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PM News

The Voice of Podiatrists

Serving Over 18,833 Subscribers Daily


February 05, 2018 #6,116 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block

OHIJan818B

PM NEWS QUICK POLL RESULTS
Results of last week's poll
rhettjan818

PM NEWS QUICK POLL

Quick Poll

 Which do think is the most accurate formula for valuing a practice?
Gordon6 Labs

DrRem37

PODIATRISTS IN THE NEWS
NY Podiatrist Interviewed on Sirius XM’s Seth Speaks
 
From Evita to Hamilton, from stage managers and performers to producers, directors, and theater owners, Joseph C. D’Amico, DPM has helped keep the Broadway community on its feet. So says Seth Rudetsky broadway actor, musician, writer, and host of Sirius XM’s very popular Seth’s Big Fat Broadway and Seth Speaks. He interviewed Dr. D’Amico about foot health issues not only affecting performers but everyday people as well. “No one is born with perfect feet” is how Dr. D’Amico began the show.
 
 Seth Rudetsky and Dr. Joseph D’Amico 
     
Dr. D’Amico went on to explain that “depending upon the degree of hereditary imperfections in the feet that are retained into adulthood, the stresses and strains placed on them will determine whether or not an individual develops pain or deformity.” On the show, D’Amico discussed how faulty foot function negatively affects the knee, hip, and back. Since the foot is the foundation for the rest of the body, it is not only those with foot problems who should see a podiatrist but anyone experiencing lower extremity pain would benefit by starting from the ground up and have their feet examined.
Gilljan1518A

PODIATRISTS AND FOOTWEAR
Protective Footwear a Must in Cold Weather: IL Podiatrist 
 
Not everyone remembers to take care of their feet in winter, and sometimes on warmer winter days (15-25 degrees), people fail to protect their feet altogether. “I have people come in at times in the Crocs, with the air holes in them,” said Leonard Kuzmicki, DPM. “Dress for the weather.”
 
Dr. Leonard Kuzmicki
 
Dr. Kuzmicki also sees people who wear sandals in winter and say the cold doesn’t bother them, and then when they put their feet up for him to see, he notices signs of cold-related problems. He has seen women who complain of foot pain and sore, red toes and then arrive in thin, ballet slipper-like flats. Or he’ll see people who wear boots with holes or cracks in them, or worn soles, which can cause them to slip and fall, in addition to increasing the odds of their feet getting wet and cold.
 
Source: Craig Starrett, News Tribune [1/19/18]
Amerxdec1117

PRACTICE MANAGEMENT TIP OF THE DAY
Ways to Become a 5-Star Physician in Reviews - Part 5
 
5. Patience with Patients
 
"Garnering a high rating is automatic so long as you spend the time to get to know your patients, listen to their issues, provide multiple options for treatment, stay knowledgeable and up-to-date in your area of expertise, and communicate. Patients want to be able to discuss and be educated about their medical issues. They appreciate your time and thoughtfulness when it comes to their illnesses and conditions." - Napolean Maminta, MD, primary care physician, Naptown Priority Health, Nobelsville, IN.
 
Source: Mark Rowh, Physicians Practice [1/11/18]
ICSjan2918

Query: Treatment for Metastatic Cancer Spread to Feet
 
A 65 year old female with a history of ovarian cancer (2 recurrences) presents with swollen, red (not bruised), mildly painful 3rd digit of the left. The area is hot and there is no exudate or visible opening in the skin. The patient reports dropping something on the foot a month ago. This is the only area still painful. She is a retired neurologist who has always wanted to dance, and has joined a local dance group after retirement.
 
Problem: A month post-accident, I have ruled out a fracture, infection, or gout. If this is, as I fear, metastatic disease, what do I do? As far as I know, metastasis to the digits signifies a terminal event. I will certainly notify her oncologist, but will amputation prolong her life? It certainly will interfere with the dancing she loves. Considering 'first, do no harm', does she get benefit from surgery weighed against losing part or all of dance in her remaining life?
surefitnov2017A

QUERIES (NON-CLINICAL)
Query: Template for Credit Card Collections of Deductibles
 
Our practice is looking for a method to collect on high deductible patients via pre-authorized credit cards once the insurance company has concluded the claim. Does anyone have a template of a form they use in this regard?
 
Amy Sepehri, Practice Manager, Chicago, IL
picadec1817

RESPONSES/COMMENTS (MEDICAL LEGAL) - PART 1A
From: Stephen Musser, DPM, Robert Scott Steinberg, DPM
 
The attorney is NOT the doctor, you are! Unless you really believe, in your professional opinion, the patient’s problem is work-related, I would not write the letter. As you are aware, patients that don't work on concrete can also get plantar fasciitis.
 
Stephen Musser, DPM, Cleveland, OH
 
Deny the request. If the patient is yours, first explain to them the ethical reasons you cannot state their plantar fasciitis was work-related, then respond to the attorney. Of course, some attorneys can't be deterred, and they'll find someone who can be more "friendly". Don't be that doctor. If plantar fasciitis can be asserted to be work-related, the flood gates will open.
 
Robert Scott Steinberg, DPM, Schaumburg, IL
realm

RESPONSES/COMMENTS (MEDICAL-LEGAL) - PART 1B
From: Elliot Udell, DPM
 
In my 35+ years of practice, I have seen many patients who presented with foot pain along with a history of working in a warehouse all day on hard concrete floors. Since the query involves a legal matter, the question must be asked as to why "that" one employee developed the problem in that particular work environment and other workers did not. Were there other contributing factors such as abnormal biomechanics, loss of a plantar fat pad, obesity, or an employee willing to work all day in shoes with little to no padding.
 
Because most, if not all of the cases, I have treated with that same presenting history were not involved in litigation or seeking workers compensation, I was able to attain great clinical outcomes with these patients by prescribing either a better shoe and/or making them good custom orthotics with built-in cushioning. One caveat is that if you choose to go the route of orthotics, choose a lab that can and will make an orthotic with sufficient cushioning. Prescribing a rigid device for a patient as described, unless the problem is purely biomechanical, could make a bad situation worse. 
 
Elliot Udell, DPM, Hicksville, NY
bakojan2218A

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A
From: John V. Guiliana, DPM, MS
 
I wholeheartedly agree with Dr. Kashan and Dr. Ressler. It saddens me when I hear physicians state that "their practice has no value and they will someday just close the doors". Surprisingly, I hear this quite a bit.
 
A practice is a living and breathing entity. It needs to be continuously nourished and maintained. Marketing, continuous quality control, investment in technologies, optimizing processes, etc. all create inherent value throughout the years. In the end, the fair market value can be computed through various techniques which often revolve around net earnings and an applicable capitalization rate. Leave that to the experts. But there are buyers out there, so please take good care of your practice and it will certainly provide you with post-retirement income. 
 
John V. Guiliana, DPM, MS, Little Egg Harbor, NJ
pedicis59b

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B
From: Bret M. Ribotsky, DPM
 
I have been consulting and advising for the past 18 months in the buying and acquisition market for medical dermatology practices. While I have not specifically worked with the DPM market, the foundations and principals from the hedge funds and private equity people are similar. It’s all a function of EBITA (Earnings before interest, taxes, and amortization. EBITA refers to a company's earnings before the deduction of interest, taxes, and amortization expenses). 
 
In simple terms, it’s the PROFIT left over after you have removed your ownership from the practice and paid someone (or you) to do the work you have done. For example, if you're a single practitioner and your practice gross is...
 
Editor's note: Dr. Ribotsky's extended-length letter can be read here
RediH-thotics

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Worn by Eagles fans at the "Big Game"

Source: Elite Daily [1/20/18]

extremityjan118

MEETING NOTICES

presentdec2517C

OHIdec1117C

dermfootfeb518

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Choose any or ALL from 30+ CME Category-1 articles posted


CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - MARYLAND-ANNE ARUNDEL COUNTY 
 
(PRICED TO SELL) Full-time, solo podiatry practice of 40 years includes office condominium and licensed surgicenter. Located in professional building near two hospitals. Fully equipped with digital x-ray system and EHR. Practice­ Condominium Office - Surgicenter ready for motivated ambitious individual to step in and earn immediate income. Perfect for recent residency grad. Email: practiceforsale@comcast.net
 
PRACTICE FOR SALE - OCALA, FLORIDA    
 
3,500 sq. Foot Office. 27 year old surgical practice. Surgical suite. Two New Micro-100 complete sets as Well as two large surgical trays. Operate in office or hospital!  FIRE SALE - MUST SELL IMMEDIATELY!!! Email OPC55@aol.com or call 352-816-1155
 
EQUIPMENT FOR SALE 
 
Full office of podiatry equipment for sale. Treatment chairs, x-cell x-ray, Pelton Crane autoclave, hyfercators, SIUI ultrasound, therapeutic ultrasounds, waiting room chairs, view boxes, hand instruments, supplies and so much more. Too numerous to list. All in excellent condition. Retired, must sell. Please call  772-267-5450
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - MARYLAND
 
Come join our team of top docs. Foot and Ankle Specialists of the Mid-Atlantic, LLC has an immediate opening for a non-surgical podiatrist associate position available in one of our established Montgomery County, MD locations. Immediate patient volume from a relocating doctor who has an established , busy non-surgical practice. We have all the administrative, marketing, and assistant help in place to help make your practice, with us, a success. See patients, do your charting, and leave the rest to us.  Email your resume and cover letter to newdpm@footandankle-usa.com. We look forward to receiving your information!
 
ASSOCIATE POSITION – RICHMOND, VIRGINIA
 
Highly respected, high referral, busy podiatric practice seeking a dedicated, hardworking, motivated candidate with an excellent bedside manner. Located on the campus of a major hospital with an excellent working relationship with the hospital administration and the orthopedic, vascular and plastic surgery providers. We’re seeking a long-term team player dedicated to providing high quality patient care. Must have a minimum of 3 years surgical residency training and comfortable with foot and ankle reconstructive surgery. We currently have 3 podiatric surgeons. Please send CV to: mwaskin@footandankle-usa.com or call the practice administrator at (804) 320-3668 to arrange a phone meeting.
 
ASSOCIATE POSITION - FLORIDA 
 
We are a growing practice with three podiatrists working in 1 office and on staff at 3 hospitals, seeking PSR-36 board certified/qualified foot and ankle surgeon. Practice is equipped with certified EMR, digital x-ray, and laser. Highly trained bilingual staff. Must speak fluently English and Spanish. Send CV to tvaldizan@birdroadpodiatry.com
 
ASSOCIATE POSITION - SOUTHERN MARYLAND 
 
Established practice looking for a full-time podiatrist for our Waldorf, MD and Clinton, MD locations. Must live within 20 miles from the office. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general footcare. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol based office. Please send CV to footdocs17@gmail.com
 
ASSOCIATE POSITION – SANTA CRUZ, CA 
 
Group practice seeking a full-time well trained podiatrist. Opportunity for a surgically trained board qualified/certified doctor. Two office practice located in beautiful Santa Cruz, CA. Must have California license and Flouro certificate. Excellent compensation, 401k, health insurance, malpractice, paid vacation, holidays and CME. Must be willing to merge into an already established protocol-based office and live in Santa Cruz County. Pathway to partnership available. Please send CV and letter of intent to: thefootdocs@outlook.com
 
ASSOCIATE POSITION – SOUTH CAROLINA 
 
Physicians Footcare is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and next exam is June 2018.  Exam application must be submitted 90 days prior to exam date.  If you are ready to earn a comfortable six figure salary; send letter of interest and CV to: scdpmjobs@gmail.com
 
ASSOCIATE POSITION  – DAYTON, OHIO 
 
Highly respected and growing, four podiatrists, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, poses excellent clinical and surgical skills, high-quality patient care, wound care.  Practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative medicine and PRP all aspects of DME. Meaningful Use attested, MIPS-ready. On staff 4 hospitals, no nursing homes. Highly trained staff. Send CV, salary requirements to ohiosurgeons@gmail.com  Excellent compensation plan, base salary and bonus, 401k plan, medical insurance, malpractice, paid vacation, holidays, CME. Signing bonus, ownership via deferred compensation plan.
 
ASSOCIATE POSITION - VICTORIA, BRITISH COLUMBIA 
 
The retirement capital of Canada, Is seeking residency-trained podiatrist To join a multi office practice. Reply to Orthotic4d@shaw.ca
 
ASSOCIATE POSITION – SEATTLE, WA 
 
Seattle suburban practice seeks an associate that has interest in gradual complete purchase over a 2-5 year period. For details, please contact footdoc@aol.com
 
ASSOCIATE POSITION - AUGUSTA, GA 
 
Established group practice seeking PSR 36, Associate lead to Partnership/Ownership. Includes fully accredited Ambulatory Surgical Center, EMR, PADNet, DME, Hospital privileges. All phases of podiatry with wide open opportunities in rearfoot and ankle. Senior doctor retiring in 1 year. Reply: kkronowski1@comcast.net
 
MOBILE PODIATRISTS NEEDED - NEW JERSEY 
 
Well established and fast growing House-call podiatry practice  (www.homefootcareservices.com) is looking for FULL-TIME podiatrist  to do home visits to home-bound patients in New Jersey. We are looking for hard-working, energetic and compassionate doctor.  Excellent pay, benefits, administrative support. Send CV to lana.raginsky@homefootcareservices.com
 
ASSOCIATE POSITION - HUDSON VALLEY, NY
 
Full time associate position in a busy office. Broad responsibilities including wound care, trauma call, hospital rounding, etc. Surgical based practice with privileges to local hospital and surgical center. Comparable pay.  Position available Sept. 2018, will wait for right graduate. Office is located in the beautiful Hudson Valley. Close proximity to NYC as well as a multitude of outdoor activities. Please send CV in an email to hudsonvalleypodiatrist@gmail.com
 
ASSOCIATE POSITION – PENNSYLANIA 
 
Great part-time opportunity for a board qualified / certified podiatrist. Some office-based experience and an outgoing personality a must. Located in Doylestown Pennsylvania. Digital radiology, EMR, 3D orthotic scanning and on-site therapy.  If you love working with great people and patients then send us your CV now!!! info@qualityfootcare.com
 
2019 ASSOCIATE LEADING TO PARTNERSHIP POSITION - FLORIDA 
 
Practice where you want to live! And this is where you want to live; The founding doctor of our uniquely positioned small group in paradise is looking to slow down summer of 2019. We are seeking a podiatrist comfortable in all settings, from foot care to rearfoot/ankle surgery, office to hospital. Numerous hospital and surgical center opportunities abound. Associates and partners have always earned higher than average incomes. Forward us a CV and a note describing what you believe you can bring to us, and come join us in Florida for the good life. westflpods@gmail.com
 
ASSOCIATE POSITION - PHOENIX, AZ 
 
Well established practice seeking a physician for its Southeast valley office. Right candidate must be a motivated individual who wishes to practice podiatric pedicine and surgery in a professional environment that promotes success and offers the right tools to achieve it. Please contact us: FootAnkleCare1@gmail.com
 
PODIATRIST  NEEDED - HADDON HEIGHTS, NJ
 
Well-rounded surgically trained board qualified/certified doctor needed for busy south Jersey practice. Includes hospital work and 2 locations. Must have business sense, a cheerful personality and bedside manner, follow protocols in place, and possess good communication skills.  Practice encompasses all aspects of podiatry. Competitive package. Email CV to hhfootdoc@gmail.com.
 
WOUND CARE FELLOWSHIP - NEW YORK
 
CPME-APPROVED 12 month fellowship beginning July 1st, 2018. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, dermatology, as well as plastic, general, vascular, and podiatric surgeons. Must have completed a PMSR residency. Please contact drarnoldhertz@aol.com or jtfootcare@gmail.com. EOE ( equal opportunity employer)
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,500 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: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com  or call (215) 808-0770.
Disclaimers
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.
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Barry H. Block, DPM, JD
 
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