The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

April 15, 2013 #4,742 Publisher-Barry Block, DPM, JD

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NC Podiatrist Uses Mountain Top to Reach Distant Ham Radio Operators

So, what do you do when you have some free time? Nap? Golf? Garden? If you’re Dr. Richard Weinbaum, a podiatrist, you “SOTA.” SOTA — short for “Summit On The Air” — is an amateur radio operators program which encourages portable operation in mountainous areas. In other words, they are ham radio operators. With a portable radio and an acceptable mountain top like Mount Shepherd just west of Asheboro, radio enthusiasts can connect with other radio enthusiasts throughout the world, including the Ukraine, South Africa, and Australia.

Dr. Richard Weinbaum

Weinbaum chose Mount Shepherd for its height above sea level (1,168 feet) and because the location is designated as part of a point system. Get enough points and you are awarded a certificate leading to the prestigious “Mountain Goat” and “Shack Sloth” trophies. An Honor Roll for Activators and Chasers is maintained at the SOTA online database.

Source: Courier-Tribune

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
Do you hire people who smoke?
Click HERE for Results

The following states have smoker protection laws 

Last Week's Results

Last Day to Enter APMWA  Annual Student Writing Competition

The American Podiatric Medical Writers Association has announced its 27th Annual Student Writing Competition.

All papers MUST be non-technical in nature. Appropriate subjects include practice management, ethics, law, education, or any topic that would be suitable for a lay publication.

There is no word limitation. Papers will be graded for content, style, grammar, neatness, and overall impact.

First prize will be one thousand dollars ($1,000), sponsored by an APMA Educational Foundation endowment from Dr. and Mrs. Steven Berlin, and recognition in the APMA NEWS and the APMWA Newsletter. Honorable Mention Certificates may also be awarded.

This competition is open to ANY enrolled podiatric student.

Entries must be received by 4/15/13 via e-mail at bblock@podiatrym.com

Entries become the property of APMWA, which may arrange publication of the entry

TX Podiatrist Runs for City Council

Incumbent Joe Truman wants another term on Victoria City Council, but two other candidates want a shot at the job. The three candidates, Truman, former councilman Gabriel Soliz and podiatrist Dr. Andrew Young agree economic development is vital to the city, but from there, priorities and expectations begin to differ. District 5 covers the southern half of Victoria. The election is May 11.

Dr. Andrew Young

Andrew Young, 39, said he wants to lead Victoria in the direction of the 2025 plan and increase transparency on the council. His priorities are three-part and hinge on each other: promote economic growth, lower the tax burden on residents, and catch up on growth and infrastructure projects. "It's the same concept we look at in medicine," Young said. "When we make decisions, we focus on quality of life."

Source: Victoria Advocate (TX) [4/14/13]

MO Podiatrist is First to Address UC Davis Symposium

Dr. Allen Jacobs

Dr. Allen Jacobs addressed the annual University of California - Davis symposium on pharmacological management of diseases. Dr. Jacobs presented 3 hours of lecture on diabetic neuropathy to 400 primary care and internal medicine providers. This was the first time a podiatric physician had ever been invited to address this assembly.

NY Podiatrist Helped Kissinger Meet DiMaggio

Henry Kissinger’s hero was famed New York Yankee Joe DiMaggio: “In the '30s and '40s, the idea that I would ever meet him was beyond my imagination." So, who made that dream come true? Eisenhower? Nixon? Not exactly. “I had a foot doctor (Dr. Martin Hazan) who was also the foot doctor for Joe DiMaggio. He brought us together in the mid-50s," said Kissinger.

Source: Colin Murray, Radiotimes.com [4/13/13]

Query: Microvas II Unit

Has anyone had any experience with the Microvas II unit in treating diabetic neuropathy? Specifically, is it effective? Are there any reimbursement issues?

Thomas E. Curd, DPM, New Bern, NC

RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Larry Kosova, DPM

Dr. Scheffel is finding out that trying to implement speech recognition into his EMR slows down his productivity. This is a fault of his EMR program. There are EMRs that are made for speech.  I use Textalk Enterprise. Most other EMR companies say that you can use speech, but perform as badly as Dr. Scheffel is experiencing. Most software programmers for EMRs have no clue how to program their EMRs effectively. If you had an issue with Dragon, they could not help you. They will tell you that you can use Dragon, but don't come to them if you run into issues.

First you need to go to your EMR company and ask them to help you construct a template in a logical fashion. A simple idea:  instead of "clicking" , use the tab key to logically go through your template and use speech to fill it in. You can also use speech commands like "click 1" with 1 being in a field, i.e. <1> and using <2>, etc., to fill in your template. Most good EMRs that use speech will have 25 or so commands embedded in their system. Maybe you need to get that list, if they have it.

You should also ask your EMR company for a demonstration of the use of Dragon with their EMR. Hopefully, this was done prior to purchase.

Larry Kosova, DPM, Chicago, IL, lkosova@yahoo.com

RE: EMR Compatibility with Dragon Voice Recognition (John Scheffel, DPM)
From: Michael Brody, DPM

Based upon your post of having trouble with Dragon and your EMR, I strongly recommend contacting your EMR vendor. Most EMR products have been built with methods that provide better tools for using voice dictation than you are currently using. For example, in SamNotes, the Sammy EMR product, the workflow to create a note using voice dictation is just three easy steps. First, you select the new note feature, then you select the Blank note feature which opens up a box that has the patient's name and the date of service, and finally you activate your voice dictation software so that you can start dictating directly into SamNotes.

When you call your current vendor, please tell them what you want to do and have them demonstrate an easier workflow to allow you to easily dictate your note. If your current software does not have a good workflow and you wish to continue to use voice dictation, I recommend that you start shopping for a new EMR product.

Disclosure: I am the Chief Compliance Officer for Sammy Software.

Michael Brody, DPM, Commack, NY, mbrody@tldsystems.com

RE: gSource Instruments (Jack Ressler, DPM)
From: David S. Wander, DPM

Our practice now orders exclusively gSource instruments for the high quality, reliability, and customer service. We have used a variety of their instruments, including surgical and palliative instruments, and all items have held up well to significant use and sterilization.  

gSource has our highest recommendation.

Disclosure: Our practice has no financial interest in gSource.

David S. Wander, DPM, Philadelphia, PA, dswdpm@gmail.com

RE: gSource Instruments (Jack Ressler, DPM)
From: Ronald F. Iannacone, DPM

gSource instruments are great quality instruments at a very reasonable price. I started buying from them last year and have not had a problem with their instruments at all. Their staff is also very friendly and willing to accommodate you. 

Ronald F. Iannacone, DPM, Northport, NY, rfiannaconedpm@yahoo.com

RE: APMA Pinterest Page (Brian Kiel, DPM)
From: Michael Brody, DPM

I agree that as an APMA member, I am not thrilled with the APMA Pinterest page. But I want to be clear, I do not have any complaints with the APMA having a Pinterest page. Dr. Holmes accurately pointed out that Pinterest is a very popular social media site, and it is being used effectively  by organizations such as the AMA. They have created a very professional site that promotes their members to the public.

I believe the style of the Pinterest site that our organization has does not present a professional image. Just as there needs to be a level of peer review and quality for an item to be published in a professional journal, there needs to be a vetting process on the APMA site to avoid an unprofessional presentation to the Pinterest community that visits the APMA Pinterest page.

I applaud the APMA on the forward looking approach, and utilizing social media to educate the public about our profession, and urge them to reconsider the current content of the site. It should be a site that makes each and every member proud to be a podiatrist and helps to encourage the best and brightest to join our ranks.

Michael Brody, DPM, Commack, NY, mbrody@tldsystems.com

RE: Competency of APMA Leadership (Allen Jacobs, DPM)
From: Elliot Udell, DPM
 
It is human nature to "blame the captain" when the ship hits rough waters. After 9/11, many American screamed, "why didn't the president and congress stop Bin Ladin before -----"
 
What the public often fails to realize is that leaders of nations as well as major  organizations such as our own APMA are neither infallible nor have the gift of prophecy. At times, the best that the most gifted leader can offer is to examine the facts of a matter and make sure that the problem does not recur.
 
I find it especially unfair and even troubling when people point an ill finger at the executive director of the APMA. I have known and worked with Glenn for over 30 years and can swear that both he and members of his family and staff commit their every fiber and soul  toward the advancement of podiatry. I don't know how he manages to effectively run day-to-day APMA matters and handle every crisis affecting us nationally while traveling all over the country to train ever changing new leaders at all of the local regions. This is on top of making sure that our national convention, which caters to thousands of doctors, takes place every year and runs without a single hitch.
 
Elliot Udell, DPM, Hicksville, NY, Elliotu@aol.com

RE: Refusing to Hire a Person Who Smokes (Jeff Kittay, DPM)
From: Peter Bregman, DPM

It is exactly this kind of response from people who may have a story about a "kind smoker" that I am talking about. There is nothing positive about smoking. Clearly this woman could not stop despite all of her cardiac problems. I am not saying that people who smoke are not kind or otherwise. Just because she was kind to you does not mean her second-hand smoke did not cause health problems for other people.

My mother smoked 2 packs a day for 20 years, but had the discipline to quit. I applaud her. I made no reference to someone's character except that...

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

RE: Former GA Podiatrist Indicted in Federal Bankruptcy Fraud Case
From: George R. Vito, DPM

In July 2004, Dr. Jay Otero a practicing psychiatrist, who resided and practiced in California, filed suit against me, The Foot and Leg Centers of Georgia, PC and the hospital in which the surgery was performed with the United States District Court, Middle District of Georgia, Macon Division. The Foot and Leg Centers of Georgia, PC and I were initially represented by counsel hired by their medical malpractice carrier. The malpractice carrier contested coverage in the matter and ultimately withdrew its defense of me and The Foot and Leg Centers of Georgia, PC., after obtaining a judicial determination that the claims against me and The Foot and Leg Centers of Georgia were not covered.

Thereafter, I hired...

Editor's note: Dr. Vito's Extended-length letter can be read here.

RE: MI Podiatrist Sentenced to Prison in Healthcare Fraud Scheme (Deborah S. Wehman, DPM)
From: Carl Ganio, DPM

I have practiced in Florida for 23 years, and have had the opportunity to see Medicare EOBs that patients have shown me from their podiatrists "up North", when they are visiting our community during the winter. I have seen it all. My patients would show me the debridement codes, avulsion codes, etc. and ask me to bill the same way (which, of course, I do not). I am sorry, fraud is fraud... and many of you have been knowingly doing it for years to maximize reimbursement.

I remember during my internships and residency trying to learn what medical and podiatric pearls I could from my Chicago mentors... but I did see many students hover around the front desk and office learning how to bill. Certainly, trying to figure out whether to bill an exostectomy vs. condylectomy vs. resection of the base of a phalanx may cause one to compare reimbursements and RVUs in order to improve reimbursement... but to knowingly bill an avulsion code spraying ethyl chloride on a nail margin has always been fraud.

I agree, that what we get paid is criminal. Look at the most recent poll on how many of us were unhappy with podiatry. Perhaps the really happy are performing more avulsions.

Carl Ganio, DPM, Vero Beach, FL, drcarlganio@veropodiatry.biz

RE: 104 Applicants Not Matched for Residency Positions
From: Marc Haspel, DPM, Michael Schneider, DPM

I have been reading with interest and some sadness about the plight of the 104 graduates who were unmatched for residency positions. I agree that this is a tragedy and hope some solution emerges to mitigate the enormous debt incurred and/or a pathway to licensure. While I believe questions should be asked of the ongoing admissions processes at the colleges or even the wisdom of opening new schools, I do not agree with the harsh criticism being leveled at APMA and its collective efforts to elevate the stature of the profession on whole.

For many a time, we as a profession, have sought to move our specialty to one seated at the same table with allopathic medicine. While some of the newer training seems excessive, it is what society demands. Ultimately, familiarity with this professional evolution must be appreciated by all those intent on matriculating into podiatry school. When one matriculates to a podiatry school, one is making a business decision, not an academic one.

Ideally, one should know where one will be heading after all one's education and training is completed. The classic example being the old model of offspring entering a family practice. Being realistically aware of what lies down the road for those thinking of pursuing a career in this field will help to avoid a similar crisis in the future.

Marc Haspel, DPM, Clifton, NJ, mhdpm@aol.com

According to the CPME website, there were 113 new first year residency positions this year. I empathize deeply with the unmatched graduates who qualified but were not afforded the opportunity of a residency. The issue that strikes me is that things have dramatically changed in the practice of medicine since I graduated NYCPM in 1983.

Upon graduation, we had the option of...

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

RE: 104 Applicants Not Matched for Residency Positions (Robert Eckles, DPM, MPH)
From: Simon Young, DPM

I reviewed Dr. Eckles comments and beg to disagree with his conclusions and comments.

Firstly, I do believe there are too many colleges of podiatric medicine matriculating too many students. In my opinion, there is no shortage of podiatrists, at least not in the NYC area. In the NYC area, I can count no more than 20 orthopedic foot and ankle surgeons. For example, the spinal surgeons are all thriving. They are thriving because there aren't many in the market to provide their services and they have a strong MD and hospital referral base.

Dr. Eckles feels...

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

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 - PUERTO RICO 

Looking for a well motivated surgically trained podiatrist for a 20 years old hospital based multi office practice . Candidate must be personable, ambitious, and knowledge of SPANISH language a must. Hospital surgical privileges available with heavy load of High Risk Diabetic Foot patients. This position leads to PARTNERSHIP, and eventually ownership. Offices located near San Juan Metro area near Beaches, great schools, and major shopping malls. Please send CV to medicopodiatra@aol.com.

ASSOCIATE POSITION - MARYLAND, DC, PA

A podiatrist is needed for the Baltimore, Washington, Pennsylvania area. Partner for the corporation. Surgery center, emergency room call and a hospital location. All areas of podiatry. Established practice. Salary and commission. Fax resume 410-857-4227 or email at butler@qis.net

ASSOCIATE POSITION - SOUTHWEST FL

R U a PM&S36 or PSR24 graduate looking for a bright future in podiatry BUT cannot be afraid to work hard to achieve. Nail care to reconstructive ankle/leg trauma. Attitude & God complexes need not apply. Frames/IM nails, must be comfortable applying. Work hard for exciting future. Superstars only. Send info mny1029@gmail.com

ASSOCIATE POSITION – TAMPA BAY AREA

Multi-location practice seeking individual with balanced medical and surgical training. Practice is well established with growing new patient visits. Offering competitive salary and benefits along with bonuses commensurate with performance. EMR already in place with well-trained assistants. Please Send cover letter and CV to office@fitfeetflorida.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA COAST

Wanting full-time podiatrist (PSR-24 or greater) in 30+ year established practice situated in coastal community just south of Los Angeles.  Building out a new office near hospital. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Looking for someone to take over practice in the future.  Excellent opportunity for young ambitious doctor.  Send resume to asbf@pacbell.net, titled, "Podiatrist".

POSITIONS AVAILABLE - UPSTATE NEW YORK and CONNECTICUT

 Looking for podiatrists to see residents in nursing homes. Syracuse, Schenectady, Albany  Cortland, Little Falls, and Gloversville, and surrounding areas, New Britain and Southport, CT. Great opportunity for supplemental or full-time income. Email inquiries to phasetwopodiatry@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

ASSOCIATE POSITION - NORTH TEXAS

Associate position available. Located 50 miles from Dallas. All phases of Podiatric care with no ER call. PSR 24 required. Hospital privileges & strong referral base. Practice has EMR, digital X-ray & on site vascular testing. Very competitive salary and benefits. Please send CV to Footdoc3143@gmail.com

ASSOCIATE POSITION - HAMPTON ROADS VIRGINIA

Needs to be highly motivated, INDEPENDENT and surgically-trained to join a successful 40+ year practice surrounded with water sports, beaches and hiking. PSR24/36 ; well versed in forefoot and rearfoot surgery, diabetic wound care, sports medicine and diagnostic ultrasound. Please email CV & cover letter to feetloveus@gmail.com

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

POSITION AVAILABLE - CENTRAL FLORIDA

Two doctor practice looking for an associate to take retiring doctor's position with partnership opportunity for the right person.  Competitive salary, health insurance and incentives. Two offices serving a diverse number of routine, surgical and wound care patients. Two years surgical residency training and FL license required. If interested in this great opportunity please e-mail CV, surgical log and references to toesrus7@yahoo.com.

ASSOCIATE POSITION - UPSTATE NY

Busy multi-specialty practice of PCPs, general surgeons, OB-GYN, podiatric surgeons looking for a full-time podiatric associate in  Upstate NY, Binghamton, Finger Lake Region. Great Benefits, opportunity for partnership. Must be highly motivated, personable and be Board qualified/eligible. Our podiatrists have over 100 years combined experience. Please send CV to associateinfoot@yahoo.com or fax 607-723-1567.

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 - NORTH CAROLINA

Busy, well established five-office practice in Charlotte, NC looking to fill an associate position leading to partnership for the right person. General and surgical podiatry, wound care. Close to beach, mountains - ideal location for outdoor enthusiast. NC license necessary. Competitive pay with incentives. Send resume to charpodiatry@gmail.com

SEEKING FULL OR PART-TIME PODIATRIST - NEW JERSEY

An outstanding practice opportunity! We are searching for a dedicated and caring full time or part-time podiatrist to join our growing endocrinology practice that is devoted to quality patient care and conveniently located in Englewood, NJ. The office is less than ten miles from Manhattan. Competitive salary and benefits package offered. For further details, please call Victoria at (917)655-9009 or email resume to cvsschwartz@aol.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

PRECEPTOR POSITION – TAMPA BAY AREA

Multi-location practice offering paid preceptorship. You will learn great patient care techniques along with nuisances that go into running a successful practice. We had a positive experience with a preceptor this past year and want to repeat this. If interested please send CV to office@fitfeetflorida.com

PRECEPTOR WANTED - CHICAGO

Preceptorship at a State Licensed and accredited Surgical Center in Chicago. Over 2,500 cases annually in podiatry. orthopedics, general surgery, pain management and neurosurgery. Preceptor will be involved in assisting surgeons and scrubbing into cases. Rotations in anesthesiology and 2 months in internal medicine at local teaching hospital. Salary of $ 52,000, plus health benefits and vacation. Housing provided. Do NOT send transcripts or Board scores. Preference will be given to 2013 graduates of the College of Podiatric Medicine. in Chicago.  Send letter of request to: Advanced Ambulatory Surgical Center, Inc. 2333 North Harlem Ave. Chicago, IL 60707. Attn: Dr. Hrywnak.

BUSINESS DEVELOPMENT MANAGER 

Trulife, a global manufacturer of orthotic, prosthetic, physical rehabilitation and breast care products is searching for a strong business development manager to build the market position of our custom AFO line in podiatry market.  Successful candidate will have experience selling into the podiatry market segment and have established business relationships with podiatrists.  Proven track record of growing sales in podiatry market needed.  C.Ped credential +.  Must be able to develop & manage a sales force consisting primarily of independent sales groups, experienced in B2B podiatry, orthopedic, DME sales.  75% travel. To apply, email resume to lbouchard@trulife.com

EQUIPMENT FOR SALE - PADNET AND MIDMARK 417 PODIATRY CHAIR

Both in excellent condition. Asking $8,000 for PADNET and $3,000 for chair. Inquire (516) 922-0502 or bombbustr7@aol.com

EQUIPMENT FOR SALE - BIOMEDIX PADNET SYSTEM
 
PADnet is clinically valuable, provides fair financial return with medically appropriate testing and seamlessly integrates with the complete suite of BioMedix® products and services. One year old. In Excellent condition. Buyer pays for shipping. Please contact Rhonda Daggs at info@footanklecenters.com

PRACTICE FOR SALE - BROOKLYN, NY

28 year old practice in a desirable part of Brooklyn. EHR certified with stage 1 criteria successfully met. Practice has room to grow. Good mix of Medicare hazardous foot care; surgery and wounds. Low overhead. Priced to sell. Email Inquires to brooklynpracticeforsale@gmail.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

PRACTICE FOR SALE - SIOUX CITY, IA, TRI-STATE

Solo practice, established over 40 years. High volume, general care with surgical and orthopedic mix. Surgical privileges at 2 major hospitals. Deferred financing available. Contact: Medical Office, PO Box 4516, Sioux City, IA 51104.

 PODIATRIC MERGERS - CHICAGO AREA 

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area. We are interested in discussing merger with current  podiatric practitioners in Chicago and surrounding area. Practices that have a minimum of 5 to 25 years of activity are welcome to meet with us and visit our rapidly expanding practice that currently numbers 18 DPMs, a neurologist, a rheumatologist, 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.

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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