CURRICULUM VITAE

DOUGLAS K. BLACKLIDGE, DPM

HOME ADDRESS: 3072 West 250 South

Kokomo, IN 46902
home 765-455-1369
mobile 765-438-3252
Web Sites: www.blacklidge.com, www.ahni.com/footandankle
Email: dkb1@blacklidge.com, doug_blacklidge@ahni.com

WORK ADDRESS: American Health Network—Foot and Ankle

American Health Network—Specialty Center American Health Network--Lafayette

2330 S. Dixon Rd. 3750 Landmark Dr. Ste. A
Kokomo, IN 46902 Lafayette, IN 47905
765-455-5426 765-448-4511
765-865-3935 (fax) 765-447-8375 (fax)

PERSONAL DATA: Birth: 1965, Kokomo, IN

Married: Victoria (Benckenstein), 1998
Children: Makenna G., 2001
Macie V., 2003

EDUCATION
1984-1988 Bachelor of Science in Biological Sciences
Purdue University
West Lafayette, IN

1988-1992 Doctor of Podiatric Medicine

Summa Cum Laude
Salutatorian
Dr. William M. Scholl College of Podiatric Medicine (S.C.P.M.)
Chicago, IL

TRAINING
07/92-06/95 Resident in Foot and Ankle Surgery (Three Year Surgical Program)
Detroit Medical Center/Wayne State University—Hutzel Hospital
Affiliate of Wayne State University School of Medicine
Training Institutions: Hutzel Hospital, Harper Hospital,
Detroit Receiving Hospital, Grace Hospital
Wayne State University Health Center

06/94-07/95 Chief Administrative Resident, Podiatric Surgery

Detroit Medical Center/Wayne State University—Hutzel Hospital

05/95-06/95 Fellowship in Trauma and Reconstructive Surgery (AO Techniques)

St. Vincent and Elisabeth Hospital
Mainz, Germany

Douglas K. Blacklidge, DPM, Curriculum Vitae page 2

SPECIALTY TRAINING
01/93 AO/ASIF Podiatric Course in Internal Fixation—Baltimore, MD
12/93 Microneurovascular Surgical Techniques Course, M.O.E.T. Institute—San Francisco, CA
11/94 Diabetic Foot Management Course and Rotation, Harvard Medical School—Boston, MA
01/95 Baja Project for Crippled Children Mini-Residency/Surgical Session—Mexicali, Mexico
03/95 Ilizarov Course, ACFAS Scientific Seminar—Miami, FL
03/00 MBA Subtalar Joint Arthroerises Workshop—Chicago, IL
03/00 External Fixation Workshop—Chicago, IL
03/00 Tibial/Intramedullary Nail Workshop—Chicago, IL
03/03 Advanced Techniques—External Fixation/IM nail, Orthopedic Learning Center, Chicago, IL
10/03 Foot and Ankle Applications of the Ilizarov Method, ACFAS—Memphis, TN
05/04 Certified Administrator, PSSD Neurosensory and Motor Testing, --Indianapolis, IN
07/04 Fellowship, Institute for Peripheral Nerve Surgery, John’s Hopkins Medical Center-Baltimore, MD
08/04 Certified in Extracorporeal Shockwave Therapy by United Shockwave Therapies
03/05 Charcot Foot with External Fixation, ACFAS—New Orleans, LA
07/05 Ilizarov/Taylor Spatial Frame Course/Workshop, Smith and Nephews—Indianapolis, IN
07/05 Ilizarov/Taylor Spatial Frame Course/Workshop , Smith and Nephews—New York, NY
03/09 Total Ankle Joint Replacement Course/Workshop, Tornier—Indianapolis, IN
09/09 Total Ankle Joint Replacement Course/Workshop, Wright Medical—Ft. Wayne, IN
04/11 Total Ankle Joint Replacement Course/Workshop, SBI/STAR—Indianapolie, IN
09/11 Circular External Fixation and Lower Limb Deformity Correction/Orthofix—Chicago, IL

HOSPITAL OR OTHER PROFESSIONAL APPOINTMENTS

06/94-06/95 Clinician/Fellow, Wayne State University/Affiliated Internists, Diabetes Center
Diabetic Foot Clinic
Wayne State University Health Center, Detroit, MI
07/95-07/97 Associate, Podiatry Associates/Foot and Ankle Institute,
5471 Georgetown Rd. Suite C, Indianapolis, IN
1995-04/01 IU Health/Methodist Hospital of Indiana, Indianapolis, IN
Allied Health Practitioner, Podiatric Surgical Privileges
1997-present Partner, American Health Network of Indiana, LLC
Founding Partner, American Health Network—Foot and Ankle
1997-present St. Vincent Health/St. Joseph Hospital, 1907 W. Sycamore Rd. Kokomo, IN 46901
Allied Health Care Provider, Podiatric Surgical Privileges
1997-2009 Riverview Hospital, 395 Westfield Rd. Noblesville, IN 46060
2012-present Active Medical Staff, Podiatric Surgical Privileges
1997-present Howard Regional Health System, 3500 S. LaFountain St. Kokomo, IN 46902
Allied Staff—Podiatric Surgical Privileges
2001-present Indiana Surgery Center—Howard Regional Health System
3503 S. Reed Rd. Kokomo, IN 46902
Active Medical Staff, Podiatric Surgical Privileges
2006-present Sycamore Springs Surgery Center, 4715 Statesman Dr. Ste A Indianapolis, IN 46250
Medical Staff—Podiatric Surgical Privileges
2008-present IU Health-- Arnett Hospital, 5165 McCarty Ln., Lafayette, IN 46905
Medical Staff—Podiatric Surgical Privileges

TEACHING/INSTRUCTING POSITIONS
.2004Instructor, Podiatric Surgical Residency, Winona Hospital, Indianapolis, IN
11/02-12/02 Instructor, Austrian Trauma Surgeon Rotation in Foot and Ankle Surgery
2004-present Instructor, American Health Network Foot and Ankle Reconstructive Surgery Fellowship

Douglas K. Blacklidge, DPM, Curriculum Vitae page 3

PROFESSIONAL SOCIETIES
American Podiatric Medical Association (APMA)
Indiana Podiatric Medical Association (IPMA)
Fellow, American College of Foot and Ankle Surgeons (ACFAS)
Diplomat, American Board of Podiatric Surgery (ABPS)

LICENSURE AND CERTIFICATION

07/90, 03/91 Parts 1 and 2 Podiatric Medical National Board Exams
12/91, 12/94 Podiatric Medical Licensing Examination of States (PMLexis)
07/92-00/97 License #5901001634 Board of Podiatric Medicine and Surgery, Michigan
03/95 License #07000798 Board of Podiatric Medicine, Indiana
06/95 DEA Registration #BB3290020
07/95 Board Qualified, ABPS
08/98 Certified in Foot Surgery, ABPS
08/98 Certified in Reconstructive Rearfoot/Ankle Surgery, ABPS
02/07 Recertified Foot Surgery, ABPS
02/07 Recertified Reconstructive Rearfoot/Ankle Surgery, ABPS
11/12 BLS and ACLS, Community Howard Regional Health, Kokomo, IN

COMMITTEES
08/89-05/91 Member, Student Advisory Board, S.C.P.M.
08/89-04/90 Teaching Assistant, Department of Anatomical Sciences, S.C.P.M.
01/92-05/92 Member, Clinical Advisory Committee, S.C.P.M.
07/95-07/97 Member, Methodist Hospital Wound Care Quality Review Committee
11/00-present Member, Board of Directors, Howard Community Surgery Center, LLC
01/04-2007 Representative, Physician Management Council, American Health Network
04/10-present Member, Surgical Standards, IU Health –Arnett
03/12 Reviewer, ACFAS Annual Scientific Meeting Poster Exhibit, San Antonio, TX
02/12-present Total Ankle Replacement Committee Member, Riverview Hospital, Noblesville, IN

CONSULTING
05/11-present Managing Partner, Indiana Foot and Ankle Consultants, LLC

PATENTS
12/11 Provisional Patent—metatarsal fixation device

HONORS AND AWARDS

1986, 1987 Distinguished Student, Purdue University
1987 Vice President/Treasurer Phi Gamma Delta Fraternity, Purdue University
1989-1992 Durlacher National Podiatry Honor Society
1989-1990 S.C.P.M. Half-Tuition Scholarship
1990-1991 Dr. Walter and Beryl Swanson Half-Tuition Scholarship
1991-1992 Podiatry Insurance Company of America Scholarship
05/92 Outstanding Student of Surgery--Dow Corning Wright Award
05/92 Award for Proficiency in Scholarship (Salutatorian), S.C.P.M.
05/92 Graduated with Honors, Summa Cum Laude, S.C.P.M.
02/94 Second Prize, Institutional Poster Exhibit for ACFAS Scientific Seminar

Douglas K. Blacklidge, DPM, Curriculum Vitae page 4

PRESENTATIONS (cont.)
“Fifth Metatarsal Fractures and Fixation”
10/92 Hutzel Hospital Seminar, Internal Fixation: Techniques in the Foot
Detroit, MI
“Neglected Achilles Tendon Rupture Repair: Procedure and Functional Results”
09/93 Hutzel Hospital Seminar, Multidisciplinary Approach to Foot and Ankle Pathology
10/93 Michigan Podiatric Medical Association—Scientific Seminar
Boyne Highlands Resort, Harbor Springs, MI
“Tibialis Anterior Transfer ‘Info Talus’ for Control of Severe Planus Pediatric Foot”
09/94 Michigan Podiatric Medical Association—Scientific Seminar
Lansing Convention Center, Lansing, MI
“Principals of Internal Fixation”
“Cannulated Screws—Use in Foot and Ankle Surgery”
10/94 Hutzel Hospital Seminar, Foot and Ankle Surgical Techniques—Updates, Detroit, MI
“The Foot in Diabetes”
.95Diabetes Connection (Monthly Lecture Series), Harper Hospital, Detroit, MI
11/95, 08/96 Outpatient Diabetes Series, Hendricks Community Hospital, Danville, IN
05/96 Skin Care Task Force, Methodist Hospital, Indianapolis, IN
“Acute Exertinal Compartment Syndrome of Medial Foot”
03/96 American College of Foot and Ankle Surgeons—Scientific Seminar
Sheraton New Orleans, New Orleans, LA
Arthrodesis of 1st Metatarsocuneiform Joint”
09/96 Hutzel Hospital Seminar, Techniques in Foot and Ankle Surgery
Detroit, MI
10/97 Indiana Podiatric Medical Association—Doctors Program
Indianapolis, IN
“Tarsometatarsal Arthrodesis”
09/96 Hutzel Hospital Seminar, Techniques in Foot and Ankle Surgery
Detroit, MI
“Posterior Heel Pain—Achilles Insertional Calcific Tendonitis
10/97 Indiana Podiatric Medical Association—Doctors Program
Indianapolis, IN
“Arthrodesis Procedures of the Foot and Ankle”
02/01 Indiana Podiatric Medical Association—Didactic Lectures
Indianapolis, IN
“Pes Valgo Planus—Flexible and Rigid”
04/01-08 Midwest Podiatry Conference—Surgical Board Review Course
Chicago, IL
“Arthrodesis Techniques—First Metatarsophalangeal Joint and First Metatarsocuneiform Joint”
09/01 Indiana Podiatric Medical Association—Doctors Program
Indianapolis, IN
“Common Surgical Procedure of the Rearfoot and Midfoot”
03/02 Midwest Podiatry Conference—Surgical Board Review Course
Chicago, IL
Rearfoot Panel Member
09/06, 09/07 Indiana Podiatric Medical Association—Doctors Program
Indianapolis, IN
“Midfoot Denervation by Deep Peroneal Neurectomy”
“Challenging Nerve Cases”
11/12 Association of Extremity Nerve Surgeons—Annual Meeting
Scottsdale, AZ

Douglas K. Blacklidge, DPM, Curriculum Vitae page 5

EXHIBITS
02/94 “Use of ‘Info Talus’ Tendon Transfer for Control of the Severe Planus Pediatric Foot”
American College of Foot and Ankle Surgeons—Scientific Seminar
Miami Beach, FL
03/96 “The Osteomed M3-X Fixation System:
A New Bone Screw with Applications in Foot Surgery”
American College of Foot and Ankle Surgeons—Scientific Seminar
New Orleans, LA
03/08 “Restoration of Functional Length in the Revision of Failed 1st Metatarsalphalangeal Joint
Prosthesis Utilizing Calcaneal Autograft and Plate Fixation”
American College of Foot and Ankle Surgeons—Scientific Seminar
Long Beach, CA
03/09 “Deep Peroneal Neurectomy for Dorsal Midfoot Pain”
American College of Foot and Ankle Surgeons—Scientific Seminar
 Washington, D.C.

SYMPOSIA
10/92 Internal Fixation Workshop: Techniques in the Foot
Hutzel Hospital—Detroit, MI
Co-coordination, Faculty Speaker/Instructor
09/93 Multidisciplinary Approach to Foot and Ankle Pathology
Hutzel Hospital –Detroit, MI
Co-coordinator, Faculty Speaker
10/94 Foot and Ankle Clinical Pathology Conference of Indiana
Foot and Ankle Institute—Indianapolis, IN
Coordinator
02/99 Internal Fixation Workshop/Cannulated Screws
Indiana Podiatric Medical Association—Indianapolis, IN
Instructor/Speaker
03/03-03/05 Surgical Board Review Course
Midwest Podiatry Conference—Chicago, IL
Co-director, Faculty Speaker
03/03-03/09 Surgical Board Review Course
Midwest Podiatry Conference—Chicago, IL
Faculty Speaker
07/04-present Attending Staff American Health Network
Foot and Ankle Reconstructive Surgical Fellowship
Monthly Clinical Conference
04/12 Podcast Participant
American College of Foot and Ankle Surgeons, San Antonio, TX

PUBLICATIONS
1. Kissel, C.G., Blacklidge, D.K., Crowley, D.L. Repair of neglected Achilles tendon ruptures: procedure
and functional results. J. Foot and Ankle Surg. 33: 46-52, 1994

2. Kissel, C.G., Blacklidge, D.K. Tibialis anterior transfer “into talus” for control of the severe planus
pediatric foot: a preliminary report. J. Foot and Ankle Surg. 34: 195-199, 1995.

3. Solomon, M.G., Blacklidge, D.K. Brachymetatarsia: a case study and surgical considerations.
J.A.P.M.A. 85: 685-689, 1995.

4. Kissel, C.G., McQuaid, M., Blacklidge, D.K. The Osteomed M3-X fixation system: a new bone screw
with applications in foot surgery. J. Foot and Ankle Surg. 34: 458-464, 1995.

Douglas K. Blacklidge, DPM, Curriculum Vitae page 6

PUBLICATIONS (cont.)
5. Blacklidge, D.K., Kurek, J.B., Resto Soto, A.D., Kissel, C.G. Acute exertional compartment syndrome
of the medial foot. J. Foot and Ankle Surg. 35: 19-22, 1996.

6. Kissel, C.G., Hulst, T.J., Blacklidge, D.K., Raynor, K.J. Nonresection triple arthrodesis: a
retrospective analysis. J. Foot and Ankle Surg. 37: 490-500, 1998.

7. Blacklidge, D.K. How to Perform an Isolated subtalar joint arthrodesis. Podiatry Today 21-6: June
2008.

8. Miller, J.M., Blacklidge, D.K., Ferdowsian, V., Collman, D.R. Chevron arthrodesis of the
interphalangeal joint for hammertoe correction. J Foot and Ankle Surg. 49: 194-196, 2010.

9. Blacklidge, D.K., Masadeh, S.B., Lyons, M.C., Miller, J.M. A preliminary review of the use of deep
peroneal neurectomy for the treatment of painful midtarsal and tarsometatarsal arthritis. J Foot and
Ankle Surg. 2012
REFERENCES
Available upon request.