The Guidewire
HISTORY · MAY 2026 · soleintell.com
▾ The Gap
~10yrs
Without DPM-instructed AO North America courses.
▾ Relaunch
2023
Return of DPM-instructed AO North America courses. Southern California.
▾ Three Eras, One Trajectory

Presence. Absence. Return.

01
Pioneers
'91 — '13
02
The Gap
'14 — '22
03
Comeback
'23 — '26
Seattle, WA
Harborview
Sigvard T. Hansen, MD
Foot & Ankle fellowship launched 1991. Quietly admitted DPM trainees alongside MD orthopaedic fellows.
Dresden, DE
Carl Gustav Carus
Hans Zwipp, MD
Chaired the AO Trauma Foot & Ankle Expert Group. Hosted DPM trainees through the European pipeline.
▾ Educational Alternative

AAFAO, 2014

The American Academy of Foot and Ankle Osteosynthesis emerged as an industry-supported educational alternative, with overlapping faculty and similar content.

▾ The Mechanism
ACFAS-ACCREDITED
AONA DPM COURSE SERIES
AONA
×
ACFAS
Collaborative CME model
▾ Cities
9+
U.S. cities hosting AO DPM NA courses, 2023 — 2026.
▾ Faculty
20+
Named DPM faculty across 2023–2025 course brochures.
▾ Max CME
~19
CME contact hours per Advanced Principles course (varies slightly by event).
▾ How We Got Here

Eight inflection points across 65 years.

1958
AO founded · CH
1973
Hansen at Davos
1991
Harborview F&A fellowship
'90s — '00s
Pioneer fellowships
'13 — '14
DPM-instructed AONA courses disappear
2014
AAFAO founded
2023
AO DPM NA relaunches
2025+
DPM Community formalized
▾ The Pioneers

Who kept the door open.

Lawrence DiDomenico
Karlsruhe · Dresden · HMC
Thomas Roukis
Mainz · Kirschner
Ronald Ray
Harborview · 1995
Michael Dujela
Liestal, CH · multi-EU
Lawrence Ford
Harborview · Hansen
Amber Shane
Dresden · Zwipp
Mark Zelent
Hansen F&A Institute
Alan MacGill
AO Fellow → AONA
▾ AONA Communities

Inside the community structure.

CMF
DPM
REC
SPN
SPT
TRA
VET

DPM-focused programming is now organized within AO North America's community structure alongside six other specialties.

▾ The Real Shift
01
DPMs aren't being invited to AO. They're building the curriculum.
"

A harmonious, but delicate balance of earning trust and maintaining the highest standards to propel our profession forward.

— Dean's Chat ep. 158 · episode description
▾ Course Evaluator
Brad Yoo, MD
2023 · 2024 · 2025

Orthopaedic trauma representation in the course evaluation process for AO DPM NA.

▾ Confidence Audit

What we actually know.

2023 ACFAS-accredited AO DPM NA course series launch
Dujela's role as Chair of Development for AO DPM NA courses
Pioneer-era fellowships (Hansen, Zwipp, Kirschner)
Exact year AO discontinued DPM programmingVERIFY
Whether DPM AO Fellowship eligibility has been reinstatedVERIFY
▾ What's Next

Watch two things.

  • → Formal AO Fellowship eligibility
  • → DPM seat on AO TC F&A Expert Group
  • → 2027 course count
▾ The Fine Print

Educational only. Not for clinical, billing, or surgical decisions. AI-assisted research; editorial judgment is the author's. VERIFY items need primary-source confirmation.

Due to limited publicly archived documentation, some historical elements are reconstructed from faculty records and course materials.

Sources: aona.org · acfas.org · Dean's Chat · AOFAS in memoriam.

The Guidewire
Field Reports on Podiatric Profession, Politics & Practice
© 2026 Peter Sorensen, DPM  ·  Sole Intelligence  ·  soleintell.com