In-training Examination Content
CBPS Examination Content
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