October 22, 2019 #6,532 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
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PODIATRISTS IN THE COMMUNITY
DE Podiatrist Joins Brandywine Podiatry
Brandywine Podiatry has announced the addition of Douglas Appel, DPM, MPH to its expanding practice. Dr. Appel received his doctoral degree in podiatric medicine from Temple University School of Podiatric Medicine and completed a residency at Morristown Medical Center.
Dr. Douglas Appel
In addition, Dr. Appel holds a master’s degree in public health from Drexel University. He is an active member of the American College of Foot and Ankle Surgeons.
MEETING NEWS
APWH Holds Its 2019 Annual Conference
The Academy of Physicians in Wound Healing (APWH) held its Annual Conference last weekend in Philadelphia, PA. Organized by Steven Kravitz, DPM and Robert Gunther, DPM, this multi-specialty conference was attended by podiatrists, dermatologists, primary care physicians, vascular surgeons, physician extenders (NP, PA), and wound care nurses. The theme of the meeting was not only how to treat wounds, but how to manage their underlying etiologies.
Dr. Steven Kravitz
The following podiatrists served as part of the multi-disciplinary faculty: Barry Block, DPM, JD, Michael Brody, DPM, Randolph Fish, DPM, Jeffrey Galitz, MD, DPM, Allen Jacobs, DPM, James McGuire, DPM, and Harry Penny, DPM. APWH is currently the fastest growing wound care organization in the U.S., and is associated with international, collaborating wound care societies. It will hold its next Annual Conference October 15-18, 2020 in Philadelphia.
PODIATRIC PRODUCTS AND SERVICES IN THE NEWS
NY Podiatrist Announces Mogul K-Wire/Pin Insertion Guide
Stuart J. Mogul, DPM, a podiatrist in Manhattan has announced the immediate availability of the Mogul K-Wire/Pin Insertion Guide. The orthopedic foot surgery medical device is manufactured and sold through Innomed, Inc., a Savannah, GA-based orthopedic medical instrument manufacturer.
Dr. Stuart Mogul
Dr. Mogul stated, “My pin guide takes the guesswork out of inserting transmetatarsal pins in the surgical correction of bunions in an operative setting. This allows for highly improved accuracy with less tissue disruption and decreasing time in surgery and anesthesia.”
Source: Cision [10//21/19]
PRACTICE MANAGEMENT TIP OF THE DAY
7 Conveniences Patients Expect from Today's Medical Practices - Part 1
Today’s patients expect the same conveniences from medical practices that they receive from restaurants or retailers. If they don’t get them, they will find another doctor. If practices want to compete in today’s healthcare environment, they need to offer patients convenience. Here are the top 7 things patients expect from their doctor’s office.
1. Easy online appointment-setting - Patients can order anything from a book to a mattress at any time with a few clicks on their smartphone. They don’t want to spend 15 minutes on hold to make an appointment. Practices need to offer online scheduling to patients to make it easier for them to book an appointment.
Source: Todd Shryock, Physicians Practice
RELEVANT RESEARCH
Effectiveness of Arginine Supplementation on Wound Healing in Older Adults in Acute and Chronic Settings
This systematic review evaluated the effect of arginine supplementation on wound healing in older adults who are in either acute care or long-term care facilities. A total of 6 studies including 572 patients with pressure injuries were included. Of these, 5 studies found a significant improvement in wound healing in patients taking oral nutrition supplements containing arginine. Daily doses of arginine ranged from 4.5 to 9 grams total. Most of the supplements studied also contained other nutrients such as zinc, vitamin C, vitamin E, and vitamin A.
These findings indicate that arginine supplementation along with oral nutrition supplementation may be effective for wound healing. However, data on the effectiveness of arginine supplementation alone are lacking.
Source: Caitlyn Reed, MD, Practice Update [10/18/19] via Dr. Allen Jacobs
RESPONSES/COMMENTS (CLINICAL) - PART 1A
RE: Re-evaluation of Traditional Angular Parameters for Austin Bunionectomies
From: Lawrence Kassan, DPM
It's interesting that in 2019 we still have a lot to learn regarding bunion surgery. I routinely perform Austin bunionectomies on IM angles of 20 degrees using a modified locking 0.045 K-wire technique and will shift the met head over 50% or more. These patients walk immediately post-op.
Pre- and post-op x-rays
I no longer do any type of lateral release and feel this actually aids in stabilizing the metatarsal head post-op. I have several examples of pre-op, post-op photos, and x-rays on Instagram @ drphiladelphiafeet.
I have been following this discussion for years now, in fact for more than 30. Several different iterations of discussion have evolved over the years based on the instrumentation including burs and motors, as well as intra-operative radiography. I have reached the point where I truly believe that there is a place for minimally invasive surgery, BUT, I also believe that it is not the panacea for every bunion patient that walks in the door. There must be a point where the surgeon decides that perhaps a different procedure may give the patient a better outcome.
This example is one of those cases; given the pre-operative appearance of this foot, I believe that a better course of action would have been a more proximal procedure like a tarso-metatarsal arthrodesis. Critically evaluating these post-operative x-rays, there is quite a bit of shortening of the first metatarsal which is likely to lead to either a second metatarsal stress fracture or metatarsalgia.
I’m surprised that you were able to get Demerol (Meperidine), as I was under the impression that the FDA banned Demerol and Darvon some time ago, along with anything else containing propoxyphene. I tried to avoid it at all costs due to the nephrotoxicity of normeperidine (the 1st pass metabolite).
I agree with most of Dr. Sherman’s assessment regarding a single certifying board. Structurally, it’s a sound solution - a single certifying board and sub-specialty boards for our sub-specialties. However, will it solve the issue of recognition by the public that podiatrists with specialty training are differentiated from “podiatrists”? Dermatologists, vascular surgeons, gastroenterologists, etc. are identified by their specialties; their general medical degree is assumed.
I question whether the public will identify a podiatric foot and ankle surgeon as simply a foot and ankle specialist, or a podiatric dermatologist as simply a dermatologist of the lower extremities, particularly when there are orthopedic foot and ankle surgeons and MD/DO dermatologists. It seems to me the least confusing solution is a single certifying board... the allopathic or osteopathic certifying board with a sub-specialty for podiatric medicine (lower extremity medicine), if necessary.
About twenty years ago, an ultraviolet office filtration system called "Healthy Climate" became available through the Lennox Corporation that promised to reduce the airborne microbes in the office. Two ultraviolet 4-foot tubes were installed just "distal" to the air handler and would illuminate automatically if at least the fan function was on, and of course, when the AC cycled on.
I think this system adds a degree of safety to the office setting. When I purchased it, it was at the beginning of the promotion, so I received a nice price break. Three years ago, I had my local AC vendor/repair people replace the tubes, which are not cheap (they only last a few years). Evidently, through my own and the servicemen's ignorance, I have had useless tubes up in my system for some time. Every two years when I have my AC/refrigerant check-up, I have them look at the tubes to see if they need replacement.
Robert Teitelbaum, DPM, Naples, FL
YOU CAN'T MAKE THESE THINGS UP
RE: Outrageous Shoes of the Day
Called the Lotus, it's perfect for wearing in a pagoda. (Photo: Hiko Mizuno College)
Source: Sanae Kitamura via Virtual Shoe Museum
MEETING NOTICES
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Choose any or ALLfrom 25+ CECHCategory-1 articles posted
CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - UPSTATE SC
Group practice looking for ABPS certified or PSR-36 trained DPM. Must be well versed in forefoot, rearfoot and ankle surgery and diabetic wound care. Senior doctor looking at early retirement or transition to part time work. Please send resume and cover letter to rose6584@att.net
ASSOCIATE POSITION– MARYLAND
Perfect opportunity for highly motivated individual with excellent clinical skills and bedside manner. Candidate must be proficient with inpatient management, wound care and all aspects of podiatry. Competitive compensation package which includes base salary and bonus structure. Email letter of interest/CV to contact@shadygrovepodiatry.com
ASSOCIATE POSITION– BERGEN COUNTY, NJ
Looking for a Saturday and covering podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com. Should you have any further questions, you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION- PITTSBURGH METRO AREA
Multispecialty group is seeking podiatrist to join group to see patients in SNF/LTAC/Hospital setting for wound care and routine foot care. Competitive Salary package. Please email CV to dgolla1@gmail.com
ASSOCIATE POSITION - UPSTATE NY
Rapidly growing practice seeks associate for fast paced, fun, busy practice. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Looking for a motivated individual to contribute to our growth through all aspects of podiatry. Office work, hospital call, and surgery. Please send CV to: docryanlee@gmail.com
ASSOCIATE/OWNERSHIP POSITION – MARYLAND
Looking for highly trained podiatrist with 2+ years of work experience in private practice. High level 3 year surgical residency a must. Ownership opportunity. Inquiries will be kept confidential. Reply: jobavailable36@gmail.com
ASSOCIATE POSITION - KANSAS, OKLAHOMA, CENTRAL TEXAS
If your passion is to enhance people's independence and quality of life through helping them improve their mobility, then a career as a Preferred Podiatry Group podiatrist could be for you. Flexibility, autonomy, resources - they're all yours! High income potential without the logistical hassles of running an office! Significant sign-on bonuses available in these areas too. Please send an email to recruiting@PPGpc.com if you're interested in learning more about PPG podiatric care for residents in long-term care homes.
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
ASSOCIATE POSITION – KENTUCKY
Modern, upscale, all-female group practice seeking energetic, team-oriented and caring FT Associate to join our busy practice. No travel, nursing homes, minimal wound care, or Medicaid. Only 18% Medicare. Compensation benefits: Salary of $125,000 + generous bonus structure, health insurance, 410K, all professional fees covered (including malpractice), time off for paid CME, scrubs/shoes annually, etc. Looking for a highly motivated and ethical individual with excellent clinical and surgical skills (residency must be 3-year surgical with plans on sitting for the FF & RF boards. Please see our website: www.lexpodiatry.com and email drfreels@lexpodiatry.com your cover letter and CV.
ASSOCIATE POSITION – NAPLES, FL
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – CENTRAL FLORIDA
We are an established and growing group of podiatric physicians and surgeons looking for new physicians in central Florida. We are looking for a full-time, hard-working, doctor to join our practice. Board certification or qualification preferred, but not mandatory. We offer a competitive compensation and benefits package for those who would like to join a larger group of podiatric physicians. If interested, please submit your CV to cindy@atlanticfootandankle.com
ASSOCIATE NEEDED - OH
Gentle Foot Care is a rapidly growing podiatry practice. Well established busy 42 year old group podiatric practice with multiple locations. Great opportunity for energetic, motivated, personable podiatrist. Broad scope of practice. Full-time or Part-time positions available. Full-time available if able to travel between multiple locations. High salary based on production includes malpractice. Hospital privileges available. Please send CV and cover letter to pnnywlls@hotmail.com
ASSOCIATE PODIATRIST- CALGARY, AB
Seeking full-time podiatrist for private office in Calgary. Well-established practice equipped with 4 examination rooms, in-suite accredited operating theatre, shockwave therapy and laser equipment, digital x-ray and EMR. Partnership and buyout opportunities available. Interested candidates, please e-mail lalani@alpinefootankle.com
WOUND CARE/RECONSTRUCTIVE SURGERY FELLOWSHIP - MULTI-SPECIALTY SURGICAL GROUP - LOS ANGELES, CA
Multi-specialty surgical group adding wound care and reconstructive surgery podiatry fellowship for 2020-2021 academic year. Will train in multiple settings alongside plastic and general surgery in new outpatient facility. Full salary, health insurance, and housing stipend provided, with more opportunities after completing program. Send CV to: woundcaredocs@gmail.com
INFECTIOUS DISEASE/ WOUND CARE AND LIMB SALVAGE FELLOWSHIP – OHIO
Join a premiere podiatry program. Become a leading expert in our profession. The fellowship has a multi-disciplinary approach to wound care and limb salvage. Participate in numerous surgical procedures. Be exposed to the world renowned Harrington Heart and Vascular Surgery Institute at UH Cleveland Medical Center along with research at Case Western Reserve Medical School. Become part of a winning team. Change your future. One 24-month fellowship position beginning July 1, 2020. Candidate must currently be completing a PGY 3 residency. Application requests: Deborah.mott@uhhospitals.org Deadline November 8, 2019. Interviews: Saturday, December 7, 2019. Visits encouraged. CPME approved
NON-CLINICAL FACULTY POSITION– POMONA, CA
Western University of Health Sciences College of Podiatric Medicine is seeking a podiatric physician who is interested in a full-time non-clinical faculty position at the Assistant, Associate or Professor level. Academic rank will be commensurate with past experience. Please apply at https://apptrkr.com/1591872.
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 18,000 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 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE- 2020 DIGITAL X-RAY SYSTEM
I purchased a brand new combined server computer rather than upgrade the older-type laptop and server to Windows 10. So it’s basically like new. X-ray hardly use. It was at a satellite research office. $17,000 delivered and set up. Email AustinPodiatry@hotmail.com for pictures, details and questions.
EQUIPMENT FOR SALE - PEDCAT 3-D CT SCANNER
Like new PedCat 3-D CT scanner. 50% off brand new machine. Machine is 4 years old and covered for 2 more years under warranty. Location Las Vegas Generate revenue for your CT scans for Medicare and most insurances. Ideal for group of 4 or more. Takes less time than x-ray and replaces it. No special setup needed. Big Tax write off! email:footguru@cox.net
EQUIPMENT FOR SALE- MIDMARK 622 PODIATRY EXAM TABLE/CHAIR
Almost new as it has barely been used. Over $6,000 new, but will accept any reasonable officer as it has to be sold ASAP. Located in Yonkers, NY and will have to be picked up. Email: podiodoc@gmail.com
PRACTICE FOR SALE - EAST BAY OF SAN FRANCISCO
Energetic practice with completely updated technology and ready made patient base. Owner looking to relocate out-of-state. - Full service practice with ancillary services. Practice operated on a part-time basis. Employment option available. Priced to sell. Contact MCrosby518@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 18,000 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.
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Publisher-Barry Block, DPM, JD
