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| PM News | |
The Voice of Podiatrists
Serving Over 21,944 Subscribers Daily
July 15, 2024 #7,806  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2024- 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 poll |
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| PM NEWS QUICK POLL | |
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| PODIATRISTS IN THE NEWS - PART 1 | |
Pitting Edema as a Sign of Serious Heart or Kidney Problems: CA Podiatrist
A health expert has issued a warning over a "nasty" leg symptom that could be a red flag for several deadly diseases - including heart and kidney conditions. Dana Brems, DPM, a podiatrist who shares her insights on TikTok, highlighted pitting edema as a "common" indicator of these serious health issues. In a video response to another user's post showcasing their own encounter with pitting edema, Dr. Brems, also known as Foot Doc Dana online, delved into the details of this alarming sign.
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Click on photo to view short video |
To self-examine for pitting edema, Dr. Brems advises pressing down on your legs and ankles. A lingering indent lasting more than a couple of seconds should raise concerns. Dr. Brems underscored that both heart failure and kidney disease are common culprits behind pitting edema.
Source: Rom Preston-Ellis & Fiona Callingham, Mirror [7/13/24] via TikTok
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| PODIATRISTS IN THE NEWS - PART 2 | |
MA Podiatrist Discusses Bunions and Hammertoes
Louis J. DeCaro, DPM, President of the American College of Foot & Ankle Pediatrics appeared on Mass Appeal to talk about bunions and hammertoes. Dr. DeCaro delivered the message that “Prevention begets correction.” He encouraged early intervention, and that understanding biomechanics at an early age helps limit these conditions later in life. “There are 24 different foot types. Based on your foot type, you can be prone to certain orthopedic conditions throughout your life. Understanding which foot type you are is vital for understanding and prevention of these conditions."
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Dr. Louis DeCaro (right) |
Dr. DeCaro said, “As a pediatric specialist, I am able to explain most chief complaints using biomechanics as early as one year old. Common pediatric issues such as gross motor milestone delay, growing pains, Severs’ disease, and shin splints have a specific origin based on one’s foot type. Bunions and hammertoes are no different! Controlling those biomechanics through orthotics can easily solve these issues kids (and then later as adults) suffer from.”
Source: Mass Appeal (NBC) [7/10/24]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Things More Important Than Money
In the past few decades, healthcare has focused on money as a metric of practice success. Yes, we can only have a comfortable livelihood with money. Still, some areas of life are far more important than the girth of your investment portfolio or the size of your bank account.
6. Appreciate what you have.
As a physician, we can interact with many others from all walks of life. There are people with more material wealth than I have and many more with much less. I have noticed how many people focus on the material objects they need to improve rather than appreciate what they have. Unfortunately, our culture emphasizes what we don't have and what others have instead of enjoying what we do have. Consider making a list of what you do have and reviewing that list regularly.
Source: Neil Baum, MD, Physicians Practice [6/28/24]
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| QUERIES (CLINICAL) | |
Query: Acute Peroneal Longus Tear/Surgical Case
A 63 year old well-controlled DM type 2 active male was playing golf and felt a "pop" in his lateral right ankle after finishing his swing. There was no inversion sprain and the patient did not fall before or after the injury. The pain was initially +8/10. He was unable to bear weight. He went to an ED. X-rays were negative. A modified Jones dressing was applied; crutches rest, elevation, and ice relieved symptoms to a 90% improvement. An MRI was ordered by the ED that was done 5 days after the injury revealed a completely torn peroneal longus tendon retracted to the lateral calcaneus. Old AFTL and CFL tears were noted as well. The brevis was normal.
Physical exam revealed intact sensation and palpable pedal pulses. There was edema laterally with minimal to no ecchymosis, +4/5 eversion without pain. The patient states tha he has almost no pain and no trouble walking with normal ADLs. He wants to know if the operative repair can be delayed until the fall. I discussed muscle atrophy of the PL with delaying operative repair. I'd like to know the opinion of my colleagues. I'd appreciate any input.
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| QUERIES (EMR) | |
Query: Source to Affordably Send eRXs
I am a podiatrist in Louisville, Kentucky. We are required to electronically prescribe for controlled substances. I do not write prescriptions for controlled substances that often and my EMR will charge a large fee for that service. My office has already filed a temporary exemption for this prescribing mandate but my exemption is about to expire. Do any PM News readers know of any affordable services which allow me to electronically prescribe controlled substances?
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| RESPONSES/COMMENTS (MEDICAL- LEGAL) | |
From: Jeff Pinsky, DPM
Never go with “buy just the active charts,” even if the definition of “active” is very generous. Inactive charts don’t have much value anyway. Once they own your patient base (and you don’t), where’s the advantage to them to take over the practice and employ you? They move the patient base into a location under their umbrella, get a recent graduate (or a PA), and you’ve still got rent to pay and have to start from scratch. They’re not interested in your practice to be nice; it’s because they see a potential profit center. Sell the whole practice as a unit, one thing, one price.
Remember, they don’t own YOU, just the business. And tell them “no thanks” to the non-compete clause.
Jeff Pinsky, DPM, Petersburg, VA
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| RESPONSES/COMMENTS (CODING & BILLING) | |
From: Meredith Dickson, DPM
Vicki- if you’ll refer to the multitude of emails sent out from the NCFAS, this is widely discussed. The new Palmetto ruling absolutely affects podiatry. If patients are not seen by an MD or DO within 6 months of their RFC appointment, it is no longer a covered service. Most offices I have spoken to are either rescheduling these patients or having them sign an ABN for non-covered services at the time of their RFC appointment. There are letters explaining the situation for patients and providers both on APMA's website, and that have been sent by NCFAS.
Meredith Dickson, Asheville, NC
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| RESPONSES/COMMENTS (APMA NEWS) - PART 1A | |
From: H. David Gottlieb, DPM, Joel Feder, DPM, William Egelston, DPM
Many of the responses on PM News regarding the APMA survey on the Revised Definition of Podiatry are off the mark in my opinion. The APMA's opinion on this is their opinion. It does not carry any legal weight in any state or territory. The 'role as a podiatrist' is the scope of practice granted to you by the legal entity of the state or territory which awarded you your license to practice podiatric surgery and medicine. However aspirational or inspirational the APMA's definition may be, it does not change one iota the legal scope of practice that you currently have.
If you want a broader scope, fight for it in your state. If you don't, then enjoy what you have.
H. David Gottlieb, DPM, Baltimore, MD
Why change the "broader and working" definition of our profession to a more limiting one? The newer definition is ill conceived.
Joel Feder, DPM, Sarasota, FL
I think a less cumbersome and cogent definition might be:
Podiatry is an allopathic medical specialty addressing conditions of the lower extremity.
William Egelston, DPM, Modesto, CA
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| RESPONSES/COMMENTS (APMA NEWS) - PART 1B | |
From: James DiResta, DPM, MPH
I read with great interest the recent comments concerning the revised definition of podiatry, specifically as to the removal of the "treatment of the local manifestation of systemic disease". Elimination of this phrase is absolutely paramount for the survival of podiatry. Increasing our scope by inching our way proximal from the tibial tuberosity is not the answer.
If we have increased our level of education to that of a true single track medical school which provides us an equal foundation to our allopathic and osteopathic colleagues during our 1st and 2nd years curriculum in the anatomical sciences and body systems course of study, and we then provide a carefully planned and more focused series of clerkships and classes during our 3rd and 4th years that emphasizes the diagnosis and treatment of systemic illnesses in addition to surgery and...
Editor's note: Dr. DiResta's extended-length letter can be read here.
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| RESPONSES/COMMENTS (INTERNET SECURITY) | |
From: Michael L. Brody, DPM
Dr. Pribut brings us some excellent points. Each member of the practice should have their own login to practice software. Well-designed software has an audit log which can be reviewed to see "who did what and when". This is important should there be issues or discrepancies in the information in a EHR system or practice management system. You should not allow users to 'share' an account. In addition, each user should have their own login for the operating system.
With each user having their own account, when a member of your practice leaves, you then re-activate their login information to all practice software systems as well as their access to the actual computer. This is an integral part of...
Editor's note: Dr. Brody's extended-length letter can be read here.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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The invite said "black tie only" |
Source: Shani Bar via Virtual Shoe Museum
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MEETINGS & WEBINARS
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS | |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
PME/GME APPROVED PODIATRY MULTIDISCIPLINARY FELLOWSHIP IN WOUND CARE AND HBOT
At Huntington Hospital Northwell Health, NY. Certification in Wound Care and HBOT, fellows will also assist in operating room with emphasis on plastics cases. Fellowship positions open to new graduates and established practitioners. Generous salary and benefits. Please contact eardito@northwell.edu.
WOUND CARE FELLOWSHIP - NEW YORK
CPME APPROVED 12 month fellowship, located at St. John's Episcopal Hospital in Queens, New York. Hospital and clinic environment, with onsite hyperbaric medicine. Working with infectious disease, general, vascular, and podiatric surgeons. -The wound care fellowship position pays a 6 figure salary for the year, 4 weeks of paid vacation, personal days and paid health benefits. Please contact or jtfootcare@gmail.com. EOE employer.
ASSOCIATE POSITION - GREATER PHOENIX AREA
Well established, respectable, large group podiatry practice has an immediate opportunity for an associate. We have a great balance of office and surgical practice. Looking for a well rounded associate, bilingual in Spanish a plus, with the desire to grow, learn and develop excellent clinic and surgical skills. Base pay from 100-150K with bonus package. Non-surgical, prior experience, and/or future residency graduates encouraged. AZ License needed, We offer medical benefits, CME, Malpractice, and 401K. Please submit resumes to: podiatryaz@gmail.com
ASSOCIATE POSITION - BUSY PRACTICE IN NORTHERN MARYLAND
Opening for immediate hire. Looking for a talented, personable, hardworking, podiatrist to join a well-rounded group practice. Surgical training required. We have two practices, Elkton and Bel Air, that need coverage to keep up with the growing volume. Proximity to Delaware, Maryland, and Pennsylvania. Hit the ground running. Text me @ 410 459-4909.
ASSOCIATE POSITION – NEW YORK, NY
Podiatrist position available for immediate hire. Flexible hours with both part time/ full time flexibility. Recent grads welcome. Send to toetalpodiatrynyc@gmail.com
ASSOCIATE POSITION – MANHATTAN
Gotham Footcare, a leading and reputable multi-location private practice seeks a skilled podiatrist with 1+ year private practice experience in surgery and communication. Drive growth with up to $250k first-year compensation. Enjoy perks like paid vacation and a 401(k) plan. Grow with us in the heart of Manhattan! Inquiries: send resume to ana@gothamfootcare.com
ASSOCIATE POSITION – DELAWARE
Brandywine Podiatry the largest podiatric practice in the state with 11 doctors and seven offices is looking for a full time associate for central/southern DE (Live by the beach). Unique opportunity for a successful career with heavy volume of wound care and surgery. Full compensation package. Send CV to : Savage6026@comcast.net
ASSOCIATE POSITION – GREATER CHICAGO
Mobile podiatry group serving Greater Chicago is looking for part-time associate (independent contractor with competitive reimbursement); all aspects of podiatry care; logistics, billing, instrumentation provided . Please contact at vadim.goshko@gmail.com or 312-375-6430
ASSOCIATE POSITION - BLACKSBURG, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - HAMPTON, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - MCLEAN, VA
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Virginia. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - OCEAN CITY, MD
US Foot and Ankle Specialists (USFAS), the largest podiatric group in the United States is hiring! USFAS is looking for Associate Doctors to join our team in Maryland. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
ASSOCIATE POSITION - ALBUQUERQUE, NM
Foot & Ankle Specialists of New Mexico has an immediate and exciting opportunity for a full-time, board qualified or board-certified foot and ankle surgeon for a full spectrum, busy podiatric practice. Salary starting at $165,000.00 with bonus structure in place to earn over $200,000.00. Benefits package includes retirement plan, medical, vision, and dental, and moving stipend. Albuquerque and surrounding areas offer an array of outdoor activities including snow, skiing, hiking, and mountain biking. Great place to raise a family. Interested candidates can email ACharlie@footanklenm.com
ASSOCIATE POSITION – AL, LA, TN, MS, GA, IL, FL & MO
Aria Care Partners is seeking Mobile Podiatrists to work 1-2 days/week in skilled nursing facilities. You will have autonomy and focus on clinical care while we take care of all scheduling and billing. Guaranteed daily base rate plus competitive compensation. Electronic charting and all equipment provided. Make a true difference in an under-served population. New graduates or experienced practitioners are welcome! Email CV to: kcampbell@aria.care
ASSOCIATE POSITION - FLORIDA
We are currently seeking a qualified candidate to join our mobile podiatry office team. This position offers flexible hours, with daily rate pay. The position is part-time, with the opportunity for growth within the company. We cover areas from Port St. Lucie to Vero Beach. If you are interested in joining our team and providing exceptional foot care services to our patients, please apply today. i.smith@kysopod.com
ASSOCIATE POSITION - TAMPA, FL
Don't compete for patients! Full schedule from day one in your own office. Good variety of pathology, ancillaries and seasoned staff. Excellent for surgical boards cases. Competitive salary/ benefits. Desirable, thriving community. Long-term opportunity. Large established group. Excellent earning potential. FL License required. Bilingual and ABFAS BQ/BC preferred. Email: podiatrymanda@gmail.com.
ASSOCIATE PODIATRIST – ATLANTA, GEORGIA
Ankle & Foot Centers of America invites a Board Qualified/Certified Foot and Ankle Surgeon to join our dynamic team in a bustling North-Atlanta suburb. This is an excellent opportunity for both newly graduated and experienced podiatrists. Step into a role with an immediate, substantial patient base due to a retiring physician. We pride ourselves on a collaborative work environment, competitive compensation, and ample opportunities for professional development. Be part of a practice that values excellence in patient care and team collaboration. Interested candidates, please forward your CV to JoinUs@ankleandfootcenters.com
ASSOCIATE POSITION- HOUSTON/NW AREA
Established Podiatry Group with multiple clinic locations and doctors seeking a full-time Associate to practice medicine and Surgery in the Northwest and Northeast areas. Competitive salary + bonus, medical, dental and vision benefits and 401K. Please send CV to gayle@fac.net. (www.fac.net).
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Completed accredited residency program. Board Certified/Qualified in forefoot and/or rearfoot surgery. Competitive compensation and benefits package offered. email CV to: westernpapodiatry@gmail.com
ASSOCIATE POSITION – MULTIPLE POSITIONS AVAILABLE
ASSOCIATE POSITION - GREENVILLE, SC
Busy two-office practice with three doctors in Greenville SC seeking a full-time podiatry associate. Start date immediately. All aspects of podiatric surgery, medicine and biomechanics. Benefits include 401 K, malpractice, health and dental insurance, CME, short and long-term disability. PTO. (All other standard benefits) Please send cover letter with CV to podiatryresumes@upstatefootdocs.com
ASSOCIATE POSITIONS - WASHINGTON STATE
Join our well-established podiatric practice in the vibrant Seattle, WA, area, with decades of commitment to exceptional patient care and a supportive team environment. Qualifications: Board Certified/Eligible in Podiatric Surgery. Valid Washington state medical license (or ability to obtain one) Benefits: Comprehensive benefits package. PTO and CME allowances. Retirement plan with employer matching Opportunities for professional growth and development. How to Apply: Please send your resume, cover letter, and references to employmentdpm101@gmail.com
ASSOCIATE POSITION – LA COUNTY CALIFORNIA
Looking for a Podiatrist to join our office in LA county, for Home health Care Centers, home visits, and 1 day a week or more office hours, with potential for growth within the practice. To apply, you can contact Dr. Ross at 310-475-5377 office 310-748-9453 cell or Asross1@juno.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
Join a Dynamic multi-specialty 6 location group with cutting-edge equipment, storefront presence, physical therapy. Competitive starting salary of $150k, with the potential to easily earn up $200k with bonus. Send CV to Cnunez1940@gmail.com (Texasfootdoctor.org)
ASSOCIATE POSITION – BALTIMORE, MD
Growing practice is looking to hire a highly motivated associate, Maryland licensed DPM, to see patients in the Greater-Baltimore area offices. We have 4 Surgery Centers and offer productivity-based compensation. Full benefit package. Send your CV and inquiries to angelab@podiatryassoc.net
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
OFFICE SHARE - OC, CALIFORNIA
Medical co-working in a podiatry office. Ideal for someone who wants to start their own private practice at a very low cost. Side by side support with practice management. Korean/Vietnamese/Spanish speaking neighborhood. Email CV to podiatry.oc.california@gmail.com
PRACTICE FOR SALE - SOUTHERN CA - SOUTH BAY REGION OF LA
Established practice for sale. Owner is planning to retire and transition. Fully staffed and equipped practice. Opportunity to acquire turn-key operation. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - HOUSTON SUBURBS
Established single doctor practice located in affluent Houston suburb grossing over $1M annually working 4 days a week. No surgery. 3 different lasers, shockwave, digital X-ray, ultrasound and vascular testing equipment. Doctor is looking to move abroad. For more information send email to faajobs@gmail.com
PRACTICE FOR SALE – MASSACHUSETTS
Modern, well established since 1986. Busy, 75 new patients a month. All aspect of podiatric services. Fully equipped, certified EHR, laser, digital x-ray, vascular machine, Pad net. In-house billing, well run. Located within a mile from hospital. Owner is willing to stay as necessary during transition. Contact drwaw54@aol.com
PRACTICE FOR SALE - CHICAGO
Established odiatric practice available, busy medical professionals building (multidiscipline specialties).Serves southwest Chicago suburbs 30 years. Independent practice exceptionally busy, treats wide range patients, all areas Podiatric/Surgical care (including diabetic wound care). 400 Patients month. Doctor tracking towards retirement. Percentage owned in building. Located ground level. Inquiries: docnic@att.net 708-870-4114, 708-423-3377.
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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.
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