Dean's Chat - All Things Podiatric Medicine

This episode of Dean’s Chat features an engaging and wide-ranging conversation with Dr. Sandeep Patel, Chief of Podiatric Surgery for Kaiser Permanente -Diablo Service Area in Northern California. Dr. Patel is a podiatric surgeon and longtime leader within the Kaiser Permanente system. The discussion blends personal career insights with broader reflections on medical training, healthcare systems, research, and the evolving role of technology and social media in medicine. In reflecting on his leadership role as Chief of Podiatric Surgery, Dr. Patel shares insights into team dynamics, administrative challenges, and personal growth. He emphasizes collaboration, thoughtful decision-making, and maintaining a clear separation between work and personal life. He also acknowledges the difficulty of leadership, particularly in managing people and navigating competing priorities. Dr. Patel begins by sharing his educational and professional journey, including his training at UCLA, the California College of Podiatric Medicine, and the Kaiser San Francisco Consortium—where he was part of the inaugural residency class. He reflects on the unique opportunity and uncertainty of being a “first resident,” emphasizing how it allowed him to help shape the program while benefiting from strong mentorship and academic exposure. A key theme early on is the importance of feeling valued and supported during formative training years. The conversation then explores the Kaiser Permanente model, highlighting its integrated structure that combines physicians, hospitals, and insurance into a single system. Dr. Patel explains how this model fosters collaboration, efficiency, and a sense of professional equality across specialties. He notes that while no system is perfect, Kaiser offers streamlined care delivery, strong access to patient data, and an environment conducive to both clinical practice and resident education. Dr. Patel emphasizes that Kaiser’s model gives residents broad exposure and autonomy, often treating them as true consultants within the healthcare team. His educational philosophy focuses on mastering foundational principles—clinical, surgical, and interpersonal—rather than relying on newer technologies or trends. He stresses that residents must earn responsibility, build trust, and develop competence before expecting independence. Research is another major theme. Dr. Patel underscores its enduring value—not just for career advancement, but for challenging dogma, improving patient care, and guiding cost-effective decision-making. He contrasts traditional research with the growing influence of social media, acknowledging that while online presence can enhance visibility, it cannot replace the credibility and rigor of peer-reviewed work. He advocates for a balanced approach, warning against prioritizing “flash over substance.” Overall, this episode offers a thoughtful exploration of what it means to train, practice, and lead in modern podiatric medicine—balancing tradition with innovation, and credibility with visibility in an ever-changing professional landscape. We hope you enjoy!

In this episode of Dean’s Chat, Dr. Jeffrey Jensen and Dr. Johanna Richey welcome Dr. Adrianne Ross, a leader in podiatric medicine, education, and podcast host of the “Insured Connection.” Dr. Ross shares her unique journey into podiatry, inspired by mentorship and solidified during a transformative interview experience where her multilingual skills allowed her to connect with patients in real time. Her training took her from Ohio to New York City and beyond, shaping both her clinical and personal perspective through exposure to diverse cultures and environments. A central theme of the conversation is the importance of communication in medicine. Dr. Ross emphasizes the foundational skill of listening first—a lesson rooted in her multicultural upbringing. She highlights how effective communication, including body language and tone, directly impacts patient care, professional relationships, and career advancement. Join us, as we reflect on how modern digital communication, while convenient, cannot replace the depth and clarity of in-person or voice interactions, especially in high-stakes or meaningful situations. Mentorship emerges as another key focus throughout our discussion. Dr. Ross credits both her family and professional mentors for shaping her values, emphasizing humility, authenticity, and growth through imperfection. She discusses the importance of creating safe, supportive environments for students and residents, where honest feedback and accountability are paired with genuine care. Difficult conversations, she notes, are most effective when built on trust and a shared commitment to development. In this discussion we also explore teamwork in clinical practice, underscoring that patient outcomes are influenced by the entire care team. Building a culture where staff feel valued and empowered enhances both patient experience and clinical success. Similarly, strong relationships—with patients, colleagues, and mentors—are identified as the “secret sauce” that distinguishes exceptional physicians. Finally, Dr. Ross reflects on her experience as a podcast host, noting the importance of adaptability and authenticity in conversations. The episode concludes with insights on gratitude, storytelling, and the lasting impact of meaningful human connection in medicine.

This episode of Dean’s Chat features an engaging and wide-ranging conversation with Dr. Sandeep Patel, Chief of Podiatric Surgery for Kaiser Permanente -Diablo Service Area in Northern California. Dr. Patel is a podiatric surgeon and longtime leader within the Kaiser Permanente system. The discussion blends personal career insights with broader reflections on medical training, healthcare systems, research, and the evolving role of technology and social media in medicine. In reflecting on his leadership role as Chief of Podiatric Surgery, Dr. Patel shares insights into team dynamics, administrative challenges, and personal growth. He emphasizes collaboration, thoughtful decision-making, and maintaining a clear separation between work and personal life. He also acknowledges the difficulty of leadership, particularly in managing people and navigating competing priorities. Dr. Patel begins by sharing his educational and professional journey, including his training at UCLA, the California College of Podiatric Medicine, and the Kaiser San Francisco Consortium—where he was part of the inaugural residency class. He reflects on the unique opportunity and uncertainty of being a “first resident,” emphasizing how it allowed him to help shape the program while benefiting from strong mentorship and academic exposure. A key theme early on is the importance of feeling valued and supported during formative training years. The conversation then explores the Kaiser Permanente model, highlighting its integrated structure that combines physicians, hospitals, and insurance into a single system. Dr. Patel explains how this model fosters collaboration, efficiency, and a sense of professional equality across specialties. He notes that while no system is perfect, Kaiser offers streamlined care delivery, strong access to patient data, and an environment conducive to both clinical practice and resident education. Dr. Patel emphasizes that Kaiser’s model gives residents broad exposure and autonomy, often treating them as true consultants within the healthcare team. His educational philosophy focuses on mastering foundational principles—clinical, surgical, and interpersonal—rather than relying on newer technologies or trends. He stresses that residents must earn responsibility, build trust, and develop competence before expecting independence. Research is another major theme. Dr. Patel underscores its enduring value—not just for career advancement, but for challenging dogma, improving patient care, and guiding cost-effective decision-making. He contrasts traditional research with the growing influence of social media, acknowledging that while online presence can enhance visibility, it cannot replace the credibility and rigor of peer-reviewed work. He advocates for a balanced approach, warning against prioritizing “flash over substance.” Overall, this episode offers a thoughtful exploration of what it means to train, practice, and lead in modern podiatric medicine—balancing tradition with innovation, and credibility with visibility in an ever-changing professional landscape. We hope you enjoy!

Dean's Chat Learning Series hosts, Drs. Jensen and Richey, sit down with Dr. Warren Joseph, to discuss fungal infections and antifungal resistance. Below are some takeaway notes: 1. Onycho.ID is the first and only Medicare (MolDx) approved, laboratory PCR test for the diagnosis on onychomycosis, developed and clinical validated by BakoDx 2. Why choose Onycho.iD? Because it provides an unmatched approach for identifying the infectious agent a. Sensitivity: 92.6% Specificity: 100% (vs histopathology) b. Supports data-driven treatment decisions and improved patient outcomes c. 24-48 turn-around-time d. Detection of dermatophytes, non-dermatophytes, molds and yeasts e. Cost-effective and eliminates unnecessary additional testing 3. Identify Terbinafine Resistance using PCR Assay a. Trichophyton rubrum and Trichophyton mentagrophytes represents 59% of the organisms responsible for nail infections b. Terbinafine is the most common prescribed medication c. Terbinafine resistance is on the rise d. PCR testing (Onycho.ID) provides novel and specific real-time TaqMan PCR testing to detect 12 mutations of T. rubrum and T. mentorophytes What is MolDx? The MolDX (Molecular Diagnostic Services) Program is a Palmetto GBA-managed Medicare program that evaluates, registers, and determines coverage/reimbursement for molecular diagnostic tests. It ensures tests are clinically valid, assigns unique DEX Z-Codes for identification, and sets policies for over 28 states to ensure Medicare covers only medically necessary, evidence-based tests. MolDX States (Strict Molecular Testing Review) These states follow the MolDX Program run by Palmetto GBA, which requires DEX Z-codes and technical assessment for PCR tests. Southeast • Alabama • Georgia • Tennessee • North Carolina • South Carolina • Virginia • West Virginia Midwest • Indiana • Michigan • Iowa • Kansas • Missouri • Nebraska • Kentucky • Ohio Western States • California • Arizona • Nevada • Utah • Oregon • Washington • Idaho • Montana • Wyoming • North Dakota • South Dakota • Alaska • Hawaii Additional comments from Dr. Scherer, Bako Consultant - who will be joining us on a future episode: “The main benefit of Bako Diagnostics’ screening and reflex PCR testing for nails is that it provides a very cost-effective method for PCR analysis. With this approach, the laboratory first performs a screening test. If a dermatophyte is detected during screening, only four PCR probes (cycles) are run in the reflex test, and the test is billed only for those probes. However, if a different type of fungus is identified during screening, the reflex test expands accordingly. For example, if a non-dermatophyte mold is suspected, the lab tests for seven different organisms. Similarly, if yeast is indicated, the reflex panel focuses on yeast organisms. The advantage of this screening-and-reflex algorithm is that the laboratory limits the number of DNA probes used to only the genus or group identified in the initial screening. This targeted approach reduces unnecessary testing and ultimately produces the lowest possible cost for PCR toenail diagnostics.”

In this episode of Dean’s Chat, Dr. Jeffrey Jensen and Dr. Johanna Richey welcome Dr. Jarrod Shapiro, a respected podiatrist, educator, and longtime contributor to the profession through his widely read Practice Perfect series. The conversation offers a thoughtful exploration of clinical decision-making, medical education, and the evolving nature of how students and residents learn in today’s environment. Dr. Shapiro reflects on the origins of Practice Perfect, which began during his residency as a writing opportunity that quickly evolved into a weekly reflection on life in podiatric practice. What started as a somewhat daunting exercise in putting his thoughts publicly into the world became a consistent and meaningful outlet for processing clinical experiences. Over more than two decades, the series has served not only as a personal journal but also as a valuable resource for the profession, offering authentic insights into the realities of patient care across various practice settings. Much of this mindset can be traced back to his training and mentorship, particularly under his residency director Dr. Marshall Solomon, who emphasized the importance of thinking critically rather than following instructions blindly. Combined with his background in biomechanics, Dr. Shapiro developed a habit of questioning assumptions and seeking evidence-based reasoning. Over time, he has also recognized that traditional teachings in biomechanics are not always fully supported by current literature, leading him to evolve toward a more functional and clinically applicable understanding of movement and pathology. As an educator who has worked across multiple levels—from medical students to residents—Dr. Shapiro highlights how teaching must adapt based on the learner’s stage. With early learners, his approach is more supportive and foundational, while in the operating room with residents, the tone becomes more direct due to the high stakes of patient care. He underscores the responsibility educators carry in ensuring that trainees not only acquire knowledge but can apply it safely and effectively in real-world scenarios. The conversation also addresses generational differences in learners. Dr. Shapiro notes that many modern trainees may struggle more with self-doubt and over analysis, particularly when faced with mistakes. In response, he has adapted his teaching style to provide both constructive feedback and reassurance, helping learners refocus on the patient rather than becoming overwhelmed by internal criticism. Another major focus of the episode is adult learning and the concept of deliberate practice. Dr. Shapiro shares how his interest in this area was sparked in part by observing how his children learned and improved through structured, feedback-driven practice. This led him to explore educational theory more deeply, including participation in a Harvard-based teaching program. The discussion also touches on the mental aspects of performance. Dr. Shapiro highlights the importance of maintaining a growth mindset, resilience, and the ability to learn from mistakes without becoming discouraged. He contrasts this with a fixed mindset, which can limit progress and undermine confidence. In this way, success in medicine mirrors other high-performance fields, where deliberate practice, mental discipline, and adaptability are essential. Overall, this episode provides a rich and engaging discussion on what it means to be both a clinician and an educator in modern medicine. Dr. Shapiro’s insights underscore the importance of thoughtful decision-making, adaptability, and a deep commitment to lifelong learning—principles that are essential for anyone seeking to grow and excel in the field of podiatric medicine and surgery.

In this episode of Dean’s Chat, Dr. Jeffrey Jensen and Dr. Johanna Richey welcome Dr. Adrianne Ross, a leader in podiatric medicine, education, and podcast host of the “Insured Connection.” Dr. Ross shares her unique journey into podiatry, inspired by mentorship and solidified during a transformative interview experience where her multilingual skills allowed her to connect with patients in real time. Her training took her from Ohio to New York City and beyond, shaping both her clinical and personal perspective through exposure to diverse cultures and environments. A central theme of the conversation is the importance of communication in medicine. Dr. Ross emphasizes the foundational skill of listening first—a lesson rooted in her multicultural upbringing. She highlights how effective communication, including body language and tone, directly impacts patient care, professional relationships, and career advancement. Join us, as we reflect on how modern digital communication, while convenient, cannot replace the depth and clarity of in-person or voice interactions, especially in high-stakes or meaningful situations. Mentorship emerges as another key focus throughout our discussion. Dr. Ross credits both her family and professional mentors for shaping her values, emphasizing humility, authenticity, and growth through imperfection. She discusses the importance of creating safe, supportive environments for students and residents, where honest feedback and accountability are paired with genuine care. Difficult conversations, she notes, are most effective when built on trust and a shared commitment to development. In this discussion we also explore teamwork in clinical practice, underscoring that patient outcomes are influenced by the entire care team. Building a culture where staff feel valued and empowered enhances both patient experience and clinical success. Similarly, strong relationships—with patients, colleagues, and mentors—are identified as the “secret sauce” that distinguishes exceptional physicians. Finally, Dr. Ross reflects on her experience as a podcast host, noting the importance of adaptability and authenticity in conversations. The episode concludes with insights on gratitude, storytelling, and the lasting impact of meaningful human connection in medicine.

Dean's Chat hosts, Drs. Jensen and Richey, discuss Dr. Andrew Meyr's recent induction as the 75th President of the American College of Foot and Ankle Surgeons! Dr. Meyr is a board certified reconstructive foot and ankle surgeon who has been in the Department of Surgery at TUSPM for over 15 years. He has served as the residency program director at Temple University Hospital for over 10 years. His professional interests include elective and traumatic reconstructive foot and ankle surgery, diabetic limb preservation, foot and ankle science, and education of students, residents and peers. In addition to TUSPM, Dr. Meyr participates nationally with numerous organizations including the American Association of College of Podiatric Medicine (Board of Directors), American Board of Foot and Ankle Surgery, American College of Foot and Ankle Surgeons (Board of Directors/Executive Committee), American Podiatric Medical Association, Council of Teaching Hospitals (Executive Committee), Council on Podiatric Medical Education, the Journal of Foot and Ankle Surgery, and the Pennsylvania Podiatric Medical Association.

This episode features an engaging and insightful conversation with fourth-year podiatry student Ana Lam-Wilson, who shares her journey through podiatric medical education, leadership, and the residency match process. Joined by Dr. Jeffrey Jensen and Dr. Johanna Richey, the discussion highlights the transition from student to future physician while offering practical advice and reflections for current and prospective students. Ana begins by describing her path into podiatry, noting that she initially considered traditional MD or DO routes before discovering podiatric medicine through a mentor. Drawn to its blend of hands-on care, surgery, and longitudinal patient relationships, she found the specialty aligned with her desire to both create and treat. Her background in teaching—working with elementary school students—played a formative role in shaping her understanding of how individuals learn differently. A major theme of the conversation centers on leadership and involvement. Ana reflects on her extensive participation in student organizations, including roles within APMSA and her institution, emphasizing that extracurricular engagement is what you make of it. She encourages students to be intentional with their time, noting that responsibilities expand to fill the time allotted, and that meaningful involvement requires genuine commitment rather than simply holding a title. The episode also highlights Ana’s role in launching the APMSA student podcast, “Straight from the Sole.” She discusses the collaborative process behind selecting topics, recording the inaugural episode at a national conference, and creating content that reflects authentic student perspectives. The podcast aims to address common questions across all levels of training while fostering connection within the podiatric community. A significant portion of the discussion focuses on the residency match process. Ana provides a detailed look at her externship experience, offering practical advice such as mastering anatomy, understanding key classifications, and consistently showing up prepared and engaged. She emphasizes that early rotations are an opportunity to ask questions and build a foundation, while later rotations require refinement and confidence. Her structured approach—including maintaining a detailed spreadsheet to track program characteristics such as case diversity, culture, and logistics—demonstrates the value of organization in making informed decisions. Importantly, Ana underscores that residency selection is highly personal. She advises students to gather input from peers and mentors but to ultimately prioritize their own goals and circumstances. Factors such as mentorship, work environment, family considerations, and lifestyle all play a role. She also highlights the importance of staying present during the process—building relationships, networking across programs, and appreciating the shared experience among students nationwide. The conversation also touches on financial considerations, particularly scholarships. Anna strongly encourages students to apply broadly, noting that there is little downside and significant potential benefit. Throughout the episode, Ana’s perspective is grounded in a philosophy she describes as “bridging”—serving as a connector between peers, mentors, patients, and communities. This mindset reflects her commitment to collaboration, mentorship, and advancing the profession. The episode concludes with reflections on balance and future planning. As Ana prepares to begin residency, she prioritizes rest, travel, and personal time, recognizing the importance of recharging before the demands of training begin. Her story serves as both inspiration and a practical guide for students navigating the complexities of medical education and career development in podiatry. https://www.youtube.com/watch?v=uhQFEqa-zQQ

In this episode of Dean’s Chat, Dr. Jeffrey Jensen and Dr. Joanna Richey welcome Professor Dr. Lyndon Mason, an internationally recognized foot and ankle orthopedic surgeon based in the United Kingdom. The conversation offers a comprehensive look at his career journey, the structure of UK surgical training, and the foundational principles that have guided his success in clinical practice, research, and education. Dr. Mason, shares insights into his early path into medicine. Unlike the United States, where pre-medical education precedes medical school, Dr. Mason entered medical training directly at age 18. He outlines the UK system, which includes medical school, foundation years, core surgical training, registrar-level specialization, and fellowship. A central theme throughout the discussion is the profound impact of mentorship. Dr. Mason credits several key mentors with shaping his career trajectory, not only by providing guidance but also by challenging him to pursue opportunities beyond his comfort zone. He emphasizes that mentorship is not a short-term relationship but a lifelong influence, often continuing decades after initial training. These relationships also play a critical role in helping trainees navigate self-doubt and imposter syndrome—an experience Dr. Mason openly acknowledges as part of professional growth. Dr. Mason’s career has been marked by extensive international experience, including training and observerships in Australia, Germany, and the United States. These opportunities exposed him to high-volume, complex pathology and diverse surgical approaches. Importantly, he highlights that the greatest value of these experiences lies not just in learning surgical techniques, but in understanding how different systems and surgeons approach problem-solving and patient care. With over 300 publications and more than 50 awards, Dr. Mason’s academic productivity is driven by what Dr. Richey calls “insatiable curiosity.” He underscores the importance of questioning established practices, encouraging trainees to ask “why” at every step rather than accepting tradition at face value. The discussion also explores differences between the UK and U.S. healthcare systems, particularly in relation to industry collaboration. Dr. Mason explains that opportunities for device development and commercialization are more limited within the UK’s National Health Service, where intellectual property is often institutionally held. As a result, relationships with industry differ significantly from those in the United States. Education remains a cornerstone of Dr. Mason’s career. He describes a deep passion for teaching, especially at the level of early learners, and has developed numerous educational resources over time. During the COVID-19 pandemic, he launched a YouTube channel to make high-quality lectures accessible to trainees who might otherwise be restricted by paywalls. For him, teaching and curiosity are inherently linked—those who are driven to learn are naturally inclined to teach. Ultimately, Dr. Mason finds the greatest fulfillment in mentorship and the success of his trainees. He takes pride in seeing students progress through their careers, with the hope that they will surpass his own accomplishments. This long-term investment in others reflects his broader philosophy of growth, both personal and professional. The episode concludes with advice for students and early-career professionals. Dr. Mason encourages aspiring clinicians to question everything, work diligently, and pursue opportunities with persistence. He emphasizes that background does not define potential, and that growth often occurs in moments of discomfort. Hard work, curiosity, and a willingness to step outside one’s comfort zone, he notes, are the keys to building a meaningful and impactful career.

Drs. Jensen and Richey discuss with Dr. Lehrman a coding summary, an educational tool that can benefit every client, practicing podiatrist, resident, and student. The summary can be seen in graphic form at the end of the podcast. o Developed to provide general coding guidance based on commonly accepted standards and interpretations of ICD-10 diagnostic coding and CPT procedural coding principles. o To be used solely as a guideline to assist practitioners. Final coding decisions remain the responsibility of the provider. o Significant thought, expertise, and clinical experience has gone into the development of this summary. BakoDx enlisted the insight of Dr. Jeffrey Lehrman, a well-respected advisor and certified cod, and with support from Dr. Wayne Bakotic, Dr. William Scherer, as well as Shawna, Jasmine and compliance approval from Donna Millard. o Ensuring broad distribution supports consistency, compliance awareness, and informed clinical documentation practices across the podiatric medical community. Our goal is to provide clarity, enhance understanding, and empower providers with reliable reference material, while reinforcing that this document remains a guideline and not a substitute for independent coding judgment or payer specific policies. Enjoy!!

🔎 Episode Overview In this episode of Dean’s Chat, Drs. Jensen and Richey sit down with Dr. Kiana Karbasi, a dynamic podiatric physician practicing in Orlando and a graduate of NYCPM. Dr. Karbasi shares her journey from training in New York to building a thriving practice in Florida—while navigating life as part of a “podiatry power couple” alongside her husband, Dr. Tim Miller, and raising two children. This conversation goes beyond medicine—diving into work-life integration, entrepreneurship, and redefining success in modern podiatry. 💡 Key Topics Covered • Transition from New York College of Podiatric Medicine to private practice in Orlando • Building and managing a successful podiatry practice • The realities of being a dual-physician household • Raising a family while maintaining clinical excellence • Time management strategies for busy professionals • The importance of support systems at home and at work • Redefining “balance” → it’s not perfect, it’s intentional • Advice for students, residents, and early-career podiatrists 🧠 Leadership Takeaways • “Balance isn’t static—it evolves with your season of life.” • Success in podiatry is not just clinical—it’s personal sustainability • Surround yourself with people who understand your mission • You can build a career and a meaningful family life—with intention. 👩‍⚕️ About Our Guest Kiana Karbasi, DPM • Graduate of New York College of Podiatric Medicine • Practicing podiatrist in Orlando, Florida • Practice owner/operator • Focused on patient-centered care and efficient practice management • Advocate for physician wellness and work-life integration 🎯 Who Should Watch • Podiatric medical students • Residents and early-career physicians • Dual-career couples in medicine • Practice owners or aspiring entrepreneurs • Anyone striving for better work-life alignment

Drs. Jensen and Richey welcome Dr. Michael Gentile to Dean’s Chat—a dual board-certified foot and ankle surgeon whose career spans private practice, academic leadership, fellowship training, and national organizational impact. From reconstructive surgery and limb salvage to resident education and leadership within the American College of Foot and Ankle Surgeons, Dr. Gentile brings a wealth of experience and perspective on what it means to build a meaningful and enduring career in podiatric medicine. 🔎 Episode Overview Dr. Gentile shares his journey from graduating summa cum laude at the California College of Podiatric Medicine to completing a rigorous reconstructive residency in Denver, and ultimately becoming a leader in both clinical practice and surgical education. Now practicing with The Permanente Medical Group in San Francisco, Dr. Gentile reflects on his transition across practice environments, his passion for teaching, and his commitment to advancing the profession through research, mentorship, and organized medicine. 💡 Key Topics Covered • Dual board certification and what it means for surgical excellence • Evolution from private practice to academic leadership and multi-specialty care • Building and directing a foot & ankle fellowship program • The role of mentorship in shaping the next generation • Leadership within American College of Foot and Ankle Surgeons • Surgical innovation in trauma, reconstruction, and limb salvage • Integrating podiatry within orthopaedic and multi-specialty systems • Lessons learned across a 20+ year career in foot and ankle surgery 🧠 Leadership Takeaways • “Great surgeons are built through repetition, mentorship, and accountability.” • Academic medicine provides a platform to multiply your impact beyond the OR • Leadership is less about title and more about consistent contribution • The future of podiatry depends on integration, education, and collaboration 👨‍⚕️ About Our Guest Michael A. Gentile, DPM, D.ABFAS, FACFAS • Dual Board-Certified: American Board of Foot and Ankle Surgery (Foot & Rearfoot/Ankle Reconstruction) • Residency: HealthONE Presbyterian/St. Luke’s Medical Center, Denver, CO • Former Chief, Division of Foot & Ankle Surgery – Marshall University School of Medicine • Current Practice: The Permanente Medical Group (San Francisco, CA) • Faculty: AO North America • Section Editor (Trauma): Journal of Foot & Ankle Surgery • Chairman, Surgical Skills Committee – American College of Foot and Ankle Surgeons • Founder, Portland Foot & Ankle Reconstructive Fellowship • Multiple “Attending of the Year” awards and national recognition in surgical education 🎯 Who Should Watch • Podiatric medical students and residents • Foot & ankle surgeons interested in reconstruction and trauma • Academic leaders and program directors • Physicians navigating private practice vs. academic careers • Anyone interested in leadership within organized medicine

Welcome to the inaugural episode of the Dean’s Chat Learning Series (DCLS), a new educational extension/spin-off of the Dean’s Chat podcast, hosted by Dr. Jeffrey Jensen, Dean of the Arizona College of Podiatric Medicine, and Dr. Johanna Richey, Asst. Professor at the Arizona College of Podiatric Medicine. In this episode, Drs. Jensen and Richey introduce the vision behind the Learning Series — a more structured, academic, and topic-focused format, free of typical Continuing Medical Education requirements, designed to complement the conversational style of the traditional Dean’s Chat episodes. Thank you to Bako Diagnostics for sponsoring mulitiple episodes in this series!

In this episode of Dean’s Chat, Dr. Jensen and Dr. Richey welcome Dr. Shital Sharma, a physician-leader whose career spans clinical practice, residency education, healthcare business strategy, and emerging technology in medicine. Dr. Sharma brings over a decade of experience at the intersection of academic podiatric medicine, private practice growth, and healthcare innovation, with leadership roles in both hospital-based training programs and private-equity–backed practice models. She previously served as Chair of Podiatry and Residency Director at CarePoint Health, where she led departmental strategy, surgical education, and accreditation oversight. Her work in graduate medical education focused on building strong residency training environments while navigating the evolving landscape of hospital systems and reimbursement. Dr. Sharma currently practices with New York Sports & Joints, where she is involved in market expansion, credentialing, referral development, and operational strategy, helping scale modern multidisciplinary orthopedic and podiatric care models. In addition to her clinical and administrative work, she is pursuing a Master of Public Health at Yale University (expected 2027), with a focus on insurance systems, healthcare policy, and population health. Her academic work reflects a growing interest in how physicians can lead change in a healthcare system increasingly shaped by data, technology, and value-based care. Dr. Sharma is also recognized nationally for her leadership in: • Physician education and residency training • AI integration in clinical workflow • Alumni and professional governance • Practice growth within private equity–supported models Topics discussed in this episode • Transitioning from residency director to healthcare strategist • The future of podiatry in large health systems • Private equity and its impact on surgical specialties • How AI will change physician workflow • Why public health training matters for modern physicians • Leadership lessons from academic medicine • Advice for students, residents, and young attendings This conversation highlights the importance of adaptability, leadership, and lifelong learning as the profession continues to evolve.

In this Dean's Chat episode of Dean’s Chat, Jo and I sit down with Dr. Zachary Brooks, graduate of the Arizona College of Podiatric Medicine Class of 2019, former class president, and residency-trained foot and ankle surgeon through Kaiser Permanente North Bay Consortium. Dr. Brooks shares his journey from medical student leadership to chief resident, and now to private practice in Eugene, Oregon. We discuss the value of strong residency training, the transition into practice, and advice for students considering podiatric medicine. This conversation highlights the importance of preparation, mentorship, and taking advantage of opportunities during training. 🔹 Topics Discussed • AZCPM student experience and leadership roles • Life as class president in podiatry school • Kaiser Permanente residency training • Surgical training and case volume • Transition from residency to practice • Practicing podiatry in Oregon • Advice for current podiatry students • The future of foot and ankle surgery 🔹 About Dr. Zachary Brooks • DPM — Arizona College of Podiatric Medicine (2019) • Residency — Kaiser Permanente North Bay Consortium • Chief Resident • Practicing in Eugene, Oregon • Board-certified foot and ankle surgeon

Drs. Jensen and Richey sit down with Dr. Oloff for a Part 2 interview! Dr. Lawrence Oloff is a highly influential podiatric surgeon, educator, and sports medicine specialist. The interview spans Dr. Oloff’s career, the evolution of podiatry, and his experiences at the highest levels of academic medicine and professional sports. Join us as we discuss “All things podiatric medicine and surgery” including Dr. Oloff’s Career Path & Leadership. Dr. Oloff trained at Pennsylvania College of Podiatric Medicine, he served as faculty at multiple podiatric institutions, including the California College of Podiatric Medicine and was Dr. Jensen’s Dean when he graduated from Podiatric Medial School. Most recently, Dr. Oloff became full-time faculty at UCSF and remains the program director for St. Mary’s Hospital - podiatric residency program as part of the Department of Orthopedics. He now practices alongside orthopedic foot-and-ankle surgeons, operating equally within a top-tier academic medical center—an example of podiatry’s integration into mainstream medicine. He has chaired national academic boards and played a major role in advancing multi-year residency training and residency placement for graduates. A leader in the advancement of Podiatric Surgical Sports medicine, Dr. Oloff has served as team podiatrist for elite organizations including the San Francisco Giants (over 25 years), 49ers, Warriors, Stanford University, and others. He emphasizes: the importance of being a team player over asserting ego; Judicious decision-making, especially around return-to-play; Learning directly from trainers and real-world experience; The pressure, risk, and legal exposure involved in treating professional athletes. Throughout the interview, Dr. Oloff reflects on earlier decades when podiatrists had to “break down doors” to gain hospital privileges and professional respect. Compared to that era, today’s podiatry offers far greater opportunity, visibility, and integration, though challenges remain. He stresses that good surgery is not about technical skill alone, but about knowing when not to operate, understanding biomechanics, planning several steps ahead, and remaining humble. He credits mentors like Dr. Alan Jacobs and underscores the importance of rigorous academics, interdisciplinary collaboration, and lifelong learning. Overall, this episode is a rich oral history of modern podiatry—highlighting its struggles, growth, and future potential—through the lens of one of its most accomplished leaders.

Dean's Chat hosts, Drs. Jensen and Richey, welcome Dr. Dyane Tower to Dean's Chat. This episode is sponsored by the American Podiatric Medical Association (APMA)! Dyane Tower, DPM, MPH, MS, CAE is a nationally recognized leader in podiatric medicine and healthcare administration, currently serving as Medical Director and Vice President of Clinical Affairs for the American Podiatric Medical Association (APMA). With a unique blend of clinical training and executive leadership, Dr. Tower plays a pivotal role in shaping national clinical policy, professional standards, and advocacy efforts for the podiatric profession. She holds the degrees of Doctor of Podiatric Medicine degree from the Scholl College of Podiatric Medicine, and completed her 3 year residency at the North Coloroado Podiatric Medicine Surgery program. Her background highlights advanced expertise in organizational governance, strategy, and healthcare leadership. Her interdisciplinary background allows her to bridge clinical practice, public health, and national-level professional advocacy. At APMA, Dr. Tower oversees: • Clinical policy and professional practice standards • Clinical education and evidence-based guidelines • Regulatory affairs and federal advocacy • Public health integration and interdisciplinary collaboration Dr. Tower is widely respected for her strategic vision, clarity of communication, and deep commitment to advancing podiatric medicine at a national level. As a featured guest on Dean’s Chat, she provides expert insight into healthcare policy, clinical governance, professional advocacy, and the future direction of the podiatric profession. Beyond her executive leadership, Dr. Tower is known for her mentorship, national speaking engagements, and ongoing efforts to elevate the voice and visibility of podiatric physicians within the broader healthcare ecosystem. Enjoy!

Dean's Chat hosts, Drs. Jensen and Richey welcome Madelin C. Ramil, DPM, FACFAS, to the3 podcast. Dr. Ramil is Dean and Professor at Barry University School of Podiatric Medicine (College of Health Professions & Medical Sciences) and a foot and ankle surgeon. She leads clinical education, accreditation and continuous quality improvement, curriculum and assessment, and student advising, retention, and board readiness, while expanding clinical training partnerships. This episode is spoonsorted by Bako Diagnostics! Dr. Ramil earned her DPM from Barry University. She completed residency training at Florida Medical Center North and Plantation General Hospital and pursued fellowship training at Hospital San Rafael in Barcelona, Spain, and in Rome, Italy, under Dr. Ronconi. She is licensed in Florida and is a Fellow of the American College of Foot and Ankle Surgeons. With more than 25 years in practice, Dr. Ramil has trained residents and externs as an attending physician and served as Assistant Surgical Foot and Ankle Residency Program Director. She directed the Foot and Ankle Clinic at Plantation General Hospital and has held privileges in multiple Broward County hospitals. A wound care expert, she has provided care in hospital-based wound centers across South Florida. A national and international speaker, Dr. Ramil also teaches foot surgery in Spain. She served as Director of Research for the HCA Westside Hospital Podiatric Medicine and Surgery Residency Program, supporting clinically relevant scholarship and educational quality initiatives. A proud Barry alumnus, she participated for over 15 years in the Dr. Charles Southerland Yucatán Crippled Children’s Program, BUSPM’s sponsored medical mission.

Dean's Chat hosts, Drs. Jensen and Richey, welcome Dr. Arman Kirakosian to the Podcast! Dr. Arman Kirakosian is a board-certified foot and ankle surgeon whose journey into podiatric medicine began after sustaining an injury while playing professional soccer at Titan Stadium in 1999. Originally from Armenia, Dr. Kirakosian immigrated to the United States at the age of 13 with his parents and younger brother, bringing with him the resilience and determination that would later define his career. This episode is sponsored by the American Podiatric Medical Association! He completed his three-year surgical residency at the Department of Veterans Affairs Medical Center in San Francisco from 2007 to 2010. Following residency, he established private practices in San Carlos and San Bruno, earning recognition for his skill in complex foot and ankle pathology and contributing to the field through multiple peer-reviewed publications. In 2015, Dr. Kirakosian returned to the VA San Francisco as a staff podiatric surgeon. By 2017, he was appointed Director of the Podiatric Surgical and Medical Residency Program, where he currently mentors six residents and numerous podiatric medical students. A passionate educator, he taught Gross Anatomy at San Francisco State University from 2006 to 2024, blending academic teaching with real-world surgical experience. Dr. Kirakosian also serves as Team Podiatrist for the Sacramento Republic FC (USL) and was named Team Podiatrist for the San Jose Earthquakes (MLS) in 2021. He has traveled internationally as the primary team doctor for the Armenian Women’s National Soccer Team during World Cup and Euro Cup qualifying competitions. Guided by mentors such as Dr. Thomas Chang, Dr. Kirakosian remains dedicated to teaching, advancing sports medicine, and giving back to the profession that once cared for him as a young athlete. Enjoy this podcast!! Dr. Arman Kirakosian, D.P.M. FABPM, FAAFAS ABPM Diplomate, American Board of Podiatric Medicine Diplomate with Certification of Added Qualification in Sports Medicine Residency Director of Podiatric Medicine and Surgery | DVA San Francisco Medical Center Team Podiatrist | San Jose Earthquakes, Sacramento Republic FC, Armenian Women’s National Soccer Team AAPSM Fellow | American Academy of Podiatric Sports Medicine ACSM Member | American College of Sports Medicine CPMA President | California Podiatric Medical Association

Dean's Chat hosts, Drs. Jensen Richey, welcome Matine Mirsaidi, D.P.M to the podcast! Dr. Matine Mirsaidi received his Doctor of Podiatric Medicine at the Arizona College of Podiatric Medicine of Midwestern University, receiving premium podiatric medical training from a didactic and clinical aspect in affiliated facilities across the country. Thereafter, he completed a three-year podiatric medical and surgical residency at Carl T. Hayden VA Medical Center. He was trained by numerous well renowned foot and ankle specialists across the valley in the diagnosis and treatment of foot and ankle conditions, with vast training in both conservative and surgical management. Dr. Mirsaidi’s diverse training spans across wound care, diabetic foot care and limb salvage, complicated lower extremity infections, sports related injuries, dermatological conditions of the lower extremity, heel pain, flat feet, and other foot and ankle ailments. Raised here in the valley, Dr. Mirsaidi has always emphasized the importance of giving back to the community that has given so much to you. He volunteers at multiple events biannually such as FitFeet affiliated with Special Olympics of Arizona. In his free time, Dr. Mirsaidi enjoys spending time with his loved ones, traveling, participating and following sports such as soccer, football, basketball, and playing the guitar. In addition to English, Dr. Mirsaidi is fluent in Farsi/Persian, with a background in Spanish and French as well. Enjoy the podcast!