The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

July 09, 2013 #4,817 Publisher-Barry Block, DPM, JD

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Feet Need Sunscreen and Examination to Prevent Skin Cancer: MA Podiatrist

Many people do not think about their feet when applying sunscreen, but did you know that the skin on your feet is highly susceptible to melanoma and other forms of skin cancer? The American College of Foot and Ankle Surgeons (ACFAS) warns that skin cancer of the foot is prevalent and can even be fatal if not caught early.

Dr. Thanh Dinh

According to Boston foot and ankle surgeon Thanh Dinh, DPM, FACFAS, early diagnosis is key to effective treatment for the condition. But because people aren’t looking for the early warning signs or taking the same precautions they do for other areas of the body, often times skin cancer in this region is not diagnosed until later stages.

IFAF Presents Awards

Dr. G Dock Dockery, Chairman of the Board, International Foot & Ankle Foundation for Education & Research, USA (IFAF), presented the 2013-14 IFAF Awards to two outstanding physicians at the 43rd Annual NW Residency Consortium Graduation Ceremony (representing the Swedish and St. Francis Podiatric Residency Programs). The program was held at the beautiful Alani Room of Palisade Restaurant in Seattle following the IFAF Seattle Summer Seminar, June 29, 2013.

Drs. Mary Crawford and Ryan Bierman

The National Service Award and the Outstanding Teaching Award winners were all voted on by the Swedish and St. Francis Podiatric Surgical Residents, the teaching faculty of both programs and the members of the IFAF Board of Medical Advisors and the Board of Directors. The National Service Award was presented to Mary E. Crawford, DPM. The Outstanding Teaching Award was presented to Ryan Bierman, DPM.

Texas Foundation Grant Winners

The Texas Podiatric Medical Foundation (TPMF) is the charitable arm of the state association. At the annual state meeting reception on June 29 in Horseshoe Bay, Texas, Dr. Bill Van Pelt (outgoing Foundation president) and Dr. Don Falknor (incoming Foundation president) presented 4 resident grant awards.  The recipients were:

(L-R) Drs. Katy Freeland, Tracy Robillard, Bill Van Pelt, and Jakob Thorud

Falknor Charitable Outreach Award : Katy Freeland, DPM  (Hunt - Greenville Program) 
Mile High Biomechanics Award : Tracy Robillard, DPM  (W. Houston Program)
Dr. Comfort Ambulatory Care Award : Tracy Robillard, DPM  (W. Houston Program) 
Miller Pediatric Reconstruction Award : Jakob Thorud, DPM  (Scott & White, Temple Program)
 
The Foundation is proud to have given over $8,000 in residency grants for 2013, as well as supporting its indigent patient network program, job networking, and medical missions.

Bret Ribotsky: It has been said that the definition of an entrepreneur is someone who can afford to survive failures.

Dr. Michael Rosenblatt

Michael Rosenblatt: Everything I have done that has led to success is out of the constellation of everything I have done that has not. I have had a bunch of spectacular failures. Never be afraid to try something, as you can learn from everything you do.

Meet the Masters is broadcast each Tuesday night at 9 PM (EST). This week's guest is to be announced. You can register for future events by clicking here

Weekend and Evening Hours in Doctors' Offices Lessen Burden on ERs

Primary care physician practices that offer evening and weekend office hours can help patients avoid trips to the emergency department while cutting overall health system spending, suggests an emerging body of research.

A recent study in The Journal of Pediatrics examining the pediatric population confirms what earlier studies among adult patients have found: When patients with urgent health problems have the option to see their regular physician, they will skip ED visits that can involve long waits, big out-of-pocket costs, and unneeded testing.

Source: Kevin B. O’Reilly, amednews.com [7/8/13]

3 Things NOT to Delegate

One of the best practices a podiatrist can adopt is to delegate. Delegating to employees increases their skills, while freeing your time to focus on big-picture issues. That said, you should never delegate when:

1. You need to deliver bad news. You will have to make tough decisions that will adversely affect your staff. You must deliver tough messages, be present to answer equally tough employee questions—and take the heat.

2. The objectives of an assignment are unclear. If you can’t articulate the goals of an assignment, don’t expect an employee to be able to complete it to meet expectations. Always clearly communicate the goals and expectations for any assigned work.

3. Employees don’t have the resources needed to complete a job. Asking people to do something without giving them everything they need to succeed is practically guaranteeing failure—and ensuring employees’ frustration.

Source: Adapted from Gwyn Teatro “Taking Charge: Four Situations Where Delegation Is Not an Option” via Communication Briefings [July 2013]

Query: Medical Waste Machine

Has anyone used the product, Medical Waste Machine, from the company Medical Innovations Inc. for their medical waste? Has it performed as they say it does? Would you recommend the product?

Harvey Danciger, DPM, Palm Desert, CA

RE: Surgical Intervention in a 12 Year Old With Flat Foot
From: Charles Morelli, DPM

To start, this is not a weight-bearing lateral x-ray, nor is there a weight-bearing AP for evaluation. It is very difficult to make a determination as to what procedure(s) you should perform for this patient being that we don't have proper radiographic representation, including a video of her gait.

That being said, and regardless of the patient's age, you need to perform the procedures that address the deformity. I like using the Hyprocure implants, although an MBA is appropriate as well. This will do well to elevate the talus and reduce pronation of the rear foot. I rarely do these as a stand-alone procedure. Even though she is only 12 years old, it appears that complete osseous maturity has been achieved, and you should have no problem doing aggressive bone work. Again, perform the procedures that address the deformity.

Charles Morelli, DPM, Mamaroneck, NY, podiodoc@gmail.com

RE: The Disruptive Physician (Steven J. Kaniadakis, DPM)
From: Dan Chaskin, DPM

Disruptive physician is a term whereby physicians may be more verbal in expressing their opinions or more anxious to initiate needed changes in hospitals' bylaws. Some of these attributes may indeed be desirable if hospitals make decisions that do not benefit a patient's right to choose the physician who treats them.

For example, if a hospital has a bylaw requirement that accepts one board and not another for certification or hospital privileges, a complaining doctor may be labeled as disruptive. Have any physicians ever had arguments with administration? Who determines what is disruptive behavior, the administration in charge or an independent panel of physicians?

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

RE: Unmatched Residency Placements Currently Stand at 86 (Jon Purdy, DPM)
From: Edwin W. Wolf, DPM, MS

In regard to Dr. Purdy’s post of July 4, it is rather disturbing that he has not received the message. AACPM is diligently working to assure that there are enough programs to educate all qualified graduates of colleges of podiatric medicine.
 
For the past 18 months, I have been working as the project director of the National Residency Facilitation Project of the AACPM. This project also employs a full-time individual as the project manager whose dedicated function is to match hospitals with potential residency directors and facilitate the establishment of residency programs.
 
Since the inception of this project, over 250 new hospitals and potential residency directors have been identified. The process of working through hospital committees and finance departments is an arduous and lengthy one. To date, 10 brand new spots have been opened, 8 new sponsor hospitals have applications being evaluated by CPME. 24 institutions are currently working on the applications for submission to CPME. Additionally, 92 potential residency directors are currently working towards receiving approval from administrations of their institutions to proceed with the application process.
 
If Dr. Purdy, or anyone else, wishes to be a residency program director and works at a hospital that they believe could be a potential sponsor, please contact me at (212) 874-0609 or e-mail me and we will be happy to work with you throughout the process.

Edwin W. Wolf, DPM, MS, NY, NY, ewolf@aacpm.org

BUSINESS FOR SALE: TOE-FOOD CHOCOLATES & CANDY

Toe-Food Chocolates & Candy (www.toefood.com) is an established candy company specializing in creative foot-themed chocolates that has supported the podiatric community for over 30 years. Ideal opportunity for family member to run in house. Serious inquiries only please. Email: MwolpaFootDoc@yahoo.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.

DIABETIC FOOT RESEARCH FELLOWSHIP OPENING - DENVER, CO

The Denver VA Medical Center has an immediate opening in its CPME approved Podiatric Wound Care and Diabetic Foot Research Fellowship. Advanced training in research, wound care and diabetic foot disease. Prerequisite is a 3 year residency.  Details at www.vadenver.net. Phone inquiries Drs. Albert 303-669-4840 or Ballow 303-246-4654

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $548,000. Approximately 1300 sq ft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

EQUIPMENT FOR SALE - Q-CLEAR NDYAG Q-SWITCHED LASER

Brand new Q-Clear NdYAG Q-switched laser, direct from factory, never used with full warranty. Complete system with training provided by James Holfinger, DPM, principal investigator for 2011 FDA study gaining clearance for onychomycosis. Call Dr. Holfinger at (216) 390-9757.

EQUIPMENT FOR SALE - DIOWAVE 15 WATT, PORTABLE 980 LASER
 
This is a used multiple function laser, plantar fasciitis, Achilles tendonitis, joint pain. nerve pain, post surgical, warts, toenail  problems, two-year plus warranty, MSRP: $25,000. E mail Dr. Zuckerman at footcare@comcast.net. for questions and pricing.

ASSOCIATE POSITIONS – MARYLAND (FULL-TIME/PART-TIME)

Are you motivated, personable and enjoy working with the elderly? We are offering part-time positions in Maryland. Podiatry Management Services provides care in Nursing Homes, Assisted Living, Senior Homes, Adult Daycare and other similar facilities. Please e-mail your CV to: drhprosen@verizon.net or fax to 410-486-2049 or call Dr. Herbert Rosen at 410-580-0255.

ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND

Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rear foot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual.  Will consider preceptor. Send CV to dpmkthomas@gmail.com

ASSOCIATE POSITION - SF BAY AREA

East SF Bay Area associate wanted for 3-office practice. CA License and PSR-24 minimum. All aspects of podiatry. Need to be highly motivated, a self-starter and be able to start Aug. 1, 2013. Salary BOE. Send CV to drscivally@sbcglobal.net

ASSOCIATE POSITION - SOUTHERN CALIFORNIA
 
Very busy, two location group practice seeking a full-time, self motivated and hard working podiatry associate. Competitive salary and benefits are offered. Please email CV to: footcare4all@aol.com

ASSOCIATE POSITION - PENNSYLVANIA

Associate Wanted for busy, multifaceted podiatry practice in Chester and Delaware counties, Pennsylvania. Seeking PSR-24/36 trained podiatrist for full/part time associate position. Two offices and hospital privileges. Send CV and letter to: 123bunion@gmail.com

ASSOCIATE POSITION IN SOUTHERN CALIFORNIA

Full-time, motivated, outgoing associate wanted for immediate job opening. We are a multi-office, multi-doctor practice based in Orange County and we’re looking for a hard working individual to treat wide range of patients. PSR 24 training a must and Spanish speaking a definite advantage. Email your CV to: ocpodiatryoffice@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 WANTED - NEW YORK

Well-trained experienced surgical podiatrist for busy Bronx and White Plaines offices. Associate working for partnership, if desired. Send Resume to bronxpodiatry@yahoo.com

ASSOCIATE POSITION - BAKERSFIELD, CA
 
Office and hospital-based podiatry group seeking a highly trained surgical associate to complement our 3-doctor group. Minimum PSR-36 trained with rear-foot reconstructive experience required. Must have CA license and x-ray and fluoroscopy license. Previous practice experience is preferred. Competitive salary and benefits package. Please forward cover letter and CV to modpm@aol.com

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, Midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION – PLAINFIELD, IL

Associate wanted for established practice in the suburbs of Chicago, self motivated and patient oriented a must. We will provide you with a state of the art facility, experienced support staff, $100,000+ salary, 401K with match, bonus and flexible hours. Please forward cover letter and CV to chrisbaileydpm@sbcglobal.netor fax to 815-230-4925.

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate wanted for well-established practice in central Florida. Experienced support staff, malpractice coverage and health insurance provided. Excellent opportunity for a promising future, this position will provide for the possibility of partnership in the future. To apply please go to www.yourcareerinpodiatry.com

ASSOCIATE POSITION - CALIFORNIA

Associate wanted for multi-office, multi-doctor practice. Full Time, Self-motivated, highly skilled team player with surgical, wound care and palliative skills. Offices in Northern California Coast, CA License necessary, salary negotiable with possibility of partnership in future. Send CV and letter to: srfctysc@gmail.com

ASSOCIATE WANTED - WESTERN NEW YORK
 
Wanted well trained podiatrist for IMMEDIATE position. Busy high volume surgical practice with multiple locations, EMR, Digital X-Rays, hospital and surgical center privileges. Good base salary with incentive, and benefits including health insurance. EXCELLENT OPPORTUNITY to grow. Send resume to: WNYDPM@gmail.com

ASSOCIATE POSITION – VIRGINIA
 
Established private practice,  immediate opening, general podiatric care, foot and ankle reconstruction and trauma management, strong referral base, ED trauma call. Hospital and surgery center privileges. Two locations with modern offices. ABPS qualified or certified. Competitive compensation package. Potential for position to lead to partnership. To apply, please email a letter of intent and CV to: vaposition@yahoo.com

ASSOCIATE POSITION - OHIO
 
Podiatrists, are you entrepreneurial, compassionate, self-starter, with excellent communication skills? Do you enjoy dealing with the elderly? We are not looking for just any podiatrist; we are looking for the right Podiatrist. Are you driven, disciplined and have a burning desire to serve? If so, call us. We are SeniorCare, Inc. We are expanding to Ohio and looking for the right Doctor. Base salary + bonuses. Call today if this describes you. Call Becky at 314-821-2600.

ASSOCIATE POSITIONS - NY
 
Generate Income in NY. Licensed NY podiatrists sought for a unique podiatric project in all geographic areas of New York. Medicare license required. You literally keep all visit charges generated or a pre-determined hourly salary, depending on the patient setting. If you are seeking an additional 4 or more hours per week of work, with no limit, contact us at: ediamond7@comcast.net

ASSOCIATE POSITION - MARYLAND
 
Associate position for podiatry office on Maryland’s Eastern Shore. Certified ambulatory surgery center on-site.  Will consider preceptor. Please fax letter and CV to 410-749-6807.
 
ASSOCIATE POSITION - TAMPA BAY

Live, play and practice in the Tampa Bay area. Associate leading to partnership in a well-established, expanding group practice. Excellent salary and benefits in this dynamic medical/surgical practice. Come join our caring, compassionate, motivated staff. Position open immediately but we will also consider 2014 residency graduates. PSR-36 or PSR-24 with rearfoot/ankle training required. E-mail cover letter, CV, surgical log and references to rvalins18@aol.com

ASSOCIATE POSITION - CONNECTICUT
 
Looking for an associate with 3-year residency training for a practice in Connecticut. Interested in all aspects of podiatry including  foot/ankle surgery and wound care. Hospital located close by with appointment to staff readily available. Will lead to partnership Please send CV to: dsharnoff@hotmail.com

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