The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

January 31, 2013 #4,679 Publisher-Barry Block, DPM, JD

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IL Podiatrist Discusses Running Shoes Versus Cross-Trainers

Go with running shoes if you mostly jog or walk, since they’re engineered for heel-to-toe motion. Why not walking shoes? “Running sneakers cater to a wider range of foot types and are built to last longer,” says Megan Leahy, a doctor of podiatric medicine at the Illinois Bone & Joint Institute, in Chicago.

Dr. Megan Leahy

Go with cross-trainers if your routine includes an activity like aerobics, weight training, or kickboxing (basically any exercise on a hard surface that involves side-to-side movement). 

Source: Elinor Smith, Realsimple.com [1/29/13]

Two New Clubs Formed at NYCPM

Among the myriad of clubs at NYCPM, two more clubs have been recently organized: the Asian American Podiatric Student Association and the Podiatric Radiology Club. The Asian American Podiatric Student Association (AAPSA) is a student organization founded in 2011 to reflect the growing number of Asian-American students at NYCPM. Membership is open to all students, not exclusively to Asian American students. The primary focus of AAPSA is to educate and increase awareness of podiatric medicine among Asian-American communities.

The Asian American Podiatric Student Association at a foot screening.

The Podiatric Radiology Club is geared toward helping the student body become familiarized with reading radiographs, as well as being able to radiographically identify multiple pathologies. Drs. Randy Cohen and Jose Loor are the advisors to the club, and graciously volunteer their time in order to benefit the students by holding lectures regarding relevant podiatric radiology topics.

Source: Cailin Rubino, NYCPM Student Alumni Report [Winter 2013]

GA Podiatrist Helps His City Earn RRCA Runner Friendly Community Logo

The Road Runners Club of America has named Columbus a Runner Friendly Community. The honor comes with a plaque and royalty-free use of the RRCA Runner Friendly Community logo for five years, among other benefits. But its significance goes deeper than signage. "It makes me proud to see that the community has grown so much. I want to continue the growth of health and fitness," said Dr. Ed Lopez. The podiatrist is a past president of the Columbus Roadrunners and a current member of the organization's board of directors.

Dr. Edward Lopez

He spent an estimated 80 hours working on Columbus' application to become a Runner Friendly Community. His application included a video, letters of community support, and more. Lopez remembers seven years ago, when the Columbus Roadrunners had approximately 50 members. Now, the group encompasses nearly 700 people, he said.

Source: Sonya Sorich, Ledger-Enquirer [1/29/13]

APMWA Announces 27th Annual Student Writing Competition

The American Podiatric Medical Writers Association has announced its 27th Annual Student Writing Competition.

• All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.
   
• There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.
   
• First prize will be one thousand dollars ($1,000), sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.
   
• This competition is open to ANY enrolled podiatric student.
   
• Entries must be received by 4/15/13 via e-mail at bblock@podiatrym.com
   
• Entries become the property of APMWA, which may arrange publication of the entry

Proposed Meaningful Use Stage 3 Criticized as Hasty and Too Strict

Criteria floated for the final stage of the federal electronic health record incentive program would be extremely difficult for physicians to meet, causing those using the systems at their practices to fall short of requirements and exposing them to lower Medicare payments, organized medicine groups say. The earliest that physicians will see stage 3 is 2016. Stage 2 won’t begin until 2014 for the earliest adopters, and physicians who have not yet adopted EHRs will spend two years under stage 1 criteria before they start progressing to the next stages.

A health information technology committee under the Dept. of Health and Human Services has drafted preliminary recommendations for stage 3 of the EHR meaningful use program. The committee wants the program to support new care models, apply broadly to specialties, and reflect technologies that are becoming available. But physician organizations, including the American Medical Association, are urging federal officials to review and improve the first two stages of paperless record standards before jumping ahead too hastily.

Source: Charles Fiegl, Amednews [1/28/13]

Query: Alternate Local Anesthetic

I have a patient who does not become anesthetized with either an esther or amide-type local. Any suggestions? 

Joe Borden, DPM, Reseda, CA

Query: Diabetic Therapeutic Shoe Bill

With tougher DMERC regulations and increased annual fees, I am wondering if it's still a good idea to participate in the diabetic shoe program in my office. I have been referring my patients out for their diabetic shoes. Is it too late to start participating now?

David S. Chung, DPM, Forest Grove, OR

RE: Pediatric Digital Deformity (Edmond F. Mertzenich, DPM, MBA)
From: Dennis Shavelson, DPM

Why wait until this youngster needs foot surgery. Functional foot type this child (he is probably the double flex type) and then apply foot centering pads as a test drive for improved motor function and posing of the patient’s feet. If the test drive is successful, cast for UCBL foot centering orthotics in the optimal functional position instead of STJ neutral and Rx foot type-specific.

Anecdotally, we have found that this type of device remodels feet in a positive progression rather than a negative one (via Wolf’s and Davis’ laws). This improves foot posture, muscle engine power, and performance over time. Every two years or so, this process is repeated with serial castings and Rxs similar to those for met adductus or internal tibial torsion corrective casting.

Muscle engine training is added when the child is old enough to be trained. This interventional biomechanical paradigm, starting with foot typing will, although unproven, presents a logical progression to try to reverse some of the inherited biomechanical pathology, deferring or delaying familial foot and postural problems from developing over time. I’m sure the parents will agree this is a better course than just waiting.

Dennis Shavelson, DPM, CEO, The FootHelpers Lab, drsha@foothelpers.com

RE: Are Venous Thromboembolisms Preventable?
From: Michael M. Rosenblatt, DPM

It has long been assumed by plaintiffs’ attorneys that venous thromboembolism (VTE), a very dangerous complication of various highly invasive abdominal surgeries and those originating in the lower extremities are the fault of the operating surgeon. Certainly, they will be looking to find a deep pocket to pay for such complications.

But a recent study published on-line from the American College of Surgeons points to the real possibility that VTE is not actually preventable, despite surgeons' following correct and proper pre- and post-surgical prophylaxis. High on the list of causative factors are pre- and post-operative infections.

The study itself mainly dealt with abdominal surgeries, but since many VTEs can originate from a lower extremity, it is possible that the results of this study also apply to lower extremity surgery, although that is not specifically mentioned in the study. At the very least, podiatric surgeons should consider post-operative infections a pre-disposing factor for this serious complication.

Since this particular study did not propose any specific preventative measures, at the very least, podiatric surgeons should be aware of this complication when an infection occurs. This also begs the question of whether or not patients with pre-existing infections should be specifically informed of the concomitant risk of VTE in the case of an invasive procedure done to treat the infection.
 
Michael M. Rosenblatt, DPM, San Jose, CA, Rosey1@prodigy.net

RE: Background Checks of Employees (Donald Carlson, DPM)
From: Fay Mushlin

We have been using Backgrounds Online for several years. We are extremely satisfied with their efficiency, quick turn around time, and pricing. Anyone who answers the phone is able to answer your questions and be of assistance. Website: backgroundsonline.com
 
The company will also supply you with  product and pricing information.
 
Fay Mushlin, Newtown Square, PA, teegee46@gmail.com

RE: Changing Office Hours (Olga Luepschen, DPM)
From: Kathleen Neuhoff, DPM

Our practice sees patients from 7:00am to 6:00pm Monday, Tuesday, Thursday, Friday, and 7:00am to noon on Wednesday and 9:00 to noon on Sat. We have two DPMs, so we schedule one doc from 7:00am to 3:00pm and the other from 11:00am to 6:00pm. Times with highest patient demand are 7:00 to 9:00am and 3:30 to 6:00pm, so we do not schedule any "routine care" patients during these times. 11:30am to 1:30pm are also fairly busy with lunch hour patients. Wednesday is our slowest day (partly because our strappings are done twice a week). If we wanted a shorter work week, we would probably close on Wednesdays.

Fridays are our busiest and most productive days. They are our...

Editor's note: Dr. Neufoff's extended-length letter can be read here.

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - CUTERA GENESIS PLUS
 
Cutera Genesis Plus. 30 months old, low shot count, sku 022012a 1064 ND:YAG  With new handpiece Dec.2011 for 1.5mm adapter go to www.thelasertrader.com Price is $35,000. Save over $29,000. Excellent Condition.

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

EQUIPMENT FOR SALE - USED PINPOINTE LASER

Used PinPointe Laser for sale! $16,500.00 Firm. Please send email to dman1hansen@gmail.com or call 801-870-4161

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE - MARYLAND

Established 1974 treating routine, diabetic, wound care, trauma, workman's comp and surgery. Attached accredited and certified surgery center. High volume with new patients with opportunity for expansion. Long established multiple primary care referral basis including University of Maryland health center. All financial information available. e-mail Msugar8364@aol.com.

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $ 475 with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E- mail wpbfootdrs@gmail.com

ASSOCIATE POSITION - MANHATTAN

Looking to add or combine a conservative podiatry practice with a DME license at my Wall Street and Upper East Side high tech locations.  Opting out of Medicare to go totally cash. I turn away insurance patients every day. Serious, capitalized responders please. Dennis Shavelson DPM at drsha@lifestylepodiatry.com

ASSOCIATE POSITION - ST. LOUIS

Multi-location group practice seeks motivated DPM with initiative and leadership skills to contribute to expanding podiatry group. Must have the confidence to lead you own clinic and the willingness to draw on the expertise that exists within the group. Base salary starts at $100k, with incentives to grow income to $200k+, malpractice coverage, health insurance, 401k, and group bonus plan.  Please send CV to stlpodgroup@gmail.com

ASSOCIATE POSITION - VA (SOUTH CENTRAL)

Thirty year established practice seeking associate. PSR 24/36 training, must be highly motivated, personable, ethical and willing to provide all aspects of podiatric care. Early partnership opportunity with potential ownership. Competitive salary and benefits. Excellent opportunity for a successful career. Please send CV to footcare2020@aol.com or fax to 804 733-5946.

ASSOCIATE POSITION - SOUTHWEST FL

R U a PM&S36 graduate looking for a bright future in podiatry BUT cannot be afraid to work hard to achieve. Complete from nail care to reconstructive ankle/leg trauma. Attitude + god complexes need not apply. Frames, nails, must be comfortable applying. Work hard for a bright future, our group can help you achieve. Send CV, and letter of intent to mny1029@gmail.com

ASSOCIATE POSITION - HUDSON VALLEY REGION, NY

Hudson Valley Foot Associates has a great opportunity available! We’re a high-volume, diversified, multi-office group practice utilizing state-of-the-art modalities. Great growth for a personable and motivated DPM. Please visit www.hvfa.com and forward cover letter with CV to: info@hvfa.com.

ASSOCIATE POSITION IN SOUTHERN CALIFORNIA

Part-time position available immediately, leading to full-time employment, for a motivated, outgoing associate. We are a multi-office, multi-doctor practice based in Orange County and are looking for a hard working individual to treat a wide range of patients in all aspects of podiatry. PSR 24 training a must and Spanish fluency a definite advantage. Email your CV to ocpodiatryoffice@gmail.com.

ASSOCIATE POSITION - MARYLAND

If you are a graduating resident, an established practitioner (available now), and you are enthusiastic, personable, motivated and well-trained, we would be delighted to discuss an associate position in our group with you. We are a 19-doctor group, with 13 locations. Significant patient flow already in place to keep you busy from the start! All the bells and whistles-EMR, digital x-rays, ultrasound, computerized scheduling, certified ambulatory surgical centers, hospital and physician referral base. Please send cover letter and resume to:  newdpm@footandankle-usa.com. We look forward to hearing from you.

ASSOCIATE POSITION - CENTRAL FLORIDA

Busy, well established practice in central Florida looking to fill an associate position leading to partnership for the right person. General and surgical podiatry, wound care. Close to attractions, short drive to beaches. Florida license necessary. Competitive pay with incentives. Please send CV to footpainbegone@Gmail.com.

ASSOCIATE POSITION - SOUTH CAROLINA

Upstate practice seeking PSR-24/36 trained associate. Full-time position with partnership opportunity. Plans include new office and EHR System. Hospital privileges. Near Hartwell Lake and the Blue Ridge Mountains. Please send CV to palpodiatry@att.net.

ASSOCIATE POSITION - FLORIDA

Come practice in sunny Florida! A well-established, very busy solo podiatry practice in the Ocala area has a great career opportunity for a Board Certified/Board Eligible surgical podiatrist. Pleasant work environment with state-of-the-art facility and highly skilled staff. High-end compensation and bonus potential. Excellent benefits and relocation reimbursement. The horse capital of the world, the area also offers great public schools and community colleges, excellent healthcare facilities, and an hour or two from the U of F, airports, beaches, Orlando attractions, a national forest and outdoor recreation opportunities. Forward CV to resume@drsmgmt.com or fax 865-531-0722.

ASSOCIATE POSITION – FENTON, MICHIGAN

Looking for a well-trained, entrepreneurial-minded podiatrist to add to a busy modern practice.(EHR, Digital x-ray, Diagnostic U.S., etc.) Looking for long term associate for growing practice. Please send CV with cover letter to Stephanie@FentonFootCare.com.

ASSOCIATE POSITION - NEW YORK

Established and modern podiatry practice seeking well trained podiatrist for our two offices located in the Hudson Valley. Individuals must be highly motivated, ethical, and have PM & S-36 training. Partnership potential! Please see our recruitment video (845) 471-2243, esims@simspodiatry.com

ASSOCIATE POSITION - SOUTH CAROLINA

South Carolina's largest provider of foot care 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. Above average salary and benefits. Please send Letter of Interest and CV to scdpmjobs@gmail.com.

ASSOCIATE POSITION - ILLINOIS

Established podiatric practice seeking a full-time podiatrist to take over current practice. Position is an employed hospital based position with excellent family medicine referral/support. Current practice profile does approximately 50% routine foot/ankle care, 50% surgical care, wound care and orthopedic care. Practice located in vibrant small college town in western Illinois. For further information, contact Patty Luker, CEO at 309-734-1400 or email patty.luker@osfhealthcare.org.

ASSOCIATE POSITION - SOUTH CHICAGO SUBURBS

Busy two office, three-doctor practice seeking potential 4th doctor to join group. Hospital and surgery center affiliated. All aspects of podiatry. No nursing homes. Competitive salary and benefits Send resume to: carol.performance@sbcglobal.net

PODIATRIC PHYSICIAN/SURGEON - CHICAGO AND SUBURBS

Chicago Podiatric Surgeons is searching for a full-time podiatric physician/surgeon. Prefer ABPS qualified/certified with experience in private practice. Great benefit package and partnership opportunities. Please send letter of interest, CV to dr.tcarr@gmail.com.

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - WEST COAST FLORIDA

Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in foot and ankle surgery but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to: jwicks@cortezfootandankle.com

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking ,fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE POSITION - COASTAL NORTH CAROLINA

Seeking a well-qualified PSR 24/36 trained podiatrist to join established practice with two locations. Individual must be motivated, ethical, and have great personal skills. Position may lead to partnership for right candidate. Please send CV to PodJobNC@gmail.com

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - CT - (FAIRFIELD AND NORTH HAVEN)

Join one of the largest podiatric groups in Connecticut. Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to Dr.Kassaris@yahoo.com

RESDENCY PROGRAM DIRECTOR - MICHIGAN

Genesys Health System in Grand Blanc, MI is seeking an exemplary leader to serve as the Program Director for the Hospital's Podiatric Medicine and Surgery Residency with the added Credential in Rearfoot/Ankle Surgery (PMSR). Apply online www.genesys.org.

PM News Classified Ads Reach over 14,000 DPMs and Students
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