Dean's Chat - All Things Podiatric Medicine

Dr. Jeffrey Jensen
  • 4.9 (29)
  • MEDICINE
  • UPDATED WEEKLY

Welcome to Dean's Chat, where we go inside the world of podiatric medicine. Your hosts, Drs. Jensen and Richey, highlight the organizations, leaders, and voices in the podiatry profession. Join me each week for discussions on all things podiatry including clinical, academic, research, administrative, and even politics within our great field. We will cover many topics in podiatry, raise some questions, find some answers, dive deep into some challenges, and shine a positive light on Podiatric Medicine's inner workings...and hopefully, get you involved in the podiatry field! Dean's Chat includes conversations with leaders in the podiatric profession including Deans, Residency Directors, Faculty, Researchers, and Entrepreneurs. The conversations include podiatric medical students, 1st, 2nd, and 3rd-year residents, and young practitioners. They convey the podiatry educational journey to students entering the field of podiatric medicine where they become physicians and surgeons treating the foot and ankle. So come along for the ride, follow us now on Apple Podcasts, Spotify, or wherever you enjoy your shows.

  1. 16H AGO

    "Fungal Infections and Antifungal Resistance w/- Dr. Warren Joseph - Dean's Chat Learning Series S1E3"

    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 BakoDx2. Why choose Onycho.iD? Because it provides an unmatched approach for identifying the infectious agenta. Sensitivity: 92.6% Specificity: 100% (vs histopathology)b. Supports data-driven treatment decisions and improved patient outcomesc. 24-48 turn-around-timed. Detection of dermatophytes, non-dermatophytes, molds and yeastse. Cost-effective and eliminates unnecessary additional testing3. Identify Terbinafine Resistance using PCR Assaya. Trichophyton rubrum and Trichophyton mentagrophytes represents 59% of the organisms responsible for nail infectionsb. Terbinafine is the most common prescribed medicationc. Terbinafine resistance is on the rised. PCR testing (Onycho.ID) provides novel and specific real-time TaqMan PCR testing to detect 12 mutations of T. rubrum and T. mentorophytesWhat 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 VirginiaMidwest• Indiana• Michigan• Iowa• Kansas• Missouri• Nebraska• Kentucky• OhioWestern States• California• Arizona• Nevada• Utah• Oregon• Washington• Idaho• Montana• Wyoming• North Dakota• South Dakota• Alaska• HawaiiAdditional 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.”

    35 min

  2. 1D AGO

    Ep. 317 - Jarrod Shapiro "Modern Surgical education: emphasis on critical thinking and deliberate practice"

    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.

    53 min

  3. 5D AGO

    Ep. 316 - Andrew Meyr, DPM, FACFAS - 75th President, American College of Foot and Ankle Surgeons

    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.

    33 min

  4. APR 7

    Ep. 315 - Ana Lam-Wilson, NYCPM 4th Year Student

    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

    54 min

  5. APR 3

    Ep. 314 - Lyndon Mason, M.D. - "Insatiable Curisoity and growing through discomfort"

    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.

    40 min

  6. APR 1

    " Lower Extremity Coding with Dr. Jeffrey Lehrman, Certified Professional Coder - DCLS S1E2"

    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!!

    33 min

  7. MAR 31

    Ep. 313 - Kiana Karbasi, DPM - Balancing Practice, Family, and Purpose

    🔎 Episode OverviewIn 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 GuestKiana 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

    53 min

  8. MAR 27

    Ep. 312 - Michael A. Gentile, DPM, FACFAS - Leadership, ACFAS, AO NA, and Academic Impact

    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 OverviewDr. 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 GuestMichael 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

    52 min
See All (322)

Trailer

4.9
out of 5
29 Ratings

About

Welcome to Dean's Chat, where we go inside the world of podiatric medicine. Your hosts, Drs. Jensen and Richey, highlight the organizations, leaders, and voices in the podiatry profession. Join me each week for discussions on all things podiatry including clinical, academic, research, administrative, and even politics within our great field. We will cover many topics in podiatry, raise some questions, find some answers, dive deep into some challenges, and shine a positive light on Podiatric Medicine's inner workings...and hopefully, get you involved in the podiatry field! Dean's Chat includes conversations with leaders in the podiatric profession including Deans, Residency Directors, Faculty, Researchers, and Entrepreneurs. The conversations include podiatric medical students, 1st, 2nd, and 3rd-year residents, and young practitioners. They convey the podiatry educational journey to students entering the field of podiatric medicine where they become physicians and surgeons treating the foot and ankle. So come along for the ride, follow us now on Apple Podcasts, Spotify, or wherever you enjoy your shows.

Information

You Might Also Like