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Australasian College of Podiatric Surgeons

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25.01.2022 #aweekinthelife of ACPS member Ms Emilia Bran, podiatric surgical registrar. Behind the scenes preparing for surgery in my surgical gear. Short arms make for bad selfies but being short means you are less likely to develop blood clots (apparently). An all female surgical team in QLD lead by Podiatric Surgeon Leah Cook. It's all about team work to get the job done. We all have a role to play making this a great working environment and excellent learning opportunity. #shortregbenefits #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #registrarlife

23.01.2022 #aweekinthelife Starting the day with correcting bilateral bunion deformities in a 32 year old former elite soccer player. Over the years technology in foot surgery has evolved. An example is using portable x ray when performing surgical procedures. This has been an adjunct in improving the patient outcomes in foot surgery The part of my practice that I enjoy the most is the atmosphere of a well-run operating theatre team working together for the patient. It is a theatre in ...the true sense of the word as it is a stage for you to perform surgery. As a surgeon you conduct the surgery which requires the orchestration of many different players which includes the surgical assistant, the scrub nurse, anaesthetist, anaesthetic nurse, scout nurse, theatre orderly, recovery room staff and wards nurses. The team work that is required to produce a great surgical outcome is as wonderful as listening to a well conducted orchestra so I guess that’s why the metaphors and language of music and surgery are complimentary. Whilst the surgical sciences are the background of what we do the art of surgical practice is also equally important. Art played a role in gaining the fine hand skills I learnt. As a surgical trainee learning to make fine angled saw cuts (osteotomies) in the small bone of feet and then fixating them with small delicate pins and screws was a skill I learnt picture framing as a hobby. It is essentially the same skill set:- making accurate cuts in fragile, expensive pieces of wood and then joining them with fine nails or fixation devices and not wanting to make any mistakes. This gave me a great deal of respect in being very accurate and precise. Extrapolating those skills assisted me particularly with bunion surgery which is one of our most common surgical procedures. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #bunions #podiatricsurgery #footsurgery #podiatry #surgery #surgerylife

22.01.2022 #historyacps In order to operate on a foot in Australia, Dr. John Pickering recognized that, in addition to podiatric surgical training, access to local anaesthetics would provide the foundation - and the necessary means - to perform foot surgery. In 1975 - with the assistance of the late Dr. Hans Jordan, and with the advice of a member of the South Australian Health Commission - a submission for the use of local anaesthetics by podiatrists was submitted to Health Commission.... Unfortunately, the request for access to LA was repeatedly turned down. It was not until a high ranking politician visited Dr. Pickering's office, with a painful ingrown toenail in 1976... The proposition of a slow and meticulous partial nail avulsion without local anaesthetic was, not surprisingly, most undesirable. In less than one month, local anaesthetic access for podiatrists across South Australia was achieved. Thus, with the means to provide painless invasive foot procedures, Fellows of the ACSP Dr. Pickering and Dr Bill Kutcher began performing nail surgery and digital osteectomy procedures. Dr. Pickering's practice was located next to a thoracic surgeon's office, Dr Tom Kelly. Dr. Kelly provided monitoring of Dr. Pickering and Dr. Kutcher's patients during the peri-operative episode. Pictured is Dr. John Pickering and Dr. Pauline Barry performing foot surgery under local anaesthetic in 1978. Dr John Weir attends to patient notes (foreground). #australasiancollegeofpodiatricsurgeons #acps #historyacps #podiatry #surgery #footsurgery #anklesurgery #education #training #oldschool #historymakers #sideburns

18.01.2022 #aweekinthelife Being a good surgeon also means being adaptable to the circumstances, environment in which you are working and the needs of your patients. I have worked as a volunteer in overseas in philanthropic aid programs in Vietnam and the Philippines where we were able to provide much needed surgical care for people with debilitating foot and ankle conditions. The hospital and operating theatres were poorly resourced with limited instruments or facilities which meant ...that you had to adapt to circumstances in which you were working. The positive aspect of this experience I had as a newly graduated podiatric surgeon taught me to be very adaptable to the environment in which you are working. There is no place for a primadonna surgeon who does not get what they want. You learn to look for simple solutions to complex surgical, medical and social problems. You have to be inventive and innovative. My early experiences in Vietnam in the late 1990’s lead to me coming up with the idea and co-developing the "Feet for Walking" clubfoot project in Vietnam which was a public health initiative for the early detection and management of clubfeet in infants with primarily cast, splinting and a simple surgery to avoid the long term disability associated with an uncorrected adult clubfoot which would otherwise require complex surgery. I spent 12 years involved with this work with 28 trips overseas to deliver these programs which I would have to rate as my most gratifying experience of my professional career and something I will return to nearing my retirement. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #clubfoot

18.01.2022 #aweekinthelife of podiatric surgeon Andrew Van Essen. Foot and ankle injuries related to sport are a common part of podiatry practice. To be a good clinician, I think it is important to have some first-hand knowledge of not only the injury but the psyche of an athlete. I've always been a runner, mostly a weekend warrior but in 2014 I stepped up the training campaign to complete the New York Marathon. I continued the training campaign to go on and finish the Paris Marathon (w...asn't on the bucket list but a fantastic way to see Paris). During my training I managed to have plantar fasciitis, Achilles tendonitis, calf strain and an angry Morton’s neuroma. Being a runner and being involved with sports give you not only a good insight into the nature of sports injuries but also allows you to be more empathetic with your patients in knowing what they are going through to talk them through the injury treatment, treatment and rehabilitation process. Surgery has an important role to play but as a podiatric surgeon having a background in podiatry assists me in providing patients with all of their non-surgical treatment options before surgery. This is one of the many reasons I enjoy my profession as a podiatric surgeon because surgery is not the only tool I have to help people get better and get back to being active. Running is still part of my daily life but at a more casual pace with the newest edition to my family, Frankie the rescue dog who being part border collie, has plenty of energy #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife

17.01.2022 #aweekinthelife of podiatric surgeon Andrew Van Essen. Andrew consulting a 2nd generation, long term family patient in his rooms at Prospect Podiatry As much as I love the challenge in the operating theatre, I value the time I spend with my patients in my rooms. Working through small to complex issues to find the right solution for the patient is always my end goal. I am fortunate to have been in practice for long enough now that I have got to know many families who I have... developed a close professional relationship. I am now seeing the children of patients who came to see me when they were children. That has been a wonderful experience seeing them grow and mature into adults and the role I have played in assisting them to have strong healthy feet. It goes beyond just their feet as you are assisting them in their overall health and wellbeing as feet play such an important role in our overall well being Tips for new graduates. When you are starting in practice being patient with your patients as they will reward you with more patients in the future. Always put your patients interest first and in time the rewards with be valuable in so many ways, not necessarily financially but the rewards and gratification you get from the role you have in assisting your patients in the long term. Waiting a generation to see a new referral may seems a long wait but it has been a very extremely rewarding experience for me. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #bunions #podiatricsurgery #footsurgery #podiatry #surgery #surgerylife

17.01.2022 Join us for the ACPS monthly peer review and case forum discussion. Members of the college will discuss clinically relevant topics on medicine, surgery and therapeutics of the foot and ankle. Become an affiliate member and gain instant access to these insightful monthly meetings and our case forum archive! Become an affiliate member today: acps.edu.au/affiliates Next Forum: November 2, 2020 4:30 PM EST Forum Discussion Topics... 1. Foot and ankle surgeons should consider the use of bone stimulation in cases of delayed and non-union 2. Specific postoperative incisional care protocols should be used by foot and ankle surgeons #australasiancollegeofpodiatricsurgeons #webinar #podiatricsurgery #podiatry #surgery #casestudy #acps #affiliatemember #bonehealing #fracture #footsurgery #anklesurgery #footpain #anklepain

15.01.2022 #aweekinthelife of ACPS member Ms Emilia Bran, podiatric surgical registrar. Reviewing imaging at home the night before a surgery list. It is an opportunity to prepare and understand the need for specific techniques. This is a daily must do for all the registrars. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #registrarlife

15.01.2022 #aweekinthelife with podiatric surgeon Andrew Van Essen. Continued Education is part of your ongoing commitment as a surgeon. We are forever the student as well as the teacher. Learning is lifelong so gaining new skills and updating your knowledge is an ongoing experience. Teaching and handing on your skills and knowledge to others is part of the continuing education process. It is always great to talk with General Practitioners and other health professionals about what we d...o as Podiatric Surgeons and how we can assist their patients. I have respect for GP’s who are required to have experience and knowledge over a large area of clinical practice, whereas by virtue of being a registered specialist, podiatric surgeons have specialised knowledge and high level of skills in a limited area. When I'm in Darwin I work with the Darwin Podiatry staff, many of whom are young bright practitioners, to deliver a continued education program. In rural and remote location access to hands on clinical education is limited so Darwin Podiatry makes the most use of my time. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife

11.01.2022 #aweekinthelife of ACPS member Ms Emilia Bran, podiatric surgical registrar. Travelling Australia is a big part of being a registrar. You learn from many surgeons and learn a wide range surgical techniques. We are so fortunate to have this as part of our program. One day QLD, the next NSW ....! #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #registrarlife

11.01.2022 #aweekinthelife with podiatric surgeon Andrew Van Essen. 2020 the year we all worked from home and I was no exception. My T shirt was to remind me who I was during lock down, however in many ways I would have to say the COVID 19 lockdown was not such a negative experience. It was a time to reflect on my practice to review how we delivered services to patients, reviewing IT systems and patient information. This gave us the opportunity to do things we did not have the time to ...complete while we were so busy. Zoom meetings became 2nd nature and in my opinion improved productivity as I no longer have to travel interstate or overseas for meetings and conferences. I don’t miss the time away but speak to me next year and I may have changed my mind, but so far it has been somewhat of a blessing and not to mention the reduction in my carbon foot print from no longer flying around nearly as much. Telemedicine has also opened up new avenues for pre-operative assessment and post-operative care for patients as it has become more accepted. Telemedicine has also been a part of my visiting surgical practice in Darwin but it is now part of the so called new normal. Telemedicine cannot replace hands on care but it enhances my post-operative care as I can be in contact with patients more often as many patients find it more convenient rather than travelling so far for a brief appointment to review their progress. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #COVID19 #webinar

07.01.2022 #didyouknow that the average active person walks around 7,500 step/day. If you maintain this daily average and live to the age of 80 years, then you’ll have walked about 177,028 kilometres. This is the equivalent of walking about 5 times around the Earth! That’s not bad considering your feet don’t get a tyre change! But you can change what is on your feet. Shoes are one of the most important factors in foot and ankle injuries. So choose your foot wear wisely over your lifetim...e! Do you have a foot or ankle injury? A podiatric surgeon can help if you. Ask your doctor or podiatrist for a referral to a podiatric surgeon or visit acps.edu.au/find to find a podiatric surgeon near you! #podiatricpearls #footpain #anklepain #australasiancollegeofpodiatricsurgeons #acps #podiatricsurgery #shoes #footwear #sensibleshoes #walking #running #musculoskeletal #sportsinjuries #footsurgery #anklesurgery

05.01.2022 Check it out an article on #podiatricsurgery in the latest edition of The Health Advocate, issue 61 Nov 2020, page 16. The Health Advocate is the official magazine of the Australian Healthcare and Hospitals Association. The article details the results of a study performed by Ms Sandy Thomson of Governance Plus and Dr Paul Butterworth of Southern Cross University, evaluating satisfaction of 596 patients who underwent surgery with four podiatric surgeons in Western Australia be...tween 2014-2017. The outcomes aligned with the Australian Commission on Safety and Quality National Standards for infection control, medication management and comprehensive care. The data from this study informs opportunities for improving practices, support benchmarking between surgeons and provide information on care outcomes. Results summarised in the graphic include a low rate of readmissions and a high patient satisfaction rate. The most common foot procedures performed included nail surgery, bunion and claw toe correction and bone spur removal. Follow the link to read the full article: https://issuu.com//the_20health_20advocate_20-_20november_ #podiatricsurgery #podiatry #surgery #australasiancollegeofpodiatricsurgeons #acps #footpain #anklepain #toepain #footsurgery #anklesurgery #footandanklesurgery #footsurgeons #ingrowntoenail #nailsurgery #bunion #claetoe #hammertoe #bonespur #patientsatisfaction #complications #ACSQHC #AHHA #HealthAdvocate

02.01.2022 #aweekinthelife of podiatric surgeon Andrew Van Essen. Representing Podiatric Surgery at the Global Podiatry Network meeting along with Katrina Richards, President of the Australian Podiatry Council at the College of Podiatry in London. I have been very fortunate to travel extensively overseas attending meetings and representing my profession at international conferences and advocacy bodies. I have delivered keynote lectures and workshop programs in Japan for more than 25 y...ears following an academic exchange in 1994 with a visiting professor of health science from Chiba University with the University of South Australia where I was lecturing part time. It has become a normal part of professional life to develop these International connections. We live in such a connected world these days the world has now shrunk. As a new graduate a literature review which now takes seconds on the internet was a very protracted task taking weeks and months to obtain journal articles from libraries overseas and interstate. The speed at which information can be disseminated to surgeons and health care providers has enhanced our knowledge and care greatly. With difficult cases I can obtain the opinions form an international circle of colleagues very quickly. It does take time to develop these international connections so travel, meeting and networking is another element of my professional life that enhances patient care. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #apoda #collegepodiatry

02.01.2022 #didyouknow that a #heelspur is bony outgrowth of the heel bone and occurs in up to 15% of the general population? However, research has shown that heel spurs a present in higher proportions in the elderly, people who are overweight and in those with #heelpain, #plantarfasciitis, #osteoarthritis and abnormal foot function. It is believed that heel spurs grow as a result of repetitive impact forces under the heel, such as walking and exercise. The average active person walks ...around 7,500 steps/day. If you maintain this daily average and live to the age of 80 years, then you’ll have walked about 5 times around the Earth and that’s a lot of cumulative impact force! Research has shown that there is a relationship between #heelspurs and pain under the heel. However! Research has also shown that some people with #heelspurs can have no #heelpain at all! Some factors that influence whether a #heelspur might cause #heelpain include the size of the spur, a person’s bodyweight, compression of a nerve under the heel, facture of the #heelspur, #inflammation, decrease in the fatty padding under the heel and a person’s occupational duties, such as prolonged weightbearing on hard surfaces. With an aging population and a rise in global #obesity, #heelspurs and #heelpain may become a worsening problem Do you have pain under your heel? Ask your doctor or podiatrist for a referral to a podiatrist or podiatric surgeon or visit acps.edu.au/find to find a podiatric surgeon near you! #podiatricpearls #podiatricsurgery #australasiancollegeofpodiatricsurgeons #acps #podiatry #surgery #footpain #bonespur #heelpain #heelspur #plantarfasciitis #foothealth #didyouknow #osteoarthritis #musculoskeletal #obesity

02.01.2022 #aweekinthelife of ACPS member Ms Emilia Bran, podiatric surgical registrar. Studies would be impossible without the support of this group of people. They keep me sane and in check. #aweekinthelife #acps #australasiancollegeofpodiatricsurgeons #podiatricsurgery #footsurgery #anklesurgery #podiatry #surgery #surgerylife #registrarlife

02.01.2022 Thank you to our presenters, podiatric surgeons Mr Simon Smith, A.Prof Mark Gilheany, and registrar Ms Emilia Bran and to the Ultimate Podiatrist for running a popular webinar last night to over 700 Zoomers!!! Thank you all for listening in to the Difficult Ingrown Toenail, Career Opportunities in Podiatric Surgery and life as a surgical registrar webinar. Simon has recorded the remainder of his lecture with Ultimate Podiatrist and answered all the Q+As, so stay tuned and all the presentations will be available through the Ultimate Podiatrist soon! #ingrowntoenail #toepain #podiatricsurgery #webinar #footpain #nailsurgery #footsurgery #podiatry #surgery #complications #surgerytraining #registrarlife #skills #acps #australasiancollegeofpodiatricsurgeons #ultimatepodiatrist

01.01.2022 #didyouknow that research has shown that people who wear high heeled shoes on the weekend are at higher risk for injuries that lead to a visit to the emergency department? In addition, medium to high heel footwear has been associated with increased risk of fracture of the foot, hip, arm and ankle. The most commonly injured body part when wearing high heels is the ankle and the injury rate is the greatest for young adult women between 20-40 years of age. Know the risks of high heel footwear. #podiatricpearls #didyouknow #podiatricsurgery #australasiancollegeofpodiatricsurgeons #podiatry #surgery #footpain #anklepain #foothealth #musculoskeletal #highheels #injury #footfracture #anklefracture #fracture #anklesprain