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| PM News | |
The Voice of Podiatrists
Serving Over 17,236 Subscribers Daily
March 10, 2016 #5.618  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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Which presidential candidate has the best healthcare plan? |
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| PM PODIATRIC HALL OF FAME | |
Ribotsky, Lamb to Be Inducted into the PM Podiatry Hall of Fame
Podiatry Management Magazine has announced that Bret Ribotsky, DPM, and James Lamb have been elected to receive the 2016 PM Lifetime Achievement Awards, and will be inducted into the PM Podiatry Hall of Fame on Friday July 15th at the Hall of Fame Luncheon held in conjunction with the APMA Annual Scientific Meeting [The National] in Philadelphia, PA.
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Dr. Bret Ribotsky and James Lamb |
Dr. Ribotsky, the 33rd podiatrist to receive this honor, is a noted lecturer and host of Meet the Masters. James Lamb, the 10th non-podiatrist to be inducted into the PM Podiatry Hall of Fame, is the longtime executive director of the American Board of Podiatric Surgery (Now the American Board of Foot and Ankle Surgery). Full biographies of both honorees can be found in the March Issue of Podiatry Management.
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| APMA COMPONENT STATE COMPONENT NEWS | |
MI Podiatrist Named President of MPMA
Dr. Crystal Holmes was named president of the Michigan Podiatric Medical Association, (MPMA). The announcement was made at the MPMA’s Great Lakes Conference. Holmes will serve as president of the MPMA through January 2018. She will guide the association’s management group, Kindsvatter, Dalling & Associates, and take the lead in pursuing on-going educational programs.
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Dr. Crystal Holmes |
Other members of the 2016 MPMA executive board include: president-elect, Dr. Joyce Patouhas; secretary, Dr. Ahmed Farah; treasurer, Dr. Bruce Jacob; and immediate Past President, Dr. Ali Safiedine.
Source: Royal Oaks Daily Tribune [3/8/16]
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| PODIATRIC PRODUCTS IN THE NEWS | |
AMNIOEXCEL® Amniotic Allograft Membrane Study Published in WOUNDS
Derma Sciences, Inc., a tissue regeneration company focused on advanced wound and burn care, has announced the publication of a peer-reviewed comparative clinical study. It compared AMNIOEXCEL® Amniotic Allograft Membrane plus standard-of-care (SOC) with SOC alone for the closure of hard-to-treat diabetic foot ulcers. The results are statistically significant and clinically meaningful, with the closure rate at six weeks in the AMNIOEXCEL® plus SOC treatment arm, far exceeding SOC alone treatment.
The study, “A Prospective, Randomized, Controlled, Multicenter Evaluation of the Use of Dehydrated Amniotic Membrane Allograft Compared to Standard of Care for the Closure of Chronic Diabetic Foot Ulcers,” was published in the peer-reviewed journal WOUNDS. The publication is expected in the March 2016 print issue of the journal. The study was funded by Derma Sciences and the paper was authored by Robert J. Snyder, DPM; Kenneth Shimozaki, DPM; Arthur Tallis, DPM; Michael Kerzner, DPM; Alexander Reyzelman, DPM; Dimitrios Lintzeris, DO; Desmond Bell, DPM; Randi Rutan; and Barry Rosenblum, DPM.
Source: Biospace [3/7/16]
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| IN THE COURTS | |
San Diego Doctors Win Long Campaign for Higher Medicare Pay
San Diego area doctors seldom complain to their patients about low Medicare pay. But for two long decades, many have complained bitterly to each other. That’s because an old and complex federal formula reimburses physicians here as if they were practicing in “rural” areas, and assumes their costs of rent and staff are low, resembling those in Fresno or El Centro rather than Anaheim or Los Angeles.
Now, after a tempestuous 14-year fight and a $5 billion lawsuit that got as far as the U.S. Supreme Court, a congressionally approved fix will gradually increase doctors pay in San Diego County and 14 other California counties that were inappropriately classified. Starting Jan. 1, the new rule, embedded in the Protecting Access to Medicare Act of 2014, will pay them higher rates, more like doctors practicing in Orange County and other higher cost urban areas of the state. Other categories of health providers who bill Medicare, such as nurse practitioners, podiatrists, and optometrists, may expect more money too.
Source: Cheryl Clark, inewssource.org [3/8/16]
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| MEDICARE NEWS | |
Value-Based Milestones Signal Change in Medicare Reimbursement
Two aggressive milestones to migrate Medicare providers to value-based healthcare are on the horizon:
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In 2016, CMS expects 30 percent of Medicare fee-for-service (FFS) reimbursement to be tied to alternative payment models such as accountable care and bundled payments.
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Also this year, the federal payor wants 85 percent of Medicare FFS payments to be based upon quality metrics.
"If you are a provider, or working with providers who accept Medicare beneficiaries, it's really important to know these changes are coming," advises Elena Tkachev, director of ACO analytics for Collaborative Health Systems (CHS). "It will be the responsibility of physicians to participate in these payments because no matter what happens, this change is coming."
Source: Patricia Donovan, Health Information Network [2/11/16] via Dr. Joseph Borreggine
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Tip Sullivan, DPM
You are right! You are a resident and there to learn. Much better that you learn from others' mistakes than your own! You should first ask questions of this “incompetent surgeon” who should be willing to discuss why he/she chose to do whatever it is you feel inappropriate. Many times out here in the real world, we “bend the rules” to accommodate individual needs of our patients. Prepare your questions well. Know the literature and be HUMBLE. If he/she blows you off, then go discuss it with your residency director. That is part of their job!
Tip Sullivan, DPM, Jackson, MS
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Robert Boudreau, DPM
While in an externship during my 4th year of school over 30 years ago, the residency director sent me to observe the office practice of one of the Attendings. His practice, and ethics, were appalling. He showed up hung-over, did office procedures on people who didn't need them, and I actually heard him say, "I charge $1,500 for this procedure, but I'll do it for $1,200 cash, and $1,000 if you don't require a receipt"! When I returned to the hospital, the director asked me how it went, and I told him what I had observed. His reply was golden: "I send you there to see what NOT to become. Guys like him cause the rest of us to look bad. I believe that nobody is totally worthless, they can always be a bad example." You are in training to learn. Learn what to do, and what NOT to do. Don't be that guy!
Robert Boudreau, DPM, Tyler TX
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1C | |
From: Tea Nguyen, DPM
I think most of us have been in a similar situation. The best way to go about it may be to learn on your own and share your knowledge with faculty in an open nonjudgmental way. Start with saying things such as, "I'd like to know what you're thinking. Can you explain what your thought process was? I'm not sure I completely understand, or I've read somewhere that this was one kind of approach. What do you think about it?" Be wise with your approach and the words that you use because you never want to come off as condescending, insubordinate, or closed-minded. You'll see that residency is about learning what to do but also what not to do; so if you follow through on the patients and realize the outcome was not optimal, realize that was an educational opportunity. What better way to learn than through someone else's mistake? However if patient harm occurs often, then that's an issue to take with your residency director.
The advice that I valued the most from my senior residents at the time was learn as much as you can, read as much as you can, and learn from a lot of people. That way, you'll have all the tools necessary to develop your own style when you begin to practice. In the meantime, try to enjoy the process, both the good and the bad.
Tea Nguyen, DPM, Novi, MI
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| RESPONSES?COMMENTS (NON-CLINICAL) - PART 2 | |
From: Thomas R. Komp, DPM
I have been using Pediplast for about 25 years. It will work well in certain situations like the interdigital corns you mentioned. It stays in place better than OTC silicone pads so if those do not work or patients complain that they fall out, try the Pediplast. I charge $20 per device. The device will last about 6 months before it wears out. Insurance will not usually pay for them, so let your patient know this ahead of time. It is easy to use but there is a little learning curve.
Take out the amount of putty you want. I don't measure things any more. Lay a bead of hardener across the top the length of the putty. If you don't use enough, it will never set up. If you use too much, it will set up too fast and get too hard. Work the hardener into the putty with your fingers. You have to work it in well. You have about 5 minutes before it sets up. You might want to wear gloves. The putty sticks to the gloves, but the hardener will turn your fingers red. Once the hardener is mixed into the putty, put the putty between the toes and squeeze the toes together to form the putty. Remove excess putty. This will make it more comfortable for the patient and save you having to make adjustments later.
You can grind it on a SaniGrinder, but you'd have to let it set for a day or so to do it, and you don't want to be doing this. Get it right the first time. I used to put a plastic baggy over the forefoot and have patients put on their shoes and walk around with it so it fits well. With experience, you won't have to do this, but at first, it's not a bad idea.
Thomas R. Komp, DPM, Green Bay, WI
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 3 | |
From: Allen Jacobs, DPM
I note the recent posts in PM News from Dr. Lai and the response from Dr. Lullove. I can certainly understand why he is a board member of one of the organizations and would want to respond. In that regard, I’m not on the board of any of these organizations and have no vested interest. I join those which I believe best benefit me and podiatry. To that end, in wound care, I am a member of the Academy of Physicians in Wound Healing and no other organization in the field.
The reason for this was pointed out in the original article by Dr. Lai. APWH is the only physician-specific membership organization in wound care providing physician-directed education and advocacy. The other groups mentioned by Dr. Lullove, as he clearly indicates, represent multiple fields practicing wound care. But nurses and others make up the vast majority of their...
Editor's note: Dr. Jacobs' extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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Did someone say Bling? |
Source: Gershon Weitzman via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
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
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| CLASSIFIED ADS - PART 1- ASSOCIATE POSITIONS AND FELLOWSHIPS |
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.
ASSOCIATE POSITION – LONG ISLAND
Large and expanding multi-office state-of-the-art group with offices in Nassau and Suffolk counties, seeking a well-trained F/T podiatrist. We offer a competitive salary, benefits and partnership opportunity. We are associated with outpatient surgical centers, hospitals, wound care centers and a residency program. Requirements: Hard-working, board qualified/certified, self- motivated, surgically trained, willing to live nearby. 2016 graduating residents who would start in July welcome. Please email CV to: drbrook@countryfootcare.com.
ASSOCIATE WANTED - SOUTHWEST OF BOSTON
Well rounded established practice outside of Boston seeking well trained associate BQ/BE to join the practice. Excellent referral base and high volume of new patients. Opportunity for partnership for the right person. Please contact pmlepdpm@aol.com
ASSOCIATE POSITION - EAST TEXAS
A well-established practice is seeking a full time associate podiatrist. Must be BC or BQ by ABFAS. Practice offers a good general mix of all aspects of podiatric medicine and surgery. Competitive salary and benefits/Partnership buy-in. Email CV and letter of interest to office manager at toejob40@yahoo.com.
F/T PODIATRIST – PENNSYLVANIA
Expanding, well rounded, multi-site, state-of-the-art group with offices throughout Lehigh County, Pennsylvania. We offer: Competitive salary Benefits Partnership opportunity We're associated with hospitals, wound care centers, and a residency program. Requirements: Hard-working, self- motivated, board qualified/certified, and surgically trained. 2016 graduating residents welcome.Please email CV to: recruiting@foi-solutions.com
ASSOCIATE POSITION – SOUTHERN CALIFORNIA
Successful, growing full-scope practice with offices in Oxnard, Camarillo, Ventura and Santa Barbara seeking a full time podiatrist with excellent patient skills to add to our team. Competitive salary and benefits offered including health insurance and 401K. Potential for partnership. Please send CV to Kelly@footsurgeon.com.
ASSOCIATE POSITION – SOUTHERN CALIFORNIA
Are you finishing your residency in June? Full-time associate leading to partnership. Immediate position available. Busy office with multiple locations. Full scope practice. ABPS Board qualified/certified. California license required. Benefits included. Inland Empire. Please forward resume to familyfootcenter@verizon.net
ASSOCIATE POSITION – YONKERS, NY
Well established podiatry practice is looking for part-time podiatrist to work 2-3 days per week, including some Saturdays. Will work to get you on as many plans as possible. Competitive compensation package with bonus structure & partnership/ownership opportunity for the right individual. Please submit resume: Podiodoc@gmail.com
ASSOCIATE POSITION - PHILADELPHIA SUBURBS
Excellent opportunity to join our team. Minimum PMSR/36 with RRA training or experienced podiatrist with same qualifications. Candidate should be outgoing, personable, have a strong work ethic and be highly motivated. All aspects of podiatry including wound care. Part-time leading to full-time will be considered. Please send a cover letter and CV to: tricountypods@gmail.com
ASSOCIATE POSITION - CARROLLTON AND VILLA RICA, GEORGIA
Immediate position available. GREAT opportunity to join a 40 year old thriving practice 45 minutes west of Atlanta. One established physician is leaving and another will be retiring in two years, so you will be on the fast track to partnership. If you are energetic, self-motivated, and ready to hit the ground running with a full load of patients from day one, email cv to kdanis@westgapodiatry.com or fax to 770-832-3518.
ASSOCIATE POSITION - CENTRAL NEW JERSEY
Well respected, established practice seeking board eligible/board certified associate. Excellent opportunity for a motivated, hardworking, ethical and personable individual. Must be willing to practice all aspects of podiatric care. 2016 Residency Graduate OK. Practice in a new, modern office. Email CV, njpodiatric@gmail.com
ASSOCIATE POSITION - MANHATTAN
Well-established practice on Park Avenue seeking part time (Wednesdays and 9-12 mornings) long-term associate. You must be skilled in trauma, nail surgery, nail laser, and all aspects of current protocols on pod med and surgery. Good social and clinical skills, ACFAS Board Certification or Qualification with private practice podiatric medical and surgical experience with EHR and ICD-10 a must. NO RESIDENTS. Please email CV and cover letter to healthyfeetny@gmail.com or fax to 212-889-6150.
ASSOCIATE POSITION - NEW JERSEY
Seeking energetic podiatrist. You must be trained in all aspects of Podiatric Surgery including forefoot and rearfoot surgery. Be willing to follow and learn proven systems for practice success. Competitive remuneration package. Position available for Summer 2016. If you meet all these qualifications, please apply with CV attached. njpod2013-1@yahoo.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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| CLASSIFIED ADS PART 2- PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
EQUIPMENT FOR SALE - ULTRASOUND
SIUI CTS-5500 with rolling stand with a 7.5 MHz probe is ideally suited for soft tissue and some bone and joint applications. Mitsubishi printer with 5 rolls of thermal paper, plus Sonicgel and US Gel. $5,000 OBO. Please contact Amanda Reidhead @ amandar@aafaz.com or (480) 559-8404.
EQUIPMENT FOR SALE: CAST REMOVAL INSTRUMENTS
Stryker 940 cast saw, Ortho Vac 864 portable vac, 2 new blades, new cast spreader and new cast shear. Excellent condition. Complete package with shipping. $1,800. Please email hjddpm@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.
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either timely or free of viruses.
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