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| PM News | |
The Voice of Podiatrists
Serving Over 22,109 Subscribers Daily
July 20, 2022 #7,303  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2022- No part of PM News can be reproduced without the
written permission of Barry Block
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| EDITOR'S NOTE | |
PM News Advance Notice
PM News will not be publishing the week of August 1st, 2022. We will resume publishing on August 8th, 2022.
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| PM NEWS QUICK POLL |
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What is the best way to achieve parity with allopathic physicians?
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| PODIATRISTS IN THE NEWS | |
Plantar Fasciitis Now More Common in Older Adults: NY Podiatrist
Anyone’s feet can hurt after a long period of walking or standing, especially if their shoes aren’t supportive or comfortable. But older adults are more likely to have conditions such as arthritis and diabetes that can lead to foot discomfort. If you’re experiencing pain on the bottom of one or both feet near the heel — especially after a period of rest, such as a night’s sleep — you probably have plantar fasciitis. This occurs when the plantar fascia, tissue that runs along the bottom of the feet from heel to toe, becomes inflamed.
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Dr. Bryan Markinson |
Plantar fasciitis is caused by stress on the fascia, which can come from overly tight muscles in the calves and feet. The trigger may be overuse or leaping back into activity after a sedentary period (playing tennis after a break of several months, for example). While this can happen to anyone, “over the last 25 years, we have seen it in more older adults, as they’re staying active into their 60s, 70s, or even 80s,” says Bryan Markinson, DPM, a podiatrist and associate professor of orthopedic surgery at the Icahn School of Medicine at Mount Sinai in New York.
Source: Hallie Levine, The Washington Post [7/18/22]
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| PODIATRISTS IN THE COMMUNITY | |
CO Podiatrist Joins the EPH Team
Estes Park Health (EPH) recently added a podiatrist to their growing staff of physicians. Paxon Riding, DPM started June 1 and has been seeing patients at the specialty clinic at Estes Park Health since the last week of June. Dr. Riding started the process of attending dental school, with Temple University in Philadelphia being a top choice. While researching Temple, however, he noticed the university also had a podiatry school. There he earned a podiatric medical degree.
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Dr. Paxon Riding |
Dr. Riding completed his podiatric residency at at Main Line Health in West Philadelphia.
Source: Dawn Wilson, Estes Park Trail Gazette [7/18/22]
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| PODIATRIC PODCASTS | |
VA Podiatrist Interviews Former NHL Athletic Trainer
Ben Pearl, DPM interviewed Greg Smith, former athletic trainer for the Washington Capitals. Smith is the medical director for the new 3ICE 3V3 hockey league which is in its inaugural season this summer. Smith speculates there will be less impact injuries but more overuse injuries due to the faster open nature of 3-on-3 hockey.
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Greg Smith (Left) |
Smith also discussed how sleep is undervalued, especially in the context of a traveling professional team, for injury recovery. Finally, he stressed the importance of developing intrinsic foot muscle with the demands of jumping and landing and skating at extreme edge angles in hockey.
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| PODIATRISTS AND THE LAW | |
IL Podiatry Practice Fined $100,000 for HIPAA Privacy Violation
The HHS Office for Civil Rights (OCR) announced 11 HIPAA Right of Access resolutions. OCR created the HIPAA Right of Access Initiative in 2019 to support patients' right to timely and cost-effective access to their health records. OCR imposed a $100,000 civil money penalty against Illinois-based ACPM Podiatry over its failure to provide a former patient with access to his requested medical records. Former patient Richard Lindsey alleged in an April 2019 complaint to OCR that ACPM had failed to provide him with his medical records.
In response, OCR provided ACPM with written guidance regarding the HIPAA Privacy Rule's right of access standards and informed the practice that it would have to honor the records request within 30 days. Despite this notice, the initial complainant filed another complaint on May 19, 2019 alleging that he had still not received the records. The complainant received an incomplete copy of his medical records on July 23, 2020, 618 days after the initial request.
Source: Jill McKeon, Health IT Securuty [7/18/22]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Billing Agreements: Take These Steps to Avoid Painful, Expensive Mistakes
Many physician groups use an outside billing service to assist in collecting fees for professional services. However, it is not unusual for physicians to become unhappy with their billing company for a variety of reasons. Physician practices should make sure to seek legal help when negotiating a billing agreement in order to be sure the terms are as fair as possible. Some possible issues to consider are the following:
2. Many practices like working with a specific team assigned to their account and become unhappy if personnel are re-assigned to workers less attentive or familiar with the practice. Sometimes, the account is even moved to offshore personnel or other material changes are made that were not contemplated when the billing agreement was signed. The practice should try to spell out its expectations clearly in the written agreement.
Source: Ericka L. Adler, JD, Physicians Practice [7/8/22]
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1A | |
From: Doug Richie, DPM, Elliot Udell, DPM
It is important to recognize that the corticosteroid injections were not administered directly into the Achilles tendon in this study. As noted in the manuscript, the injections were "placed peritendinous anterior to the tendon in the Kager triangle as close as possible to the thickest part of the tendon, or, in the case of neovascularization, as close as possible to the intratendinous vessel(s)."
Doug Richie, DPM, Long Beach, CA
Thank you, Dr. Kass for sharing this article with all of us. What is most interesting is that the paper not only documented "immediate" relief of symptoms but studied the Achilles tendon with ultrasound, and documented that there was no deterioration over two years.
This would seem to give us a green light to treat Achilles tendinopathy with one injection of a steroid. One question that this paper did not cover was whether there is danger to the Achilles tendon by giving multiple, weekly injections of a steroid.
Elliot Udell, DPM, Hicksville, NY
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| RESPONSES/COMMENTS (RELEVANT RESEARCH) - PART 1B | |
From: Keith L. Gurnick, DPM
This is a wonderful piece of literature to help defend doctors who end up in a lawsuit after Achilles tendon ruptures associated with repeated cortisone injections. They reported no "severe" adverse effects in their study. All patients were injected with either (1) 1 mL of methylprednisolone acetate (40 mg/mL) and 1 mL of lidocaine (10 mg/mL) (corticosteroid injection) or (2) 1 mL of lipid emulsion and 1 mL of lidocaine (10 mg/mL) (placebo injection). No severe adverse events were observed in either group, and there was no deterioration in the long term (2-year follow-up). Patients were offered up to 3 injections with an interval of at least 4 weeks between each injection.
All adverse events, defined as any negative or unwanted reaction to the intervention, were recorded at each physician visit, with special focus on fat atrophy, skin depigmentation, infections, and tendon ruptures. Furthermore, during the intervention period, the patients were asked to register any adverse events in their patient diary, including pain beyond a few days after the injections.
A total of 215 injections were administered (87 corticosteroid and 128 placebo). Injection pain was indicated in the patients’ diaries, with a mean (SD) pain score of 12 (14) of 100 in the corticosteroid group and 14 (17) of 100 in the placebo group, with no significant differences between groups. No severe adverse events (e.g., infection, tendon rupture, subcutaneous depigmentation, or atrophy) were recorded in either of the groups.
Keith L. Gurnick, DPM, Los Angeles, CA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Alan Sherman, DPM, Richard B Willner, DPM
In response to Dr. Orosz’s doubt that podiatrists taking the USMLE would do much to change the minds of AMA leadership concerned with “scope creep”, I suggest that the AMA would be even more concerned should we start passing the exam in large numbers and that’s exactly what we should seek to do if we can work out a way for our students to take the exam or an equivalent. Power is never ceded voluntarily, or in the words of Frederick Douglas, “Power concedes nothing without a demand. It never did and it never will. Find out just what any people will quietly submit to and you have found out the exact measure of injustice and wrong which will be imposed upon them, and these will continue till they are resisted with either words or blows, or with both.” Our attitude should be that it’s not about what they want – it’s about what we deserve.
Alan Sherman, DPM, Boca Raton, FL
It is my understanding that "podiatry" ranks low on the AMA "hit list". Podiatry is a very small profession, and it just does not have the "annoyance factor" that the NPs, PAs, and optometrists "enjoy". Sorry, podiatrists are just not that politically important.
Richard B Willner, DPM, New Orleans, LA
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| RESPONSES/COMMENTS (CODINGLINE CORNER) | |
From: Lance Malusky, DPM
I totally agree with Dr. Roth's commentary on the nearly universal application of phenol for correcting infected ingrown toenails. Back before 2015, we used ICD-9-CM diagnosis code 703.0; its 12+ descriptors used the word infected more often than not. It always qualified as the rationale for a matrixecotomy with insurances. With a paronychia, I frequently did a C&S, revealing S Aureus or S Epidemidus.
I rarely used oral antibiotics unless the post-op course was (rarely) problematic. I wrote a chapter on podiatric procedures for an ER-MD edited textbook at their request. I included the specific phenol technique, including instrumentation and my partner's diagrams. The only negative feedback I ever got was from an MD who substituted silver nitrate for phenol, with a very painful result. How's that for "negative MD parity!"
Lance Malusky, DPM, Dayton, OH
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| RESPONSES/COMMENTS (PM NEWS QUICK POLL) | |
From: David Secord, DPM
I like to comment on people in our profession referring to MD and DO medicine as allopathic and osteopathic and then putting ‘podiatric medicine’ in a separate category, as if podiatric medicine wasn’t allopathic medicine. The poll in question does this same thing. There are a certain finite number of medical theories out there, including allopathic, homeopathic, chiropractic, Native American Indian pan-theistic naturopathy, witch doctors, Eastern Indian Ayurvedic medicine, and a few others. Allopathic medicine has as its basis the idea of pathology from disease state: bacteria, virus, prion, spirochete, genetic dyscrasia, etc.
Unless I missed something critical in medical school, that’s the disease model we in podiatry follow as well. As such, podiatric medicine is allopathic medicine. Podiatry is often stated as wishing to contribute with "allopathic" providers in the area, as if WE were not allopathic physicians. One of the myopic tendencies in our profession is to separate ourselves in like manner from allopathy, which makes no sense to me. Podiatry follows the allopathic theory of medicine. We ARE allopathic physicians.
David Secord, DPM, McAllen, TX
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Hermell Products Inc., a leading manufacturer of comfortable and supportive medical equipment is seeking purchase offers as to its remaining product line, which produces therapeutic pillows for the support of legs, knees, back, head, and neck. Sale includes machinery, equipment, raw materials, customer lists, and intellectual property. Interested parties should contact Ronald Pollack CEO, Hermell Products Inc., at 860-242-6550. Bids are due on or before August 9, 2022.
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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The Incredible Hulk's slippers? |
Source: Amazon via Alea Becwar
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
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Choose any or ALL from 25+ CECH Category-1 articles posted
* NY podiatrists whose licenses expire from 3/2/20-8/31/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – MANHATTAN
26-year old active turn-key in-network practice for sale at Park Avenue- 36th Street, NYC. Retiring due to medical. Gross pre-pandemic part time 300k full time prepandemic 600k. Equipment includes laser, fluoroscopy, Digital X-ray, 2 exam rooms, 2 offices, 2 Midmark chairs, Fios, New A/Cs. Office Lease till 2028, can be ended. 2 part-time staff members. No equipment lease. Entire office only, asking 175k. Serious inquiries only. Contact JYouner@icloud.com
PRACTICE FOR SALE - BREEZY POINT, NYC
Retiring! Established (31years) turn-key office in Medical Center with other medical professionals offering great referrals. Consistent patient base with excellent room for growth. Perfect for experienced or new practitioner, full-time practice or part-time satellite office. Low overhead. Price negotiable. elizsmurphy@aol.com
PRACTICE FOR SALE – SAN DIEGO
19-year-old non-surgical practice for sale. $200,000 income based on 2.5 days / week. 60% cash clients. Great growth opportunity. Turnkey proposition. Owner will help with transition. Barry Smith, Lloyds Capital, Inc. (213) 379-2397 Barry@lloydscapital.org
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.
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS |
ASSOCIATE POSITION - NEW JERSEY
Part time associate position available in Monmouth/Ocean County area. Great opportunity for residents and recent grads. We have 2 offices and also provide services to several nursing facilities. Excellent opportunity to supplement your current practice or for those looking for a great work/life balance. Contact: podiatrynj1212@gmail.com
IMMEDIATE ASSOCIATE POSITION – LOS ANGELES, CA
Part-time/full-time podiatrist wanted. No surgical experience needed. Great opportunity for residents or recent grads. Located in Los Angeles County. Competitive pay and flexible scheduling. Option of working in office or nursing home. Send CV and cover letter to Dr.A@awesomefeet.com
ASSOCIATE POSITION – WESTERN WASHINGTON
Looking for a great opportunity in the beautiful Pacific Northwest? Position with future partnership/ownership possible for motivated DPM. Must be Board eligible or certified. Western Washington north of Seattle growing community, full surgical opportunities at local hospitals. dogsarebarking@hotmail.com
PODIATRIST - CHICAGO
Busy, multi-physician podiatry practice in Chicago looking to hire podiatrist for office base and housecalls. Earnings $350K and up, flexible hours, full or part time, fixed hours, full logistics and scheduling provided, bonus and partnership track, malpractice and health insurance. Peers physicians references provided. Please email Kinga.efac@gmail.com or call 312-375-6430.
ASSOCIATE POSITION - OCEAN, NEW JERSEY
Seeking associate to join my Monmouth County New Jersey practice. Established 30 year practice looking for someone to help expand and transition into retirement. Full partnership and purchase of practice will be possible. Please send CV to larrymenditto@yahoo.com
IMMEDIATE ASSOCIATE POSITION - MARYLAND
Excellent opportunity to become part of a well established, busy practice of 35 years. Seeking FT associate immediately. Practice has licensed, certified, accredited surgical center located within. Fully modernized practice including digital x-rays, EMR etc. We pride ourselves in quality patient care, our excellent reputation and our very knowledgeable staff. Current associate leaving, therefore you will step into a well rounded, established practice with a thriving patient base. Compensation includes competitive salary, malpractice, retirement plan, health ins., hospital and association dues, etc. Potential for partnership/purchase. Forward CV/ professional goals to rscpod@comcast.net.
ASSOCIATE POSITION – CONNECTICUT
Busy multi-doctor practice in Connecticut seeking an associate for well-rounded practice, in a great family town. Full or part-time. Must have good work ethic and be willing to treat all aspects of foot and ankle care. Competitive salary and benefits, Partnership opportunity. Please email cover letter and CV to: rodedpm@gmail.com
ASSOCIATE POSITION - LONG BEACH, CA
Busy practice seeking a holistically-minded podiatrist. Will train how to implement holistic treatment modalities to improve the outcome of every pathology we see as a podiatrist. Please send a cover letter and CV to sdonkim@gmail.com
ASSOCIATE POSITION - SOUTHERN CALIFORNIA
Seeking associate to join our busy, well-established (20+ years), top-rated Southern California practice. Position offers excellent salary with all paid benefits/incentives. New grads welcome. Close to hospitals and surgery center. Low cost of living in Southern California. No weekends, no nights. Please e-mail CV and cover letter to Dr.peterawad@gmail.com.
ASSOCIATE POSITION- FT/PT GULF COAST AND HILL COUNTRY, TX
Constantly growing practice looking for associates to provide care to residents of Nursing Homes and ALF's in the greater Houston, Austin and San Antonio areas. Excellent compensation and extremely flexible schedule. For info email: t.fisher@thebestfootforward.com
ASSOCIATE POSITION - ASHEVILLE, NC
U.S. Foot and Ankle Specialists is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in Asheville, NC- part of the fast-growing metropolitan area of Asheville. We are a growing group of 153 providers and 98 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed in NC to be considered for this position.
ASSOCIATE PODIATRIST - NORTHERN VIRGINIA (MT. VERNON) /SUBURB WASHINGTON DC
Large fast growing full scope practice, across the street from hospital. 30-year established busy private practice, looking for potential partnership. Base salary $135K, plus incentive pay, malpractice, PTO, paid CME, and retirement. Send cover letter (“Why I am your next superstar”) and CV to hottoe@capitalfeet.com
ASSOCIATE POSITION - SE WISCONSIN
URGENTLY HIRING. Busy and growing top practice in SE Wisconsin with 4 locations is seeking a full-time surgical podiatrist. Competitive salary with bonus structure. 8 hour shift, no evenings or weekend hours or hospital call. www.advancedfootanklewi.com Email CV to jobs.afaw@gmail.com
ASSOCIATE POSITIONS – VA, MD, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Resume to sara@sightrite.com (sign-on bonus for VA)
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position busy, modern practice. ABFAS BC/BQ, EMR, Dig x-rays, U.S., CT, DME, Base salary + bonus, PTO, 401K, free health ins. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – CALIFORNIA
Largest group in the central valley is seeking associate. Must be highly motivated with good patient skills and personality. Must be board qualified or certified salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing, and will help with student loan repayment. Compassionate and well-trained for immediate position. Office based, Surgery Center and hospital-based with no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position in a multi-million dollar hi-tech practice. Please e-mail CV and short bio to tflores@wetreatyourfeet.com
ASSOCIATE POSITION - CHARLESTON, WV
U.S. Foot and Ankle Specialists is looking for an upcoming or recent residency graduate or experienced practitioner to join our practice in Charleston, WV - part of the fast-growing metropolitan area of Charleston. We are a growing group of 153 providers and 98 locations. If personable, motivated, and well-trained, we would be delighted to discuss an associate position with you. We offer growth opportunities, a strong compensation package, and many other benefits. Please send a cover letter and resume to: newdpm@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed in WV to be considered for this position.
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New Jersey with multiple locations and Doctors. We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous, guaranteed bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
ASSOCIATE POSITIONS - FLORIDA, SOUTH CAROLINA, AND GEORGIA
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based lower extremity care to residents living in long-term facilities throughout the states of Florida, South Carolina, and Georgia. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and State licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION – TAMPA, FLORIDA
IMMEDIATE!! Doctor of Podiatric medicine position for a well-trained, highly motivated individual. Location: Tampa, Florida. Competitive salary with commission structure. Benefits include: PTO, CME allowance, health and malpractice insurance. Must be confident in working solo in your own office environment. Please email Cover Letter and CV to floridapodiatryfootcare@gmail.com
ASSOCIATE POSITIONS – FLORIDA
Well-established practice seeks reliable PT/FT Mobile Podiatry team players for home visits, ALF/ILF, RN Homes throughout Florida. Tampa to Naples; Orlando/Ocala; South Florida. Flexible. No call. Weekends optional. Competitive commission plus mileage. Earn 100K+ part time. contact@PodiatristAtHome.com
ASSOCIATE POSITION - NORTHERN NJ
Looking for Associate for a busy Northern NJ Podiatry Practice. Flexible hours, with total hospital admissions and surgical opportunities from the practice. (Atlantic Health Care-Chilton Hospital) Please contact: Dr. Bart Cohen Pompton Lakes, NJ
C: (201) 281-3036
PODIATRIST WANTED IN NEW JERSEY
Immediate opening for a podiatrist in New Jersey to service nursing homes and assisted living facilities. Full-time and part-time positions available. Days/Hours flexible. Excellent compensation. Excellent staff is always available to help make you successful and your job easier! E-mail CV to ghcp@globalhealthcarepartner.com
ASSOCIATE POSITION – NEW YORK CITY/BROOKLYN
Great opportunity for a new associate to join a rapidly growing team. Will have hospital privileges at a prestigious, world renowned institution in NYC. Looking for a self-motivated, positive individual willing to work hard.
ASSOCIATE POSITION - FOOTHILLS OF NC
Seeking PSR-36 trained DPM for associate position with busy practice in foothills of NC. Should be well trained in forefoot rearfoot, and wound care. Competitive salary, benefits and bonuses. Buy-in available. Three-doctor practice with one retiring. Located near major metropolitan city, Send resume to jmauney@foothillspodiatry.com
FACULTY POSITION – UTRGV SCHOOL OF PODIATRIC MEDICINE
The School of Podiatric Medicine at The University of Texas Rio Grande Valley (UTRGV) is hiring! We are accepting applications for one faculty position to begin employment in Fall 2022. Please click on the position link below to view position application information: https://careers.utrgv.edu/postings/34727
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.
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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
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- Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.
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