The Voice of Podiatrists

Serving Over 9,000 Podiatrists Daily

January 12, 2007 #2,788 Editor-Barry Block, DPM, JD

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CA Podiatrists Provides Athletic Shoe Buying Tips

If you resolved to get more exercise, foot guru, Dr. Tim Dutra, can help. Not only is he a podiatrist with decades of experience, but he is president of the American Academy of Podiatric Sports Medicine and consults with the formidable and energetic Cal athletic teams. He has a graduate degree from the School of Kinesiology at Cal State East Bay and says walking for exercise is as easy as, well, putting one foot in front of the other.

Dr. Tim Dutra

But before you don that racy tracksuit and sweatband he has a few words of advice. Getting the right footwear is essential. First, you need a good quality walking or running shoe. Try shoes on in the afternoon and follow Dutra's guidelines: Bend the shoe, making sure it is flexible at the ball of foot, not in the middle; remember, your foot doesn't bend in the middle! Twist the shoe side to side like you're trying to wring it; it should not move, he says.

Source: Carmen Rusca, Contra Costa Times [1/10/07]

Scholl College and CLEAR Announce First Podcast in New Series

Scholl’s Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science has announced the publication of the first Podcast in its new CLEARcast series. The CLEARcast will be released bi-weekly with a mission to review current important literature in the field of lower extremity complications of diabetes. The CLEARcast will interview authors of pivotal papers, as well as other individuals in the profession who are making important contributions to foot-related research, clinical care and education.

Dr. Peter Sheehan

The first CLEARcast summarizes a study by Dr. Peter Sheehan and colleagues, whereby they demonstrated that the four-week reduction in wound area of diabetic foot ulcers receiving standard of care can predict healing at 12 weeks. Dr. Sheehan is interviewed and provides meaningful insight into this important study. The introduction is delivered by CLEAR’s Director, Professor David G. Armstrong, and the CLEARcast is moderated by Lee C. Rogers, DPM.

The CLEARcast is iPod/iTunes compatible and available free for download and subscription at HTUwww.diabetic-foot.netUTH or the iTunes Music Store.

Sen. Kennedy Wants to Extend Medicare to All

The federal government should join Massachusetts, the first state to require everyone to have health insurance, in enacting universal health coverage, said Sen. Edward Kennedy (D-MA), the new chairman of Senate Health, Education, Labor and Pensions Committee. Kennedy has his own version of what universal health coverage would look like -- extending Medicare to all.

Source: Kevin Freking, Associated Press [1/10/07]

Query: Iatrogenic Calcaneal Fractures

Does anyone know the incidence of iatrogenic calcaneal fractures following ESWT?

Art Hatfield, DPM, Long Beach, CA

RE: Medicare COP for H&Ps (Edwin Oghoorian, DPM)
From: Multiple Respondents

It is my understanding that if a hospital accepts Medicare dollars, they must follow the Medicare COPs. The Editor is correct, however, a hospital can credential whomever they chose provided it is not done in a discriminatory fashion but rather is based on some sort of legitimate consistent review process for all providers. This certainly will vary from state to state based on state laws and hospital bylaws.

Perhaps someone can confirm my memory on the COP issue we fought so hard for so many years.

Lloyd Smith, DPM, Newton, MA, lloydpod@yahoo.com

APMA is working on additional information that may be used by APMA members when dealing with their local hospitals. This information should be available for APMA members in the near future. However, we expect the kinds of problems encountered by Dr. Oghoorian to occur because each hospital has its own bylaws that govern the practice of medicine at each individual hospital. Therefore, members will need to take the information provided by APMA and tailor it for use in dealing with the specific issues of your hospital. As posted by PM News, the conditions of participation are found at
http://www.apma.org/s_apma/bin.asp?CID=981&DID=20630&DOC=FILE.PDF

Ross E. Taubman, DPM, Vice-President, APMA, RETaubman@apma.org

This is a perfect example demonstrating why you should be a member of your local, state and national associations. The APMA worked hard to get the CMS to include DPM's in the COP's to be included a class of “physicians” (as defined in section 1861(r) of the Act), who are now allowed to perform H&Ps in Medicare-certified facilities. Each hospital had its own bylaws where they must consider state Law and the Practice act in that state, as well as the Accreditations from JACHO or whoever accreditates their particular hospital as well as the Medicare requirements for participation (if they intend to get paid by Medicare). Your state Association has worked very hard in your behalf to ensure these privileges would be available to each practitioner who is qualified to perform them.

As a CPMA member you can contact your association to help you get the privileges you deserve, as your dues helped to get the California state law passed to enable you to get this privilege. They can do this by helping you to get the materials you need to present to that facility to help persuade them that this is a privilege you deserve. You must show education and training for any privilege you request, as well as show it is consistent with state law.

If you are not a CPMA member it may be very difficult to get these privileges on your own, as it is very expensive to litigate to stop an entity from discrimination by degree for privileges or payment. Without strong state and National Associations they may not be there when you realize you need them to fight a hospital or an insurance company that may discriminate due to lack of information or an inherent dislike of who you are or what you stand for.

Jan David Tepper, DPM, Upland, CA, jdtdpm@aol.com

This is another form of discrimination against podiatrists organized by the medical profession i.e. DO's and MD's. I wonder if the same hospital denies oral surgeons from performing H&P's? The COP bill passed by Medicare is only rhetoric without teeth to ensure against discrimination. The bill should have stated that podiatrist would be held to the same hospital bylaws allowing DO's and MD's to perform H&P's. I'm afraid podiatrists have along way to go before changing the mindset of many hospitals credentialing boards! I remember the struggles that DO's had when initially applying for privileges in the 1950's. They too were denied recognition by the MD's.

Dan Klein, DPM, Fort Smith, AR, TOEFIXER@aol.com

RE: Arthur Wolstein, DPM Receives Overdue WW II Medals
From: Joe Addante, DPM

Congratulations to Arthur, a long and faithful member of APMA. It was very pleasant to hear the news and know he has reached the ninth decade. I have known him to bring honor and respect to our profession for many years. I have enjoyed his ready smile and friendly attitude on each encounter of meeting him. Wish him well, continued health, and happiness.

Joe Addante, DPM, Fitchburg, MA, vze2fhhs@verizon.net

RE: PM Celebrates Its 25th Anniversary
From: Scott Kantro, DPM

True excellence is hard to come by, no matter how diligent we may be in our constant pursuit of it. In Dr. Block’s leadership of PM, if we haven't experienced the manifestation of true excellence, then we certainly have experienced the closest thing to it.

Congratulations Barry

Scott Kantro, DPM, Pound Ridge, NY, skantro615@aol.com

ASSOCIATE POSITION - NORTHERN VIRGINIA

Well-established, busy, diversified, multioffice/multidoctor practice seeking associate with opportunity for partnership. Must be highly motivated and ethical with strong interpersonal and patient skills. Excellent opportunity for PSR 24 or higher trained individual to complement a full-scope podiatric medical and surgical practice. Competitive salary and benefits package. Please send CV and references to saglag2@aol.com or fax to (703) 368-5103.

ASSOCIATE POSITION--PHOENIX SUBURB

Attractive opportunity for enthusiastic, proficient, and personable associate. Well-established modern practice with multiple newer spacious offices, technology and equipment. Solid referral base, close to hospitals, knowledgeable certified staff. 22% MCR. Practice and surgical center partnership potential opportunity. Prefer 24-36+ PSR. Send CV: AZpodassociate@aol.com

ASSOCIATE POSITION – ST. LOUIS, MISSOURI

Immediate Opening. Busy practice in prime suburban St. Louis location looking for a surgically trained associate, possible partner. Must be honest, ethical and hardworking. ABPS preferred, but not required. Please reply with CV and requirements to mdwrtw@aol.com

ASSOCIATE POSITION—NORTH COASTAL CALIFORNIA

Two fully staffed rural offices with continually growing patient load. We take care of all aspects of podiatry: assisted-living centers, palliative care, wound care, biomechanics, surgery, diabetic care. Hospital privileges are available to those properly qualified. If you are interested in challenging and hard work leading to partnership, send your CV to jimf@humboldt1.com

PODIATRIST WANTED - MARYLAND / WASHINGTON D.C.

Mid-Atlantic Permanente Medical Group (MAPMG) has a full-time position for a board eligible/certified podiatrist to join our team. PSR 24 or PSR 36 preferred. The practice includes all aspects of podiatric medicine, including forefoot surgery, rearfoot and reconstructive surgery, diabetic foot care, limb salvage, sports medicine and general podiatry. Operating under the Kaiser Permanente umbrella, MAPMG is a family of over 800 physicians who proudly serve 500,000 health plan members. We offer an excellent starting salary and full benefits, including professional liability coverage, shareholder opportunities and bonuses based on group performance.

To apply online, go to http://physiciancareers.kp.org or send C.V. to: Pattie Dascenzo at MAPMG, 2101 East Jefferson Street, 3rd Floor East, Rockville, MD 20852. EOE

ASSOCIATE POSITION - CINCINNATI, OHIO

One of the largest podiatry practices in the United States is again in need of a PSR 24-36 Associate. All present doctors are in their thirties with similar training. Everyone is treated equally and there is definitely no limit to your success. Please submit resume or contact Karen Roesch via email or phone. Kroesch4poh@aol.com (513) 729-4455

OFFICE SPACE TO SHARE – MANHATTAN / PLAINVIEW, NY

East 60th and or East 22nd in Manhattan and on South Oyster Bay Road Plainview. Turnkey operation, all equipment needed is available as well as an extremity MRI, fluoroscopy, x-ray and surgical equipment. Each office has an operating room with anesthesiologist available for iv sedation. Call 516 476-1815 or email to podo2345@aol.com include a phone #.

ASSOCIATE POSITION – MISSISSIPPI

Well established, busy, 3-doctor practice seeks PSR 12 or 24 trained podiatrist for associate position to fill vacancy of retiring member. East central location is a great area to raise a family and is a prime location for accessibility to several major cities. Competitive salary, benefits, and incentives. Partnership possible in 2 years to right individual. June - July start date. Applicant must be ethical, personable, and motivated. Please E-mail CV and letter of intent to shanegan@bellsouth.net

ASSOCIATE POSITION - LOS ANGELES/SOUTH BAY AREA

Multi-office, multi-doctor, well-established practice near the beach cities. Seeking a board eligible/certified PSR-24 or PSR-36 trained foot and ankle surgeon. Well-rounded practice requiring knowledge in biomechanics, pediatrics, sports medicine, diabetic wound care, trauma, and reconstructive foot and ankle surgery. Full-time position available immediately with generous compensation and benefits, including malpractice, and health insurance. Two-year commitment required with partnership opportunity. Send CV to akemfoot@sbcglobal.net or fax to (310) 838-0227

POSITION AVAILABLE-SOUTH FLORIDA/BROWARD COUNTY

Needs 2 or 3-year post surgical training in forefoot and rearfoot
Salary plus incentives Email responses to office email: advfoot@bellsouth.net

POSITION AVAILABLE - SOUTHEAST TENNESSEE/ NORTH GEORGIA

Immediate position available or will wait for the right individual. Unique practice opportunity in growing multi-physician/multi-office practice. Well established/cutting edge within the medical community. Close proximity to hospitals as well as opportunity to become involved with a free standing podiatric surgical center. Must be BQ/BC. Minimum PSR/24. Competitive salary, bonus structure and benefits. E-mail CV to afcjen@hotmail.com

ASSOCIATE POSITION - CENTRAL CALIFORNIA

Central California multi-location practice looking for PSR-36 associate leading to partnership. PSR-36 trained podiatrist with great opportunity for reconstructive surgical practice. Practice has Medicare-approved surgery center. Must have excellent interpersonal skills. Excellent salary and incentive. Respond to: westsidefoot@yahoo.com

ASSOCIATE POSITION- PALM BEACH COUNTY, FLORIDA )

Excellent opportunity for a hard working, motivated podiatrist to join a vibrant, successful and growing podiatric medical and surgical practice. Partnership opportunity available. Seeking a board eligible/certified trained foot and ankle surgeon for a well rounded podiatric practice. Position is available immediately. Competitive salary. Please respond to springwm41@aol.com

ASSOCIATE WANTED FOR SOUTH MIAMI AREA

Large group, busy, multi-office, partner potential. Motivated applicants only. Mail resumes and letters of intent to 999 N. Krome Avenue, Homestead, FL 33030. July start time OK, sooner preferable. E-mail lianadpm2@aol.com. I can also be reached at 305-331-4501.

ASSOCIATE POSITION- KANSAS CITY, MO

Excellent opportunity for a hard working, ethical podiatrist to join a vibrant, successful and growing podiatric medical and surgical practice. Dedicated, supportive staff with strong marketing and medical knowledge. Must be board eligible/certified. PSR/24. Partnership opportunity. Competitive salary, bonus structure, benefits. Wonderful place to raise a family. Fax CV to 816-455-8901

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