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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,241 Subscribers Daily
January 28, 2016 #5,588  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Do you use diagnostic ultrasound in your practice? |
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| PODIATRISTS IN THE NEWS | |
Podiatrists Ranked 15th Best Job in America
What do an orthodontist, accountant, and nurse practitioner have in common? They’re all great jobs. And while selecting a career is a personal decision, high-quality jobs typically share certain characteristics, including high wages, low unemployment, and good work-life balance. U.S. News’ list of the 100 best jobs highlights the professions that have those traits in common.
15. Podiatrist
Median Salary: $120,700
Unemployment Rate: 2.1 percent
Expected Job Openings: 1,400
These medical professionals diagnose and treat problems in the feet and ankles. Podiatric medical school and advanced training are required to enter this field. Podiatrists ranked above surgeons (#16) and physicians (#19)
Susannah Snider, US News & World Report [1/25/26]
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| PODIATRIC PRODUCTS IN THE NEWS | |
PICA Announces Collaboration with Meet the Masters
PICA, a Franklin, TN based professional liability insurer for podiatric physicians, has entered into a new collaboration with Podiatric Success, home of Meet the Masters. “One of the strengths of PICA is that we are constantly looking for ways to increase our communications with podiatric physicians,” states Dr. Ross Taubman, President of PICA. “The greatest type of communication is interactive. That is why we have decided to build a discussion forum with Meet the Masters, as well as providing topics on their new Lunch with the Masters program. It allows us to address the risk management and practice management concerns of podiatrists head-on,” said Taubman. This new program is projected to roll out by April 1, 2016.
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Drs. Ross Taubman and Bret Ribotsky |
With over eight years of history and more than 350 Masters interviewed, the Meet the Masters series takes an in-depth look at the newest treatments and protocols currently available, including information about how to maintain a successful podiatric practice and the most up-to-date news of the trade. “PICA and Meet the Masters are beacons of success in our profession, and this collaboration is a new, professional outlet for today’s busy podiatric physicians to discuss industry, practice, and risk issues,” said Dr. Bret Ribotsky, host of Meet the Masters.
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| PODIATRISTS OUTSIDE OF PODIATRY | |
EHR Workarounds Potentially Dangerous: PA Podiatrist
EHRs' negative effect on workflow is a chief reason why clinical users are tempted to devise and use workarounds to simplify or expedite task completion. Those workarounds, depending on the system and the user, might be harmless in some cases but potentially dangerous in others.
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Dr. Lorraine Possanza |
Lorraine Possanza, DPM -- a senior safety, risk and quality analyst and health IT patient safety liaison for the ECRI Institute -- cited a workaround that could compromise safety: instances of nurses scanning a printed sheet of patients' barcoded IDs rather than scanning the patient's wristband itself, as recommended, presumably to save time. "We have also seen cases in which a patient's medication list is scanned into the EHR [as an image], rather than entered, which could result in alerts not being triggered," said Possanza, who was a podiatrist and health law attorney before she moved into the quality and safety field.
Source: Bonnie Darves, iHealth Beat [1/25/16]
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| REVELANT RESEARCH STUDIES | |
Study Suggests Opiods May Not be Effective in Treating Neuropathic Pain
A new study suggests that opioid prescriptions for patients with neuropathic pain (NeP), may not improve their physical function or disability. In fact, results from the study — conducted by the University of Alberta and published in Pain Medicine — indicate that opioid use could be harmful when it comes to physical recovery for NeP patients. “We studied patients with neuropathic pain from nerve injuries such as diabetic neuropathy and pinched nerves, and the ones who weren't prescribed any opioids had statistically lower disability and higher physical functioning scores," said Geoff Bostick, PhD, lead author of the study.
Results showed that patients prescribed opioid treatment did not report greater physical functioning or lower disability than patients who were not prescribed opioids — even after the results were adjusted for disease severity. The improvements in disability and physical functioning scores from baseline and 12 months for all groups were "modest and may not be clinically significant," authors reported. For those who have chronic pain but are medically cleared for physical activity, a graded approach to recovery is suggested, according to Dr. Bostick. “I tell patients to walk until they are at 50% of their tolerance—walk and stop before the pain gets too bad. Each week, walking time is gradually increased. Over time, this tolerance will slowly increase and so will physical function."
Source: MPR [1/25/16] via Dr. Allen Jacobs
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Jeff Kittay, DPM
Please stop and take a breath before you do all this work on this healthy 30-year old female. Certainly address the left IM angle with a Lapidus with fixation, and the 5th metatarsal osteotomy might require a mini-reverse Austin. But leave those short proximal phalanges alone.
You might consider a Green-Reverdin distal 1st met osteotomy rather than an Austin. This way you can create whatever lengthening of 1st met you need by slightly angulating the DP (frontal plane) cut from medial proximal to lateral distal instead of the traditional straight medial to lateral. Accompany this with a complete lateral release and you should preclude the 2nd metatarsal osteotomy altogether and re-establish the correct met head parabola.
Jeff Kittay, DPM (retired), San Isidro, Costa Rica
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Jeffrey Kass, DPM
I think if you perform a Lapidus which you relate that you are planning, there would be no need to perform the Austin on the same foot, as the Lapidus should fix your IM issue. What are you trying to accomplish with the Austin that you feel the Lapidus won't cover?
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: William Deutsch, DPM
The point of a license change for podiatry isn't to feel important or even to gain self-respect. It's to establish professional parity among medical doctors performing the same tasks, but as podiatrists, being paid differently.
Dr Khosroabadi's post is inspiring but it misses the point entirely. Not all podiatrists seek the type of niche he has carved out for himself. Combining MIS and open procedures isn't re-inventing the wheel, but...
Editor's note: Dr. Deutsch's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: David Secord, DPM
I think it is interesting to try to follow the logic on the page with Dr. Khosroabadi’s monograph. In terms of an Aristotelean syllogism: I’m doing well. I have a DPM degree. All DPMs can do well because I’m doing well.
Whether this is fallacious reasoning or not, it misses the point that there is a sea change in our world and that is what Dr. Klein is addressing. It has always been the case that not a single thing we do can’t be done by some other specialty (unlike dentistry, which has a virtual lock on what they do). Those other professions are likely to perform the task at a lesser level of competency, but...
Editor's note: Dr. Secord's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1C | |
From: Jeffrey Kass, DPM
Dr. Klein - great idea. When you succeed in getting ten podiatrists signed up, give me a call. It will never happen. Unfortunately, most of our colleagues are too apathetic, or think the issue will resolve itself, or they are protected as they are in an IPA, or work for a hospital, or are part of an orthopedic group, etc. But, rest assured, we will suffer for not striking, and it will cost the profession (all of medicine) in the long run....I say this with confidence as the current state of medicine is already ridiculous and a joke and "believe you, me", as my Grandfather would say, "it's not getting better."
Haven't you heard the latest? It's called "value-based care" - that's code word for "capitation." I was just in Times Square for the NY Podiatry Conference. The pedi-cabs have a sign "three dollars a minute". I wonder if podiatry will be making that much in the value-based care model.
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1A | |
From: Paul Fogel, DPM, PA
As a Vietnam War veteran medic in the '60s, a PA since 1973, and a DPM since 1980, I have come to a conclusion that may not make many here happy. When I first worked as a PA before there were very many in 1973, nobody knew what I was capable of doing. I worked in almost every department in the hospital and then was the only PA in the hospital for 350 beds. Feeling it was basically a dead end because nobody knew what to have me doing, I became a podiatrist at the urging of other DPMs with whom I scrubbed in surgery.
I had done every type of surgery except neuro and cardiac by that time. As a PA, I was segregated and as a podiatrist, worse. All my MD friends thought I was a sellout. I knew I would be a great doctor because I cared about patients. As a podiatrist, I received nothing but disrespect. I was considered an “O" doctor. When someone asks "What kind of doctor are you?, I answered, a podiatrist, to which the reply was "Oh." It pretty much seemed that no matter what...
Editor's note: Dr. Fogel's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1B | |
From: Tip Sullivan, DPM
I am all for the MD-DPM or DPM-MD degree. I would love to see a comparison between the degree curriculum proposed by Dr. Hrywnak and one of any accredited medical school offering an MD degree. I also agree with Dr.Khosroabadi in his point that one’s work determines the recognition and success they achieve – not the degree. I have been practicing for 27 years. I have been doing what I think is a good job and have gained respect and a large referral base from MDs, DOs, and DPMs. I think the perception of DPMs has changed, as well it should over the years. In my state, in the past, we have had several DPMs who were not residency-trained doing substandard surgery in their offices. Until these people retire, we will be looked at as on the fringes of medicine (not to say that there are not great podiatrists here who are not surgically-trained and do a great job in general podiatry).
The change from the fringes is happening slowly, and we will continue to “evolve.” I think this really began with our attempt to standardize training. There is a great difference in a podiatrist's training coming out of a four-year school without residency versus seven years, yet both are limited license practice providers and are seen by our MD and DO colleagues as the same. Getting an MD-DPM will not change an individual’s desire to do a good job or change the respect they achieve in their work. It will give those who do not know the difference (which is the majority of MDs and DOs that I know) something to use to assure themselves that we have a good medical-based training curriculum similar to their own.
Tip Sullivan, DPM, Jackson, MS
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Recycled from clothes pins? |
Source: Gal Souva, Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2- ASSOCIATE POSITIONS AND FELLOWSHIPS |
POSITIONS AVAILABLE - FULL TIME/ PART TIME WISCONSIN
Opportunities to serve residents of long-term care facilities in Madison and Eau Claire areas of Wisconsin. High earning potential with competitive benefits as part of a 40 year old company for the right candidates. Contact ckestner@preferredpodiatry.com for additional information.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION – MANHATTAN
Well-established practice on Park Avenue seeking long-term associate with good social and clinical skills. ACFAS Board Certification or Qualification with podiatric medical and surgical experience necessary. EHR and ICD-10 a must. No residents please. Please email CV and cover letter to healthyfeetny@gmail.com or fax to 212-889-6150.
ASSOCIATE POSITION – PHILADELPHIA, PA
Philadelphia podiatry practice is looking for part-time to full time podiatrist to work 2-3 days per week. Multiple clinics and recovery centers. Someone already credentialed with local insurances, if not we will work to get you on as many plans as possible. Compensation package with bonus structure. Please submit CV to smithmedicalpc@gmail.com
ASSOCIATE POSITION AVAILABLE - CALIFORNIA
Busy three office practice in Santa Cruz County, California seeking new associate. Must be BQ or BC. Full scope of patient care. Competitive salary, and health insurance. Come join us on the beautiful California coast. Please forward cover letter and CV to skyandellie@yahoo.com.
ASSOCIATE WANTED - SOUTHWEST, FL
Associate position: now or July '16: must be BC or BQ by ABFAS, ability to work independently on complex cases. Hospital rounds, ER calls, great work ethic, team players needed. Fellowship experience preferred, not mandatory. LOI, LOR from director, CV. great salary + bonus, partnership buy-in. Naples, FL klamdpm@hotmail.com
ASSOCIATE POSITION - NEW YORK CITY & QUEENS
High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Preferably a Spanish-speaking podiatrist. Contact me at Podocare123@gmail.com
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Established practice seeking ethical, skilled, hard working associate in summer 2016. Must be BQ(or BC) ABFAS and 3 year residency trained. Competitive salary and benefits with bonus and early partnership opportunities. Should have strong interest in advanced wound care. Great location and community. Forward cover letter and CV to: scsoledocs@gmail.com.
FELLOWSHIP – DIABETIC FOOT & WOUND (TEXAS)
One position for a 12-month TMB-approved Diabetic Foot and Wound fellowship beginning July 1, 2016. Candidate must have completed a podiatric residency/plastic surgical residency/general surgery residency and be eligible for Texas Medical License. Training involves all aspect of diabetic foot management. Curriculum focuses on surgical limb salvage, and medical management of the complex wound patient. Interested candidates should email their CV, personal statement and 3 letters of recommendation to latonya.rosales@utsouthwestern.edu. UT Southwestern is an Affirmative Action/Equal Opportunity Employer. Women, minorities, veterans, and individuals with disabilities are encouraged to apply.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
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| CLASSIFIED ADS PART 2 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE TO BUY - FLORIDA
Are you looking to retire soon? experienced podiatrists looking to buy our first established practice, with great potential in the state of Florida. Open to any financing options. Your patients will be in excellent hands. Contact: sunshinefootdr@gmail.com
EQUIPMENT FOR SALE - PADNET SYSTEM
Padnet System for Sale: $5,500. Complete system. The computer has been erased and it’s software updated by Padnet. I will include the rolling stand as well if the purchaser wants to pay the shipping or pick it up on the west coast of Florida. Contact: venicefootclinic@comcast.net
PRACTICE FOR SALE - BRITISH COLUMBIA, CANADA
Have you ever dreamed of owning a practice where you can see 0-50 patients daily, average 100 new patients monthly, have zero accounts receivable, gross $440K per year, live in a beautiful community with skiing, hiking, fishing and boating on your doorstep? Contact pistone@telus.net or call 250-754-4192.
PRACTICE FOR SALE – NORTHERN NEW JERSEY
Established 30 year old practice for sale or for partnership with buy-in. Fully equipped modern upscale office. All the newest technology, including laser, diagnostic ultrasound, digital x-ray, and EMR System. Fully trained experienced staff. Contact drfoot44@gmail.com
PRACTICE FOR SALE – PENNSYLVANIA
Great opportunity for a new practitioner to step into a busy group practice with one doctor retiring. Practice is well established with a good mix of RFC, rearfoot and forefoot surgery, wound care, and diabetic foot care. Full EHR implementation. Practice is in a medical office building with many specialties providing an excellent referral base. Great small town to work in and raise a family. Approx 45 minutes to Baltimore Owner willing to finance and stay during transition. Contact: papodiatry616@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 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 (800) 284-5451.
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| 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.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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