The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

May 17, 2013 #4,772 Publisher-Barry Block, DPM, JD

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Rep. Wenstrup Visits MedStar Washington Hospital Podiatric Residency

Rep. Brad Wenstrup, DPM, (R-OH) visited MedStar Washington Hospital Center in Washington, D.C. this week to discuss his career in podiatric medicine, the U.S. Army, and now the U.S. Congress. The dialogue covered topics ranging from the impact of healthcare reforms to the current podiatric residency shortfall for graduates. The Congressman was accompanied by his Legislative Director, Lisa Collins, who also provided helpful background information on the healthcare topics and offered follow-up for the questions raised by the participants. 

(From Left) Drs. John Steinberg, Brad Wenstrup, and residents.

The audience members included podiatric residents, students, and attendings of the training program. One key point of the discussion was an emphasis on the importance of contacting your congressional representatives and making sure your opinion is heard. MedStar Washington Hospital Center is a 926 bed major teaching and research not-for-profit hospital in the nation’s capital, and  sponsors a 3-year podiatric medicine and surgery residency program with 15 residents. 

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.

Quick Poll
Do you charge a penalty fee for missed appointments?
Click HERE for Results

APMSA Publishes 2013 New Practitioner's Guide

The American Podiatric Medical Students’ Association (APMSA) has announced the arrival of this year’s APMSA 2013 New Practitioner's Guide. This year’s Guide features a record number of advertisers and valuable content to help new practitioner’s transition from school-residency-practice. 

APMSA 2013 New Practitioner’s Guide

Showcasing a sleek new design with relevant and current content such as licensing, regulations, marketing, contract negotiations, and debt management, the APMSA has received favorable responses from readers and advertisers alike.  

FL Podiatrist Volunteer Takes Youths Fishing

Local podiatrist Dr. Paul Schoppe, who volunteers at The Samaritan Center for Young Boys and Families, recently took some of the youthful residents fishing. The boys had earned the privilege and enjoyed their afternoon on the water immensely.

Dr. Paul Schoppe with Boys on Fishing Trip

Source: Jackie Holfelder, TC Palm.com [3/15/13]

Query: Supply Inventory System

What type of inventory system do you use in your practice to track your supplies? Would you recommend it to others? On a scale of 0-10 (10 being most effective) how would you rate the system you use?

Lynn Homisak, Federal Way, WA

RE: Difficult Post-Trauma Case
From: Judd Davis, DPM, Peter Bregman, DPM

The history, aspirate, and MRI all indicate this is a hematoma. Assuming adequate vascular status and healing potential, I recommend incising it, drain all fluid/thrombi, explore the dead space and cauterize any vessels bleeding into it. Leave at least a portion of the incision open without sutures so it can continue to drain as it heals, and let it heal by secondary intention. This way you can manually compress out any thrombus that accumulates later. The pain usually resolves almost immediately and the incision should heal in a month or so with adequate wound care.

Judd Davis, DPM, Colorado Springs, CO, jtdavisco@yahoo.com

It appears as if one or more of the branches of the intermediate dorsal cutaneous nerve were damaged with this, which is often overlooked in most blunt traumas. Start applying some type of topical compound pain medication with anti-inflammatory medication in it as well. See how the patient responds. Performing a more proximal block with Marcaine in the superficial peroneal nerve may be helpful as well. Surgical repair may be needed if the patient does not improve over the next few months. The cysts may just be adding extra compression to the affected nerves.

Peter Bregman, DPM,  Las Vegas, NV, drbregman@gmail.com

RE: Painful Bunion in a 12 Year Old
From: Keith L. Gurnick, DPM

Additional non-surgical treatment should be attempted first due to her youth. Make her new properly-designed custom orthotics to stabilize her foot and suggest proper shoes. See if you can improve her symptoms, and allow more growth and maturity for at least 4 years.

She is still a bit young for bunion surgery unless good conservative care is tried and failed. An "aching" joint on an initial presenting visit and a diagnosis of bunion should not automatically mean...

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

RE: Brachymetatarsia
From: Paul J Betschart, DPM, MS

The limit for bone graft in brachy metatarsal correction is about 1cm. This option is technically easier with adjacent metatarsals. In this patient, the deficit appears greater than 1.5cm. A grafting procedure can still be performed if suboptimal correction is acceptable to the patient. We have performed simultaneous adjacent callus distraction procedures with excellent results.

Brachymetatarsia Surgery

Patient selection is important as they have to participate in the process. In the attached picture, we used the Coretrack fixator from Wright Medical due to anatomic constraints. We have used the EBI Mini-rail on adjacent metatarsals as well.

Paul J Betschart, DPM, MS, NY, NY, drbetschart@aol.com

RE: Dragon Problem (Rob Eells, DPM)
From: Marc Katz, DPM

The main feature that is important with Dragon is the fact that you can do macros, and it navigates through your note via commands. If you master all of the commands and tricks, it is a powerful tool that you will not find in any other program. Take the time to read the manual and blogs out there so you can see how powerful Dragon can be. Of course there are other options for speech recognition, but that is only a small part. The cost of Dragon is a drop in the bucket when you look at the efficiency gained in your practice when the program is used to its full extent. So I respectfully disagree, but it is pretty cool that the iphone works that well. 

Marc Katz, DPM, Tampa, FL, dr_mkatz@yahoo.com

RE: Kudos for PICA
From: Daniel Chaskin, DPM

I picked up a phone with a question and do you believe the PICA president, Dr. Ross Taubman, returned my call that very day! For the president of a company to return a policyholder's call with a question the same day shows a company that really cares. I only have good things to say about PICA and would recommend them to any podiatrist. It is wonderful to have a podiatrist as the president of PICA.

Daniel Chaskin, DPM, Ridgewood, NY, podiatrist12@verizon.net

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.

EQUIPMENT FOR SALE - NEW AEROLASE YAG LASER

Brand new Aerolase Yag Laser Bought Feb 2013- Never Used Paid $35,000. Will sell for $25,000. Contact Kathy (352) 867-1155 or Michael after 7pm (352) 816-1155.

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

PURCHASE NOW OR LATER IN DALLAS, TX 

Turnkey in Dallas’ beautiful and prestigious Uptown neighborhood:   modern, fully furnished office in 24/7 security high rise and large patient base. There is tremendous growth potential in this affluent and diverse area. Perfect for new practitioner, to share, or second office.  afc1dfw@gmail.com

PRACTICE FOR SALE - CALIFORNIA

Unique opportunity to purchase a very busy 50 year old practice in Coronado Ca. Large and stable patient and referral base with consistent new patient growth. Low overhead. Priced to sell. Great staff. Hospital privileges available. Willing to stay on for transition. Inquiries please email foothold@msn.com

FT OR PT ASSOCIATE - SOUTH JERSEY

Great opportunity for FT or PT associate starting July 2013 in established practice in South Jersey. EMR, FDA-approved Lasers for fungus. Will work with Board Certified/Qualified podiatrist. Must have New Jersey License. Diverse practice in a nice area with a pleasant environment. e-mail CV at hhfootdoctor@gmail.com

ASSOCIATE POSITION - MASSACHUSSETS

Located near Boston. Busy multi-office podiatry practice looking to expand. Need extremely energetic dedicated individual. Must be PSR 12-24 trained, EMR, laser, vascular testing the works. Must have sense of humor. MA License, NH License A+! Surgery, sports medicine, pediatrics, shoe store. Please send resumes to resumesent11@comcast.net.

ASSOCIATE POSITION - CALIFORNIA
 
Established foot and ankle specialty group looking for an experienced podiatrist. This position entails making rounds at local hospitals, skilled nursing facilities and having scheduled office appointments. Must be comfortable with all aspects of podiatric care and will be doing no less than the hiring partners. Full-time position with a competitive salary. Looking for someone with a great bedside manner, energetic and will to go the extra mile to make a positive difference. Send CV to administrator@footnankledoc.com

ASSOCIATE POSITION - NEW YORK

Large established podiatry practice 30+ years in New York Hudson Valley/Capital District area seeking associate/partner to eventually take over practice. Also would entertain reasonable offer to purchase one of the two offices. Serious Inquiries may contact: Podiatrygroupny@gmail.com

PODIATRIST FOR NURSING HOME CARE - MASSACHUSETTS

Excellent Opportunity. Seeking independent physician for growing nursing home podiatry care Work independently, make your own hours. Must do own billing. YOU KEEP 100% OF PROFITS. Must be personable and have good patient skills. Acquisition fee based position. Please e-mail CV and short bio to: americanmobile@verizon.net

PODIATRIST WANTED - PENNSYLVANIA

Multi-specialty physician group seeking part-time or full-time to join our Johnstown, PA facility offering on-site x-ray, vascular ultrasound and other services. Patient base already established. Experienced or recent graduates considered.  Applicants send resume to cfleegle@atlanticbbn.net or call 814-288-1418 ext. 7.

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 POSITION - BRONX, NEW YORK

Excellent opportunity for a podiatrist with at least a 12 month residency and a license to practice in NYS. The office is located in Throgs Neck, Bronx and has been in the neighborhood for more than 30 years. This practice is diversified in all phases of podiatric care and offers a great chance, for the right candidate, to improve professional growth and financial security. Please send CV and list of references to: toejam.rs@gmail.com.

INDEPENDENT CONTRACTOR POSITION-LAS VEGAS, NV

Looking for personable, professional and motivated podiatrist for busy house call practice. Must have NV podiatry license & malpractice insurance. Pay is 45% of collections. Send CV to stuartfeldmandpm@yahoo.com

ASSOCIATE POSITION - VIRGINIA

Well-established practice in Arlington Virginia looking for first year associate DPM perhaps leading to purchase of office. Office is one block from metro and has onsite private parking for patients. Present owner is retiring but will aid with smooth transition. This practice has been in the same location for the 40 years and has an excellent referral base. Must be licensed to practice in the state of Virginia. Please contact drmichaelfine@aol.com. Cell Phone 703-582-5999.

PODIATRISTS NEEDED - LOS ANGELES, CA
 
Home Foot Care, Inc. Is looking for motivated podiatrists to provide quality mobile care to our home-bound patients. Flexible schedule, independence, great compensation. If interested, please email resume to homefootcare@hotmail.com

ASSOCIATE POSITION - NEW JERSEY

Looking for full time/part time associate in busy 3 office practice.  Offices are located in Union, Hudson, and Bergen counties. Competitive salary with benefits. Excellent growth opportunity. Please send C.V. to njpodiatry33@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 - 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 – MISSOURI

Podiatric medical group seeks PSR24-36 individual who is interested in working with former residency director who can enhance your already strong training. Full scope practice with the cases to fast track to board certification. Four hospital affiliations, certified surgical suite in office, ultrasound, EHR Certified Stage 2. We are located close to St. Louis for day use. Exceptional school system in a low crime, low cost of living area. E-mail resume to: drfootski@hotmail.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 fixafoot@cox.net

TWO FOR TEXAS

Desiring to grow our group of successful medical and surgical professionals. We are seeking an exceptional Podiatric Physician and Surgeon with great interest and talent to serve as 1) Our Diabetic Foot Care Team Leader or 2)Our Sports Medicine Team Leader. Send CV and letter of interest to: greatdoctors1@gmail.com

ASSOCIATE POSITION - LAS VEGAS, NV

Need a Nevada licensed podiatrist to cover IN OFFICE for month of June 2013. Starting Date June 1, surgical experience not a requirement. Salary is negotiable. doctor@viawest.net

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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