Earn trust. Gain autonomy. Become the resident attendings want in the room.
A foot and ankle resident training system built by a board-certified foot and ankle surgeon — structured around preparation, ownership, engagement, anticipation, and technical excellence.
The question is not only, "Can this resident operate?" The better question is, "Can this resident be trusted with increasing responsibility?"
Most residents are taught surgical techniques. Few are taught how trust is earned.
This academy gives trainees a clear roadmap for the hidden curriculum of surgical training: how to prepare, communicate, take ownership, anticipate needs, and earn meaningful autonomy.
Residents often wonder:
- ✓What actually makes an attending trust me?
- ✓How do I get more operative opportunity?
- ✓Why do some residents progress faster than others?
- ✓How should I prepare for clinic, cases, and feedback?
- ✓What separates a good resident from a future leader?
The Five Pillars of Trust
Every playbook in the system is built on the same foundation. Technical ability matters, but trust begins with character and consistent behavior.
Integrity
Tell the truth, own mistakes, and protect trust before protecting ego.
Ownership
Close loops, follow through, and treat patient care as your responsibility.
Preparation
Review imaging, anatomy, procedures, and patient history before entering the room.
Engagement
Stay invested in every clinic visit, case, conversation, and learning opportunity.
Anticipation
Think ahead, read the room, and recognize what the patient, surgeon, and team need next.
From observer to multiplier.
Each PGY playbook helps residents honestly assess where they are and what behaviors move them to the next level.
Observer
Needs frequent direction. Learns the system and completes assigned tasks.
Contributor
Reliable with expected responsibilities. Participates and requires limited prompting.
Owner
Takes responsibility for outcomes. Anticipates needs and closes loops.
Multiplier
Elevates others, improves efficiency, teaches, and makes the service stronger.
A roadmap from medical student to attending.
Start with the standard, then build year by year with expectations matched to training level.
One framework. Expanding across orthopedic rotations.
The Trust Score and Five Pillars are the foundation for every pathway. Foot & Ankle is where it started — here's what's live and what's coming next.
Foot & Ankle Pathway
The original pathway — PGY1 through PGY5 playbooks plus Intro to the PGY Playbook, led by a board-certified foot and ankle surgeon.
View PlaybooksTotal Joint Arthroplasty Pathway
Knee and hip focused PGY playbooks, built on the same Trust Score framework.
Sign Up for Early AccessMore Rotations
Additional orthopedic subspecialty pathways are in development.
Start with the foundation or buy the complete pathway.
These can be sold as single PDF downloads, bundles, or future course access. Pricing is shown as placeholder copy.
Intro to the PGY Playbook
The foundation of the entire system. Learn the Five Pillars of Trust, the Development Ladder, and how autonomy is earned.
- ✓Trust Score framework
- ✓Trust builders and destroyers
- ✓Reading the room
PGY1 Foot & Ankle Playbook
Build the foundation for foot and ankle rotations with clinic prep, OR setup, anatomy, splinting, closure, and early exposure skills.
- ✓PGY1 self assessment
- ✓OR fundamentals
- ✓Preparation standards
Complete Foot & Ankle Resident Bundle
The full PGY1 through PGY5 pathway plus Intro to the PGY Playbook. Designed for residents who want a complete development roadmap.
- ✓Book 0 plus PGY1 to PGY5
- ✓Year by year expectations
- ✓Best value package
Built by a board-certified foot and ankle surgeon who evaluates residents in the real world.
Dr. Nicholas Strasser is a board-certified orthopedic surgeon specializing in foot and ankle surgery. The Athlete's Surgeon Academy reflects his teaching philosophy: residents earn opportunity through preparation, truthfulness, ownership, engagement, anticipation, and sound surgical development.
- ✓Board-certified foot & ankle surgeon
- ✓Practical expectations by PGY level
- ✓Designed for clinic, OR, and leadership growth
Get the Trust Score Self-Assessment.
Use it before your next rotation to find out whether you're functioning as an Observer, Contributor, Owner, or Multiplier right now.
You'll enter your email on the next page, then receive the PDF by email.
Send Me the Assessment