The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

February 22, 2013 #4,698 Publisher-Barry Block, DPM, JD

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Obesity is a Growing Problem Affecting the Feet: IN Podiatrist

"A growing health issue we are seeing is carrying too much weight, whether this is 10 pounds or 100, says podiatrist Dr. Michael Nirenberg. "It does not take much extra weight to cause a foot problem, such as heel pain. If you walk 6,000 steps a day and you are 20 pounds overweight, that ends up being thousands of pounds of extra pressure crashing down on the heel by the end of the day."

Dr. Michael Nirenberg

"Worse, if your heel hurts, it is harder to walk or do other exercise, which creates a vicious cycle where you just gain more weight and your heel hurts more. Some overweight people believe if they lose the weight, their heel, foot, or ankle pain will go away. This is often not the case. Once a tendon or ligament is injured, it needs to be treated," says Nirenberg.

Source: Trish Malay, NWI Times [2/20/13]

Take Care of Feet While Vacationing: APMA President

“Foot health is especially important for travelers,” says Dr. Joseph Caporusso, a podiatrist and president of the American Podiatric Medical Association. “If your feet hurt or you sustain an ankle injury, your whole vacation can be ruined. Plus, poor foot health can have a long-term detrimental effect on your overall well-being.”

Dr. Joseph Caporusso

“No one wants to spend their vacation with sore feet – or worse yet, at the doctor’s office,” Caporusso says. “Taking care of your feet while traveling can help ensure your vacation stays on track and the only things you bring home are great memories and souvenirs.”

Source: Monroe Journal [2/20/13]

No Surprises in Final Essential-Benefits Rule

HHS on Wednesday released a final regulation on the health reform law's essential health benefits, actuarial value, and accreditation provisions that closely follow the department's proposed rule from last November. The final rule maps out standards for the core set of benefits that health insurance issuers must cover in the individual and small group markets—both inside and outside of the health insurance exchanges—for 2014 and 2015.

Those essential health benefits must include items and services within at least 10 categories, including emergency services, hospitalization, mental health and substance abuse services, prescription drugs, maternity care, and pediatric services. HHS will revisit the provisions for the 2016 benefit year.

Source: Jessica Zigmond, Modern Healthcare [2/20/13]

Web Ratings Aren't Key in Choosing Doc: Study

Geography and physician referral still top the Internet when it comes to patients' healthcare choices, but insurance coverage is by far the biggest driver when it comes to parents choosing a doctor for their children, according to a new national survey.

“Accepts my health insurance” was rated as “very important” by 92% of the respondents in a survey commissioned by the University of Michigan C.S. Mott Children's Hospital in Ann Arbor. Coming in a distant second was a convenient office location, which was rated as a very important decision-making factor by 65% of the respondents; followed by doctor's years of experience, 52%; recommendations from family and friends, 50%; referral by another doctor, 40%; and doctor's online ratings, 25%.

Source: Andis Robeznieks, Modern Physician [2/20/13]

Query: Annual OSHA Training 

I am interested in how other practitioners provide annual OSHA training for their staff members. We have used a video with written tests the past few years but are ready for something new - preferably easy-to-arrange, affordable, thorough, yet accurate. Suggestions?

Jane Graebner, DPM, Delaware, OH

Query: Dan Bluth's Podiatry Manual

Does anyone know if Dan Bluth, DPM still puts out the Podiatry Manual. I have unsuccessfully been attempting to obtain the 2013 edition, if there is one.
 
Jeffrey Kass, DPM Forest Hills, NY jeffckass@aol.com

Editor's response. We contacted Dr. Bluth's former office, and they confirmed that Dr. Bluth is fully retired and will no longer be publishing this manual.

RE: Fixation Vs. Non-Fixation of Osteotomies
From: Ed Cohen, DPM

Metatarsal and phalangeal osteotomies have been useful procedures for correcting a lot of forefoot pathology. The subject of whether it is better to fixate or not to fixate these osteotomies is an important topic. Dale Austin, who was a podiatrist and orthopedist, performed 1,200 non-fixated Austin bunionectomies without one non-union or aseptic necrosis. Dr. Stephen Barrett writes in Podiatry Today that a non-fixated metatarsal osteotomy has much less of a chance of becoming a non-union than a fixated osteotomy. The orthopedic community outside the United States has enthusiastically embraced MIS procedures with non-fixation or percutaneous fixation.

Another interesting discussion is whether you get more transfer lesions with non-fixated metatarsal osteotomies. It appears to me that, of the podiatrists who have had extensive experience with both techniques, most of them were happier and had better results with non-fixated osteotomies. Mariano de Prado, an orthopedist and a co-author of Minimally Invasive Foot Surgery prefers non-fixated osteotomies. When he was challenged by an American orthopedist, he said, "I used to do one or two foot surgeries a month, but with MIS surgery and non-fixated osteotomies (some MIS surgeons use percutaneous fixation), I now do twenty foot surgeries a week and my patients get better results and are much happier."
 
Ed Cohen, DPM, Gulfport, MS, ecohen1344@aol.com

RE: The Biomechanics of The First Ray in Dance (Michael Forman, DPM)
From: Steven King, DPM

We believe Dr. Forman’s following comment is dated and slightly un-informed: “Even if we were able to make a device for a ballet shoe, it is not going to have any effect when the dancer is completely on the distal aspect of the toes.”

We do have orthotic technology that can enhance the stability of the toes when the foot is “en pointe”. It is called the Spring Orthotic Device, which was patented last month by Kingetics LLC.

Disclosure: Dr. King is a principal in Kingetics, LLC.

Steven King, DPM, Maui, HI, kingetics@gmail.com

RE: AAPSM Articles in Podiatry Management
From: Robert M. Conenello, DPM

A recent article in Podiatry Management magazine has caused a bit of a controversy. One of our American Academy of Podiatric Sports Medicine members wrote an article on running form and shoe types. The Academy's logo was inserted at the beginning of the article leading many to believe that we were endorsing this individual's thoughts. This article led to many phone conversations and Internet correspondence.

The reality is that the author was just expressing his ideas. As an Academy, we applaud those members who are willing to share their knowledge through writing. This is where it gets interesting. The AAPSM also strongly urges...

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

RE: Life-Saving Role of Podiatric Physicians
From: Leonard A. Levy, DPM, MPH

It is time for podiatric medicine to focus seriously, including acquiring evidence-based data, on the critical importance of the profession in reducing morbidity due to cardiovascular and other life-threatening disorders.  One scenario makes the point, even if simplistically. A patient visiting a primary care provider is advised to engage in an exercise regimen. The patient leaves, goes home, and fails to do so. 

The reason: a painful pedal problem discourages or even makes it impossible for the patient to engage in common exercise regimens that they might follow. Such scenarios could result in increased cardiovascular morbidity, some with tragic but completely preventable outcomes. It is long overdue for podiatric physician researchers to measure the frequency of this and similar scenarios and the impact of podiatric medical care. Much more focus is needed on major contributions we can make in saving lives or bettering one's quality of life.
 
Leonard A. Levy, DPM, MPH, FT. Lauderdale, FL, levyleon@nova.edu

RE: Proper Shoes Can Prevent Many Common Foot Problems: AL Podiatrist
From: Joshua Kaye, DPM

With my understanding that there are some days that have greater amounts of newsworthy stories than others, I would appreciate PM News not printing those articles in “Podiatrists in the News”, where there is discussion of overly simplistic foot treatments. I believe it is a disservice to the quality of PM News, where there are articles relating quotes such as recommending carefully washing and drying between the toes, wearing properly fitting shoes, and cutting one’s toenails straight across.  Given the evolution of podiatry and the many other articles related to a higher caliber of education and thinking, I would personally feel embarrassed for other medical colleagues to read those parts of PM News.
 
Joshua Kaye, DPM, Los Angeles, CA,
jk@joshuakaye.com

Editor's Comment: It is surprising that Dr. Kaye would complain about this type of promotional story when he has been the subject of recent similar stories in PM News. "CA Podiatrist Discusses Breaking in Shoes" and "High Heels Create Potential Health Issues for Young Girls: CA Podiatrist."

We think that Dr. Kaye is missing the point. The motivation for publishing these stories is NOT to educate podiatrists about feet, but to inspire podiatrists to appear in local newspapers or on TV, and thus create interest for the profession within those podiatrists' communities. Podiatrists featured in media stories will gain many new patients as a result of this exposure, and other podiatrists will also benefit from this publicity. If Dr. Kaye wishes podiatric education, he can find many clinical articles in Podiatry Management magazine.

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 - 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

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 - CORONADO, CA

Unique opportunity to purchase a very well established practice in beautiful San Diego. Hospital privileges available. Large and stable patient and referral base with consistent new patient growth. Why not practice where people vacation and retire? Willing to stay for transition. Inquires please email pestibear@gmail.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA 

Requiring full-time podiatrist (PSR-24 or greater) in established Practice situated in a foothill community of Southern California. There is an existing patient base and a strong support team. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Send resume to office@uplandpodiatry.com  , titled, "Podiatrist". 

 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 - CENTRAL VALLEY/SOUTHERN CA

Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to: Tonya@wetreatyourfeet.com

ASSOCIATE POSITION - MISSOURI – EAST CENTRAL

Podiatric medical group seeks recent graduate or 2013 graduate who is interested in working with former residency director who can enhance your already strong training Full scope practice with the cases to fast track to board certification. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.com

POSITION AVAILABLE - WEIL FOOT ANKLE & ORTHOPEDIC INSTITUTE-CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that currently numbers 16 DPMs, a neurologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

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 - 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

PART-TIME ASSOCIATE - BRONX, NY

Seeking a well-trained, confident, ethical, hard working candidate. All aspects of podiatry performed (surgery, biomechanics, routine foot
care, DME, vascular studies, diagnostic ultrasound). Also, seeking help for house calls in the Bronx and Westchester (mostly routine foot
care, DME). Competitive salary. Please send CV to: docdpm2@gmail.com

ASSOCIATE POSITION - NORTH CAROLINA

Busy, well established five-office practice in Charlotte, NC looking to fill an associate position leading to partnership for the right person. General and surgical podiatry, wound care. Close to beach, mountains - ideal location for outdoor enthusiast. NC license necessary. Competitive pay with incentives. Send resume to charpodiatry@gmail.com

ASSOCIATE POSITION – NORTH CAROLINA

New associate position available that may lead to partnership. We are a very busy practice providing care in both office and hospital settings. EHR, arterial vascular testing, and ESWT in the office. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard-working, and committed to quality in patient care. We are offering a competitive compensation package and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com

ASSOCIATE POSITION - NEW YORK

Looking for a once in a lifetime opportunity to join a state-of-the-art well rounded Long Island practice with hospital privileges? Then our office is what you're looking for. Located 20 miles from NYC, LI offers great schools and lifestyle. Perfect for an experienced practitioner or 2013 residency graduate who is ethical, productive, and board certified/qualified looking to be part of a winning team now and in the future. Want to be a partner in a successful practice or own your own office? Serious motivated practitioners only invited to send their CV and personalized cover letter to: mets724@gmail.com.

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

POSITION AVAILABLE - BALTIMORE MARYLAND

Confident, surgically trained associate position available to join well-established practice locations. Leading to ownership within 3 years! Great salary and benefits. Will train on practice management, business management, and billing. Call 301-514-9781

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

ASSOCIATE POSITION - MARYLAND

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.

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

PODIATRIC SPORTS MEDICINE FELLOWSHIP - ORANGE COUNTY CA

July 1, 2012 and ending July 31, 2013. $60,000/year, medical, dental, malpractice, and CME allowance. APPLICANTS MUST BE ABLE TO OBTAIN A CALIFORNIA LICENSE. Letter of interest, and CV to: Philip Radovic, DPM, Fellowship Director, Email: Info@feetfixer.com

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

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 14,000 DPMs. Write to:bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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