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| PM News | |
The Voice of Podiatrists
Serving Over 17,238 Subscribers Daily
March 23, 2016 #5,626  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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Class sizes at podiatry schools should... |
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| AT THE COLLEGES | |
NYCPM President Addresses Healthcare Issues at Annual NLMC Meeting
The National Labor & Management Conference (NLMC) was founded by Louis L. Levine, President and CEO of the New York College of Podiatric Medicine (NYCPM), in 1977. At its 39th annual meeting earlier this year, he addressed the healthcare session at the four-day conference. Mr. Levine pointed to a number of current issues that signal the need for great change. He described a delivery system that is inadequate nationally, a system in which costs are increasing, hospitals are closing and older physicians in individual practices are retiring, leaving behind group practices affiliated with hospitals, which by necessity present higher costs to patients.
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Louis Levine at NLMC Meeting |
Levine described the particular failure of healthcare delivery in middle America, where the lack of population density means a lack of medical services density as well; doctors’ offices and hospitals could be 100 miles away from small town residents who need medical services. Levine advised that residents there have to “speak up and say what they need and don’t have,” a prescription that fits most healthcare dilemmas nationally. There must be improvement in the healthcare delivery system in the U.S., he said, implying that the change must be far-reaching rather than cosmetic.
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| PODIATRISTS IN THE NEWS | |
MD Podiatrist Discusses Prevention and Treatment of Bromhidrosis
The best way to fight sweat-related stink is to change your socks on the regular, especially when they're moist, says Alex Kor, DPM, a staff podiatrist at Johns Hopkins Medicine and president of the American Academy of Podiatric Sports Medicine. "You want to wear something that wicks the moisture away," he says, noting that merino wool is a particularly good fabric to look for.
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Dr. Alex Kor |
While the idea of sweaty feet might bring to mind summertime, Kor says he actually sees a fair share of foot odor complaints in winter because many of us are wearing heavy, less breathable socks to stay warm. "Even in the cold, you're sweating, and then when you come inside, you're not changing those socks because you're still cold," he says. You don't have to be excessively hot to be excessively sweaty. If dry socks don't do the trick, try an antiperspirant on your feet.
Source: Sarah Klein, Prevention [3/9/16]
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| PODIATRISTS AND FOOTWEAR | |
TX Podiatrist Applauds the Return of 'Sensible Shoes' For Women
Will Doc Marten and Jeffrey Copeland save the feet and legs of American women? Largely driven by comfort- and convenience-loving Millennials, the 'skyscraper stiletto' heels that dominated women's shoe fashion for the last decade are giving way to more sensible, comfortable, and even sometimes clunky looking footwear, and Dr. Jessica Rutstein couldn't be happier. "Getting out of that stiletto and into a more chunky, wedge heel is actually less pressure on the forefoot," Dr. Rutstein, who is a podiatrist at the San Antonio Orthopaedic Group, told News Radio 1200 WOAI.
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Dr. Jessica Rutstein |
"It's taking a lot of pressure off your toes, your forefoot, and your toenails." Dr. Rutstein says the towering stilettos which are fading out of fashion were bad not just for women's toes and forefeet, but bad for women's heels, legs, and even hips. She says that some of the problems from wearing stiletto heels don't show up for decades. "Even with the dressier heels, women are going today for shoes with more arch support, and more room for their toes," she said.
Source: WOAI News Radio [3/21/16]
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| FROM PM's CURRENT ISSUE | |
Twice 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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| HEALTHCARE NEWS | |
FDA Proposes Ban of Powdered Medical Gloves
After signaling its intentions for years, the U.S. Food and Drug Administration (FDA) has unveiled a proposal to ban most powdered medical gloves to guard against multiple health threats to clinicians and patients alike. The proposed ban applies to powdered surgeons' gloves and the absorbable powder for lubricating them, as well as powdered gloves for patient examinations. Both synthetic gloves and those manufactured from natural rubber latex (NRL) are covered.
If made final, the ban would hasten a phase-out of powdered gloves already occurring in the healthcare industry. Major health systems such as the Cleveland Clinic and Johns Hopkins Medicine have either restricted or forbidden the use of these gloves, a move affirmed by several medical societies, according to the FDA. An estimated 93% of clinicians are putting on powder-free versions.
Source: Robert Lowes, Medscape News [3/21/16]
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| HIPAA UPDATE | |
New HIPAA Audits will Target Healthcare Industry's Business Partners
A new round of federal privacy and security audits will target the business associates of healthcare providers, insurers and other HIPAA-covered entities along with the entities themselves, according to the Office for Civil Rights at HHS. HHS' Office for Civil Rights has started sending out e-mails to obtain and verify contact information for covered entities and business associates of various types for possible inclusion in the pool of potential audit subjects.
The health IT sections of the American Recovery and Reinvestment Act of 2009 added a number of more stringent privacy and security provisions to HIPAA. The law also required that HHS initiate a series of audits to verify compliance with the rules. Another new provision in the 2009 stimulus law placed the businesses that do data handling, processing, and analysis in healthcare on the same legal footing as the hospitals, physicians, insurance companies, and claims clearinghouses they work for.
Source: Joseph Conn, Modern Healthcare [3/21/16]
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| CODINGLINE CORNER | |
Query: Coding Skin Substitute Graft Application
What is the proper way to bill skin graft substitute for bilateral extremities? Does the code, CPT 15275 or CPT 15271 include the application of graft to both extremities if the total square centimeters is less than 25? Are you able to bill for the product code individually if there are two separate product units?
Anthony Fiorilli, DPM, Howell, NJ
Response: Yes, exactly as you stated: 1 unit of CPT 15275 includes applications to multiple areas within an anatomic category if the total wound area combined in that category is less than 25 sq cm. That does include both feet. If you applied graft to foot and leg wounds, then you would be able to use both the foot and leg codes with the exact code dependent on the total square cm of each.
As for the product, you can code for as many units as you purchased for that encounter. If you cut one piece of product X in half and apply it to two wounds, you can only bill for one piece of product X. If you bought two of them and applied one to each wound, then you can bill for two of them. The number and sizes you purchase should be appropriate based on the size of the wound(s).
Jeffrey Lehrman, DPM, Springfield, PA
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1A | |
From: Lynn Homisak, PRT, CHC
There are not many people who spread joy and happiness just by entering a room. Ollie was one of those people. Although I admired him for years from afar, I only really got to know him several years ago. I feel privileged to have shared the title “Hall-of Famer” with him as well as (too few) laughs, hugs, and smiles. Our profession lost a treasure and heaven gained one. My deepest sympathies to his family and to all those who called him “friend.” He was loved and respected and will be missed by many!
Lynn Homisak, PRT, CHC, Federal Way, WA
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| RESPONSES/COMMENTS (OBITUARIES) - PART 1B | |
From: David Krausse, DPM
Ollie Foster was a fantastic man who was a tireless advocate for our profession. I was lucky to have had the opportunity to know him through the Kaplan-Clark-Foster event, and he will be sorely missed this year at the PGA National.
David Krausse, DPM, Flemington, NJ
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| RESPONSES/COMMENTS (PM NEWS QUICK POLLS) | |
From: George Jacobson, DPM
I agree with Dr. Steinberg, but class size should be 10% less than the available residency spots. This will allow for any unanticipated closures or reductions so that all graduates each year can get a residency. It will also leave some spots for those graduates from previous years who went without a residency. Make them compete for residents, rather than have residents compete for spots! Wouldn't it be nice to go into a residency interview and have them tell you why you should select their program, instead of the other way around?
George Jacobson, DPM, Hollywood, FL
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| RESPONSES/COMMENTS (SUCCESS TIPS FROM THE MASTERS) | |
From: Neil H Hecht, DPM
I have been reading with interest the latest postings regarding MD parity. Although I didn’t really want to chime in on the various opinions, I thought I would relate my experience with a website this morning. I was searching the Internet to see any general news regarding my “home hospital” next door and came across U.S. News and World Report Health website. I tried to search “doctors” for my name and was unsuccessful. I tried to search for “podiatry,” or any variation thereof, and was unsuccessful. Same for surgery, orthopedics, etc.: “we” just aren’t there.
Now, my home hospital website does have options for “podiatry”, but my feeling was re-inforced by the U.S. News website: “We” DPMs aren’t “real doctors” and not perceived as such by most folks.
Podiatry will NOT achieve parity in any real sense until we get the coveted “MD” degree after our name. It just has to be that way. Our revered professional protectionism will yield eventual obsolescence unless this happens. I know what we do on a comprehensive basis is rarely duplicated by any other specialty. Maybe the term “podiatry” itself needs to be re-invented?
Neil H Hecht, DPM, Tarzana, CA
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Lawrence Kosova, DPM
Mr. Posa's post is full of misinformation. The truth is that a CR image is still considered closest to film quality, (especially an auto-load CR), and the expense of having a DR system is truly significant. Many doctors who have purchased a DR have gradually seen their image quality decrease with continued x-ray radiation, requiring regular expensive annual recalibration and finding themselves in a situation where they again need to upgrade or replace within as early as 5 years.
This recalibration process is done via software where it is determined which sensors or pixels have gone bad and blanks out the damaged area, rather than having holes or unreadable...
Editor's note: Dr. Kosova's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: It Sounds Dirty, But it's Not
A post-bunionectomy patient came in today with a complaint of a contracted joint/scar over the 1st MPM. She said, "It looks like my toe has an erection." I performed a percutaneous capsulotomy to reduce the contracture. I used ICD-10 code M205x9 for "Cocked up" toe.
John Moglia, DPM, Berkeley Heights, NJ
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MEETING NOTICES
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Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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 – 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 POSITION - BAKERSFIELD, CA
Office and hospital-based podiatry group seeking a highly trained surgical associate to complement our group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com
ASSOCIATE POSITION – SOUTHERN ARIZONA
Immediate opening for an associate Southern Arizona. Board qualified/certified by ABFAS. Multi office practice with opportunities for growth and participation in residency training. Multi Hospitals privileges available. Send CV to associatessaz@gmail.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 - NEW MEXICO
Growing practice in need of F/T podiatrist. Remote clinic requiring hard-working board certified/qualified candidate who is well-trained in rearfoot, ankle trauma, reconstruction, wound care. Call/hospital work necessary. Looking for self-motivated candidate who is interested in partnership. Send CV to nlhuge@gmail.com
ASSOCIATE POSITION - LONG ISLAND
Podiatric practice seeking associate with an association to a residency program. Seeking Part time/Full time position. Requirements: Hard-working Board Qualify/Certified, Surgically Trained, Teaching duties to residents. All residents welcomed, Please send all resumes to palmerigeneral@yahoo.com
ASSOCIATE POSITION – CONNECTICUT
40 Year old busy three-office practice in CT seeking full time BQ/BC podiatrist. Established patient volume with salary and bonus, malpractice and health insurance, profit sharing and CME allowance. Email CV and letter of interest to jtread6692@aol.com.
ASSOCIATE POSITION - ST. LOUIS AREA
Newly available position to join a well-established independent practice, associate leading to partnership. Experience preferred, Board qualified/certified. Please call Dr. Edward Stein at (314) 565-2739 and forward your resume to stcpod@att.net
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
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.
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 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
NAIL FUNGUS LASER FOR SALE - CUTERA LASER GENESISPLUS
The BEST laser on the market for the treatment of Onychomycosis. Wavelength - 1064nm ND YAG. Spot Size - 1mm, 5mm. Also can be used for other cosmetic treatments: Acne scars, enlarged pores, fine lines, keloids, nail fungus, neuroma, rosacea, scar reduction, sun damage, verruca, warts, wrinkles.Excellent operating condition. Discounted Price $40,000 Call Dr. J. Laurie @ (215) 605-2134 or email GenesisPlus4Sale@yahoo.com
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. Micromat 2000 Nail Drill System using controlled water and alcohol spray. $300 OBO. Please contact Amanda Reidhead @ amandar@aafaz.com or (480) 559-8404.
PRACTICE FOR SALE – CENTRAL FLORIDA
Practice available in a small town in Central Florida. Podiatrist retiring. Was full 4 day practice but now 2 days due to illness. Easily expanded. Same location over 30 years. Surgical and hospital privileges available but not required. Purchase equipment and assume patient care . Send inquiries to: DDave9388@aol.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.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
| | Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
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RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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