Part I Board Qualification Exam Content
Foot and RRA Surgery CBPS Exams
The NEW CBPS examination content is classified into Content Areas and Case Management Areas that are the same for Foot and RRA.
The Foot Surgery NEW 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 NEW 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.
Foot Surgery CBPS Exam: Case Management Areas
- Physical Examination: 15-35%
- Diagnostic procedures/labs/imaging: 15-35%
- Diagnosis: 10-30%
- Treatment: 20-40%
Foot Surgery CBPS Exam: Content Areas
Cases may belong to one or more of the following categories:
- Complications/Revision
- Congenital disorders (pediatrics)
- Congenital disorders (adult)
- Deformities
- Perioperative management
- Neoplastic disorders
- Neurovascular disorders
- Trauma
- Wound/Infection
- Metabolic, rheumatologic, and inflammatory disorders
RRA Surgery CBPS Exam: Case Management Areas
- Physical Examination: 20-40%
- Diagnostic procedures/labs/imaging: 15-35%
- Diagnosis: 10-30%
- Treatment: 15-35%
RRA Surgery CBPS Exam: Content Areas
Cases may belong to one or more of the following categories:
- Complications/Revision
- Congenital disorders (pediatrics)
- Congenital disorders (adult)
- Deformities
- Perioperative management
- Neoplastic disorders
- Neurovascular disorders
- Trauma
- Wound/Infection
- Metabolic, rheumatologic, and inflammatory disorders
Foot and RRA Surgery Didactic Exams
Each test question is classified with a single Topic and a Subtopic. For example, a question could cover surgical principles (topic) regarding the treatment of a hallux abductovalgus deformity (subtopic).
Foot Surgery Didactic Exam: Topics
Target: 17% of Questions
Acceptable Range: 12-22%
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
Target: 20% of Questions
Acceptable Range: 15-25%
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
Target: 22% of Questions
Acceptable Range: 17-27%
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
Target: 15% of Questions
Acceptable Range: 10-20%
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
Target: 13% of Questions
Acceptable Range: 8-18%
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
Target: 13% of Questions
Acceptable Range: 8-18%
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
Foot Surgery Didactic Exam: Subtopics
- Acquired digital deformities
- Biomechanical
- Post-traumatic
- Congenital digital deformities (e.g., polydactyly, syndactyly, macrodactyly, overlapping digits)
- First ray deformities
- Hallux abductovalgus (pediatric)
- Hallux abductovalgus (adult)
- Hallux limitus/ rigidus/ degenerative joint disease
- Hallux Varus
- Plantarflexed first ray
- Lesser metatarsal deformities
- Metatarsus adductus
- Plantar plate/biomechanical pathology
- Brachymetatarsia
- Fifth metatarsal deformities
- Complex/combined forefoot deformities
The following subtopics are covered in all foot surgery topics except Surgical Procedures/Techniques:
- Acquired rearfoot/midfoot deformity
- Biomechanical
- Post-traumatic
- Adult (flexible vs rigid) including vertical talus, coalition
- Pediatric (flexible vs rigid) including vertical talus, calcaneal valgus, coalition
- Complex/combined midfoot/rearfoot deformities
- Pes cavus
- Clubfoot
- Equinus deformities
- Rearfoot/midfoot degenerative joint disease
- Complex/combined leg/ankle deformities
- Soft tissue
- Localized abscess
- Ulceration/Wound
- Necrotizing fasciitis
- Cellulitis
- Gas gangrene
- Bone/joint
- Septic arthritis
- Osteomyelitis
- Osteitis
- Systemic
- Bacteremic
- Septicemia
- Soft tissue
- Muscle/tendon
- Ligament
- Skin/ nails
- Bone/joint
- Pediatric
- Adult
- Neurovascular
- Metastatic
The following subtopics are covered in all foot surgery topics except Surgical Procedures/Techniques:
- Metastatic
- Acute nerve/vascular injury (including compartment syndrome)
- Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, thermal injury, chemical injury)
- Pediatric fractures/ growth-plate injuries
- Foot (including Lisfranc)
- Fractures
- Dislocations
- Rearfoot/ midfoot fractures/ dislocations (proximal to Lisfranc joint)
- Ankle fractures
- Acute soft-tissue ankle injuries
- Capsule/ tendon/ ligament injuries
- Ankle sprain/ instability
- Tendon tear/ rupture/ subluxation
- Intra-articular injuries
The following subtopics are covered in all foot surgery topics except Surgical Procedures/Techniques:
- Rearfoot/ midfoot fractures/ dislocations (proximal to Lisfranc joint)
- Ankle fractures
- Neuroma/neuritis
- Nerve compression (central and peripheral)
- Avascular Necrosis
The following subtopics are covered in all foot surgery topics except Surgical Procedures/Techniques:
- Venous insufficiency/ (lymph)edema/ venous stasis ulcers
- Peripheral arterial disease/ disorders
- Hyper/ hypocoagulable states
- Peripheral neuropathy
- Complex regional pain syndrome
- Neuromuscular disorders
The following subtopics are covered in all foot surgery topics except Surgical Procedures/Techniques:
- Gout/pseudogout
- Rheumatoid arthritis
- Seronegative arthritis
- Overuse syndrome (i.e.: plantar fasciitis, shin splint)
- Tendonitis/tendinosis
- Delayed/ malunion/ nonunion
- Postoperative wounds/ infections
- Neurovascular injuries
- Iatrogenic
- Joint implants
- Fixation principles/devices
- Bone grafts/bone substitutes/bone healing
- Suture materials/anchors
- Miscellaneous
- Soft tissue/skin grafts/wound healing
- Anatomy
- Medicine (illness therapeutics)
- Anesthesia
RRA Surgery Didactic Exam: Topics
Target: 15% of Questions
Acceptable Range: 10-20%
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
Target: 20% of Questions
Acceptable Range: 15-25%
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
Target: 25% of Questions
Acceptable Range: 20-30%
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
Target: 20% of Questions
Acceptable Range: 15-25%
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
Target: 20% of Questions
Acceptable Range: 15-25%
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
RRA Surgery Didactic Exam: Subtopics
- Acquired rearfoot/ midfoot deformity
- Biomechanical
- Post-traumatic
- Adult (flexible vs rigid) including vertical talus, coalition
- Pediatric (flexible vs rigid) including vertical talus, calcaneal valgus, coalition
- Pes cavus
- Clubfoot
- Equinus deformities
- Rearfoot/ midfoot degenerative joint disease
- Complex leg/ ankle deformities
- Soft tissue
- Ulceration/Wound
- Necrotizing fasciitis
- Gas gangrene
- Bone/joint
- Septic arthritis
- Osteomyelitis
- Systemic
- Bacteremic
- Septicemia
- Soft tissue
- Muscle/tendon
- Ligament
- Bone/joint
- Pediatric
- Adult
- Neurovascular
- Acute nerve/vascular injury (including compartment syndrome)
- Miscellaneous acute trauma (degloving injury, foreign body, gunshot wounds, crush injury, contusions, thermal injury, chemical injury)
- Pediatric fractures/ growth-plate injuries
- Rearfoot/ midfoot fractures/ dislocations (proximal to Lisfranc joint)
- Acute soft-tissue ankle injuries
- Capsule/ tendon/ ligament injuries
- Ankle sprain/ instability
- Tendon tear/ rupture/ subluxation
- Intra-articular injuries
- Avascular Necrosis
- Delayed/ malunion/ nonunion
- Postoperative wounds/ infections
- Neurovascular injuries
- Iatrogenic
- Joint implants
- Fixation principles/devices
- Bone grafts/bone substitutes/bone healing
- Suture materials/anchors
- Miscellaneous
- Soft tissue/skin grafts/wound healing
- Anatomy
- Medicine (illness therapeutics)
- Anesthesia