In-training Examination Content

Didactic In-training Examination

The didactic In-training Examination content is classified into subject areas and subcategories.

Each test question is classified with a single subject area and a subcategory. For example, a question could cover surgical principles (subject area) regarding the treatment of a hallux abductovalgus deformity (subcategory).

Foot and RRA Surgery Examination Subject Areas

 

Diagnostic Studies/Medical Imaging
Surgical Principles
Surgical Procedures/Techniques
Procedural Perioperative Management
Complications
General Medicine (Foot Only)

Foot Exam Weight 10%
RRA Exam Weight 15%

Definition: Interpretation of specific studies of diseases, disorders, and conditions of the lower extremity. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Diagnosis or differential based on laboratory studies, imaging, or other diagnostic studies
  • Diagnosis based on a specific imaging study

Foot Exam Weight 20%
RRA Exam Weight 20%

Definition: General principles standard to all surgical disciplines and applicable to podiatric surgery. RRA subject areas may be tested on the Foot exam.

Sample Topics

  • Preoperative, intraoperative, or postoperative decision-making or management
  • Not procedure-specific

Foot Exam Weight 20%
RRA Exam Weight 25%

Definition: Intraoperative aspects of specific surgical procedures.

Sample Topics

  • Relevant (normal or abnormal) anatomy encountered and surgically altered during the performance of a surgical procedure
  • Anatomy that is encountered and surgically altered
  • Incision placement and dissection technique
  • Orientation of bone cuts
  • Selection and application of fixation devices and bioimplants
  • Placement and fixation of tissue transfers
  • Selection and application of closure materials, drains, and surgical dressings
  • Complications that are assessed and/or managed intraoperatively

Foot Exam Weight 20%
RRA Exam Weight 20%

Definition: Procedure-specific and preoperative or postoperative in nature (not intraoperative). RRA subject areas may be tested on Foot exam.

Sample Topics

  • Selection of a specific procedure based on findings
  • Diagnosis that requires a surgical management decision
  • Postoperative management of a specific procedure

Foot Exam Weight 20%
RRA Exam Weight 20%

Definition: Procedure- or injury-specific postoperative or post-traumatic conditions. RRA subject areas may be tested on Foot exam.

Sample Topics

  • Identification and/or management of lower extremity procedure-specific postoperative complications
  • All-inclusive subject categories dealing with diagnosis and/or treatment

Foot Exam Weight 10%
RRA Exam Weight 0%

Definition: All general medical diagnostics and treatments exclusive of lower-extremity pathology.

Sample Topics

  • Systemic complications
  • Diagnosis that requires a medical management decision
  • Medical management: diagnosis and treatment of diseases, disorders, and conditions exclusive of the lower extremity
  • Interpretation of history and physical examination and diagnostic studies relating to non-lower extremity pathology
  • Anesthesia: local, regional, spinal, epidural, IV sedation, and general anesthesia topics, including related peri-anesthesia assessment and pharmacologic management
  • Emergency medicine: diagnosis and treatment of urgent or emergent diseases, disorders, and conditions exclusive of lower extremity

Short panes should extend past all tabs

Foot Surgery Examination Subcategories

The Foot Surgery didactic examination does not cover RRA Surgical Procedures/Techniques, but it does cover RRA topics in all other categories.

 

Deformities
Infections
Neoplasms/tumors/masses (primary benign, primary malignant, metastatic)
Other conditions
Acute trauma
Nonspecific
  • Acquired digital deformities
  • Hallux abductovalgus
  • Hallux limitus
  • Central metatarsal deformities
  • Fifth metatarsal deformities
  • Other common forefoot deformities
  • Complex/combined forefoot deformities
  • Common rearfoot deformities
  • Congenital digital deformities (polydactyly, syndactyly, marcrodactyly, overlapping digits)
  • Congenital forefoot deformities (brachymetatarsia, clawfoot, hallux varus)
  • Metatarsus adductus

The following subcategories are covered in all Subject Areas except “Surgical Procedures/Techniques”:

  • Metatarsus adductus/skewfoot
  • Pes planus
  • Common rearfoot deformities
  • Pes cavus
  • Clubfoot
  • Tarsal coalition
  • Vertical talus
  • Calcaneovalgus
  • Equinus deformities
  • Complex leg/ankle deformities
  • Soft tissue
  • Bone/joint
  • Systemic

 

 

  • Soft tissue
  • Bone
  • Vascular disorders
  • Focal neuropathies (entrapments, neuroma, TTS) and CRPS
  • Neuropathic bone, joint, or soft-tissue derangements
  • Neuromuscular disorders
  • Arthritic disorders
  • Metabolic bone disease
  • Tendinopathies
  • Other soft-tissue disorders (plantar fasciitis)
  • Nail and dermatologic disorders
  • Chronic post-traumatic disorders
  • Osteochondroses/AVN
  • Digital and sesamoidal fractures/dislocations
  • Metatarsophalangeal joint dislocations
  • Metatarsal fractures
  • Tarsometatarsal fractures/dislocations
  • Acute tendon ruptures/lacerations
  • Acute nerve/vascular injury (including compartment syndrome)
  • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns)
  • Pediatric fractures/growth-plate injuries

The following subcategories are covered in all Subject Areas except “Surgical Procedures/Techniques”:

  • Midfoot fractures/dislocations
  • Rearfoot fractures/dislocations
  • Ankle fractures
  • Acute soft-tissue ankle injuries
  • Joint implants
  • Fixation devices
  • Bone grafts/bone substitutes/bone healing
  • Suture materials
  • Soft tissue/anchor/skin graft/healing
  • Anatomy
  • Medicine (illnesses/therapeutics)
  • Anesthesia
  • Other
  •  

RRA Surgery Examination Subcategories

 

Deformities
Infections
Neoplasms/tumors/masses (primary benign, primary malignant, metastatic)
Other conditions
Acute trauma
Nonspecific
  • Metatarsus adductus/skewfoot 
  • Pes planus
  • Pes cavus
  • Clubfoot
  • Tarsal coalition
  • Vertical talus
  • Calcaneovalgus
  • Equinus deformities
  • Complex leg/ankle deformities

 

    • Soft tissue
    • Bone/joint
    • Systemic

     

     

    • Soft tissue
    • Bone
    • Vascular disorders
    • Focal neuropathies (entrapments, neuroma, TTS) and RSD
    • Neuropathic bone, joint, or soft-tissue derangements
    • Neuromuscular disorders
    • Arthritic disorders
    • Metabolic bone disease
    • Tendinopathies
    • Other soft-tissue disorders (plantar fasciitis)
    • Nail and dermatologic disorders
    • Chronic post-traumatic disorders
    • Osteochondroses/AVN
    • Midfoot fractures/dislocations
    • Rearfoot fractures/dislocations
    • Ankle fractures
    • Acute soft-tissue ankle injuries
    • Acute tendon ruptures/lacerations
    • Acute nerve/vascular injury (including compartment syndrome)
    • Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, burns)
    • Pediatric fractures/growth-plate injuries

     

      • Joint implants
      • Fixation devices
      • Bone grafts/bone substitutes/bone healing
      • Suture materials
      • Soft tissue/anchor/skin graft/healing
      • Anatomy
      • Medicine (illnesses/therapeutics)
      • Anesthesia
      • Other
      •  

      CBPS Examination Content

      The CBPS In-training Examination content is classified into content areas and case management areas that are the same for Foot and RRA. 

      The Foot Surgery CBPS examination covers the diagnosis of general medical problems and surgical management of pathologic foot conditions, deformities, and/or trauma, and related structures that affect the foot and ankle.

      The RRA Surgery CBPS examination covers the diagnosis of general medical problems and surgical management of pathologic foot and ankle conditions, deformities, and/or trauma, and related structures that affect the foot, ankle, and leg.

      CBPS Content Areas 

      • Trauma
      • Deformities/biomechanics
      • Medicine/perioperative management (infection/metabolic disease/arthritic disorders/emergency medicine)
      • Complications/revisions
      • Neoplastic disorders
      • Neurovascular disorders
      • Congenital disorders/pediatrics

      Case Management Areas 

      • Physical examination
      • Diagnostic procedures/labs/imaging
      • Diagnosis
      • Treatment (application of surgical principles and medical management to determine treatment of patient)