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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,286 Subscribers Daily
May 09, 2016 #5,659  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 RESULTS |
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Results of last week's quick poll |
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| PM NEWS QUICK POLL |
Quick Poll
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What percentage of your Medicare patients who come in for care of nails and/or corns and calluses pay cash as a non-covered service? |
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| PODIATRISTS IN THE NEWS | |
FL, CT Podiatrists Discuss Athlete's Foot
If you have athlete's foot, expect dry, cracked skin that peels off the bottom of your foot and in between your toes, says Brian Fullem, DPM, a sports podiatrist and author of The Runner’s Guide to Healthy Feet and Ankles. These areas become extremely itchy and, in serious cases, you may develop blisters filled with clear fluid.
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Drs. Brian Fullem and Meredith Ward |
The cause: A fungus called tinea pedis, says Meredith Ward, DPM, a podiatrist at St. Francis Hospital and Medical Center in Hartford, CT. Your sweaty socks are often to blame, since fungus requires darkness, warmth, and moisture to thrive, says Dr. Fullem.
Source: The New York Post [5/6/16] via Men's Health
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| PODIATRISTS IN THE COMMUNITY | |
May's Bandstand Flag Flying in Honor of IA Podiatrist
An American flag will fly throughout the month of May in honor of Dr. C.B. Dunshee (November 4, 1919 - January 8, 2013) , Chief Yeoman, United States Navy. C.B. enlisted in the United States Navy, September 17, 1941 in Chariton, Iowa. He was assigned to the USS Lesuth, an auxiliary cargo ship, where he acted as a senior yeoman. The ship was in the South Pacific for the greater part of two years and participated in various assignments.
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Dr. C.B. Dunshee |
Upon his discharge, he enrolled at the Illinois College of Podiatry. He graduated with a Doctor of Podiatry degree in 1949. Following his graduation, C.B. established the first podiatric office in the Oskaloosa. He remained in practice until 1991.
Source: The Oskaloosa Herald [5/5/16]
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| MEDICARE NEWS | |
Podiatrists Averaged $100K From Medicare in 2014
In the third round of what's now an annual event, the CMS posted a huge data set that breaks down the $91 billion Medicare paid individual physicians, diagnostic labs, ambulance services, and other companies. And for the first time, the agency included a set of numbers that exclude adjustments for regional factors like wages. The addition of standardized figures is intended to make the variation in payments reflect “physicians' practice patterns and beneficiaries' ability and willingness to obtain care,” the CMS said in a news release. The latest round reflects 2014 claims.
According to CMS, podiatrists received an average of $99,708 in Medicare payments compared to $89,366 paid to internists and $55,536 received by family practitioners. Orthopedic surgeons received $128,820.
Source: Gregg Blesch, Art Golab, and Dave Barkholz, Modern Healthcare [5/6/16]
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| RELEVANT RESEARCH | |
3-D Printed Bone with Just the Right Mix of Ingredients
To make a good framework for filling in missing bone, mix at least 30 percent pulverized natural bone with some special man-made plastic and create the needed shape with a 3-D printer. That’s the recipe for success reported by researchers at The Johns Hopkins University in a paper published April 18 online in ACS Biomaterials Science & Engineering.
That has led investigators to 3-D printing, or so-called additive manufacturing, which creates three-dimensional objects from a digital computer file by piling on successive, ultrathin layers of materials. The process excels at making extremely precise structures — including anatomically accurate ones — from plastic, but “cells placed on plastic scaffolds need some instructional cues to become bone cells,” says Wayne Grayson, PhD, associate professor of biomedical engineering at the Johns Hopkins University School of Medicine and the report’s senior author. “The ideal scaffold is another piece of bone, but natural bones can’t usually be reshaped very precisely.”
Source: Johns Hopkins Medicine [5/4/16]
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| HEALTHCARE NEWS | |
2,000 Doctors Back Single Payer Healthcare Plan
More than 2,000 physicians announced their support Thursday for a single-payer national healthcare system, unveiling a proposal drafted by doctors that appears to resonate with Bernie Sanders' call for "Medicare for All." In an editorial and paper published in the American Journal of Public Health on Thursday, the doctors call out the "persistent shortcomings of the current healthcare system." They warn about the risks of continuing along the path laid out by the Affordable Care Act: "down this road, millions of Americans remain uninsured, under-insurance grows, costs rise, and inefficiency and the search for profits are abetted."
The future of health reform has been widely discussed in the presidential campaign, and for years, health reform has sparked a raging and divisive political debate among politicians. The proposal, however, is endorsed by hundreds of physicians who have an inside view of the effects of the law on patients and medical care. It grew out of discussions in late 2014, when a small group of physicians began to assess the effects of health reform and found it coming up short.
Source: Carolyn Y. Johnson, Washington Post [5/5/16]
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Robert Scott Steinberg, DPM, Annette M. Joyce, DPM
A recent report pointed out that people lie about their smoking habits, but I think we all knew that already. If the patient is saying 1/2 pk/d, it's probably 1.5 - 2 pk/d. If this were my patient, I would take the opportunity (and put my foot down, looking her straight into her eyes) and say, that for any possible treatment to work, the patient must quit smoking 100% immediately. If she won't help herself, it's a waste of time to throw Rxs at the problem.
Robert S. Steinberg, DPM, Schaumburg, IL
Consider reflex sympathetic dystrophy syndrome (RSDS) or CRPS as a differential diagnosis. These patients often present with burning-type recalcitrant nerve pain, hyperhydrosis, bluish or red color changes to the feet, and most importantly, sensitivity to cold water or temperature (allodynia). This may be attributed to prior surgery, infection, or radiation therapy, but sometimes the cause is not clear. This patient warrants a quick referral to pain management for evaluation and physical therapy as a preferred treatment course.
Annette M. Joyce, DPM, Sykesville, MD
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1A | |
From: Lawrence M. Rubin, DPM
Preparing for our changing reimbursement model ideally means you are among the first podiatrists in your locale who are ready to step into providing value-based care. Nobody is absolutely certain about all the definitions of "value" that will emerge, but it is possible to prepare for any definition and requirement once you know what it is. If you Google search articles on value-based medical care using keywords, you will find a lot out about it.
Whether we like it or not, the emerging foot healthcare marketplace will be dominated by those groups of podiatrists already transitioning into it. I bet some podiatrists reading this are already making appointments with the medical directors of ACOs to get their...
Editor's note: Dr. Rubin's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1B | |
From: Paul Busman, DPM,RN, Elliot Udell, DPM
That may be true in NY, NY but in communities away from the major metropolitan areas, it certainly isn't. Here in upstate, you're more likely to find people who have a hard time coming up with co-pays than those able and willing to pay for concierge podiatry.
Paul Busman, DPM,RN, Clifton Park, NY
Dr. Shavelson is correct when he implies that in every community there are people who will afford a BMW, pay for Botox injections and tummy tucks, but will bark and even walk out the door when we ask them for their annual deductible, or to fill a limb-saving antibiotic prescription. It's not just in podiatry. Last year, the New England Journal of Medicine published a study on patients who survived myocardial infarctions and were sent home from the hospital on drugs designed to prevent another episode. Less than fifty percent of the patients surveyed filled their prescriptions. Part of the reasoning for their non-adherence was the cost of the drugs.
We need to understand that human beings have basic emotional needs. One is the desire to look good. Hence the plastic surgeons laugh all the way to the bank. Another need is to avoid pain, and this is why patients will run to us when their feet hurt, but after they feel better, many will not "spring" for a pair of orthotics to prevent recurrence.
Elliot Udell, DPM, Hicksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear when bird watching? |
Source: Elisabeth Thorsen via Virtual Shoe Museum
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS | |
ACADEMIC POSITION - WESTERN UNIVERSITY OF HEALTH SCIENCES
Western University of Health Sciences College of Podiatric Medicine is seeking podiatrists interested in the education and training of future doctors of podiatric medicine. Applicants must be at least board-qualified in either ABPM or ABFAS with preference for dual board certification. Academic rank will be commensurate with scholarly and clinical credentials. To be considered, please send letter of intent, curriculum vitae, 3 references, and salary expectation to (http://apptrkr.com/784853). Western University of Health Sciences is an Equal Opportunity Employer. The University embraces diversity and is committed to attracting qualified candidates from historically underrepresented groups.
ASSOCIATE POSITION – SAVANNAH, GA
Thriving, seven location, podiatry practice is seeking a family-oriented associate podiatrist to build career and long-term relationship. Associate will have full range of services and access to surgical center along with access to all of the latest diagnostic and therapeutic technologies. Please email CV with cover letter to hr@atlanticfeet.com
ASSOCIATE POSITION - ST. LOUIS, MISSOURI/SURROUNDING AREA
Well-established practice seeking experienced, highly skilled associate. Partnership opportunity. Board qualified-certified, PSR-36 trained. State-of-the-art office, Digital X-Ray, EHR, Laser, EPAT. Send cover letter, CV/Resume to stcpod@att.net or call 314-565-2739.
ASSOCIATE POSITION – INDIANAPOLIS, IN
Our busy 2-physician podiatry practice is seeking a highly motivated associate to join our team. The ideal candidate is familiar with all aspects of podiatry care with limited palliative practice. Candidate must be board-qualified in both forefoot & rearfoot surgery. Includes malpractice ins, competitive salary, vacation, and CME time off. Includes opportunity for advancement to partnership level, with investment in local surgery centers. Send resume and salary requirements to admin@southsidefootclinic.com
ASSOCIATE POSITION – BRONX, NY
NYNJ Foot & Ankle Associates Bronx, NY is looking to hire a part-time DPM. We are a fully modernized practice that has been serving the community for 20 years, performing all aspects of podiatric medicine and surgery. Serious inquiries only. Email CV and cover letter to nynjfootandankle@aol.com
ASSOCIATE POSITION AVAILABLE - SOUTHWESTERN CONNECTICUT
High volume podiatry practice Limb Preservation, Clinical Research, elective, non-elective surgery, sports medicine and general practice. Three hospital medical staff privileges available, ER call available. Practice seeks energetic, empathetic practitioner, PSR-36 a plus. Competitive salary, benefits. Partnership opportunity. Send resume, cover letter to: Researchlpc552@gmail.com
ASSOCIATE POSITION - NORTH CAROLINA - GREENSBORO/TRIAD AREA
Busy, state-of-the-art group practice seeking full time associate for summer 2017. PSR 36+ training preferred. Excellent opportunity for a highly motivated and ethical applicant. Competitive income and benefit package. Hospital privileges available. Must be board qualified/certified and have an active North Carolina license or plan on taking the exam in December 2016. Qualified applicants can send their CV and letter of interest to triad.podiatrist@gmail.com.
ASSOCIATE POSITION – MANHATTAN
Unique opportunity. Upscale, Park Avenue Manhattan. Need an experienced, motivated, caring doctor with excellent podiatric surgical skills to see in-network patients and to cover out-of-network patients. Salary based on experience with performance bonuses if earned. Part or full time. Partnership a possibility if qualified candidate exhibits outstanding performance and skills. Send CV to: institutebeaute885@gmail.com.
ASSOCIATE POSITION - SOUTHEAST CONNECTICUT
Looking for a well-trained associate to join a 60+ year old multi-doctor, multi- location practice. Walk in to an established patient base and full schedule on day 1. No nursing homes or house calls. Competitive salary and benefits. Send CV to lakesidenh@att.net.
PART -TIME POSITION IN CHICAGO TO DO HOUSECALLS
20-25 hours /week, flexible schedule, logistics provided, great for new and established podiatrists to earn up to $100-120K. Contact chipod12@yahoo.com
ASSOCIATE POSITION - MICHIGAN
Well-established practice in the thumb of Michigan looking for coverage from August-October. Housing can be arranged and good compensation provided. Great team to work with in a very positive and fun environment. Located just in from Lake Huron with plenty of outdoor fun. Longer term opportunities available. Please email healingtoes@hotmail.com
ASSOCIATE POSITION - SUBURBAN PHILADELPHIA
Looking for either a PART-TIME (leading to full time) OR a FULL TIME position and have a PMSR/36 with RRA Training, then send your cover letter and CV to medstaff1977@gmail.com Must include a contact phone number.
ASSOCIATE POSITIONS – FLORIDA
KG Health Partners, the largest mobile podiatry service in Florida has an opening in the Tampa Bay area for a full time podiatric physician servicing long-term care facilities. Must have a current Florida license. Physicians are provided with a medical assistant, administrative support including scheduling and billing. All expenses including malpractice insurance are covered. Exceptional benefit package includes paid holidays, vacation, 401K retirement plan with company match as well as excellent health insurance. First year six figure salary is guaranteed! Second year profit sharing. Most second year doctors earn $150,000 and up. Email CV to Rob Cash at admin@KGHP.net.
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 |
EQUIPMENT FOR SALE - CUTERA GENESISPLUS LASER
Cutera GenesisPlus laser for sale. Three years old and works well on onychomycosis (have not used on warts, scars, or neuromas). Original cost was $60,000--asking only $32,000 - negotiable. Call (623) 974-3536 and let’s talk.
PRACTICE FOR SALE – NEW YORK
Approx 30 miles south of Albany. Well established 30 year+ podiatry practice. Doctor retiring. Includes all equipment. Owner will stay for easy transition. Grossing 400K+ Consistently. The practice primarily routine and diabetic foot care. Income less than 5% surgical. Great price owner financing available. contact: footdoctor2015@yahoo.com
PODIATRY PRACTICE FOR SALE - BRIDGEPORT, CONNECTICUT
Established and successful for 90yrs!! Very busy with hospital affiliation and taking most insurance plans. Well priced with room to grow. A wonderful patient base and excellent office staff. Please Text (203) 522-8815 for more information. Feel free to ask any and all questions!
PODIATRY PRACTICE FOR SALE - PITTSBURGH SOUTH (BROWNSVILLE), PA
33 yr established, successful practice. All phases of podiatry, laser & cash services in place. Hospital and Sx Center. Turn-key ready with strong client base. Contact pa.footdoctor@gmail.com
PRACTICE FOR SALE – OTTAWA CANADA
Are you tired of the third-party, regulatory and payer system in the U.S? Are you looking for a change to make your life easier? If you would like to practice, focusing on patients only –not on paperwork, this is a unique opportunity for a U.S. podiatrist to purchase a successful world-class practice. Life is simple, cash-based payments, no receivables, and wonderful (world-class city and recreation). Contact sissilutten@yahoo.ca to learn more.
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.
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