ACFAS Update (Volume 30, No. 5) by ACFAS

ACFAS VOLUME 30 ISSUE 5

NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

Join Your Colleagues at ACFAS 2024 At ACFAS 2024, you will be joining over 2,000 foot and ankle surgeons for four days of programming devoted to improving your patient care and advancing your career. Plan your trip now for cutting-edge education and networking February 1-4, 2024 in Tampa, Florida! Continued on page 5

Fall Virtual Symposium

Six Fellowship Programs Receive Recognized Status page 6

page 4

President’s Perspective FIRST STEPS TO GROWING THE SPECIALTY page 2

perspective

FIRST STEPS TO GROWING THE SPECIALTY It is hard to believe that ACFAS 2024 is only three months away, and with it my term ends and the next chapter begins. It is an honor to serve our profession and all of you within it, and to reﬂect on why we chose to make this our life’s work. No matter our specialization or style of practice, at one time we were all medical students earning the privilege of being called ‘Doctor.’ Many of us never thought of surgery as our calling until we took that ﬁrst class, and the daunting decision to pursue one of the most demanding occupations in the medical community if not the world itself is a heavy choice for a weary student. But we made the choice to try, and every day we make a difference in our patients’ lives for it.

At podiatric medical schools across the nation, ACFAS Student Clubs serve as the ambassadors to the specialty for medical students who have taken an interest or declared their intention of becoming a foot and ankle surgeon. ACFAS provides these clubs with training and networking resources to prepare their members for their next steps while bringing them into the fold of our community. An ACFAS student membership is a compounding value that gives access to ondemand education, regional programming, and academic publication access that is critical for those considering if this the specialty they commit to. For those who have made the choice, ACFAS resources supplement their training and residency

with the latest perspectives and news across the industry to hit the ground running after graduation. As a foot and ankle surgeon, you will hopefully come across prospective future physicians exploring their path in medicine. Share your expertise and the passion for serving your patients as a testament to why we have chosen this path and support them on their ﬁrst step along this journey. And know that the ACFAS Board of Directors has approved the College as a sponsor of AACPM’s ‘Feet on the Street’ initiative to drive enrollment in the podiatric medical schools. Watch for more on this initiative soon. I sincerely thank you for your service to those students and look forward to seeing you all at ACFAS 2024 in Tampa in February!

Questions for Dr. Barp? Write him at president@acfas.org. Eric A. Barp, DPM, FACFAS ACFAS President

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education

Book Your Stay in Tampa Don’t miss your chance! Register now and book your housing for the ACFAS 2024 Annual Scientiﬁc Conference February 1-4 in Tampa, Florida. Spend four days diving into hands-on workshops with the latest methods, expert education and networking with your friends and colleagues from across the country. Simplify your travel and make the most of beautiful Tampa by booking your room at one of the official ACFAS 2024 hotels through our official housing partner, onPeak.

Booking through onPeak guarantees you the lowest hotel rate and protects you from unauthorized third-party vendors or “hotel poachers.” ACFAS will not be responsible for any room reservations or deposits made through other companies or websites, so please book through onPeak for your own safety. Visit acfas.org/Tampa to learn more and plan your trip to ACFAS 2024.

UPCOMING EDUCATION CALENDAR Register at acfas.org/Education

November 16, 2023 (Thursday)

ACFAS Virtual Journal Club: Lateral Ankle Stabilization: Materials & Techniques Virtual November 18, 2023 (Saturday)

Ankle Arthritis Virtual Symposium Virtual December 9–10, 2023 (Saturday/Sunday)

SOLD OUT

Arthroscopy of the Foot and Ankle Chicago, IL January 31, 2024 (Wednesday)

Pre-Conference: ACFAS 2024 Tampa, FL February 1–4, 2024 (Thursday–Sunday)

ACFAS 2024 Scientific Conference Tampa, FL March 23–24, 2024 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Chicago, IL August 17–18, 2024 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Chicago, IL September 7–8, 2024 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Chicago, IL November 16–17, 2024 (Saturday/Sunday)

Arthroscopy of the Foot and Ankle Chicago, IL

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news from the college

Nominees for the ACFAS Board Election Announced After careful review of applicants applying to serve on the ACFAS Board of Directors, the Nominating Committee recommends these Fellows to run for two open seats in the upcoming election: 䡲 Incumbent: Alan A. MacGill,

DPM, FACFAS 䡲 Brandi M. Johnson, DPM FACFAS 䡲 Brian G. Loder, DPM, FACFAS 䡲 Mitzi L. Williams, DPM, FACFAS

There are two (2) seats, each with a three-year (3-year) term that will be ﬁlled in the November election. The election will open on November 15 and close on November 30. Eligible voters will receive an email with a unique link to the election website when the election opens.

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Six Fellowship Programs Receive Recognized Status with ACFAS The ACFAS Fellowship Committee recently determined the following six fellowships exceeded the minimal requirements to be upgraded to full Recognized Status after their ﬁrst successful year: San Antonio Sports Medicine Associates Foot & Ankle Surgical Fellowship

Washington Orthopaedic Center Advanced Reconstructive Foot and Ankle Surgery Fellowship

San Antonio, Texas

Centralia, Washington

Program Director: Marque Allen, DPM, FACFAS

Program Director: Michael Dujela, DPM, FACFAS

Puerto Rico Foot and Ankle Reconstructive Surgical Fellowship

Foot and Ankle Physicians of Ohio Reconstructive Surgical Fellowship

San Juan, Puerto Rico

Grove City, Ohio

Program Director: Carlos Arroyo, DPM, FACFAS

Program Director: Elizabeth Hewitt, DPM, FACFAS

Certiﬁed Foot and Ankle Reconstructive Surgical Fellowship

Nebraska Foot and Ankle Reconstructive Surgery Fellowship

Delray Beach, Florida

Hastings, Nebraska

Program Director: Ashley Bowles, DPM, FACFAS

Program Director: David Waters, DPM, FACFAS

ACFAS highly recommends taking on a specialized fellowship for the continuation of foot and ankle surgical education after residency. If you are considering a fellowship, visit acfas.org/FellowshipListing to review a complete listing of programs and minimal requirements.

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education

Join Your Colleagues at ACFAS 2024 Continued from cover Education Earn up to 34 CECH with educational lectures, hands-on workshops, and research presentations from 138 expert faculty. Pre-conference programs begin on January 31.

Innovation Embrace the latest products, technologies, and solutions from over 150 companies from across the globe in the ACFAS 2024 Exhibit Hall

Connections Gather with leaders in foot and ankle surgery and your colleagues from around the country for educational discussions, networking opportunities, and social events. Be sure to register for our popular Wrap Party on Saturday evening at American Social to close out ACFAS 2024 in style!

Entertainment Don’t miss our Keynote Speaker Jim Abbott, legendary one-handed Major League Baseball pitcher. Enjoy tropical weather, oceanfront luxury, and endless cultural entertainment throughout Tampa.

Registration/Hotel Rates Registration rates increase after November 30. Make sure to reserve your hotel rooms while they are still available with onPeak, the official provider of ACFAS 2024 housing. We can’t wait to see you there!

Education Sessions Include: Conquering Complications Analyze real-life case complications with experts who will discuss why the complication occurred, along with how to address it properly. 䡲 Shannon M. Rush, DPM, FACFAS

Moderator 䡲 Jordan P. Grossman, DPM, FACFAS 䡲 Thomas J. Chang, DPM, FACFAS 䡲 Meagan M. Jennings, DPM, FACFAS 䡲 Graham A. Hamilton, DPM, FACFAS 䡲 Lawrence G. Rubin, DPM, FACFAS

Please Update Your Ankle Fracture App: Are Our Methods Outdated? Evaluate your approach to common procedures and consider innovations that are becoming the new standard in care. 䡲 George T. Liu, DPM, FACFAS, Moderator

International Flatfoot A showcase of approaches to ﬂatfoot intervention with techniques used around the world. 䡲 Michael D. Dujela, DPM, FACFAS,

Moderator

䡲 Mark H. Hofbauer, DPM, FACFAS

䡲 Naohiro Shibuya, DPM, FACFAS

䡲 W. Hodges Davis, MD

䡲 Manfred Thomas, MD (Germany)

䡲 Michael H. Theodoulou, DPM, FACFAS

䡲 Markus Knupp, MD (Switzerland)

䡲 Sandeep Patel, DPM, FACFAS

䡲 Norman Espinosa, MD (Switzerland)

䡲 Brian J. Burgess, DPM, FACFAS

䡲 Roxa Ruiz, MD (Peru)

䡲 Michael S. Lee, DPM, FACFAS

䡲 Cesar De Netto (Brazil)

䡲 Shane M. Hollawell, DPM, FACFAS

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news from the college

Last Chance for Fall Virtual Symposium Advance your knowledge of ankle arthritis with no travel required! The upcoming Ankle Arthritis Virtual Symposium will provide a complete overview of ankle arthritis; from causes and conservative treatment options through ankle fusion and ankle arthroplasty. Other topics will include orthobiologic use, ancillary procedures and emerging technologies which can help supplement the procedures to achieve optimal outcomes. Join us virtually for immersive training in how to: 䡲 Identify types and causes of ankle

arthritis. 䡲 Describe approaches to the ankle for

fusion and replacement as well as risks and beneﬁts of those incisions/ approaches. 䡲 Identify absolute contraindications to ankle fusion and replacement. 䡲 Identify relative contraindications as risks/beneﬁts to fusion vs replacement based on those parameters.

$225

ACFAS Members

$280

Non-Members

$95

ACFAS Resident Members

Ryan L. McMillen, DPM, FACFAS, Chair

Patrick R. Burns, DPM, FACFAS

Melissa M. Galli, DPM, FACFAS

Ryan T. Scott, DPM, FACFAS

Jennifer C. Van, DPM, FACFAS

Earn 4.5 CECH when you join us on Saturday, November 18. Visit acfas.org/AnkleArthritis to learn more and register today.

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ACFAS Virtual Journal Club: The Latest Findings in the Field The ACFAS Virtual Journal Club gathers foot and ankle surgeons across the country for the latest research across the specialty. Complimentary for all ACFAS members, the Virtual Journal Club is hosted each month by expert researchers from ACFAS-recognized fellowship programs who analyze articles on speciﬁc topics relevant to the profession.

Join us for the last session of the year: Thursday, November 16 | 7:00 pm CT

Topic: Lateral Ankle Stabilization: Materials & Techniques Host: San Antonio Sports Medicine Associates Foot & Ankle Surgical Fellowship Fellowship Director: Marque A. Allen, DPM, FACFAS Presenter: Ian B. VanderGulik, DPM Moderators: Calvin J. Rushing, DPM, FACFAS and Rachel H. Albright, DPM, MPH, FACFAS The Virtual Journal Club is brought to you by the ACFAS Research Committee. Learn more, register, and view archived sessions at acfas.org/VirtualJournalClub.

FASTRAC

news from the college

VOLUME 1, NUMBER 1

AN OFFICIAL PUBLICATION OF THE

AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

FOOT & ANKLE SURGERY: TECHNIQUES, REPORTS & CASES

ELSEVIER

Submit Your Research to FASTRAC We are seeking the latest advancements in surgical techniques for correction of foot and ankle disorders for the College’s open access journal, Foot & Ankle Surgery: Techniques, Reports & Cases (FASTRAC). FASTRAC’s streamlined submission process allows foot and ankle surgeons around the world to stay up to date on the best clinical practices. As an ACFAS member, you’ll receive a discount on the author fee charged upon acceptance. You can also make your mark on profession by becoming a FASTRAC peer reviewer. For more information on FASTRAC or to submit an article, visit FASTRACjournal.org. If you’re interested in being a peer reviewer, reach out to Thomas Roukis, DPM, PhD, FACFAS, Editor of FASTRAC, at editor@FASTRACjournal.org.

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ENHANCE YOUR CODING SKILLS AT ACFAS 2024 Make the most of your trip to Tampa with coding and billing education tailored for your practice. ACFAS 2024 pre-conference programming on Wednesday, January 31 offers two opportunities to increase your reimbursement and streamline your protocols.

Coding and Billing for the Foot and Ankle Surgeon 8:00 am – 5:30 pm 8.75 CECH Get the latest coding updates for 2024! Expert faculty walk you through coding scenarios addressing forefoot reconstruction, arthrodesis, office procedures, rearfoot and ankle reconstruction, tendon surgery, arthroscopy, trauma and diabetic foot surgery. Bring your coders to this course to help maximize the reimbursement for your practice.

Coding Fundamentals 2:30 – 6:30 pm 3.75 CECH Start from scratch or refresh your coding and billing foundations! Join expert faculty and gain an understanding of CPT and E&M codes, common modiﬁers and their use, and how to code minor in-office procedures. This course is ideal for residents, Fellows, new practitioners, and office staff of foot and ankle surgeons to learn the fundamentals of the coding and billing process. Register now at acfas.org/Tampa

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education

Prepare the Next Generation: 2024

R D

RESIDENCY DIRECTORS FORUM

2024 Residency Directors Forum

Co-Hosted by ACFAS and COTH

Resident educators: Start ACFAS 2024 early at the Residency Directors Forum! Earn 6 CECH when you attend on Wednesday, January 31 from 11:30 am – 6:15 pm. This year’s event will focus on faculty development and will include a mock showcase of a Residency Review Committee's (RRC’s) program approval process. Get expert insights from deans, faculty, and residency directors in sessions such as: 䡲 Student Recruitment Crisis: A Rising Tide Lifts All Boats 䡲 The Legal Aspect of Residency Programs: Surﬁng the Waves 䡲 Generational Differences and their Impact on Incoming Residents: Something’s Fishy 䡲 Tips and Tricks for Navigating a Successful Program: Adjusting your Sail 䡲 CPME Update The 2024 Residency Directors Forum is co-hosted by the Council of Teaching Hospitals (COTH). Save your spot now at acfas.org/Tampa.

Faculty:

Jayson Atves, DPM, FACFAS Eric Barp, DPM, FACFAS Michelle Butterworth, DPM, FACFAS Allan Boike, DPM, FACFAS Luke Cicchinelli, DPM, FACFAS Keith Cook, DPM, FACFAS Patrick DeHeer, DPM, FACFAS Randall Dei, DPM, FACFAS Thanh Dinh, DPM, FACFAS Jacqueline Donovan, DPM FACFAS Samantha Figas, DPM, FACFAS Jeffrey Jensen, DPM, FACFAS Jonathan Labovitz, DPM, FACFAS Lisa Levick-Doane, DPM, FACFAS Charles Lombardi, DPM, FACFAS JT Marcoux, DPM, FACFAS

John Martucci, DPM, AACFAS Robert Mendicino, DPM, FACFAS Roya Mirmiran, DPM, FACFAS Colin Mizuo, DPM, FACFAS Hamidat Momoh, DPM Ellie Nasser, DPM, FACFAS Aksone Nouvong, DPM, FACFAS Brett Sachs, DPM, FACFAS Harry Schneider, DPM, FACFAS Christina Staskiewicz, DPM, FACFAS John Steinberg, DPM, FACFAS Mike Vaardahl, DPM, FACFAS Melanie Violand, DPM, FACFAS Steven Vyce, DPM, FACFAS Eric Walter, DPM, FACFAS

New for 2024: In order to give residents complimentary registration for the 2024 pre-conference Residents Day event, this year’s Forum will charge a $150 registration fee. The hope is that Residency Directors will be understanding of this pricing adjustment and agree with this support for our resident members!

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education

2024

Residents: Get Expert Tips at Residents Day

TAMPA CONVENTION CENTER

JANUARY 31, 2024

Finish your residency strong and prepare for your next steps as a foot and ankle surgeon at Residents Day in Tampa! Make plans now to attend on Wednesday, January 31 from 8:30 am - 1:30 pm. Expert foot and ankle surgeons will discuss critical topics as you approach the end of your training with sessions including: 䡲 Develop Your Own Compass: Financial Planning 䡲 How to Become a Social Media “Starﬁsh” 䡲 What is the Best Practice Setting for Me? The World is Your Pearl 䡲 Becoming a Leader in the Field: Follow the River and You’ll Find the Sea 䡲 First Year Post-Residency – Now What? Fair Winds and Following Seas

| TAMPA

Faculty:

Eric Barp, DPM, FACFAS Allan Boike, DPM, FACFAS Michelle Butterworth, DPM, FACFAS Luke Cicchinelli, DPM, FACFAS Patrick DeHeer, DPM, FACFAS Randall Dei, DPM, FACFAS Jacqueline Donovan, DPM, FACFAS Jeffrey Jensen, DPM, FACFAS Jonathan Labovitz, DPM, FACFAS JT Marcoux, DPM, FACFAS Roya Mirmiran, DPM, FACFAS Colin Mizuo, DPM, FACFAS

Hamidat Momoh, DPM Krupa Patel, DPM, FACFAS Nolan Pendleton, CFP, MBA, Hudson Pendleton Financial Group Roland Ramdass, DPM, FACFAS Patrick Robinson, DPMs Laura Sansosti, DPM, FACFAS Harry Schneider, DPM, FACFAS Christina Staskiewicz, DPM, FACFAS Cody Togher, DPM, AACFAS Mike Vaardahl, DPM, FACFAS Tonda Wooten, DPM, FACFAS

This year’s Residents Day is complimentary for ACFAS Resident Members, with a maximum capacity of 120 registrants. Visit acfas.org/Tampa for more information and to register.

Free for Resident Members! $125 for Resident Non-Members Register now to reserve your spot.

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membership

Renew Your ACFAS Member Dues by December 31 Don't lose your member benefits! Renew your ACFAS dues to ensure you maintain access to resources and benefits designed to advance and support your career. Your dues give you access to the College's robust education and professional development offerings, practice growth and management tools, and the top-rated Annual Scientific Conference, set in Tampa. Renew today and you’ll be able to register at the member rate for ACFAS 2024.

DECEMBER

We thank you for your continued membership and look forward to helping you meet your professional goals in 2024. Visit acfas.org/paymydues.

Stay Connected

Get Your ACFAS Logo Gear Before the Holiday Rush Get your order in before the holidays! The ACFAS Logo Store features a sophisticated line of apparel and accessories to show your pride for the College and the specialty. The ACFAS Logo Store offers shirts, jackets, pullovers, lifestyle accessories, and scrubs in a wide range of colors and sizes. Visit acfas.org/logostore today!

Are you following ACFAS on social media? Stay up-to-date on the latest news, member highlights and updates from the College!

instagram.com/acfas.foot.and.ankle.surgeons

twitter.com/acfas

facebook.com/AmericanCollegeofFootandAnkleSurgeons

linkedin.com/company/american-college-of-foot-and-ankle-surgeons

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practice management

Soft Skills: It Takes More Than Good Hands From an Interview with Ellianne Nasser, DPM, FACFAS, Member of the Practice Management Committee Throughout medical school and residency, surgeons are fully immersed in critical knowledge of the human body and the distinct skills needed to perform the life-changing procedures our patients need. But as new surgeons graduate residency and begin their ﬁrst years of practice, many realize that some of the most important skills were not taught in the classroom or the skills lab. ‘Soft skills’ are used on a daily basis both professionally and personally, but surgeons rarely received direct training in these key abilities that directly impact their peers, institution, and quality of patient care. Three critical soft skills stand out as priorities that every surgeon should initially learn, and then continue to self-evaluate themselves on throughout their career.

Communication Whether it is determining what a patient is experiencing during initial diagnosis or managing tasks in a practice, the ability to collect and transmit important information can save a medical professional time, effort, and stress that can pile on when details or intentions are missed. For diagnosis and situational evaluation, a surgeon must ﬁnd the ‘right questions’ that do not confuse or intimidate the listener. Learning to listen carefully and visualize smaller details is a matter of personal discipline that takes practice. When it comes to presenting information, translating the key message into language that the patient or peer can understand will prevent their having to ﬁll in misunderstood details with assumptions.

But once a surgeon can collect details and express their necessary information, framing both sides of the conversation with a demeanor and tone that expresses necessary competence with care and consideration. Focusing on brisk efficiency and facts can intimidate listeners and make the surgeon seem less approachable, while presently too passively can make an urgent inquiry or task seem less important than it is. Most importantly, every person will need to ﬁnd their own voice and style, emulating a mentor’s communication style exactly may not account for differences in culture or circumstances. A good communicator knows their audience, but also knows themselves as the actor.

When it comes to presenting information, translating the key message into language that the patient or peer can understand will prevent their having to ﬁll in misunderstood details with assumptions. 12

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One lesson often learned too late is the need to prioritize personal requirements and a life outside your practice to prevent burnout and maintain the surgeon’s long-term priorities. Empathy A surgeon’s ability to objectively view a body’s inner workings without being emotionally compromised is a career requirement, but this ability has gained the profession a wider reputation for being jaded and socially disconnected from their patients. Every surgeon gradually ﬁnds their balance between stepping back as a clinical observer who must make the right decision, and as a human being supporting their patient at a painful moment in their life. Difficult patients be a test of patience, but they are a bigger test of a surgeon’s ability to understand why the person is making these choices and what they are seeking from your interactions. In the context of peer interactions and staff management, this same dynamic of stopping to question the intentions and contexts faced by others can deescalate a conﬂict into a signal for what a person needs. Understanding the other side of the story can mean the difference between having ‘enemies’ in the workplace and a cohesive team with diverse perspectives.

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Time Management Time management is the skill that can hit a new surgeon the hardest in their ﬁrst year of practice as they navigate their new responsibilities while resetting their personal life after graduation. Juggling the demands and priorities of multiple patients, leadership ﬁgures, and their own needs has often been said to be the worst part of becoming a surgeon. Task efficiency comes with practice, and making mistakes is essential to seeing how they occurred and how they can be prevented. One lesson often learned too late is the need to prioritize personal requirements and a life outside your practice to prevent burnout and maintain the surgeon’s long-term priorities. Skipped meals and lack of sleep can have compounding consequences that can gradually impact performance in the operating room. Being able to ‘unplug’ from patient cases and workplace dynamics regularly can improve focus and overall engagement.

Understanding the other side of the story can mean the difference between having ‘enemies’ in the workplace and a cohesive team with diverse perspectives.

Whether a surgeon is opening their ﬁrst practice or a seasoned educator, taking time to evaluate soft skills and how they impact the life of a surgeon is an ongoing opportunity to improve oneself as a professional as well as a person.

update: news from the american college of foot and ankle surgeons

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news from the college

Get the Latest with the ACFAS Podcast ACFAS On Demand brings you the latest research and headlines throughout the foot and ankle specialty. Explore hundreds of episodes in a format that ﬁts every schedule. Recent highlights include: How Not to Lose Your Entire Staff Moderator: Melinda Mason-Miller Speakers: Albert Giagnacova, DPM, AACFAS Christopher Cook, DPM, FACFAS

Ankle Arthritis (Sponsored by Stryker) Moderator: Brandi M. Johnson, DPM, FACFAS Panelists: Kimberlee B. Hobizal, DPM, FACFAS Jeffrey E. McAlister, DPM, FACFAS Amber M. Shane, DPM, FACFAS

MIS Bunion Vs. Lapidus (Sponsored By Arthrex, Inc.) Moderator: Lisa Levick-Doane, DPM, FACFAS Panelists: Maryellen Brucato, DPM, FACFAS Mindi Dayton, DPM, FACFAS Noman Siddiqui, DPM, FACFAS

acfas.org/ACFASPodcast

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

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VOLUME 30 ISSUE 5 | NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

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

in this issue

DECEMBER

Get Your ACFAS Logo Gear Before the Holiday Rush page 11

31 page 11

Renew Your Member Dues

Nominees for the ACFAS Board Election Announced

page 4