The Footnote
No. 4 · The profession edition
Monday, September 28, 2026. One essay on how podiatry recruits, a farewell to a founder, and the two dates every practice should have on the wall.
Practice & business · Essay

Two classified ads, and a profession still hiring like it's 1998

I laughed out loud at the classifieds in a trade newsletter this month. The laugh faded when I realized nobody else seemed to find them strange. An ad asking a surgeon to fax a résumé in 2026 ran without comment, beside another offering a department chair less than the typical podiatrist earns. Somewhere along the way, our profession decided this was normal.

The two ads ran together on September 18, in the same issue that remembered Lowell Weil Sr. One was a college of podiatric medicine seeking a full-time chair for its Department of Podiatric Medicine and Surgery. The other was a Connecticut practice seeking an associate. Read side by side, they say more about where podiatry is headed than most of what we publish on purpose.

Academic

Full-time department chair

Lead faculty, drive academic excellence, oversee clinical experiences. "Generous benefits."

$120K to $140K
Private practice

Associate, Connecticut

Owner will stay for transition. Full privileges available.

Fax résumé to apply

Start with the chair. The posted range sits below the $160,300 median wage the Bureau of Labor Statistics reports for all podiatrists, and well under half the $368,421 median total compensation in the ACFAS 2025 survey of board-certified fellows. The person asked to lead the department that trains our surgeons would earn less than the typical podiatrist in the country. The ad may not show the whole package, and many faculty add clinical income on top of a base. But the headline number is the first thing a candidate sees, and it tells the most accomplished people in our field that teaching is a financial sacrifice.

$120–140Kposted range for a department chair
$160,300BLS median wage, all podiatrists, May 2025
$368,421ACFAS 2025 median total compensation, board-certified fellows
752 / 519applicants for first-year seats, 2025–26

Now the associate ad. The frustrating part is that it describes a good job. An owner who stays through the transition and full hospital privileges are exactly what a new graduate should be looking for. That opportunity is sitting behind a machine most residents have never touched, with no pay range, no email and no link. In SHRM's research, 82% of workers said they were more likely to apply when a posting shows a pay range. This one asks candidates to find a fax machine first.

None of this would matter much if talent were plentiful. It isn't. AACPM counted 752 applicants for the 519 students who started podiatric medical school in fall 2025, across eleven colleges. We are a small profession competing with every other path a bright pre-med student could take, and every public signal we send either says modern surgical specialty or says something else. Job posts are public signals. So is what we pay the people who teach.

The fix is not expensive. It is a pay range, a named contact, an email address, and three honest sentences about call, privileges and what partnership actually looks like. For academic posts, it is a range that tells the truth about the whole package, and a profession willing to say out loud that educators are worth paying.

A profession attracts the talent its job posts deserve.

What a 2026 podiatry job post includes
PayA base range, the bonus or productivity formula, and whether there is a guarantee in year one.
PracticeHospital and ASC privileges, call frequency and whether call is paid, and the surgical case mix.
PathThe partnership or buy-in track in plain terms, including timeline and how the price is set.
ApplyA named person, an email address or link, and a date you will respond by.

Voices

In memoriam

Lowell Scott Weil Sr., DPM

1941 – 2026

Dr. Weil died September 17, one day after his 85th birthday. Most of us learned his name from the lesser metatarsal osteotomy that carries it. The rest of his résumé is a map of how podiatric surgery grew up: president of the Board of Podiatric Surgery from 1976 to 1978, president of the American College of Foot and Ankle Surgeons in 1993 and 1994, editor-in-chief of the Journal of Foot and Ankle Surgery, residency director at Northlake Community Hospital, and founder of the Weil Foot & Ankle Institute. He launched one of the first podiatric surgical fellowships, served 25 years as team podiatrist for the Chicago Bears and White Sox, held several implant patents and lectured in 41 countries.

Why it matters. Weil helped build the fellowship and residency model that trained a generation of podiatric surgeons. The best tribute this profession can pay is to keep investing in the people who teach.

Practice & business

Practice & business

A Madison podiatry group joins UW Health

UW Health acquired University Podiatry Associates in Madison, Wisconsin, effective July 1. The practice now operates as UW Health Yellowstone Dr Podiatry Clinic and continues to treat diabetic foot ulcers, arthritis, bunions and hammertoes.

Why it matters. Independent groups without a clear succession plan have two exits: recruit the next generation or sell to someone who can. The Connecticut ad in this week's essay is the first path. Madison is the second.

Policy & compliance

Policy & compliance · Countdown

About five weeks until the Modifier 25 decision

CMS typically publishes the final physician fee schedule around November 1. The 2027 proposal would pay the highest-valued service at 100% and other same-day E/M or procedure services at 50% when an E/M is billed with a global procedure, and would set the non-APM conversion factor at $32.84. Comments closed September 14.

Why it matters. The practices that react best in November will be the ones that priced their exposure in October. Pull last year's Modifier 25 claims by payer now, while there is still time to plan scheduling around the answer.