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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 20,000 Subscribers Daily
March 23, 2021 #6,913 Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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When do you think you will no longer require patients to wear masks?
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| PODIATRISTS AND SPORTS MEDICINE | |
Attempting to Run Barefoot Requires Transitioning: MN Podiatrist
Experts believe that cushioned shoes negatively affect balance, stability, and foot strength because the layer of foam between your feet and the ground dulls the messaging between your feet and your brain. Wearing cushioned shoes may also become a sort of crutch, making your feet extra sensitive and causing your ankles to weaken. Before you kick off your shoes for good, however, know that going barefoot isn’t actually the best answer (at least not for everyone). Living a sans-shoes lifestyle may strengthen your feet, but it doesn’t come without risks, says Paul Langer, DPM.
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Dr. Paul Langer |
“Aside from the obvious — stepping on sharp objects — the biggest risks are making the transition from conventional shoes too quickly and not allowing for adaptation,” Dr. Langer says. This concept applies to any change in activity, he points out, not just going barefoot. “Just as you shouldn’t go from being sedentary to running five days a week, neither should you go from wearing cushioned, supportive shoes to barefoot or minimalist [shoes].” Instead, you should gradually build up to the scenario and allow your body to comfortably adapt to the new stress or loads. Attempting to forgo the crucial adaptation period can lead to severe soreness in your arches, heels, ankles, calves, knees, and even your hips. In a worst-case scenario, you might actually make your gait worse by trying to transition too quickly.
Source: C/NET [3/20/21]
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| PODIATRISTS IN THE COMMUNITY | |
PA Podiatrist to Join UPMC West Shore Orthopaedics
The University of Pittsburgh Medical Center – Pinnacle is opening a new orthopaedic practice in the Enola area. UPMC West Shore Orthopaedics will open on April 1. The practice includes podiatrist, Oumou Belemou, DPM.
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Dr. Oumou Belemou |
Dr. Belemou received a Doctorate of Podiatric Medicine from the Western University College of Podiatric Medicine, Pomona, CA and completed a Podiatric Medicine and Surgery Residency at the Lebanon Veteran's Affairs Medical Center, Lebanon, PA.
Source: Daniel Urie, pennlive.com [3/9/21]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Recognizing Podiatry Will Cut Amputation Rate in Nigeria by 50%: Podiatrist
A consultant in podiatric medicine, Yahaya Nauzo, DPM, says unnecessary limb amputation has led to increased mortality in patients living with diabetes. Dr. Nauzo noted that effective management of leg ulcers by a podiatric doctor before it degenerates to the point of amputation can increase life expectancy of those living with the disease.
Nauzo lamented that lack of specialists in the field has led to avoidable deaths, as the country doesn’t have enough podiatric doctors to manage the increasing number of those living with diabetes that develop leg ulcers. He blamed the situation on the inability of the Medical and Dental Council of Nigeria to formally recognize podiatry as a branch of medicine. He noted that having a podiatric doctor that those with diabetes can see twice a year will prevent more than 50 per cent of amputations in the country.
Source: Tessy Igomu, Healthwise [3/7/21]
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
TX Podiatrist Uses Newly Launched Plating System
Austin, Texas-based Leith Medical, LLC, a medical device startup, has received U.S. Food and Drug Administration (FDA) 510(k) clearance for its One Screw, One Step™ foot and ankle plating system with anti-backout technology. The lateral malleolar fracture plate system is designed for “fixation of a variety of distal fibular fracture patterns.”
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Dr. Arush Angirasa and One Screw, One Step |
The patented system has made its way into the operating room. Earlier this month, Arush Angirasa, DPM, a partner with Southwest Orthopaedic Group, performed the first patient surgery using the system. The initial product launch includes four plate systems. Surgeons will use the first tarsometatarsal, lesser tarsometatarsal, and first metatarsophalangeal joint systems in the forefoot and midfoot. The lateral malleolar fracture plate system is designed for “fixation of a variety of distal fibular fracture patterns.”
Source: Kim Delmonico, Orthopedics This Week [3/19/21]
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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 | |
Six Ways to Motivate Your Team for Free - Part 4
Fortunately, for practice managers, often the best motivators are relatively easy, inexpensive, and often a whole lot of fun. Try a few of these ideas at your practice, and see if your team is more willing to go the extra mile.
4. Be Specific
Acknowledging a job well done is most effective when the acknowledgment is specific.
“I spoke with a doctor recently,” Elizabeth Woodcock recalls, “who went to his scheduler and said, ‘Mr. Jones (not his real name), because you were able to get this patient in today, he will not have to go to the hospital. You helped give excellent care.’” This not only recognized the employee for his work, it recognized his role in the organization and its mission. “This is very powerful,” says Woodcock.
Source: Avery Hurt, Logan Lutton, Physicians Practice [3/4/21]
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| CODINGLINE CORNER |
Query: History and Physical Examination in 2021
What does a medically appropriate history and physical examination consist of in the 2021 E/M protocol? Is this the same as a problem focused E/M? Auditors may have a differing opinion of when a history and physical is medically appropriate. It seems as though process is very subjective.
Jon Goldsmith, DPM, Omaha, NE
Response: Yes, it is somewhat subjective. There are no “bullet points” that have to be met as the code selection is based upon conditions-data-risk, not on history or exam. But… you still have to document information to support your claim for the code you selected. You can’t have a one sentence chart note that states “diabetic with foot ulcer, bill CPT 99214.”
Keep in mind your documentation also needs to be there for medical-legal reasons in case something goes terribly wrong. So you get to choose what to put into your chart note. In reality, it should be just as complete as before, except now you don’t have to worry if you had 7 versus 8 bullets or worry about other organ systems to reach the code level. This new system is not a charting shortcut. Be a doctor, complete and thorough. If you select “time” as the basis for your code level, that includes your charting time.
Tony Poggio, DPM, Alameda, CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) | |
RE: Periungual Warts: Intralesional Antigen Immunotherapy
From: Leonard A. Levy, DPM, MPH
Derm World Weekly (March 10, 2021) reported on a study published in the Journal of Cutaneous Medicine and Surgery that explored the efficacy of intralesional antigen immunotherapy for the treatment of periungual warts, including the measles, mumps, rubella (MMR) vaccine, Candida antigen, and purified protein derivative (PPD). 150 patients were randomly assigned to receive one of the three immunotherapy treatments, each agent injected intralesionally at a dose of 0.1 mL into the largest wart at two-week intervals. This was continued until complete clearance or for a maximum of five sessions.
Clearance of the warts was achieved in 80% of the Candida antigen group, 74% of the MMR group, and 70% of the PPD group. The number of sessions required ranged from 1.88 (Candida) to 4.22 (MMR). No recurrence was noted in all treatment groups after 6 months.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Podiatrists and Vaccinations
From: Steven Finer, DPM
Recently, I opened our local paper and there was a picture of a pharmacy student giving a vaccine shot. I know the laws have been updated but nothing burns my toast more than the former exclusions of podiatrists. An IM injection can be taught to a teenager. My dad gave thousands of them during WW2 as a technical sergeant. I think back to all the nerve blocks, joint injections, and aspirations I did and have to laugh. My friend, an oral surgeon and professor at a major institution, just shakes his head.
Steven Finer, DPM, Philadelphia, PA
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 1 | |
RE: FL Podiatrist Discusses Morton's Neuroma (Peter J. Bregman, DPM)
From: Sanuel Cox, DPM
I read the response from Peter J. Bregman, DPM and agree I would love to never do another neurectomy. That said, I have tried first cutting the deep transverse ligament (DTL) with an #18 needle with poor success. Then I went to an MIS technique of using a #67 or #64 blade and hugging the metatarsal and cutting the ligament with only slightly better success. More recently, I have been doing about a 1.5 cm incision, then using a Freer elevator to locate the DTL. I then use a tenotomy scissor to cut the ligament, and use a hemostat to spread the interspace, with better success.
With this type of procedure, there is very little post-op pain and no bleeding. I use a few simple sutures and it is quickly done; however, there have been some of those procedures that have...
Editor's note: Dr. Cox's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NEWS STORIES) - PART 2 | |
From: Michael Schneider, DPM
I simply asked that Dr. Mendoza’s claim be substantiated. Dr. Kiel said that “Dr. Mendoza, as a woman, is much more able to validly claim discrimination without written substantiation (which of course does not exist).” That opens a door that we actually do not want to go through. All claims of any type of discrimination should be verified lest we become a different type of society.
Michael Schneider, DPM, Denver, CO
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of The Day
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Double stick tape included? |
Source: Ninna Thorarinsdottir via Virtual Shoe Museum
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MEETING NOTICES AND WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing Education Contact Hours (CECH) Online
Earn 15 CECH only $249 (less than $17 per CECH)
podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI
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
* NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE IN GALVESTON COUNTY, TEXAS
2 offices (Galveston Island and Dickinson) Established for 47 years with owner retiring and willing to stay for easy transition. Grossing $300K plus without COVID-19 drop off. Free standing building in Galveston included in sale with rents to secure note. Contact jknecht522@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - SOUTHWEST, FL
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME. Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS fellowship avail, must be BQ ABFAS by start of program 8/2021: DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Graduation from an accredited medical school and completed accredited residency program. Board Certified/Qualified in surgery. We offer a competitive compensation and benefits package to our team members. email CV to: dysteindpm@gmail.com
FULL TIME PODIATRIST – SCOTTSDALE, ARIZONA
We are an established family medicine practice in beautiful Scottsdale with an immediate opening for an experienced podiatrist. A large percentage of our patient population are diabetic, which necessitates a skilled podiatric physician to work hand-in-hand with our primary care and orthopedic team. Candidate will enjoy unlimited freedom to practice without the worry of managing a solo practice while taking over an existing podiatric patient population of this thriving medical practice. The candidate will enjoy competitive compensation, bonus and incentive structure, health insurance, vacation malpractice insurance. Please submit your CV to amy@aveonhealth.com
ASSOCIATE POSITION - WESTERN NY
Full time associate looking to live in Western New York. Low cost of living area with multiple city centers a short drive away. Great place to live and raise a family. Great prospect for experienced DPM as well as a new graduate who desires to be part of a team and ultimately wants to be a partner in private practice and transition to ownership. Senior doctor is happy and willing to mentor. Must be willing to merge into an already established protocol based office with state of the art facility and equipment. Practice includes all aspects of podiatry ranging from surgery to routine care. Yourpracticenow@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITION - BILLINGS, MONTANA
Tired of COVID and the city? This is your chance to have the position you've been dreaming about. Need board qualified associate wanting to work hard & enjoy the rural life of Montana. Work ethic and personality will deliver you an above average income. Join the largest group in the region. Base salary plus bonus, malpractice and other benefits. Email for details and to set up interviews. craig.mclaws@mt-podiatry.com
PODIATRIC SURGEON – SOUTH CAROLINA
Physicians Footcare, SC largest provider of podiatric services, is seeking a highly skilled and personable physician to join our TEAM. If you are ready to live, work, and play comfortably; send letter of interest and CV to: scdpmjobs@gmail.com
ASSOCIATE POSITION – CALIFORNIA
Well established mobile podiatry service looking for IMMEDIATE full or part time coverage in Riverside and San Bernardino County. Competitive pay, plus bonus. Full control of your schedule with full support of an experienced office. Busy clinic one day per week is also available. Must have a CA license. CV to: mobilepodiatry310@gmail.com
ASSOCIATE POSITION – BERGEN COUNTY, NJ
Looking for a full-time podiatrist in a very busy, fast-paced practice. Offering competitive salary and bonuses. Lots of sports medicine, excellent support staff, and positive environment. Immediate start date. Please e-mail CV to cma@njfootpain.com, should you have any further questions you may call Gerry 201-523-9489 ext 101.
ASSOCIATE POSITION - MICHIGAN
Busy office-based practice in Southeast Michigan seeks full-time podiatrist to treat both medical and surgical patient needs. Seeking a caring, self-motivated individual to join and help grow the practice larger. Wound Care, Sports Medicine, Pediatrics, Ankle/Rearfoot training or experience preferred. Lots of opportunity for growth and possible partner track. Competitive compensation, health insurance, and malpractice insurance. Immediate opening or Summer start. Please send resume to: michiganfootandankle@gmail.com
ASSOCIATE POSITION - ABINGDON, MARYLAND
Immediate associate position for a well-trained, highly motivated and compassionate individual. Rapidly growing, well established practice with a loyal patient following and strong physician referral base. Offering competitive salary with bonus structure, 401K, PTO, CME allowance, health (including vision and dental) and malpractice insurance. All aspects of podiatry with emphasis on wound care/diabetic surgery/limb salvage. Please email cover letter and CV to michael@mkblockdpm.com
ASSOCIATE POSITION – SOUTH WEST FLORIDA
Start Immediately. Walk into a busy schedule day one in this modern, full scope practice. Must be personable, compassionate, motivated, and ABPM or ABFAS BQ/BC. Competitive salary and benefits with clear path to partnership. Excellent opportunity for surgical volume and diversity to accelerate board certification. FL License required. Send CV to podiatrymanda@gmail.com
ASSOCIATE POSITION – MASSACHUSETTS
Well-established, well-rounded hospital-based group practice located just North of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified, well-trained with interest in wound care and limb salvage. We are well integrated within the medical community and are active in both hospital in-patient care and out-patient clinic. Excellent referral base and high volume of new patients. Competitive compensation and benefits package. Excellent opportunity for qualified candidate. Please email CV to footdocsma@gmail.com
ASSOCIATE POSITION – RICHMOND, VA
Foot and Ankle Specialists of the Mid-Atlantic, LLC is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in the Richmond, Virginia area. We are a growing group of 99 providers and 63 locations. If personable, motivated, well-trained, and licensed in VA or willing to secure an VA license, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. We look forward to hearing from you!
ASSOCIATE POSITION – ORANGE COUNTY, CA
Our podiatry group is a well-established, busy practice in Orange County, CA. Part-time or full-time associate positions available for immediate consideration. Offering competitive compensation. Must have completed 3-year surgical residency and board qualification or certification. Email CV and bio to asbpodiatry@gmail.com.
ASSOCIATE POSITION - WESTERN COLORADO
Looking for an associate/partner for a small practice in a small town. Must have ABPS board qualification/certification and must be able thrive in a rural setting lacking the conveniences of a metropolitan area. For more detailed information text 970 209-3776
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 20,000 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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