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| PM News | |
The Voice of Podiatrists
Serving Over 12,500 Podiatrists Daily
August 08, 2011 #4,227  Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2011- No part of PM News can be reproduced without the
express written permission of Kane Communications, Inc.
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| PODIATRISTS IN THE NEWS | |
Symptoms in Foot Often Indicate Circulatory or Neurological Problem: MA Podiatrist
After a routine ankle sprain, Jessica Seiden went to her doctor, concerned about her symptoms. "I was feeling numbness and coldness starting in my toes and slowly moving up my leg," said Seiden. Just a foot problem, right? Not so fast says Dr. Jordana Szpiro of Boston Common Podiatry. "There can be other disease processes in the body that can manifest or show up first in the foot," said Szpiro.
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Dr. Jordana Szpiro |
Together, the left and right feet hold a quarter of the body's bones and countless nerves and blood vessels that link directly to the heart, spine and brain. "If blood vessels are going to die off, they start first in the foot," said Szpiro. "If they're very, very cold, that could be a circulatory problem or a nerve problem."
Source: WCVB Boston Channel 5[8/4/11]
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| AT THE COLLEGES | |
Scholl Students Sweep APMA Student and Residency Awards
Students from the Dr. William M. Scholl College of Podiatric Medicine swept the student and residency category of the 2011 APMA Scientific Meeting awards. The students awardees are:
Fraaz Sayeed,, class of 2013, platinum prize
Jessica Minder, class of 2013, gold prize
Deena Horn, class of 2012, silver prize
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(L-R) Bijan Najafi, PhD, Associate Professor of Biomechanics and Orthopedic Disease at the Dr. William M. Scholl College of Podiatric Medicine; Fraaz Sayeed, Scholl College Class of 2013; and Jessica Minder, Scholl College Class of 2013. |
Additionally, Bijan Najafi, PhD, Associate Professor of Biomechanics and Orthopedic Disease, received the silver prize in the poster presentation category.
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| PODIATRISTS IN THE COMMUNITY | |
IL Podiatrist Celebrates 10 Years with Orthopedic and Sports Medicine Group
In August 2011, Rezin Orthopedics and Sports Medicine is proudly celebrating 20 years of providing excellent orthopedic healthcare to countless patients in the North Central Illinois Region. The experienced physicians of Rezin Orthopedics include: orthopedic surgeons Dr. Keith Rezin, Dr. Raymond Meyer, Dr. Eric Ortinau, Dr. Raghu Pulluru, Dr. Stephen Treacy, Dr. Paul Sauer, as well as physiatrist, Dr. Jason Franklin, and podiatrist, Dr. Robert MacNab.
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Dr. Robert MacNab |
Dr. MacNab graduated from Dr. William Scholl College of Podiatric Medicine in 1990 and completed his podiatric residency at Leyden Community Hospital, Northlake, IL and Columbus-Cabrini Hospital in Chicago. He is board certified in podiatric orthopedics and in foot surgery. He joined the Rezin Orthopedics and Sports Medicine team in 2001.
Source: Morris Daily Hearld [8/6/11]
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| OUTSIDE INTERESTS | |
CA Podiatrist is CEO of Tomi Environmental Solutions
Dr. Halden S. Shane, a podiatrist, is the CEO and chairman of the board of Tomi Environmental Solutions, a Beverly Hills-based provider of green environmental technology solutions for indoor air pollution and infectious disease control. He most recently served as CEO at Tiger Management International. Prior to that, he served as president of the Foot and Ankle Institute of America.
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Dr. Halden S. Shane |
Shane has also founded Integrated Healthcare Alliance, where he served as CEO and president. He has a B.S. degree from the University of Miami and a DPM from the California College of Podiatric Medicine.
Source: Los Angeles BlockShopper [08/05/11]
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| MEDICAL EDUCATION | |
Nearly One in Five Medical Students Reports Being Mistreatred
About 17 to 20 percent of medical students report that they have experienced mistreatment, according to the Graduation Questionnaire (GQ) of the Association of American Medical Colleges. The AMA is taking action to address this problem at its roots and improve the medical education learning environment.
At its Annual Meeting in Chicago in June, the AMA reviewed an informational report on the medical education learning environment that calls for developing a working definition of medical student and resident mistreatment; identifying tools that can ascertain whether mistreatment is occurring, and developing strategies to prevent and address mistreatment.
Source: AMA MedEd Update [August 2011]
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| QUERIES CLINICAL | |
Query: Recalcitrant Wound
A 42 year old man in good health fell off a ladder in February 2009 and broke his left os calcis. Under the care of an orthopedic surgeon, an open reduction internal fixation was done in April 2009. There were wound healing issues, hence he was brought to the OR in October 2010 for debridement, sequestrectomy, and bone grafting to his left calcaneus. Subsequently, he ended up at a plastic surgeon for a persistent wound that failed to heal.
A gallium scan was negative. An arterial Doppler examination was normal. VAC therapy failed to...
Editor's note: Dr. Rosenwald's extended-length query can be read here.
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| QUERIES (MEDICAL/LEGAL) | |
Query: Prescription Data and HIPAA
This morning my pharmaceutical rep told me that the reason why she stopped detailing me is that the company policy is that they will only come to the top prescribers of their pharmaceuticals. She told me that the pharmacies let them know exactly how many prescriptions each doctor is writing for their products. Isn't this a violation of confidentiality? Shouldn't this be a violation of the HIPAA laws?
Elliot Udell, DPM, Hicksville, NY
Editor's Note: PM News does not provide legal advice. Podiatry Management is proud that, in the early 80s, we lobbied pharmaceutical tracking companies to start tracking podiatrists' prescriptions. Over the past few decades, this has resulted in millions of dollars of additional revenue for our profession!
Pharmacies and Pharmaceutical companies are considered covered entities under HIPAA, and are prohibited from using PHI to market to individual patients. They are, however, allowed to use data (stripped of PHI) to market to physicians.
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| RESPONSES / COMMENTS (CLINICAL) - PART 1 | |
RE: Hallux Extensus in a 2 Year Old (Arthur Gudeon, DPM)
From: Robert Bijak, DPM
If a 2 year old has hallux extensus, and so does the mother, a possible anatomic, genetic correlation is screaming out to be found. The child (and possibly the mother) should be examined and imaged for spina bifida, cauda equina, or spondylolysthesis, etc. with nerve compression involvement in the S1,2, tibial nerve distribution of the flexor hallucis (which is apparently weak) allowing for the extensus,and secondary to EHL overpowering. After the correct diagnois is made, then you can consider treatment options.
If the podiatrist is uncomfortable with this exam, a referral to a pediatric neurologist or pediatric orthopedist would be a good idea.
Robert Bijak, DPM, Clarence Center, NY, rbijak@aol.com
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| RESPONSES / COMMENTS (CLINICAL) - PART 2 | |
RE: Medial Malleolus Screw Removal (Gary Bjarnason, DPM)
From: James E. Rogers, DPM
Make a stab incision near the head of the screw with a #11 blade (no more than 1/4 inch). Clean any bone debris out of the screw head with a #64 blade or micro-curette, if necessary. Use an appropriate hex head screwdriver - counter clockwise twist (rightie - tightie; lefty - loosie). One stitch should take less than five minutes. Done!
James E. Rogers, DPM, Nashville, TN, drjimbob@comcast.net
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| RESPONSES / COMMENTS (NON-CLINICAL) | |
RE: 93% Error Rate for Therapeutic Shoes (Jeffrey A. Szczepanski, DPM)
From: Paul Kesselman, DPM
There is no doubt that the current documentation process is flawed. Orthotists have, for the most part, abandoned this program, and many pedorthists are doing the same. Podiatrists do have a one-up on these two groups because we are able to provide the lower extremity examination which is required. The single most difficult process we have is to obtain some ”acceptable” medical record from the MD to prove that the patient is diabetic. Certainly, a consult note from the MD limited to the patient’s diabetes status should be sufficient to resolve the issues which the DME MAC still feels is insufficient.
The Thompson Reuters study is correct, thus podiatrists should not abandon this worthwhile program. Instead, we should be pressuring the DME MAC’s and CMS to make the documentation process easier. They must clearly understand that if this program is abandoned by the physicians most intimately associated with foot care, it's going to cost the taxpayers far more than any expenditure on shoes/inserts would ever cost.
Paul Kesselman, DPM, Woodside, NY, pkesselman@pol.net
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MEETING NOTICES - PART 1
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| RESPONSES / COMMENTS (NEWS STORIES) | |
RE: Two Key AACPM Employees to Retire
From: Stephen Kominsky, DPM
I would be remiss if I did not comment on the retirement of Carol Jensen. I have had the opportunity and pleasure of working with Carol since I became a residency director 21 years ago. Carol has been a steadying force in the evolution of residency education, from having no centralized interview locations or application matching process to the mammoth system that we have today. Carol has been the glue that has held this component of resident education together.
I am sure that other program directors and former residents alike would echo my sentiments in wishing Carol all the best in retirement and a warm thank you for "being there" for all of these years.
Stephen Kominsky, DPM, Washington, DC
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| CLASSIFIED ADS | |
ASSOCIATE POSITION -CENTRAL VALLEY/SOUTHERN CA
Seeking associate with partnership availability. Must be highly motivated and have good patient skills and personality. Salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital based with no HMOs/no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice with Partnership also in Surgery center. Please e-mail CV and short bio to: Tonya@wetreatyourfeet.com
ASSOCIATE POSITION - CANADA
Beautiful Victoria, B.C. Canada on the ocean, fast growing area. Associate for multi-office full scope practice. $10,000 advance incentive to help move & immigration and work contract. Reply to dr.cole@shaw.ca
ASSOCIATE POSITIONS - NW INDIANA
2 Full-Time positions open - One for Northwest Indiana. Must have 2-year surgical residency. Must be motivated and a self-starter. State License required. If interested email: e-unanue@footexperts.com
ASSOCIATE POSITION - NORTHWEST FLORIDA BEACHES
Excellent opportunity for an energetic, compassionate, hardworking individual with superior surgical and medical proficiency. Recent graduate or experienced practitioner. Excellent salary, benefits and partner-buy in offered, full admit privileges and surgical scope. Fax CV to Ecpodiatry@aol.com
ASSOCIATE POSITION - SEATTLE WA
Established podiatric clinic looking for an associate to join our team, 4 offices located around the greater Seattle, WA area. Great base salary, benefits and friendly work environment. Please send resume toseattlefootdoctor@yahoo.com and we will contact you.
ASSOCIATE POSITION- DAYTON, OH
Join a Well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and current photo to Ohiodoctors@aol.com
FULL-TIME ASSOCIATE POSITION - SOUTHERN NEW HAMPSHIRE
Well-established, rapidly growing practice. Motivated, ethical and personable with well-trained PSR-24/36. Modern office with complete EMR, digital radiography, diagnostic ultrasound, and laser. Competitive salary/benefits package. If interested please email your CV, letter of intent and references to: NHFootDoc@yahoo.com
ASSOCIATE POSITION- CENTRAL FLORIDA
Busy surgical practice is looking for an experienced surgically trained podiatrist to join 3 others. Must be highly motivated and a team player. Excellent salary/bonuses with huge professional potential for the right person. Experience preferred. Beautiful Central Florida. E-mail CV to podiatryresume@gmail.com
ASSOCIATE POSITION - WEST COAST, FL
Associate with PSR 24+, needed for a dynamic practice. Well-established high-tech with specialties in sports medicine, surgery, and wound care. E-mail: mem1@tampabay.rr.com
ASSOCIATE POSITION - NYC, NY
Part/time, full/time associate for busy, well established multi-doctor, multi-office NYC group. Seeking motivated, ethical, NYC licensed DPM with excellent office management and clinical skills in all phases of Podiatry. Board Qualified/Certified preferred. Salary plus incentives, pension/medical/dental. Partnership potential. E-Mail CV to jermaire@aol.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 516 476-1815 PODO2345@AOL.COM
RESIDENCY OPPORTUNITY - MASSACHUSETTS
Mount Auburn Hospital, a teaching hospital of Harvard Medical School (HMS), Cambridge, MA is immediately seeking candidates for a new CPME approved three-year residency in Podiatric Medicine and Surgery Residency (PMSR) with additional Reconstructive Rearfoot and Ankle (RRA) credentialing. The emphasis of this PMSR-RRA well-rounded high volume program includes surgery (particularly complex reconstructive forefoot, rearfoot, and ankle surgery, sports medicine, and trauma), academics, and research. Interested applicants should immediately contact Emily A. Cook, DPM, MPH, CPH atMAH.Residency@gmail.com. Candidates must: start October 1, 2011, have completed a podiatric doctorate, passed parts 1 & 2 of the NBPME.
SUB LEASING TIME on MRI (NYC)
.31 tesla extremity MRI in state-of-the-art midtown Manhattan office location. Lease time on magnet in compliance with the Stark laws. This magnet is the only one that will be accepted by Medicare and all other insurance as of 2012. Why not bill out for your own MRI's??? Email today dri@myfcny.com.
EQUIPMENT FOR SALE - CLASS FOUR LASER
I have a class four pain laser for sale. Used for plantar fasciitis, Achilles tendonitis, neuroma, arthritic conditions and even fungus toe nails This laser is portable, re-chargable and can be move from room to room or office to office. This isn't the cold laser that you see. It is a 10 watt laser. We have used this laser on NFL sports players. For those that understand a good laser. E-mail David Zuckerman, DPM for Details and pricing. footcare@comcast.net
PM News Classified Ads Reach over 12,500 DPM's 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 12,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $109 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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| 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.
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