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| PM News | |
The Voice of Podiatrists
Serving Over 18,460 Subscribers Daily
February 26, 2019 #6,362  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- 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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What is the best way to achieve parity with other allopathic physicians?
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| PODIATRISTS IN THE NEWS - PART 1 | |
IL Podiatrist Discusses Plantar Fasciitis
“Plantar fasciitis is probably one of the most common foot problems we see in the office,” says Dr. Joseph Borreggine. Patients often say that they were diagnosed with heel spur syndrome, but it’s more a tendonitis issue because the patient has suffered micro-tears of the plantar fascia. When it’s torn, it causes pain,” says Borreggine.
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Dr. Joseph Borreggine |
“Patients can attempt to treat this condition with ice, rest, and NSAIDs. A podiatrist will take x-rays and a history, examine the foot, and rule out other causes of heel pain. Then a treatment plan can be formulated, “ says Borreggine.
Source: Ke’an Armstrong, WEIU-TV
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| PODIATRISTS IN THE NEWS - PART 2 | |
MD Podiatrist Explains Why Women Suffer More Foot Pain Than Men
“I see women more often than men with bunions, hammertoes, neuromas, heel pain, plantar fasciitis, and ankle sprains,” Damian Roussel, DPM, a podiatrist at The Centers for Advanced Orthopaedics, tells SheKnows. “Bunions, hammertoes, and neuromas, in particular, are usually caused or made worse by wearing high heels since this causes weight to transfer to the front of the foot and the ball of the foot to squeeze. Ankle sprains are also often the result of ankle instability from the lack of support a heel provides.”
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Dr. Damian Roussel |
“Many women are balancing work, motherhood, and family life; so they are on their feet a lot, especially when they have jobs that require a lot of standing — which is made worse if the job requires them to also wear dress shoes,” Roussel says.
Source: Caitlin Flynn, SheKnows [2/16/19]
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| RELEVANT RESEARCH | |
Less Burnout Seen Among U.S. Physicians: Study
The burnout rate among physicians in the United States dropped modestly in 2017 from a peak in 2014 and currently stands near 2011 levels, according to a newly released triennial study published in Mayo Clinic Proceedings. While acknowledging progress, the American Medical Association (AMA) today warned more needs to be done to reduce physician burnout and called on leaders in the healthcare system to remain focused on driving research, interventions, workflow and teamwork enhancements, policy changes, and technology improvements.
The new triennial study conducted by researchers from the AMA, the Mayo Clinic, and Stanford University School of Medicine found 43.9 percent of U.S. physicians exhibited at least one symptom of burnout in 2017, compared with 54.4 percent in 2014 and 45.5 percent in 2011. In comparison, the overall prevalence of burnout among U.S. workers was 28.1 percent in 2017, similar to levels found in 2014 (28.4 percent) and 2011 (28.6 percent).
Source: AMA [2/22/19]
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| FROM PM's CURRENT ISSUE | |
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Key Steps to Mitigating Your Cyber Risk - Part 1
Continuing cyberattacks on healthcare providers emphasize the need for medical practices of all sizes to make cybersecurity an essential part of their business. Here are seven steps to strengthen your practice’s cybersecurity position.
1. Conduct a risk assessment - Successful cybersecurity begins with understanding the actual threats and vulnerabilities your practice faces. A cybersecurity risk assessment lists the practice assets that could be subject to cyberattack (such as hardware, systems, mobile devices, patient data, etc.), identifies the possible threats to those assets, and evaluates the likelihood of the identified threats actually occurring. This allows you to focus resources on the risks most likely to occur and prioritize which vulnerabilities to address first. A risk assessment also is important in the event of a data breach. It shows you acted reasonably in identifying and addressing potential threats and may be required to obtain cybersecurity insurance.
Source: Joseph E. Guimera, JD, Physicians Practice [2/21/19]
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| CODINGLINE CORNER | |
Query: Surgery for a Diabetic Foot Infection with a Foreign Body
I have a patient in the hospital. He presents with an ulcer and diabetic foot infection. X-rays and MRI cannot rule out osteomyelitis. He also has a foreign body in the same area which is over 5+ years old. I was planning to perform a debridement of the ulcer, a bone biopsy to rule out osteomyelitis, and a possible removal of a foreign body. Can I bill for all three procedures or at least for two of the procedures? If I cannot, pertaining to reimbursement and global period, which CPT would you recommend?
PM News Subscriber
Response: The removal of the foreign body is part of the debridement procedure as is the bone biopsy. A typical bone biopsy to be billed separately would be performed via a separate procedure. As far as the debridement, assuming this is a small wound (<20 sq cms), you would be billing CPT 11044 with no global period.
Paul Kesselman, DPM, Woodside, NY
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
RE: Pediatric Ingrown Nails
From: Barry Wertheimer, DPM
While in practice, I was privileged to examine many pediatric ingrown nail problems. I concluded that a high percentage of ingrown nails were a secondary result of wearing "footie" jammies. If the child tosses and turns a lot, they often roll the end of their footies to be tight against their toes. Also, when the footie is outgrown, it also puts pressure on the toes. I recommend that parents cut out the foot portion of the jamies and put on good fitting socks. Try it. it works.
Barry Wertheimer, DPM, Souhern Pines, NC
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Burton J. Katzen, DPM
Those of us who perform non-fixated distal percutaneous metatarsal osteotomies can attest to excellent results that are obtained when performed by a well-trained MIS surgeon. One technique to prevent lateral or medial deviation is that instead of simply performing the osteotomy straight across, drilling a fail-safe hole and performing a "V" osteotomy. This technique allows for better stability and less soft tissue interaction since you are only cutting within bone. There also are several other factors that might be considered:
1. The angle of the cut which can be proportional to the amount of correction desired.
2. The relative metatarsal length pattern.
3. The Leventen formula to decide whether multiple metatarsals need correction.
4. The relative plantar protrusion of the adjacent metatarsals, which can be tested by dorsiflexing the toes and palpating the metatarsal heads (Peacock press).
5. The amount of equinus, especially with diffuse metatarsal calluses or pain.
I have been performing percutaneous non-fixated metatarsal surgery since 1980 and have never had a non-union, even in elderly patients where traditional surgery with fixation would be much more risky. It is our hope that these and other MIS procedures will soon become part of the academic curriculum in the schools and podiatric surgical residencies.
Burton J. Katzen, DPM, President, The Academy of Minimally Invasive Foot and Ankle Surgery
Editor's note: This topic is now closed.
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| RESPONSES/COMMENTS (OBITUARIES) | |
From: David Secord, DPM
I’m not sure how many people (besides Peter Bregman) are familiar with the Panacos graft, but I’ve done several dozen procedures on patients with mosaic warts and had every one resolve with one treatment. If Dr. Bregman reads this, I’d like to know how many he has done and his rate of resolution.
David Secord, DPM, Corpus Christi, TX
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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And the Oscar goes to... |
Stuart Weitzman’s $1 million bejeweled Oscar shoe has become something of a phenomenon since 2002, when he began giving one lucky Academy Award-nominated lady a pair to wear to the most famous red carpet event on the planet.
Source: shoera.com
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MEETING NOTICES
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NEED CME CREDITS FAST?
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You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
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(Only $15 per credit) http://www.podiatrym.com/cme.cfm
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Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC
Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
POSITION AVAILABLE - MARYLAND
One owner, group practice looking to hire business minded associate for buy-in/buy-out relationship. I will teach you to become a top earner in the field. Full benefits package including 401k w/ match. I am ready to slow down and sell 2 of the 3 locations in three years. Eventually selling the 3rd location and becoming an employee working a few days a week. I own two of the office locations as well, so real estate investments are also possible. Investment shares available in physician/hospital owned surgical center. Don't miss this unique opportunity. AtlanticFootSurgeons.com. drhenrock@yahoo.com
ASSOCIATE POSITION W/BUY IN OPTION – MARYLAND
Very busy established practice looking for a full-time or part-time podiatrist! We are participating with three local hospitals and all insurances. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol-based office. Great benefit package to include 401k/health insurance/vacation time/CEU allowance and much more!! Please send C/V and cover page to: marylandpodiatry@gmail.com
ASSOCIATE POSITION – TENNESSEE
Well-established multi-specialty physician practice group seeking well trained and ambitious specialist to treat podiatry and wound care patients. Would be joining a podiatry group with a 40+ year-old established practice. Perfect opportunity to enter academic medicine, as the group is the faculty practice plan for a large medical teaching institution. Demonstrated experience in management of foot problems, experience in foot and ankle surgery, and an interest in teaching and training required. Submit CV’s to uch_hr@uthsc.edu
FULL TIME ASSOCIATE POSITION - GREATER NEW YORK CITY AREA
3 location group practice requiring a full-time Associate Podiatric Surgeon with minimum 3 years of surgical residency training in all aspects of foot and ankle surgery, ABFAS board qualification in foot and RRA required. Must be comfortable with all foot and ankle procedures. Must be motivated, hardworking, positive, and dedicated to growing the practice as well as individual career and reputation. Traveling by car is required (not just public transportation). Interested candidates can contact via email: delucia@faasny.com
ASSOCIATE POSITION - SOUTHERN MICHIGAN
Love the great outdoors? Beautiful state parks, fishing, skiing, snowboarding and no crowds! Associate for rapidly growing multi-physician practice. Competitive pay partnership track available. Future plans include surgery center that new associate would have partner opportunity in. Send CV and contact information to: ceo@Advanas.com
ASSOCIATE PODIATRIST WANTED – CALIFORNIA/SF EAST BAY
Join our growing multi-office practice, immediate opening. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Full or Part Time. Send CV and cover letter to: ebpod2008@gmail.com.
ASSOCIATE POSITION - NASSAU COUNTY, NY
Busy practice seeking full time Podiatrist. Competitive salary. State of the art facility. Please email resume to: Medicalofficeinquiry@gmail.com or call: 516-902-1073.
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Very busy practice seeking a full-time, self-motivated and hard-working podiatry associate. Competitive salary and benefits offered. Please email CV to: podiatrists@icloud.com
ASSOCIATE POSITION - NEW JERSEY
Position available with future opportunity in a 38 year old established practice. Seeking hard working, self-motivated individual to join my busy practice. All aspects of podiatry including surgery & woundcare. Position is currently available but will wait until July/August for right candidate. Competitive package. Please email CV to jerseypod@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 davidekagan@gmail.com or call (215) 808-0770
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – WESTERN WASHINGTON
Busy 30-Year established practice in Auburn, Washington in medical office building connected to MultiCare hospital. Practice scope included Clinic, hospital-based surgery, hospital consultations, and hospital wound care clinic encompassing forefoot, rearfoot, and ankle surgery. Will stay on 3 months during transition. Send resume to Dgusman@hotmail.com
PRACTICE FOR SALE - VESTAL, NEW YORK
Well established, part-time practice. Average 3 days/week. Yields personal income range of $200-$250K. Well maintained 2500 sq.’ office and equipment. Willing to introduce and train. Contact: uniquepractice@gmail.com
PRACTICE FOR SALE - SYRACUSE NY
30 year old established practice FULLY furnished/equipped (turnkey). 850 sq feet. Great location in medical district. Over 4000 patient following; 1000 current. Grossed $220,000/yr on 3 days/week. Rental of space NOT INCLUDED. Asking $90,000 or best offer. Will send pics. Doctorsuzi7@aol.com
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, asking $300K. Call 217-549-1887 or email drjoe@myfeethurt.net.
PRACTICE FOR SALE - CENTRAL TEXAS
Small independent office for sale. Includes all equipment /turnkey. Serious inquiries only. Please call for pictures and price. Located in a lovely small community. Wonderful for families. Physician retiring. Email to Susieintx@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 davidekagan@gmail.com or call (215) 808-0770
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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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