the deputy editor of JFAS and has served as section editor and a peer reviewer during his tenure with the Journal. Dr. Shibuya shares, “I am honored to be given the opportunity to greatly influence the future of our profession by leading this important academic branch of ACFAS.” He adds, “I am grateful to the ACFAS Board of Directors and to Dr. Malay who built such a great foundation of excellence for the Journal and the profession over the last 15 years. I plan to build upon that foundation to ensure the quality and standard set before me will continue to make JFAS a journal where quality surgeons and researchers from all over the world submit their best manuscripts to advance the profession of foot and ankle surgery.”

“Dr. Shibuya’s track record for innovation through his participation in many aspects of the College, most recently as Chair of our Annual Scientific Committee, leave no doubt in my mind that his stewardship of the Journal of Foot & Ankle Surgery will take it to new levels of excellence.” — Michael Cornelison, DPM, FACFAS, ACFAS President

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news from the college

Dr. Scot Malay Receives 2022 Distinguished Service Award D. Scot Malay, DPM, MSCE, FACFAS was honored with the College’s highest award, the Distinguished Service Award. Dr. Malay received the award in February during ACFAS 2022 in Austin.

“I am honored to know the Board of ACFAS feels my work as the Editor of JFAS warrants their Distinguished Service Award for it has been my pleasure to serve as the editor,” said Dr. Malay. “As editor, I strived to make sure every article we published was scientifically sound and useful to the foot and ankle surgeon profession as well as to the medical community as a whole for the benefit of our patients.”

“I am indebted to the expertise and hard work all of our Section Editors and Peer Reviewers put forth by providing authors, and me, with critical appraisals of the manuscripts we considered for publication,” he added.

Dr. Malay took over as editor of the Journal of Foot & Ankle Surgery in 2006 and retired as the Journal editor May 2, 2022. Naohiro Shibuya, DPM, MS, FACFAS, former deputy editor of JFAS, is now the new editor-in-chief.

“The 15 years Dr. Malay was at the College’s premiere research publication’s helm were some of the most exceptional years in the

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life of foot and ankle surgery’s scientific breakthroughs,” said Thanh Dinh, DPM, FACFAS, Immediate Past President of ACFAS. “Under his leadership, 90 journals were produced with the highest quality bringing cutting-edge science directly to those providing patient care. We are all, as foot and ankle surgeons, indebted to Dr. Malay for his excellent work in our Journal.”

Dr. Malay also expressed his gratitude for the support and guidance of the College’s Council for Journal Management as well as the authors who submitted to JFAS. “No editor can put together a useful journal without support from one’s peers and a steady stream of meaningful manuscripts to consider from scientific authors dedicated to helping to advance patient care through foot and ankle health research.”

Dr. Malay earned his doctoral degree in podiatric medicine at the Pennsylvania College of Podiatric Medicine and received advanced training at The Doctor’s Hospital.

Dr. Malay is currently the director of podiatric research at Penn Presbyterian Medical Center, and a physician on staff at Penn Podiatry University City. He is board-certified in foot surgery and reconstructive rearfoot/ankle surgery.

“We are all, as foot and ankle surgeons, indebted to Dr. Malay for his excellent work in our Journal.”

— Naohiro Shibuya, DPM, MS, FACFAS

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patient outreach

ACFAS Promotes You at the Austin Marathon

ACFAS prominently represented you and the specialty to over 15,000 marathon runners and their families at the Austin Marathon ahead of the February 2022 Annual Scientific Conference in Austin.

A countless steady stream of runners stopped by the ACFAS booth to ask questions of ACFAS members, pick up reusable FootHealthFacts.org hot/cold packs and to grab infographic literature on keeping their feet healthy for running. One of those members was Austin-based ACFAS Fellow member Andy Bruyn, DPM, FACFAS who volunteered at the booth to offer tips and tricks to runners and answer any questions about potential foot and ankle issues.

Dr. Bruyn believes volunteering at a marathon is a great concept and a unique opportunity from a provider’s perspective.

“It’s a great way to meet potential patients in the area who really need foot and ankle surgeons and to get involved in the community,” he said.

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The marathon drew runners from every US state, as well as some countries from all over the world, making it great exposure for all ACFAS members as well as the profession.

The hot/cold packs were the most soughtafter giveaway at the event and attendees were grateful to “ask the surgeon” their questions as well as for the information they received on ways to keep their feet and ankles healthy so they can keep running.

Dr. Bruyn expressed how great it was to give people some quality tips and tricks for the race day. “A lot of them just needed help with simple things like blisters but the most common question was about remedies for plantar fasciitis,” he added.

While members don’t need to be runners themselves to host a booth in a marathon or community event, Dr. Bruyn was specifically qualified as a runner to offer some tricks he uses. “I taught of a lot of people how to properly moleskin a blister or keep a patch in their pocket for reapplication during the race.

Some people needed to run on a certain side

of the road to take advantage of the slope and reduce medial or lateral stress depending on their complaint.” He adds, “These are just little tips I know personally from being a runner, but also from treating these conditions and it was nice to offer some focused pointers right before the race.”

ACFAS encourages members to take advantage of running or walking events in their area to increase their practice’s exposure. The College plans to continue representing the profession at marathons across the US and to give members even more tools to help build grassroots efforts in their own communities with a new Marathon Toolbox debuting this year.

Visit acfas.org/Marketing for a full line of tools and tricks to help in your promotional efforts. If you’ve been active in a marathontype event, show off your efforts by reaching out to Melissa Matusek, CAE, director of Public Relations and External Initiatives at melissa.matusek@acfas.org so we can feature great examples of how easy it is to garner exposure for your practice and the profession.

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2022 ACFAS CORPORATE SPONSORS PLATINUM LEVEL

DIAMOND LEVEL

Stryker is dedicated to the Foot & Ankle surgeon. Constantly driven to innovate, we offer advanced medical technologies and a diverse product portfolio. We help our customers rebuild lives. stryker.com.

SILVER LEVEL

Arthrex, a global leader in new product development and medical education, highlights the latest innovations and technology in foot and ankle surgery. arthrex.com

In2Bones USA, an innovative medical device company, specializing in the design and manufacture of sterile implants and single use instrumentation for use in surgery of extremities. in2bones.com

DePuy Synthes, part of the Johnson & Johnson Family of Companies offers an unparalleled breadth of products, services and programs that are designed to advance patient care. depuysynthes.com

Organogenesis offers a portfolio of bioactive and acellular biomaterials products in advanced wound care and surgical biologics. Organogenesis’s versatile portfolio is designed to treat a variety of patients with repair and regenerative needs.. organogenesis.com

Empowering Healing

PICA is the nation's leading podiatry specific medical professional liability insurance provider. For over 40 years, we have offered quality coverage at a responsible price, while supporting the podiatric profession and podiatrists from residency to retirement. picagroup.com

Treace Medical Concepts offers the #1 bunion correction product in the US - the patented Lapiplasty® System. With over 30,000 procedures and 15 peer-reviewed publications, Lapiplasty® is the evidencebased solution. treace.com

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Paragon 28® was established in 2010 to address unmet and under-served needs of the foot and ankle community. We are dedicated to creating tailored solutions and tools to improve the treatment of even the most difficult foot and ankle conditions. paragon28.com

As a dedicated lower extremity company, Vilex understands the unique needs of foot and ankle surgeons. We focus on innovation that is driven by surgeon feedback - delivering a powerful portfolio of products created by surgeons, for surgeons. vilex.com

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BRONZE LEVEL

PEWTER LEVEL

PEWTER LEVEL

AMERICAN BOARD OF® FOOT AND ANKLE SURGERY

DJO® is a leading developer and distributor of high-quality medical devices that provide proven solutions for musculoskeletal health, joint reconstruction, vascular health, and pain management. DJOGlobal.com

Medartis orthopaedic solutions are designed for a wide range of fractures and deformities while providing stronger, stable constructs for improved patient outcomes. medartis.com

Novastep focuses exclusively on designing, developing and commercializing products to treat conditions of the foot and ankle.

We are committed to empowering the performance of foot & ankle surgeons to give their patients the best outcomes. novastep-us.com

The American Board of Foot and Ankle Surgery (ABFAS) strives to protect and improve the health and welfare of the public by advancing the art and science of foot and ankle surgery. abfas.org

Exactech develops and markets orthopaedic implant devices, related surgical instruments and the Active Intelligence® platform of smart technologies. For more information. exac.com

Extremity Medical is a fast-moving entrepreneurial company with a strong engineering culture at its foundation that is focused on developing next generation solutions for the foot and ankle surgeon. extremitymedical.com

Working side-by-side with leading foot & ankle surgeons, Medline UNITE identified the need for intelligently designed solutions, from intuitive implant systems to clinically advanced orthobiologics. medlineunite.com

Paratek Pharmaceuticals is a biopharmaceutical company that develops transformative solutions for patients, both in and out of the hospital, with diseases that are difficult to treat. paratekpharma.com

Our mission is to provide more immediate and definitive patient care, eliminating the false reads associated with current indirect modalities and significantly reduce the overall cost to the healthcare system. tricemedical.com

COPPER LEVEL

Zimmer Biomet focuses on alleviating pain and improving the quality of life for people around the world through its innovative, collaborative ecosystem of outstanding products and solutions. zimmerbiomet.com

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Heron’s mission is to improve patient’s lives by developing best-in-class medicines that address major unmet medical needs. We are developing novel, patient-focused solutions that apply our innovative science and technologies to proven pharmacologica. herontx.com

Kerecis Omega3 Wound is a fish-skin graft that is homologous to human skin and is used for tissue regeneration. Kerecis Omega3 Wound is FDA indicated for multiple clinical applications. kerecis.com

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2022

2022

R D

RESIDENCY DIRECTORS FORUM

Successful In-Person Collaborations

Despite the lingering effects of the pandemic and flight cancellations due to frigid weather in Austin and surrounding cities, this year’s Residents Day and Residency Directors Forum were huge successes, with the Forum hitting recordbreaking attendance.

The sessions for both events were laid out to provide specific advice for each audience, and the speakers were carefully selected to share their expertise with various topics.

“This year’s Residency Directors Forum, co-hosted by the Council of Teaching Hospitals (COTH), was a wonderful collection of speakers from orthopaedic surgeons to attorneys, psychologists, and even a DIO of a medical school. The panel discussions were full of great tips and pearls for all attendees,” said Jason Piraino, DPM, FACFAS, Co-Chair of the College’s Post Graduate Affairs Committee. For the first time in the history of ACFAS Residents Day, resident attendees had the opportunity to

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meet one-on-one with from the COTH, the Council on Podiatric Medical Education (CPME) and the American Board of Foot and Ankle Surgery (ABFAS). The program directors had a one-hour lecture and discussion on resident remediation processes to include prevention measures.

Both residents and program directors were provided guidance on steps to improve resident’s pass rates of the ABFAS Board Certification case review with emphasis placed on appropriate chart documentation.

“What I enjoyed the most from this year’s events was bringing the program directors, faculty, program coordinators, and deans of the podiatry schools in one room to discuss and address the challenges we encounter each day within our educational programs and to find ways to improve our processes,” said Roya Mirmiran, DPM, FACFAS, Co-Chair of the College’s Post Graduate Affairs Committee. “Every year, the Residency Directors Forum is designed by

residency directors, for residency directors.

We use the comments and feedback we have received from prior year programs to design the future programs,” added Dr. Mirmiran.

Both programs were designed with input from seasoned and young program directors as well as resident committee members.

Miss the 2022 Residency Directors Forum?

Check out session recordings within the Residency Directors Center at acfas.org.

Save the Date for our 2023 events– in conjunction with the College’s 2023 Annual Scientific Conference: Wednesday, February 8 Los Angeles Convention Center Los Angeles, CA

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education

2022 Fellowship Breakfast Fair Bursting at the Seams The College’s Fellowship Breakfast Fair, held on Saturday, February 26 in Austin, was host to 42 fellowship program directors and current fellows from across the country who set their alarms to wake early and meet those students and residents who are curious about fellowships and considering taking the leap and applying for a coveted fellowship position. The ballroom was full of tables lining the walls and prospective fellows having coffee while networking with various program representatives.

Said Emily Zulauf, DPM, AACFAS, Fellowship Committee Member and host of this year’s fair: “This year's event was an overwhelming success! Candidates in attendance networked with current fellows

and directors from over 40 fellowships across the country. There were thoughtful questions, meaningful conversations, and new connections made.”

ACFAS Fellowship Zoom Rooms Miss your chance to attend the 2022 fair? The College introduced new, virtual ACFAS Fellowship Zoom Rooms where prospective fellows can log into Zoom meetings to listen to fellowship directors and fellows speak about their programs and also handle any questions that arise. A series of three Zoom Rooms with 21 programs total kicked off in April, and a new schedule of future Fellowship Zoom Rooms and the fellowship programs that will be present will be promoted soon. Watch your email for details as they are available.

Save the Date for 2023 Looking for another in-person event? Be sure to save the date: 2023 Fellowship Breakfast Fair Saturday, February 11 Los Angeles Convention Center Los Angeles, CA

ACFAS CORPORATE SPONSORS Diamond Level

Silver Level

Bronze Level

Pewter Level

PICA

Platinum Level

In2Bones

DJO

Medline UNITE

Stryker

Arthrex

Organogenesis

Novastep

American Board of Foot and Ankle Surgery

DePuy Synthes

Paragon 28

Medartis

Exactech

Trice Medical

Vilex

Zimmer Biomet

Extremity Medical

Treace Medical Concepts, Inc.

Paratek Pharma

Heron Therapeutics

Copper Level Kerecis

ACFAS.org | JFAS.org | FootHealthFacts.org | 773-693-9300

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VOLUME 29 ISSUE 2 | NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

©2022 American College of Foot and Ankle Surgeons 8725 West Higgins Road, Suite 555 Chicago IL 60631-2724 All rights reserved

Get details about these member services at acfas.org/benefitspartners.

in this issue

2022 Residency Directors Forum and Residents Day

2022 Fellowship Breakfast Fair Bursting at the Seams

New JFAS Editor: Dr. Naohiro Shibuya

page 18

page 19

page 5