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PM News

The Voice of Podiatrists

Serving Over 18,930 Subscribers Daily


December 14, 2017 #6,079 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2017- No part of PM News can be reproduced without the
written permission of Barry Block

pedifixsep2517B

PM NEWS QUICK POLL

Quick Poll

The ABFAS exam pass rates are...?
rhettdec1117

APMA COMPONENT NEWS

Dr. & Mrs. Steven Berlin Double APMA/APMWA Student Endowment to $50,000  

The American Podiatric Medical Writers Association (APMWA) has announced that Dr. and Mrs. Steven Berlin have added an additional $25,000 to the American Podiatric Medical Association Educational Foundation's Student Endowment. Proceeds from this special endowment fund the annual APMWA Student Writing Competition.

Dr. Steven Berlin

This additional grant will allow APMWA to increase both the number and size of annually awarded prizes to podiatric students who write non-technical papers. The new prize structure will be: First Prize $1,000, Second Prize $750, and Third Prize $500. The deadline for this competition will be April 1, 2018.

luzooct217

toerificoct3017

PODIATRISTS AND DIABETES
Proper Fitting Shoes Essential for Diabetics: NY Podiatrist
 
According to James Hanna, DPM, "Diabetes affects just about every part of the body—including your feet. If it goes undiagnosed for a while or is poorly managed over a long period of time, diabetes can cause a decrease in circulation and nerve function. That’s a problem because neuropathy can lead to numbness in your feet, which can make it difficult to feel that a shoe doesn’t fit properly. Combine nerve damage with ill-fitting shoes, and you have the perfect storm for trouble: blisters and skin breakdown that can lead to infection. "
 
Dr. James Hanna
 
"Poor circulation can slow the healing of ulcers and other wounds, which can up the risk for gangrene and even amputation. Other factors, such as bunions, hammertoes, arthritis, and swelling, may also adversely affect how a shoe fits. People with these conditions may find that selecting a shoe or sneaker off-the-shelf leads to problems," says Dr. Hanna.
 
Source: Diabetes Forecast [November 2017]
Amerxdec1117

MEETING NEWS

12th Annual International External Fixation Symposium (IEFS)

On December 7-9th, 2017, the 12th Annual International External Fixation Symposium (IEFS) sponsored by the UT Health San Antonio Long School of Medicine hosted hundreds of participants from 20 states and several countries from around the world. Guests enjoyed a variety of lectures from national and world-renowned experts, hands-on intensive training for external fixation, flap dissection, intramedullary nailing, and a poster abstract competition showcasing the work of 9 podiatric surgical residency/fellowship academic training programs. 

Attendees at 12th Annual International External Fixation Symposium

IEFS has united the world over the years by bringing together 25 countries for unparalleled surgical training on the diabetic foot and ankle. The tradition will continue with next year’s 13th Annual IEFS to take place on December 6-8, 2018, in San Antonio, Texas.

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HEALTHCARE NEWS
Geisinger Slashes Prescriptions for Opioids in Half Using Provider Dashboard
 
Integrated healthcare services organization Geisinger has nearly cut in half the number of opioid prescriptions written in its emergency departments, physician offices, and community practice clinics by using a provider dashboard linked to their Epic electronic health record.
 
Over the past three years, Geisinger Health System—based in Danville, PA has gone from an average of 60,000 opioid prescriptions per month to 31,000. An innovator in the use of EHRs and care delivery models, Geisinger has used the dashboard to target specific healthcare sites that were writing disproportionately high numbers of opioid prescriptions, according to Michael Evans, associate vice president of strategy and innovation and co-director of the Center for Pharmacy Innovation and Outcomes.
 
Source: Greg Slabodkin, Health Data Management [12/11/17]
ortho10

PRACTICE MANAGEMENT TIP OF THE DAY
Medical Practice Financial Reports Docs Need to See - Part 3
 
Hard data is crucial to Kyle Matthews, chief executive officer of a cardiology practice near Phoenix, and he regularly shares them with his physicians through 10 key financial reports. The numbers tell him — and them — when to hire and when to fire, who has too many appointments, and who has too few, and even when it's time to investigative missing referrals. Matthews recommended providing these financial reports to partner physicians:
 
3)  Monthly Overview
 
Through this report, physicians can review monthly or month-by-month financial data such as accounts receivable and revenue by category.
 
Source: Randy Dotinga, Physicians Practice [10/10/17]
OHICCnov2017

QUERIES (NON-CLINICAL)
Query: Recommendations for Pathology Lab with a Fast Turn-around
 
I am looking for recommendations for a pathology lab with a streamlined process and fast turn-around time. Any suggestions? 
 
Daniel Methuselah, DPM, Columbia, SC
OHIdec1117A

RESPONSES/COMMENTS (OBITUARIES)
 
I am shocked today. Jon was a classmate, friend, and colleague for many years. We shared many experiences during our days as students. We often met during our later years as a result of our commitment to podiatry as volunteers for our beloved profession. He was a wonderful friend, a true asset to podiatry, and will be deeply missed. My deepest sympathy to his family. 
 
Lloyd Smith, DPM, NYCPM, 1974
Jubliajul1017

RESPONSES/COMMENTS (NON-CLINICAL) - PART 1
RE: Venture Capitalists Target the Podiatric World
From: Hal Ornstein, DPM  
 
Corporate America is finally recognizing the value of podiatry. Recently, private equity investors/venture capitalists have taken a very close look at specialty physician groups such as podiatric practices. Many podiatry practices have great growth potential and simply need the guidance and financial backing to significantly increase earnings. Investors are attracted by the prudent, routine medicine practiced in a podiatrist’s office combined with the added benefit of being able to perform profitable elective procedures, such as foot, ankle, and sports medicine surgeries. 
 
Further, there is the potential for ownership of ambulatory surgery centers. By owning and controlling the operating environment, practices are able to function outside hospitals, leading to better physician economics, improved cost containment, and better access to care for patients. From an investor’s perspective, a business model of an efficient successful practice thriving in one location so that it can be replicated elsewhere is very attractive. In fact, the practices that are most attractive to investors are ones that have developed strategic plans to compete against regional health facilities and acquiring smaller practices. By owning and controlling the operating environment, practices are able to function outside hospitals, leading to better physician economics, improved cost-containment, and better access to care.
 
Hal Ornstein, DPM, Howell, NJ
bakosep417

RESPONSES/COMMENTS (NON-CLINICAL) - PART 2
RE: ABPM Wound Certification
From: Randolph C Fish, DPM
 
Parity is here, why take a step backwards? Lately, I have seen several advertisements from the ABPM touting their new examination for certification in wound care. Since the ABPM is a CPME-approved board, I am concerned that someone will perceive that this particular certification is worth more than it is. This is not a board certification. It is, rather, recognition for demonstrating an added skill set called a “Certificate of Added Qualification” (or CAQ for short). There are several exams in the marketplace offering a similar certificate. Whereas the ABPM certificate is for podiatrists only, other groups offer podiatrists the same certification as allopathic and osteopathic physicians, giving parity to DPMs, MDs and DOs in the wound care field. 
 
The certification I prefer is through the Council for Medical Education and Testing (CMET). It is a non-profit, physician-specific examination that has certified DPMs, MDs, and DOs on the same level for the past 10 years. By numbers alone, it is the largest and most widely accepted certification of its kind in the United States. Selecting a certification process is important, and being certified by the same organization that certifies all physicians is a step forward. Anyone who recognizes the need for parity in the wound care arena will look to the APWH and CMET certification.  
 
Disclaimer: I have no financial  interest in either the APWH or CMET. 
 
Randolph C Fish, DPM, Tacoma, WA
2020nov2717A

RESPONSES/COMMENTS (PM QUICK POLLS) - PART 1A
RE: Will eliminating the ACA mandate help podiatry? (Joel Lang, DPM)
From: Jerry Cohn, DPM
 
Dr. Lang makes a statement that is misleading. He states that the CBO determined that a certain number of patients will “lose” their insurance. The statement is misleading as the proposed change in law is to allow a person to unilaterally drop their insurance without fear of penalty. The penalty for not carrying insurance is to be removed, allowing people a choice. It is not changing determinant factors to obtain or keep insurance. 
 
There is room for an argument to be made that there will be more people not carrying insurance and thus presenting to an office in a cash pay situation. How an individual physician handles this predicament is individualistic and would determine the gain or loss in income. 
 
Jerry Cohn, DPM, Greenville, OH
DPM-Preferred

RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1B
RE: Will eliminating the ACA mandate help podiatry? (Joel Lang, DPM)
From: Bryan Markinson, DPM
 
Dr. Lang seems to intimate that it is obvious that podiatry as a profession is better off with the ACA mandate requiring the purchase of health insurance. I am not so sure. My vantage point is from an academic medical center-based practice which is a full-time private practice and a part- time hospital clinic practice. The private SPECIALTY practices largely do NOT participate with most plans offered on the health exchange, which is also true of most of the community-based podiatrists (this is a supposition that I cannot verify). 
 
The specialty clinics largely do participate with the exchange plans, which seem to be nothing more than...
 
Editor's note: Dr. Markinson's extended-length letter can be read here.
richieoct1617

RESPONSES/COMMENTS (PM NEWS QUICK POLLS) - PART 1C
RE: Will eliminating the ACA mandate help podiatry? (Joel Lang, DPM)
From: Judd Davis, DPM
 
I must respectfully disagree with Dr. Lang's assessment of the ACA. Since he is retired, I suspect he is not seeing the reality of the ACA in a private practice setting. I am one of the 34% who feel the ACA has been a massive failure for the following reasons: 
 
1) Most of the ACA plans have huge deductibles, essentially providing catastrophic coverage only. Many of the people who sign up for these plans are completely unaware of this and surprised to find their entire...
 
Editor's note: Dr. Davis' extended-length letter can be read here.
allieddec1117

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

"Broomba" - a low-tech Roomba? (Photo: Charlotte Visser)

Source: Costa Magarakis via Virtual shoe Museum

DrRem37

MEETING NOTICES

OHIdec1117C

IFAFarthro125

ACFAPnov1317

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


CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – CENTRAL NEW JERSEY 
 
Large central NJ orthopedic practice looking for full-time podiatrist with interest in wound care, diabetes, and general footcare. Rearfoot/Ankle training not required. Upcoming 2018 grads and established podiatrists can apply. Must be willing to grow podiatry practice with the ability to maintain and attract patients. Must be willing to live in area as the candidate will actively participate in hospital call and be responsible for inpatient rounds. Please send cv to sdonaruma@midjerseyortho.com
 
MOBILE PODIATRISTS NEEDED - LOS ANGELES, CA 
 
Full Time Position available for podiatrists to visit home bound patients in the LA area and surrounding areas. Excellent compensation, flexible schedule, dedicated office support staff, cloud based EHR system. Email CV to: homefootcare@hotmail.com
 
ASSOCIATE POSITION – DAYTON, OHIO 
 
Highly respected and growing, 4 Podiatrist, 4 location practice seeking PSR-36 board certified/qualified foot and ankle surgeon. Must be dedicated, hardworking, motivated, poses excellent clinical and surgical skills, high quality patient care, wound care. Our practice is equipped with certified EMR, digital x-ray, laser, ultrasound guided injections, Cutera Laser, regenerative PRP and stem cell technology, 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.
 
2018 GRADUATE ASSOCIATE POSITION- LONG ISLAND 
 
Country Foot Care, a Long Island based, well-rounded multiple office group practice seeks 2018 third and fourth year graduating residents or fellows to join our state-of-the-art practices in July. Our practices are affiliated with multiple hospital systems, surgical and wound care centers and a residency program. Requirements: Caring, ethical, board qualified/certified candidates with surgical training and leadership qualities who are willing to live/relocate to the Long Island, NY metro area. Compensation includes biweekly salary, a generous bonus schedule, malpractice and health insurance, paid holidays and PTO. We invite all interested doctors to email their CV to DrLeeb@countryfootcare.com
 
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Riverside County.  Full time, motivated, outgoing associate wanted for immediate opening.  Multi-office, multi-doctor practice is looking for hard-working individual to treat wide range of patients.  All aspects of care including very busy office, surgery, senior retirement communities and managed care.  Speaking Spanish is a definite plus.  Hospital and surgical center privileges available.  If you are willing to work and have good people skills, email your CV to ocpodiatryoffice@gmail.com.
 
ASSOCIATE POSITION – TRACY/MANTECA, CA 
 
Federally Qualified Health Center looking for a dedicated medical and surgical podiatrist to work with our team of Primary Care Physicians. Email CV to marivera@cmcenters.org
 
PODIATRIST FOR HOUSECALLS- NJ 
 
Well established and fast growing Housecall podiatry practice (www.homefootcareservices.com ) is looking for part-time podiatrist (2 days a week) to do house-calls for homebound patients in Southern New Jersey. We are looking for hard-working, energetic and compassionate doctor.  Position will grow into full -ime within 1 year. Please email resume to lana.raginsky@homefootcareservices.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 NEEDED – WARREN/YOUNGSTOWN, OHIO
 
Ankle & Foot Care Centers operates 20 locations in Northeast Ohio. We are looking to add a full-time podiatric physician to help cover expansion of our Outreach/Home Care Services.  Tremendous growth opportunity for a hardworking individual with an interest in wound care, nursing home and house call patient care.  To learn more about us, visit our website at www.ankleandfootcare.com  Please email your letter of interest and CV to Michael Vallas, Practice Administrator at mike@ankleandfootcare.com.   
 
ASSOCIATE POSITION - NORTHERN NJ

Established office w/ 5 DPMs. Large referral base from PCPs, vascular, peds and orthopedists. Well-rounded hospital/surgical center based practice. All aspects of foot and ankle care. Many new patients weekly, solid surgical schedule. Modern office w/ EMR. Involved with residency program. Must have strong ethics and highly motivated. Serious associates only leading to partnership. Must have PMSR/RRA or equivalent training. Competitive compensation package. Starting July 2018. Please email CV to Northnjpod1@gmail.com

ASSOCIATE POSITION - TENNESSEE
 
Extremely busy and growing practice in the booming Knoxville, Tennessee are seeks high energy personable Physician. Immediate patient volume to fill your schedule. High volume practice with partnership available. Please send cover letter, CV and salary requirements to ddavidphawk@yahoo.com.
 
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 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - NORTHERN NJ 
 
30 years. Modern Office. Northern NJ, Passaic County. No Medicaid. Fully equipped, 3 treatment rooms, digital x-ray. Priced to sell Quickly. Email to ToeBizCenter@yahoo.com

EQUIPMENT FOR SALE - 20/20 IMAGING DUAL PANEL DR X-RAY SYSTEM 

I am upgrading to 20/20 high frequency x-ray with wireless DR panel. X-ray for sale has TWO! DR panels. Eliminates the need to bend and move panel when switching from AP to Lateral view!  System comes with Server, software, X ray, 2 panels, installation, training, 1 year support from 20/20 $19,500. New would cost more than 35K. You must move from Manhattan.  Ken Meisler DPM, kenmeisler@gmail.com
 
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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