|
|
|
|
|
PMNews
Browse PMNews Issues
Previous Issue | Next Issue
| PM News | |
The Voice of Podiatrists
Serving Over 18,477 Subscribers Daily
May 02, 2019 #6,409  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block
|
|
| PM NEWS QUICK POLL |
Quick Poll
|
|
Do you rely on a Gram's stain to guide antibiotic therapy?
|
 |
|
|
| AT THE COLLEGES | |
CA Podiatrist Retires as WesternU Dean
Lester J. Jones, DPM, MSEd, retired April 30, 2019 from Western University of Health Sciences’ College of Podiatric Medicine (CPM) after serving more than 13 years as a consultant, professor, executive associate dean, and interim dean while helping to establish the foundational bedrock upon which the College was built.
 |
|
Dr. Lester Jones |
Previously Dr. Jones had served the academic arms of the podiatry profession at every level -- as Vice Chair of the Council on Podiatric Medical Education (CPME), President of the National Board of Podiatric Medical Examiners, and President of the American Board of Podiatric, Orthopedics, and Primary Podiatric Medicine (ABPOPPM).
|
|
| TRAGEDIES IN THE NEWS | |
CA Podiatrist Mourns Loss of Synagogue Heroine Daughter
Bereaved relatives, grieving fellow congregants, and an array of political leaders gathered to mourn the death of Lori Gilbert Kaye, one of the synagogue’s “pioneers”. A former Wells Fargo Bank employee, she helped get the congregation a loan in 1995 to build its house of worship blocks from Rancho Bernardo.
 |
|
Dr. Richard Gilbert and Lori Gilbert Kaye (OBM) |
Kaye’s father, Richard S. Gilbert, DPM didn’t speak but listened from the front row, using a wheelchair. A retired podiatrist in Encinitas, Dr. Gilbert once was known as “Feets” as the San Diego Chargers team doctor for many years.
Source: Ken Stone, Times of San Diego [4/29/19]
|
|
| PODIATRISTS AND DIABETES - PART 1 | |
MI Podiatrist to Receive ADA Roger Pecoraro Award
The American Diabetes Association (ADA) has announced the recipients of the ADA's four 2019 Professional Interest Group Awards. Individually and collectively, their exemplary leadership, mentorship and achievements have advanced the field of diabetes care and improved health outcomes for people with diabetes.
 |
|
Dr. James Wrobel |
The Roger Pecoraro Award recipient is James S. Wrobel, DPM, MS, Clinical Associate Professor in the Division of Metabolism, Endocrinology, and Diabetes at the University of Michigan and Staff Podiatrist at the VA Ann Arbor Healthcare System in Ann Arbor, Michigan. Dr. Wrobel will deliver the Roger Pecoraro Award Lecture: Artificial Intelligence for Predicting Diabetes-Related Foot Ulcer Outcomes, Saturday, June 8.
Source: Business Insider [4/30/19]
|
|
| PODIATRISTS AND DIABETES - PART 2 | |
Diabetic Amputation Epidemic is Being Totally Ignored: CA Podiatrist
On his regular rounds at the University of Southern California's Keck Hospital, Dr. David Armstrong sees a brutal injustice of American healthcare. Each week, dozens of patients with diabetes come to him with deep wounds, severe infections, and poor circulation -- debilitating complications of a disease that has spiraled out of control.
 |
|
Dr. David Armstrong |
He works to save their limbs, but sometimes Armstrong and his team must resort to amputation to save the patient, a painful and life-altering measure he knows is nearly always preventable. "Amputations are an unnecessary consequence of this devastating disease," said Armstrong, professor of surgery at Keck School of Medicine of USC. "It's an epidemic within an epidemic. And it's a problem that's totally ignored."
Source: Anna Gorman, CNN Health [4/26/19]
|
|
| RESIDENCY UPDATE |
 |
|
Updated 2019 Residency Placement Status - Souce: AACPM |
|
|
| PRACTICE MANAGEMENT TIP OF THE DAY | |
Is it Time to Reform Your Forms? - Part 3
Exchanging health information is a two-way street. On one side, physicians aim to gather pertinent information from patients. On the other side, patients are looking for clear direction from practitioners. If you haven’t revised the documents you share with patients for a while, perhaps now is the time to review and update them. Here are a few suggestions to help you get started.
3. Procedure explanation forms - Patients need to know exactly what to do in advance of and following all medical procedures. The most efficient and reliable way to ensure this is to provide them with simple, detailed, step-by-step instructions. Use bullet points, outline the chronological stages of the procedure (before/during/after), and add a variety of frequently asked questions to help guarantee patient understanding and compliance. You can also provide links to online resources that accurately depict what will be done. Too many surgeries and procedures are postponed or cancelled simply because of unclear instructions.
Source: Sue Jacques, Physicians Practice [4/24/19]
|
|
| CODINGLINE CORNER |
Query: The Non-Asterisk Diagnosis
It appears imperative that the MD or DO name be placed on the claim form for the date of service when billing for routine foot care. My question is if the diagnosis is a “non-asterisk diagnosis” (therefore, not requiring active care by the MD or DO), then why does their name need to be on the claim form? Is it possible the doctor does not have to inform Medicare that any physician is treating the non-asterisk disease (peripheral vascular disease)?
Charles Perry, DPM, Cambridge, OH
Response: There are 2 types of foot care that we perform as podiatrists. There is 1) routine foot care with qualifying conditions, that I have always termed “at risk foot care” and 2) treatment of mycotic nails. There are rules that govern each of these.
If you are providing at risk foot care to a patient, then there is information that needs to be placed on the claim form such as the physicians name, date last seen, etc. That is the only way for a patient to qualify for routine or at risk foot care.
If you are providing treatment for mycotic nails, then there needs to be different information present on the claim form and within the patient's chart that does not include the patient's physician, date last seen, etc. The information needed for treatment of mycotic nails includes 1) the diagnosis of onychomycosis, 2) a secondary diagnosis that may include pain or other qualifying diagnoses, 3) billing code 11720 or 11721 and 4) an active treatment plan should be in your chart. The treatment of mycotic nails does not/should not require the patient's MD/DO info.
Of course, checking with the LCD policy of your Medicare carrier is always indicated for any specifics that they may require, but these are the basics for the billing and charting for nail care.
Alan Bass, DPM, Manalapan, NJ
For information on Codingline subscriptions, click here
|
|
| RESPONSES/COMMENTS (RELEVANT RESEARCH) | |
From: Allen Jacobs, DPM
The FDA has for quite some time had a published policy regarding laser management of onychomycosis. It might prove instructive for PM News readers to examine this policy. The FDA approves lasers for temporary improvement in nail appearance. They suggest that not only is there no evidence to conclude lasers are effective for cure of onychomycosis, but that lasers ought not be used in high risk patients (e.g.: PAD, DM). Onychomycosis has been demonstrated in multiple studies to be a risk factor for more serious pathology such as cellulitis and gangrene in the patient with DM. It warrants appropriate treatment, including oral antifungal therapy, when appropriate. The isolated use of lasers as management for onychomycosis denies the patient with DM of treatment and allows a continuation of risks associated with this condition.
Because lasers are not species specific, if a laser is to be employed for cosmesis, speciation is not required. A KOH or PAS is sufficient to confirm the diagnosis of onychomycosis. Finally, there are ample studies to suggest that oral therapy is safe and effective in the patient with diabetes.
In my opinion, considerations regarding the evaluation and management of this commonly encountered pathology have been misrepresented in the profession as the result of corporate influence in our CME meetings, as well as biased presentations by "thought leaders" on the subject. We have a duty to effectively care for onychomycosis in the patient with DM, as with all patients seeking care for this problem.
Allen Jacobs, DPM, St. Louis, MO
|
|
| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
 |
|
Something's fishy about these boots |
Based around one of Britain's popular fish and chips, these shoes have been created as a fashion statement.
Source: Arrianne Johns via Virtual Shoe Museum
|
|
|
|
|
|
|
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 $229 (less than $16 per CECH)
(Only $15 per credit) http://www.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
|
|
| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
FULL OR PART-TIME POSITIONS AVAILABLE - GREATER LOS ANGELES AREA
Home Foot Care, Inc. Mobile Podiatrists needed to see homebound patients in San Bernardino/Riverside, Lancaster/Palmdale, Ventura/Oxnard, Los Angeles/San Fernando Valley. Choose your own days/hours, excellent monthly compensation, cloud-based EHR, dedicated support staff. If interested, email CV to: homefootcare@hotmail.com our website: www.footdocs2u.com
POSITIONS AVAILABLE - PENNSYLVANIA, VERMONT AND CONNECTICUT
Rapidly expanding company serving Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers is looking for doctors for full or part time positions. Openings include, but are not limited to, Pennsylvania, Vermont and Connecticut. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
ASSOCIATE PODIATRIST POSITION WITH OPTION TO BUY – MARYLAND
Podiatry practice located on the Eastern Shore of Maryland seeks full time associate. Maryland licensure a must; Board certification preferred. All candidates considered. CV may be sent to tidewaterpodiatry@gmail.com
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture. Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
ASSOCIATE POSITION - SOUTHWEST FL
Seeking associate for busy foot/ankle practice. ABFAS cert or qual. Great interpersonal skills and willing to work as a team, follow company protocols and systems. Office fully EMR, digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, etc. Email: DrLam@naplespodiatrist.com
ASSOCIATE POSITION - RICHARDSON, TEXAS
Position available with future opportunity for buy-in/buy-out relationship in a forty year old established practice . Looking for a motivated , ethical associate with excellent surgical and communication skills. Excellent location in Richardson , Texas - a suburb of Dallas ranked #9 in the Top 100 Cities for Raising a Family. Will wait until July/August for the right candidate. grfootdoc@gmail.com
ASSOCIATE POSITION – WISCONSIN
Established solo female practitioner seeking a well-rounded associate to provide all aspects of foot and ankle care. Candidate must be friendly, motivated, and dedicated to growing the practice. Competitive compensation with 401K, health insurance, malpractice, vacation, etc. Large referral base in a rapidly growing area. Please send inquiries to: drjulie@greenvillefac.com
ASSOCIATE POSITION - AUGUSTA, GA
Established group practice seeking PSR 36, Associate lead to Partnership/Ownership. EMR, PADNet, DME, full range of Hospital privileges. All phases of podiatry with wide open opportunities in rearfoot and ankle. Senior doctor retiring this year. Reply: kkronowski1@comcast.net
PODIATRIST POSITION – SOUTH CAROLINA
Work and live in one of the greatest states for outdoor fun and recreation. Centrally located 2 hours from the mountains and the ocean, well established practice of 21 years seeking an associate for its rapidly growing and expanding office. Must be board qualified/certified by ABFAS. Looking for someone with great people skills who is dedicated to putting in the effort to grow the practice. No traveling, no nursing homes. You must have SC podiatry license and next test date is June 1. Please send cover letter and CV to docdan@earthlink.net
ASSOCIATE POSITION - MASSACHUSETTS
Well-established, very busy, hospital-based practice located just north of Boston seeking full-time DPM. Applicant must be ABFAS Board Qualified/Certified, comfortable with rearfoot surgery and have interest in wound care. 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.
ASSOCIATE POSITION – PENNSYLVANIA
Independent Podiatry Group Practice looking for a full-time and / or part-time associate. Foot and ankle surgery, hospital rounds, wound care and general foot care. Comprehensive benefit package and opportunity for future partnership. Please send resume to debra8@zoominternet.net
ASSOCIATE POSITION – HOUSTON, TX
Established Houston practice seeking motivated, hard-working recent graduate for associate position in all aspects of podiatry. Long-term plan includes partnership. Send CV to dpm2docs@gmail.com.
ASSOCIATE POSITION - MARYLAND
Looking for motivated, hard-working podiatrist preferably with 2+ years of work experience in private practice. Excellent opportunity to become a partner, leading to full ownership of practice. Practice is well established and well respected. Qualifications of ideal candidate are a 3 year surgical residency, good people and clinical skills including good diagnostic ability, wound care, diabetic foot care and surgery. Independent thinker and hard worker with ethical philosophy. Inquires kept confidential. Reply to: jobavailable36@gmail.com
ASSOCIATE POSITION - VICTORIA, B.C. CANADA
Associate wanted in Beautiful Victoria, B.C. Canada 2 year residency minimum. Will help with immigration Email orthotic4d@shaw.ca
ASSOCIATE POSITION – CENTRAL CALIFORNIA
Actively seeking a professional full-time associate podiatric surgeon to join our cutting-edge, well-established and respected team on the Central Coast of California. We are looking for a well-rounded individual to perform all aspects of podiatric medicine and surgery. Candidate must have excellent diagnostic and interpersonal skills. We offer a competitive compensation package. Applicants must submit a CV and cover letter in .pdf format. Professional references must be provided at the time of submission. Please submit to: heather@ccfaas.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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
|
| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE - CALIFORNIA - SAN FRANCISCO - EAST BAY
Energetic practice with completely updated technology and ready-made patient base. Owner looking to relocate out of state. Full service practice with ancillary services. Practice operated on a parttime basis. Priced to sell. Contact MCrosby518@gmail.com
PRACTICE FOR SALE - EAST CENTRAL ILLINOIS
30 year established surgical practice in rural East Central Illinois. Re-locating. Turn-key operation with 3 treatment rooms and surgical suite. Certified EHR. Generates $450K, price reduced to $250K (includes real estate). Call 217-549-1887 or email drjoe@myfeethurt.net.
SUBLET — HINSDALE OR VERNON HILLS ILLINOIS
Fully equipped podiatry offices available to Sublet. 3 treatment rooms/procedure room/digital X-ray. Perfect for part-time satellite office. Please send inquiries to Shaarlz@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 18,000 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 18,000 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.
|
| 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
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
| |
|
Browse PMNews Issues
Previous Issue | Next Issue
|
| |
|
|
|
