The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

March 15, 2013 #4,716 Publisher-Barry Block, DPM, JD

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Charles Bradley, DPM, MA

Dr. Charles Bradley

Last night, Charles Bradley, DPM, MA passed away. Dr. Bradley served as president of the APMA from 1983-4 and was instrumental in the founding of the podiatric section of the National Academies of Practice.

MA Podiatrist Discusses Plantar Fasciitis

Plantar fasciitis has become so ubiquitous that podiatrists can practically make the diagnosis before a patient even sets foot in their office. "I see 18 to 20 patients a day with plantar fasciitis. Heel pain is epidemic," says Dr. Michael King, a podiatrist practicing in Fall River, MA, and past president of the American Podiatric Medical Association. He can only guess how many more cases are out there. "Some people just tolerate the pain and try to get by."

Dr. Michael King

Plantar fasciitis has become a mark of modern life, but it's far from inevitable. According to King, heel pain could become a relative rarity, assuming we are willing to take better care of our feet. More than anything, King says, people with plantar fasciitis just have to give their feet a chance to recover on their own. He has a few simple guidelines. First of all: no going barefoot, and no flimsy flip-flops. (Flip-flops or sandals with arch support are fine.) He encourages patients to put on footwear with some arch support before even getting out of bed.

Source: Chris Woolston, Chicago Tribune [3/13/13]

PM News has begun a new weekly feature called Quick Poll. Each week, we will post a new poll based on some of the controversial issues discussed in our Comments/Responses section. 

Quick Poll
If you use a laser to treat fungus nails, compared to oral terbinafine, do you think the laser is:

NY Podiatrist Travels to Haiti to Help Rebuild School

During a recent trip to Haiti, Dr. Patricia Nicholas took the time to spend with the 181 children attending the one-room schoolhouse until a school building can be erected. 

Dr. Patricia Nicholas with Haitian Students

Construction is ongoing. Much needed donations are needed to finish the project by October 2013 when the next school year starts in the small town of O’Rouck (Anse-a-Veau), Haiti.

AACPM Announces Release of Curricular Guide

The American Association of Colleges of Podiatric Medicine (AACPM) has announced the release of the first Curricular Guide for Podiatric Medical Education. A copy of the Curricular Guide for Podiatric Medical Education can be found on the Association’s website at aacpm.org.

Dr. Denise Freeman

AACPM Council of Faculties Chair Denise Freeman, DPM, MSE, stated that “the Council of Faculties Curriculum Guide is an AACPM initiative designed to reach a general consensus within the podiatric medical community on the skills, attitudes, and knowledge that graduating podiatric medical students should possess prior to starting residency training. The 300+ page Guide consists of program level learning objectives that podiatric school deans and faculty can use in reviewing and developing their educational programs.”

CPME Increases New Potential Residencies by 108

The Council on Podiatric Medical Education is focusing significant attention on facilitating increases in positions in approved podiatric residency programs. Following a thorough review of available clinical experiences, the Council identified programs with the clinical capacity to increase positions—resulting in a total of 108 new potential residency positions.

The Council has notified each of those programs authorized to add residents. While it is not expected that all of the offers to increase positions will be accepted, the Council is hopeful the positions that are accepted will help alleviate the residency position shortage.

Source: APMA News Brief [3/12/13]

Some Fear EHR Meaningful Use is Too Much, Too Soon for Doctors

Even before requirements for the second stage of the federal electronic health record incentive programs were finalized, many in the healthcare industry expressed concern that the promise of a bonus check was pushing some physicians to move too quickly with their transitions from paper. Their arguments were that by doing too much too quickly, work flow efficiencies and patient safety could decline, because physicians adopting for the first time would be too focused on checking things off a list of meaningful use objectives instead of easing into a new way of practicing medicine.

If rapid adoption is truly a cause for concern, a study in the January/February issue of Annals of Family Medicine shows which states would be playing catch-up the fastest. It found that when the meaningful use incentive program started, some states already had the majority of their family physicians using technology, according to administrative data from the American Board of Family Medicine. Utah had an adoption rate of 94.9%, but Florida, Illinois, and Michigan lagged far behind, with less than half using some form of electronic health record system.

Source: Pamela Lewis Dolan, Amednews.com [3/11/13]

Query: Suggestions for Painful Bunion

This AP, weight-bearing x-ray is the foot of a 50 year-old female. She is basically healthy with some osteopenia. The lateral view shows a calcaneal inclination of 25 degrees and normal talar declination. There is a mild anterior break in the cyma line. Her bunion is painful and progressively getting worse over the years.

Painful Bunion in 50 Year Old Female

On physical exam (using "C" arm), she does seem to have a very flexible met-cuni joint. The 1st MTPJ is trackbound with mild non-painful crepitus. There are no severe arthritic signs. After presenting her with conservative and surgical options, this lady wants surgical resolution. Suggestions are welcome.

Tip Sullivan, DPM, Jackson, MS

Query: Intermittent Pulsed-Laser Therapy

In our area, we have several chiropractors aggressively advertising a "breakthrough" treatment for neuropathy utilizing intermittent pulsed-laser therapy (IPLT). There are impressive patient testimonials included in the ads. I do not have any experience with this modality, but any thoughts from colleagues would be appreciated.

Michael Lawrence, DPM, Chattanooga, TN

RE: Rigid Shoes and Stress Fractures (Steven King, DPM)
From: Cam White

Brands like Finn Comfort "Finnamic", Waldlaufer Dynamic Walkers, Ryn, and Mbt all have rigid rocker soles that provide almost no flexion beyond the midfoot. They are good ready-made solutions for hallux rigidus/limitus, but could also be potentially beneficial for your patients recovering from metatarsal stress fractures.

Cam White, Austin, TX, camwhite.shoes@gmail.com

RE: ICD-10 Preparation (William Hughes, DPM)
From: Harris L. Klear, DPM

As the co-ordinator of Temple University School of Podiatric Alumni Seminars, I am announcing that we are having an ICD-10 Coding workshop with several speakers on Sept. 21-22, 2013. This will be held at TUSPM. This is open to all podiatrists. If you have any questions, please contact me.

Harris L. Klear, DPM, Philadelphia, PA, harris.klear@gmail.com

RE: PA Podiatrist Among Highest Paid by Big Pharma
From: Warren Joseph, DPM

Here is the response I sent to Sam Wood at the Inquirer. "All of my lectures given for the Pharma industry follow strict FDA guidelines and are consistent with the corporate integrity agreements entered into between the companies and the government. There is full disclosure of this fact at all lectures. I have not worked at the Coatesville VA in a number of years. I strictly work out of Roxborough and am a private, self-employed citizen; not an employee of any company, government, hospital, or healthcare organization.

Thank you for at least quoting the article from...

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

RE: PA Podiatrist Among Highest Paid by Big Pharma
From: Eric M. Hart, DPM

I don't see any shame in the report that Dr. Warren Joseph is one of the highest paid consultants/speakers to the pharmaceutical industry. I have heard Dr. Joseph speak on several occasions and have found him to be an unbiased expert who promotes limb salvage and good antibiotic stewardship--both of these are more worthy of a nice salary in my opinion than most of the over-paid positions held by insurance company executives.

Eric M. Hart, DPM, Bismarck, ND, erichartdpm@gmail.com

ACADEMIC POSITIONS - SCHOLL COLLEGE

The Dr. William M. Scholl College Podiatric Medicine is seeking up to three full-time academic podiatrists to train and lead the next generation of podiatrists in an interprofessional, multicultural learning environment. Applicants must be board qualified with preference for board certification in foot surgery and reconstructive rearfoot/ankle surgery. Salary and academic rank will be commensurate with scholarly credentials. Contact Robert Joseph DPM, PhD at Robert.joseph@rosalindfranklin.edu or (937) 479-1793. Rosalind Franklin University of Medicine and Health Science is an Equal Opportunity/Affirmative Action Employer. The administration, faculty and staff embrace diversity and are committed to attracting qualified candidates from historically underrepresented groups.

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $475K 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

PRACTICE FOR SALE - LOS ANGELES, CA

Practice is in Boyle Heights area since 1998. 70%MM the rest consist of Cash/PPO/HMOs. Last 4 years grossed between 200-350k in a down economy. Constant referrals from PCPs in the area. Includes Padnet, and all podiatry equipments. Asking 130k. Please email me only footdoc525@yahoo.com

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 - 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

ASSOCIATE POSITION- SUBURBAN PHILADELPHIA

Full time, PSR 24-36 month trained podiatrist needed for busy suburban Philadelphia group practice. Multidimensional, multi-office group treating a wide range of patients including forefoot, rearfoot & ankle surgery, diabetic wound care, sports medicine, and workrelated injuries. Office & diagnostic equipment state-of-the-art. Full benefit package included with bonus incentive. Position available starting July, 2013 excellent opportunity leading to partnership. Please email to: bailliemw@gmail.com

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 - HOUSTON, TEXAS

PSR 24+/ Equiv. DPM, Texas license, Busy diverse practice. Greater Houston Area, Guaranteed Salary and benefits All Aspects of Podiatric Medicine and Surgery. Board eligibilty, Bilingual A Plus. Send CV to Randal Lepow at rmldpm1@att.net

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/PARTNERSHIP MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

ASSOCIATE POSITION NEEDED FOR CENTRAL FLORIDA

FT/PT associate needed for nursing home work. Great compensation and a great way to supplement your income. Must be willing to travel. Contact us at (786) 975-2090 or fax to (847) 674-2113 you may also email to feetwork@aol.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 - 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".

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 - NY AND NJ

Highly ethical, motivated self starter wanted. Must be willing to work hard. Must have excellent people skills. There is partnership opportunity if you are willing to work for it. This is not for everyone. No whiners, and no slackers. Send C.V. to ddfcfootdoc@gmail.com

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

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 - COMPLETE AMFIT ORTHOTIC FABRICATION SYSTEM

Complete Amfit Orthotic Fabrication System with Footfax SL Contact digitizer-3 years old. System includes milling machine, 2 PCs, all cords, parts, hardware and assorted insole blanks. $45K New, Asking $10K. E-mail inquiries to: sportsmed@fdfac.com

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

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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