The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

March 22, 2013 #4,722 Publisher-Barry Block, DPM, JD

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Blaine Labs Presents Annual Endowed Scholarship to WesternU Student

This year’s Honors Day Ceremony at Western University College of Podiatric Medicine took place on March 11, 2013. During this event, students were celebrated for their outstanding efforts and achievements. Many of the industry’s brightest podiatry students from each of the four classes were honored with various awards and scholarships. A 3rd-year student, Bryan Levay, was selected to receive the Blaine Labs Endowed Scholarship based on his overall GPA, public service, leadership potential, and extracurricular activities.

Nicole Petrossi of Blaine Labs presents scholarship to Bryan Levay

It is of vital importance to support the growth and success of podiatric schools across the nation. Blaine Labs is committed to this cause with annual product donations to all podiatry schools, along with various sponsorships and scholarships throughout the year.

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. Straw polls are not scientific and do not represent standards of care.

Quick Poll
Are you in favor of the training of podiatric assistants to do routine foot care?

AAPPM Honors Two Podiatrists at Its Midwinter Seminar 

The American Academy of Podiatric Practice Management (AAPPM) hosted yet another terrific Midwinter Seminar earlier this month in Pittsburgh, Pennsylvania. Over 200 attendees were presented with the most up-to-date information to help catapult their practices toward success. The 2013 Midwinter Seminar was praised as one of the most energetic and smoothest run conferences. 

Dr. Hal Ornstein after receiving the BC Egerter Award

In the midst of the excitement, learning, and energy, the AAPPM also took the opportunity in Pittsburgh to present two awards to two different and influential podiatrists. Hal Ornstein, DPM, the AAPPM Chairman, was presented with the very prized and rarely awarded B.C. Egeter Award for his leadership and for the efforts he continues to make to teach the next generation of podiatrists to lead the profession. Eric Polansky, DPM, was presented with the 2013 President’s Award for his leadership and support for every facet of the profession.

Car Crashes into CA Podiatry Office

A woman in a Subaru crashed into the large front window of a podiatrist's office on Fairmount Avenue in El Cerrito Monday, the office said. No one appeared injured in the crash, said Deanne Giacomelli, who handles medical billing for the Fairmount Podiatry Group.

Dr. Darlene Fahmie, Car Collision (Photo: Gayle Vial)

Dr. Darlene Fahmie said the car smashed into the glass front of the office about 2:45 p.m.  "Thank God nobody was sitting in those chairs," Giacomelli said. The office has chairs for waiting patients just inside the window, she said.

Source: El Cerrito Patch [3/19/13]

AZ Podiatrist Comments on Intramedullary Nail

MedShape, Inc., the industry leader in innovative shape memory orthopedic devices, has announced a 10mm version of its DynaNail(®) Ankle Arthrodesis Nail. This smaller DynaNail expands the use of the intramedullary (IM) nail to patients with narrow bone anatomies that require smaller fusion devices.

Dr. Randall Brower

"Surgeons have a number of product options when considering intramedullary rod fixation for treating complex ankle and rearfoot fusions. Of the many products I have utilized for my patients, I have found, without question, that MedShape's DynaNail system is superior to all other systems," said Randall Brower, DPM of Desert Canyon Foot & Ankle in Phoenix, AZ. "The DynaNail is the only 'fourth generation' rod to utilize new pseudoelastic nickel titanium technology. This has been a game changer with 100% fusion in all cases I've used it in to date."

Source: Thomasnet.com [3/19/13]

Former FL Podiatry Manager Sentenced

The Pensacola woman charged with stealing nearly $44,000 from her job at Gulf Coast Podiatry has been sentenced. Circuit Judge Ross Goodman sentenced Ellen Renee Garrett, 55, to 24 months in state prison followed by 8 years probation, Tuesday. Garrett pleaded no contest to one count of grand theft from her employer for embezzling money from the practice during her time as office manager.

Garrett, who began working for the office on North Ninth Avenue in 2002, would post fraudulent transactions to cover up the stolen money. She did this over the course of more than four years, according to the State Attorney’s Office. Her actions were discovered during an audit, police said. In addition to prison time and probation, Garrett must pay restitution to her former physician employer.

Source: Rhema Thompson, Pensacola News Journal [3/20/13

Top Five States For Podiatric Attestation

According to a report from Software Advice, 4,789 podiatric providers have attested for the electronic medical records (EMR) stimulus. Here's a breakdown of the top five states:

Top Five Podiatry Attestations by State

Source: Software Advice

RE: Long-Term Pain, Right Foot (Edmond F. Mertzenich, DPM, MBA)
From: Peter Bregman, DPM

This is certainly a complex case and likely needs staging of some sort. The osseous problems need to be addressed in the rear foot and any equinus as well. For the record, and as an AENS fellow using Semmes-Weinstein filaments for any type of real neurologic exam, is not acceptable as anything less than crude. 

Having said that, I think it is important for a good neurologic consultation. This would rule out  the presence of any progressive neurologic disorder. If there is a true peripheral nerve entrapment, then certainly a referral to a peripheral nerve surgeon would be appropriate. Just looking at the x-ray, the deep peroneal nerve may be impinged by the dislocating talo-navicular joint.

Peter Bregman, DPM, Las Vegas, NV, drbregman@gmail.com

RE: Forefoot Surgery on an 84 Year Old (Joseph Borreggine, DPM)
From: Tip Sullivan, DPM, Ed Cohen, DPM

The surgical plan you have sounds rational. One other thought might be a plan to simply address the chief complaint on this 80+ y/o and improve the other issues (other lesser digits and hallux varus) with some more conservative ideas. There is one saying that I have found true, especially in the elderly: The enemy of good is perfect.
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

I was very surprised to read some of the replies to this query. I expected to read about fixated metatarsal osteotomies and fusions of lesser toes, but I really didn't expect podiatrists advocating amputation of the second toe and a fusion of the first MPJ, a non-painful joint.

I have a large geriatric practice and I often encounter similar feet. The hallux varus was what I would consider to be...

Editor's Note: Dr. Cohen's extended-length letter can be read here.

RE: Drug-Seeking Patients (Bruce Lebowitz, DPM)
From: Brian Kiel, DPM, Stephen Musser, DPM

When a non-surgical patient asks for drugs, my answer is "NO". I don't give, nor do I need to give, any explanation and I am certainly not uncomfortable saying this. "NO" is self-explanatory. As for post-op requests, you are the best judge of when to reduce or cut-off drugs. My answer to those patients is that I can no longer give them narcotics and they need to take Aleve or ibuprofen.

Brian Kiel, DPM, Memphis, TN, Footdok4@gmail.com

First, you need to tell the patient you cannot advise them to take a spouse's pain medication. Second, inform patients that there is concern that their pain will be more difficult to manage post-operative if they start taking strong pain relievers now. Third, if their symptoms are that severe, there is nothing wrong with referring them to a pain clinic. Fourth, you may want to mention that the pharmacy/DEA frowns/watches physicians who prescribe schedule pain medication to patients who are not under the care of a pain management physician or being treated post-operatively. I would add, "and you don't want to get me in trouble, right?" (they always agree).

You cannot deny that a patient is having pain. If there are no contraindications, consider NSAIDs or Ultram, along with a referral to pain management.
 
Stephen Musser, DPM, Cleveland, OH, ly2drmusser@gmail.com

RE: 104 Applicants Not Matched for Residency Positions
From: Narmo L. Ortiz, Jr., DPM, Howard J. Lepolstat, DPM

My suggestion to partially solve the problem would be to double the existing residency positions at each program and divide the salaries between the residents. If we all remember, about 15 to 20 years ago, podiatry residency positions did not pay even half of what they do now. Since the standard of living expenses has not increased by 50% from then, it makes some sense.

Narmo L. Ortiz, Jr., DPM, Marietta, GA, nlortizdpm@embarqmail.com

We are ignoring the gorilla in the room. That is the RIGHT to practice without a residency. We have forgotten that we are not a surgical specialty. We are a general specialty for the foot (and leg) which has the ability to sub-specialize, should the practitioner desire.
 
Any graduate DPM who has passed the national boards has the knowledge and skills to go directly into general practice. Evidently, not every graduate can get a post-graduate program. That may be something we have to live with for a while. The demand for dermatology and ophthalmology residencies is greater than the supply. So the unsuccessful applicants go into another specialty or into general practice. The same situation exists in dentistry. But I do not believe any MD or DDS is totally blocked from practice. And if they so choose, they can wait another year and apply again. BUT IT IS THEIR CHOICE.
 
To have graduate DPMs totally prevented from practicing because so many states have a post-graduate training requirement seems, to me, to be at least unethical, if not illegal. It is time for the APMA to get involved, with all the power and influence it can muster, to get the states to relax or modify that particular requirement.
 
Howard J. Lepolstat, DPM, Sun City West, AZ, teachrcomp@aol.com

RE: 104 Applicants Not Matched for Residency Positions
From: Ivar E. Roth DPM, MPH, Allen Jacobs, DPM

I implore private physicians out in practice to take in a preceptor. I have done this through the AAPPM for the past two years.  Preceptorships offer a great opportunity to help our recently graduated doctors while they wait out this morass and continue with their educational process. The preceptor experience has been a very pleasant and enjoyable experience these past two years. I will be offering two positions this year with a $2,000 per month stipend. I ask that each practitioner reading this post consider contacting AAPPM and hiring a preceptor.
 
Ivar E. Roth DPM, MPH, Newport Beach, CA, ifabs@earthlink.net

The recent PM Quick Poll demonstrating that greater than 40% of podiatrists do not favor the training of an assistant for "routine foot care" suggests an answer to the residency shortage. Gather all future graduates in a room. Have all those interested in nail and callus care stand off to the left. Have those on the right given a residency. Have those on the left given a chiropody degree. There, problem solved.

Dental assistants, PAs, NPs, EMPs, all render independent or loosely supervised care sans residency. Let's be realistic. Other than for the purpose of licensure requirements, why would you require a residency for "routine care"? Here is podiatry's dirty little secret; there are many podiatrists for whom "routine care" is the overwhelming substance of practice and income. Or are you telling me that the schools are incapable of teaching this basic skill? I just can't wait to read the intellectualization clarifying to me the complexities of "routine care."

Allen Jacobs, DPM, St. Louis, MO, allenthepod@sbcglobal.net

RE: The Passing of Jack Morris, DPM

"You got to know your anatomy!" probably was Dr. Morris' best mantra. One time, while I was in biomechanics class at CCPM, he said plantar fasciitis could be fixed with a ball-peen hammer. 15 years later we had ESWT- a ball-peen hammer is a lot cheaper, but insurance companies would not be involved. Podiatry has lost a biomechanics genius.

Gregory K. Eirich, DPM, Tustin, CA

As a podiatry student at the California School of Podiatric Medicine, I was privileged to meet Dr. Jack Morris and listen to his lecture on cuboid syndrome. His love for teaching students and the profession continued throughout the later years of his life. His contribution to the profession definitely deserves recognition. He will be missed by many and no one could perform a mean black snake whip like him.
 
Nhu Quynh Do, DPM, Los Angeles, CA

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 footcare@comcast.net

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

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 - 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

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 - VICTORIA, B.C. CANADA

Beautiful Victoria, B.C. Canada on the ocean, fast growing area. Associate for multi-office full scope practice. Reply to dr.cole@shaw.ca

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 - N.E. INDIANAPOLIS (FISHERS/ANDERSON)

Full or Part-time associates to join board-certified podiatrist in diverse, modern podiatry practice in hospital and office settings. EHR, digital x-rays, PADnet, Cutera Genesis Plus laser, Pinpointe Laser, ESWT, mini-C-arm, all aspects of DME, and hospital affiliations with three networks. Limited wound care. No nursing homes. Current Indiana podiatrists welcome. Tremendous potential for individual(s). Send C.V. with salary and benefit expectations: john.lloyd@lloydpodiatry.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 - 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 – PHILADELPHIA SUBURBS

Seeking an outstanding, highly motivated candidate with top-notch personal, clinical and surgical skills and training to join established & highly esteemed diverse practice. Full privileges available for entire podiatric spectrum of practice. Great opportunity with long term career potential. Respond with Resume, Photo, C.V. and references to footandankle22@aol.com.

ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND

Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.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.

PODIATRY OFFICE FOR LEASE (PART-TIME) - MANHASSET, NY

Podiatry office available for part-time sub-lease in Manhasset, Long Island. Available Tues, Thurs, Sat. Adjacent to L.I.E. and North Shore Hospital. Contact Holfoot153@aol.com for appointment.

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

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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