The Podiatric surgical residency training program at the University of Texas Health Science Center at San Antonio (UTHSCSA) has been a fully integrated program within a state funded academic health science center for the past 39 years. Podiatric Medicine & Surgery is a Division in the Department of Orthopaedics. The primary locations for training are the University Health System (County Hospital), South Texas Veterans Health Care System, Texas Diabetes Institute and all the private hospitals and surgery centers where members of our clinical faculty who are in private practice work. The training involves an extensive combination of inpatient and outpatient services with excellent surgical training in limb salvage, plastic surgery, trauma, podopediatrics, and reconstructive forefoot, rearfoot and ankle surgery. Our faculty includes seven full-time faculty and 25 members of our clinical faculty committed to our program. For those interested, there is an opportunity to complete a Masters in clinical investigation, and interact with world-wide experts in basic science and medicine. Our focus is to train podiatric medical physicians and surgeons keeping in mind the mission of an academic health center, which is teaching, research, and service. Individual assessment of residents’ performance is based on six core competencies: interpersonal skills, professionalism, patient care, knowledge, system-based practice, and practice-based learning and improvement.