The Resident’s Perspective

The Resident’s Perspective

Stephanie Porter, MS,CPOStephanie Porter, MS,CPO

BackgroundBackground

Prosthetic residency 2002-2003

2 sites, 3 clinicians

Orthotic residency 2003-2004 2 sites, 3 clinicians

Prosthetic residency 2002-2003

2 sites, 3 clinicians

Orthotic residency 2003-2004 2 sites, 3 clinicians

VariablesVariables

Education Experience

Clinical Technical Professional

Family Initiative Guidance Mentorship

Education Experience

Clinical Technical Professional

Family Initiative Guidance Mentorship

EducationEducation

Shortened educational training Baccalaureate vs. Post-

Baccalaureate Undergraduate studies Pre-requisites

Shortened educational training Baccalaureate vs. Post-

Baccalaureate Undergraduate studies Pre-requisites

Clinical Experience Pros

Clinical Experience Pros

250 Clinical hours in school Hands-on field Synthesis of classroom information with

clinical setting Opportunity for new questions and

increased understanding Organized approach to clinical problem-

solving Newer technology vs. older text

250 Clinical hours in school Hands-on field Synthesis of classroom information with

clinical setting Opportunity for new questions and

increased understanding Organized approach to clinical problem-

solving Newer technology vs. older text

Clinical Experience Cons

Clinical Experience Cons

Not enough autonomy Limited variety of exposure

depending on practice Decreased continuity if working

between practices/clinicians Cheap labor

Not enough autonomy Limited variety of exposure

depending on practice Decreased continuity if working

between practices/clinicians Cheap labor

Technical ExperienceTechnical Experience

Limited prior experience

Tech tips “Bridging the

gap” Repetition of

modification, fitting, seeing results

Limited prior experience

Tech tips “Bridging the

gap” Repetition of

modification, fitting, seeing results

Prior experience “Paying dues”

mentality Tech work and

limited clinical exposure

Prior experience “Paying dues”

mentality Tech work and

limited clinical exposure

Professional ExperienceProfessional Experience

First “real” job Exposure to

billing, coding, business practice

Case presentations for peers

First “real” job Exposure to

billing, coding, business practice

Case presentations for peers

Not first “real” job Different

organizational style or approach than preceptor

Not first “real” job Different

organizational style or approach than preceptor

FamilyFamily

Geography Family has to move or be separated Residency goals compromised

Salary lower Long work hours

Geography Family has to move or be separated Residency goals compromised

Salary lower Long work hours

InitiativeInitiative

A residency is what you make of it

A residency is what you make of it

GuidanceGuidance

Quarterly feedback as to where improvement needed

True evaluation of skills Preparation for exams

Quarterly feedback as to where improvement needed

True evaluation of skills Preparation for exams

MentorshipMentorship

Connection with seasoned practitioner

Practice in a “safe” environment Opportunity to pursue research

questions Someone to go to with questions

when out in practice

Connection with seasoned practitioner

Practice in a “safe” environment Opportunity to pursue research

questions Someone to go to with questions

when out in practice

ConclusionConclusion

Questions?Questions?

Thank You!Thank You!