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PM News

The Voice of Podiatrists

Serving Over 17,242 Subscribers Daily


February 01, 2016 #5,590 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

AMERXh3

PM NEWS QUICK POLL RESULTS

Results of last week's quick poll

officiteasst


PM NEWS QUICK POLL

Quick Poll

If a 6-month course were available to upgrade your degree to MD, would you consider enrolling?

Gordon11


PODIATRIC TRAGEDIES IN THE NEWS
TX Podiatrist Dies in Auto Accident 
 
Dr. Rodney T. Stapp was a telecommunications manager when he switched careers to help his fellow Native Americans. A member of the Comanche Nation, he became a doctor of podiatric medicine after his mother lost both her legs to diabetes.
 
Dr. Rodney T. Stapp
 
In 1998, he started volunteering his medical services at Dallas’ Urban Inter-Tribal Center. He became the center’s clinical director, executive director and, for the past 14 years, served as chief executive officer. His wide-ranging influence included helping Nike design a line of shoes for Native American and Aboriginal people. Stapp, 54, died Thursday in a single-car accident in Richardson.
 
Source: Joe Simnacher, Dallas Morning News [1/26/16] via Dr. Don Blum

Dr. Remedy


SUCCESS TIPS FROM THE MASTERS
Bret Ribotsky: Today, after you have debrided a wound, how do you determine what products to place on (within) it?
 
Dr. Matthew Regulski
 
Matthew Regulski: I take at first encounter a swab for DNA wound determination. Once this comes back from the pathogenius lab, I now know what’s exactly in the wound, the concentration of MRSA resistance, protease resistance, the concentration of each specific bacteria down to 2%. Then I decide what products I want mixed together by the compounding pharmacy to eradicate the issues within the wound.
 
Dr. Jeffrey Karr
 
Meet the Masters airs live every Tuesday night. This week's guest will be osteomyelitis expert Dr. Jeffrey KarrYou can register for this and future events by clicking here

apex4


PODIATRIC PRODUCTS IN THE NEWS
APMA Collaborates with  MedXpress Registry
 
The American Podiatric Medical Association (APMA) in collaboration with MedXpress Registry Div. of ICS Software, Ltd., have announced the formation of a specialized registry for podiatry. Discounted pricing is available to APMA members. The minimal fee also includes the cost to submit 9 PQRS Measures for 2016 or the PQRS Diabetes Measures Group for 2016. It is important to remember that in order to submit to any specialized registry, DPMs MUST register with that registry by February 29, 2016 (the first 60 days of the reporting period) if they plan on performing Meaningful Use for 2016. 
 
Those who are NOT attempting to meet the requirements for Meaningful Use for 2016 but are reporting PQRS measures for 2016, can register after February 29, 2016, but for Meaningful Use, they must register with a specialty registry by the deadline. Reporting/performing PQRS has nothing to do with the specialty registry. The purpose of the specialty registry is 1) to meet the Meaningful Use measure and 2) to help gather specific data for APMA. 

drjill


QUERIES (BIOMECHANICS)
Query: Formula for Ideal Flex Point of a Shoe?
 
Is there a set biomechanical formula that manufacturers use (or should use) to determine the best point for a shoe to flex at the metatarsal head level? Has our profession ever made recommendations to shoe manufacturers with respect to this?
 
Lloyd Nesbitt, DPM, Toronto, Canada
 
Editor's Comment: This topic was addressed in U.S. Patent #4,262,435 (1979) by  Drs. Barry Block and Stanley Beekman.

padnet


RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of David Kibrit, DPM
From: Paul Kessleman, DPM
 
Recently, I learned of the passing of my dear friend and classmate David Kibrit. As anyone who knew him from ICPM ’81 can attest, Dave was a red-headed, freckled, humble, easy-going guy who was incredibly helpful to this New Yorker suddenly transplanted to Chicago and its northern suburbs in the fall of 1977. He was my personal tour guide and made sure that I (and later my wife) were never alone during any holiday. We were often guests of his family and his large number of friends. He made sure we never felt homesick. 
 
His choice of those who professionally mentored him was not surprising. I did an externship with him at Larry Rubin’s office in Morton Grove (now of Las Vegas) who remembers our time...
 
Editor's note: Dr. Kesselman's extended-length letter can be read here. 

AFO4


RESPONSES/COMMENTS (CLINICAL) - PART 1A
From: Elliot Udell, DPM
 
There is a great deal of literature showing an association between cyclosporin and the onset of acute gouty episodes. Cyclosporin has been used to suppress rejections of organ transplants. One of my first patients I treated over 30 years ago had the exact same scenario. She presented over and over with multiple attacks of acute gout and we had to manage each episode with injections of steroids, physical medicine, and a great deal of patience. She too had very low serum urate levels at the time of each attack. I also developed a nice professional relationship with her transplant team of doctors because, out of courtesy, I cleared any new medications with them.
 
Most of the literature that deals with acute gout caused by cyclosporin describes renal transplants. You may be able to publish your case because the organ transplanted is the liver.
 
Elliot Udell, DPM, Hicksville, NY

Bakomacer


RESPONSES/COMMENTS (CLINICAL) - PART 1B
From: Matt Kaiman, DPM
 
Additional clinical information would be beneficial in determining the etiology and diagnosis of this patient’s signs and symptoms. Investigation of this disease process needs additional information in order to conclude the existence of a crystal-induced arthropathy which appears to be a good beginning in determining a differential diagnosis. Immunosuppressants can be cytotoxic, and where there is cell death, there is the leaching of cell components which may lead to crystal deposition in joints. Crystals of uric acid and calcium pyrophosphate may present with similar characteristics and affect the same anatomic areas.
 
Lab or in-office polarizing light microscopy will differentiate these two types as well as determine the presence or absence of crystals. A complete list of current medications would also be helpful, as inherent drug properties and interactions must be considered in formulating the correct diagnosis and care. 
 
Matt Kaiman, DPM, Scottsdale, AZ

Blaine29


RESPONSES/COMMENTS (NEWS STORIES) - PART 1A
From: William Deutsch, DPM
 
John Martucci is a well-motivated student and sounds like he'd be a great podiatry school recruiter. But he's a student and his learning curve is just beginning. The soundest advice I ever received that I didn't take was from a podiatrist who advised me to explore dentistry as a profession. His reasoning was rational, without bitterness, and formed from years of practice experience. 
 
Podiatry is competing with pedicure salons, nurses, PAs, general practitioners, dermatologists, general surgeons and, of course, orthopedists. Let's not leave out pedorthists and the CVS down the street selling a plethora of foot aids from toe separators to semi-custom orthoses. It's podiatry's growth that has encroached on areas of the medical doctor. From injections to prescribing to biomechanics to soft tissue and bone surgery, podiatry has evolved into an altogether different profession from its original roots of callus removal and nail care. 
 
Amazingly, we've been grudgingly accepted by government and insurers. Hospitals acknowledged our economic contribution to their bottom line, and we came to believe in our own hype, that we're equal to the medical doctor. Our ability to treat patients may be superior to the medical doctor but we're not their equal, just as the well-trained pedicurist with golden hands isn't our equal. So it's time to continue to evolve to match the new skills we fought hard to achieve. The successful podiatrist needs not only to be competent and entrepreneurial. Success and more importantly survival require the credentialing necessary. In the future, the MD/DO will be as important as all the present board certifications are today. 
 
William Deutsch, DPM, Valley Stream, NY

PICA Group


RESPONSES/COMMENTS (NEWS STORIES) - PART 1B
From: Jon A. Hultman, DPM, MBA
 
Our profession has been talking about parity through an MD degree for over 40 years. While this debate continues, in the background, DPM training and education have quietly evolved from a four-year program, to a four-year program plus a three-year residency. Our residencies include broad medical and surgical training obtained side-by-side with MDs and DOs, at the same level of responsibility. MDs and DOs receive the same plenary license – while DPMs are receiving a limited license which no longer reflects their actual training and education. The parity “fix” that is achievable today – without requiring a degree change or a dual degree – is for MDs, DOs, and DPMs to receive a license reflecting training, education, and experience.  
 
Most DPMs today are trained and function the same as any other specialty of medicine. The major difference is that DPMs are under-licensed. The fastest way to change this limited license is for them to attain the equivalent license as MDs and DOs. This would reflect today’s education. If we are all working towards the same goal, parity in licensure will be achievable much quicker than continuing to debate a degree change. To that end, please review the CPMA Position Statement entitled DPM=MD=DO – The Path to Parity that was published in Podiatry Management last year.
 
Jon A. Hultman, DPM, MBA,  Sacramento, CA

MBB


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

How does this shoe stack up? (photo: Hannah Cheney)

Source: Sanne Steijger via Virtual Shoe Museum

MEETING NOTICES

superboneseastdec15

podinst


ACFAP


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You can Earn up to 5CPME-Approved CME Contact Hours Online

Earn 15 Contact Hours only $210

(Only $14 per credit) http://www.podiatrym.com/cme.cfm

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Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX,  VT, WA, and DC

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


CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE WANTED - WESTERN NY/PA 
 
Busy multi-location practice seeks personable energetic hardworking podiatrist. Come utilize the full extent of your Podiatric training! Competitive salary, bonus, and partnership. NY/PA license required. Send CV to: jhs.podiatry@gmail.com
 
ASSOCIATE WANTED - NORTHERN VIRGINIA 
 
Seeking an associate to join our practice now or summer who is ethical, skilled, hard working, personable to join our team. Candidate must have a minimum PMSR/36 with RRA training.  Must be BC or BQ. Open also to already established seasoned podiatrist.  Email to: novapodjobs@gmail.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
 
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 – 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.
 
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.
CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - MASSACHUSETTS 
 
South Shore Well established 40 yr part time practice. Excellent physician and patient base. Office condo in medical/health club facility. Basic EHR system. Condo can be rented or purchased. Contact @ hanover_doc@yahoo.com
 
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 - MASSACHUSETTS - BOSTON SUBURBS 
 
Established 25 yr old fulltime practice for sale. Owner preparing to retire. EMR in place with fully integrated system.  Full range of services. High volume office with surgery component. Owner will transition for 6 months. Contact: MCrosby518@gmail.com
 
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.
 
EQUIPMENT FOR SALE - PADNET SYSTEM 
 
Padnet System for Sale: $5,500 OBO. 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
 
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.
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.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
  • Notes must be in the following form:
    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
    Your name, DPM City/State
  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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