January 21, 2019 #6,356 Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2019- No part of PM News can be reproduced without the written permission of Barry Block
PM NEWS QUICK POLL RESULTS
Results of last week's poll
PM NEWS QUICK POLL
How did your 2018 net income/salary compare to that of 2017?
INTERNATIONAL PODIATRY IN THE NEWS
Podiatry Officially Recognized as a Profession in Romania
Podiatry has been officially recognized as a profession in Romania and was introduced in the Romanian Occupational Classification (COR) at the end of last year, according to the Explanatory Memorandum drafted by the Podiatry Association on “The need to introduce the profession of podiatrist with higher education in the COR,” quoted by local Economica.net.
The process will be completed once the joint order signed by the labor minister and the president of the statistics institute INS is published in the Official Gazette, the same document said. Podiatrics are experts in all aspects of the structure, function and health of the foot, ankle and lower extremity.
The Florida Podiatric Medical Association (FPMA) installed its new officers at the 79th Annual Meeting held at the Scientific and Management meeting (SAM) in Orlando, FL. Elected were:
(L-R) Drs. Samir Vakil, Andrew Belis, Andre Williams, John Goggin, Cary Zinkin, Alissa Zdancewicz
President: Andre M. Williams, DPM
1st Vice President: Samir Vakil, DPM
2nd Vice President: John P. Goggin, DPM
Treasurer: Cary Zinkin, DPM
Secretary: Alissa Zdancewicz, DPM
Past President: Andrew Belis, DPM
PODIATRISTS AND THE LAW
GA Podiatrist Found Guilty In Fraud Scheme
A south Florida federal jury found a Columbus podiatrist guilty this week for his role in a scheme to defraud governmental insurers, according to court documents. Dr. Alap Shah was convicted Monday in Miami guilty on the conspiring to defraud the federal government and two counts of accepting kickbacks involving a federal healthcare program. Shah, was indicted in June. The indictment alleged that Shah took payments from PGRX, a Florida business that recruited and paid doctors to prescribe compounded medications for private commercial insurance beneficiaries and for patients in TRICARE, a federal program that insures both active-duty and retired members of the armed forces.
CA Podiatrist Named to National Panel to Develop Measures for PAD
Dr. David G. Armstrong, Professor of Surgery and Director of the Southwestern Academic Limb Salvage Alliance (SALSA) at Keck School of Medicine of University of Southern California was named to a blue-ribbon panel designed to develop patient-oriented measures in people with peripheral artery disease.
Dr. David Armstrong
The panel, which convened this week outside of Washington, DC, consisted of academics, regulatory officials from FDA, CMS and NIH, industry leaders, and, most importantly, people with peripheral artery disease and its complications. The program was organized by Vascular Cures, a non-profit organization dedicated to raising awareness and improving care for people with peripheral artery disease. The outcomes of the meeting are planned to be published later in the year.
FROM PM's CURRENT ISSUE
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
Knowing that people are lining up to see you is a given. The question is, are you worth the wait? Here are some things you can do to enhance the experience patients have when they arrive to see you.
3. Review the chart before you enter the examination room. Take a moment to familiarize yourself with the patient’s complaint, referral note, or history before you walk in the door. Naturally, you’ll determine both subjective and objective perspectives of their presenting condition during your assessment and examination. But having them sit there watching you read can cause an uncomfortable gap in the relationship. Briefly reviewing their chart in advance of entering the room enables you to start the conversation at a more informed level. It also ensures that when you greet your patients you’ll be making solid eye contact with them rather than with the paper or device in your hand.
Dr. Borreggine's advice regarding consideration of risk for use of off label use of drugs is prudent but somewhat overstated. If one reads the Oxford Textbook of Hepatology, you would never write a prescription for anything. There are many reasons that specific indications for drugs are not FDA-approved, and that usually has more to do with the drug not being studied for those indications and NOT safety. For example, Marcaine is not FDA-approved in kids but is used every day off-label in pediatric tonsillectomies for extended post-op pain relief. Ketoconazole has been used off-label in urology for prostate issues, taking advantage of its effect on pertinent hormones.
As far as cimetidine for warts goes, although not FDA-approved, it has been studied (not FDA studies) quite well for this indication in both children and adults. JAPMA 95(3): 229-234, 2005, Arch Dermatol 1996 Jun;132(6):680-2, J Am Acad Dermatol. 1999 Jul;41(1):123-7. None of the studies saw any increased risk with high dosing of cimetidine, and all indicated some benefit for its use. My personal experience, especially in children, has been quite amazing.
Lastly, the statement by Dr. Borreggine that "off-label uses of medication have a risk," is not always true. The best example of this is the "off-label" pulse dosing format of terbinafine for onychomycosis, which calls for 70% less total drug than the FDA-approved 90-day continuous use with virtually the same efficacy. In this case, off-label use is decidedly SAFER, although the FDA-approved dosing is universally regarded as safe.
Liquid Rubber Appliance Laboratory (manufacturer of latex shields) of West Orange, NJ is an “old school” business still making this good device for high pressure and high-risk bone prominences for patients needing or desiring to avoid surgical treatment. They make several devices for nine areas of the foot. They send a paper invoice with the device and the positive cast; payment is by check only, I believe.
Yes, you are correct, students are in need of practice management and a foundation for their future. With this is in mind, The Institute for Podiatric Excellence and Development (IPED) was created two years ago to motivate, inspire, and synergistically bridge the gap between podiatry students, residents, new practitioners, and seasoned veterans. Much focus of this non-profit podiatry association is to help students and residents with mentoring and resources. It is free to join.
A great resource and source of practice management information for students and residents is Podiatry Management Magazine, a wealth of knowledge. I suggest students and residents get a three-ring notebook and articles, categorize and keep these as a practice management resource for the future. They should also subscribe to PM News and read it daily. Take advantage of visiting practicing podiatrists at every opportunity and keep notes on points learned. Spend time in the back office, at the front desk, as well as in billing.
When at meetings, attend as many practice management lectures as possible. The hope is that the podiatry schools will provide more practice management classes to prepare the students for their future. If you are near a podiatry school or residency program, look to volunteer to speak with the students about practice management and open your door for visits. Together, we can all make a difference for the bright future of our profession.
Hal Ornstein, DPM, President, IPED
YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoe of the Day
Glow in the day shoe?
Source: Luke Grant-Muller viaVirtual Shoe Museum
NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALLfrom 25+ CECHCategory-1 articles posted
CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
FULL TIME/PART TIME MOBILE PODIATRIST NEEDED – MICHIGAN
Mobile podiatrist in Michigan wanted! We are a growing mobile practice seeing patients all over Michigan. We offer flexible hours, competative pay structure as well as opportunity to choose preferred locations. Supplies and travel expenses are included. Please contact email@example.com
ASSOCIATE POSITION - PHILADELPHIA, PA
Associate needed for busy private practice in suburbs of Philadelphia . Applicant should be personal, independent and motivated. Practice entails all aspects of podiatry. Surgery, orthopedics, wound care, primary care and sports medicine. Competitive compensation package. To apply please email letter of intent and CV to firstname.lastname@example.org
TEAM PFC– SOUTH CAROLINA
Physicians Footcare, SC largest provider of podiatric services, is seeking a highly skilled and personable physician to join our TEAM. If you are ready to live, work, and play comfortably; send letter of interest and CV to: email@example.com
ASSOCIATE POSITION – LOS ANGELES, CA
Established multispecialty private practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Expertise in complex and chronic wounds is needed but residency or wound care certification not required. Full-time and well compensated based on a private practice productivity model with salary and benefits guaranteed. Our experienced team provides beautiful, fully equipped offices with on-site ASCs. We provide trained office staff, marketing and expert revenue cycle management, ensuring doctors can focus on patient care. Excellent opportunity to build a great wound care and podiatry practice as part of a reputable and established company. TWCCJobs@gmail.com
ASSOCIATE POSITION- NEW YORK/ADIRONDACKS
Position available in well-established 25+ yrs old practice. All phases of podiatry. Looking for an ethical, hard-working, easy-going individual. Buy-in opportunity after 2 years. Outdoor enthusiast's playground near Adirondack Mtns. and Lake Champlain. Please submit CV to firstname.lastname@example.org
IMMEDIATE ASSOCIATE POSITION – ST. LOUIS MO
Diverse and growing private practice in search of a reliable and professional associate to join our medical team. Some travel and shared call.Excellent referral and patient base. Compensation by salary plus bonus. Additional information by request. Email CV to email@example.com
ASSOCIATE POSITION- KANSAS CITY
Our busy, multi-office practice is still growing and needs another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with supportive doctors and staff who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA (LONG BEACH)
Established busy practice looking for a full time podiatrist. This special doctor should be personal, teachable, motivated and independent. Must be willing to learn a Holistic approach to foot and ankle care. Please submit a CV with a cover letter and three professional references to PodiatristLB@gmail.com.
ASSOCIATE POSITION - HUDSON VALLEY, NEW YORK
Multi-office practice Hudson Valley one hour North of NYC. Solo very busy practice. Foot/Ankle surgery/general podiatry. Future partner is a long-term thinker, entrepreneurial and can add value to the organization. Salary base $120K. Email CV to Podfoot1@gmail.com
ASSOCIATE POSITION– NEW JERSEY
Are you looking for an opportunity where the sky is the limit? Are you interested in a future partnership opportunity? Then our long-standing, busy, and very reputable practice in Mercer County New Jersey might just be for you! Our practice is diversified and consists of palliative / at risk foot care, biomechanics, and surgery. Candidate must be eager to work hard, ethical, and preferably surgically trained. Our mentorship will provide the rest! Serious inquiries only. Please reply and send resume to ToeRifficOpportunity@gmail.com in order to set up an interview.
POSITIONS AVAILABLE – VERMONT
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Vermont. Great opportunity for part-time income. Positions available immediately! Send inquiries to: firstname.lastname@example.org
Position Available with future Buy-in/Buy-out. One owner, group practice seeks hard working, motivated individual. Additional office also located in Hagerstown, MD. Step into a busy, full scope podiatry practice. I am 52 yo and looking to sell most/all of the practice by age 60. I can teach you to also become top earner in the field, with potential real estate/office space sale as well. Don't miss this unique opportunity. AtlanticFootSurgeons.com. email@example.com
ASSOCIATE POSITION LEADING TO PARTNERSHIP- SAN FRANCISCO/MARIN/NOR CAL BAY AREA
Well established 3 office practice in SF Bay Area with excellent referral base looking for an associate leading to partnership. EHR, digital x-ray. Must be personable, motivated, ethical, hard-working, committed to quality patient care, respectful of staff, and looking to establish themselves for the long term. All aspects of podiatry. Compensation is salary plus bonus based on productivity or percentage based. Monthly travel stipend provided. Malpractice and professional dues covered for first year. Office contributes to health insurance costs. Send CV and Letter of Interest to firstname.lastname@example.org
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Central/Eastern Suffolk County seeks full/part time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to email@example.com.
WOUND CARE FELLOWSHIP- NEW YORK
CPME-APPROVED 12 month fellowship beginning July 1st, 2019. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact firstname.lastname@example.org. EOE (equal opportunity employer)
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 18,500 subscribers. For details, click here or write to: email@example.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at firstname.lastname@example.org or call (215) 808-0770.
CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - FLORIDA - SOUTHWEST COAST
This practice is a great opportunity for you. Established practice fully equipped. High volume office and surgery schedule. Primary commercial payor mix. Efficiently operated with wide range of services. Opportunity to purchase real estate. Motivated seller. Contact: PodiatryDeals@gmail.com
PRACTICE FOR SALE - SAN FRANCISCO AREA, CALIFORNIA
Established practice in the East Bay in highly visible medical building across from major hospital. All aspects of foot and ankle care including: digital x-ray, Pinpointe laser, MLS laser, EMR. Turn-key office. Seller retiring. Sale price based on equipment and furnishings. Excellent opportunity EastBaypodiatrypractice@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: email@example.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at firstname.lastname@example.org or call (215) 808-0770
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management Magazine and Podiatry Management Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.