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PM News |
The Voice of Podiatrists
Serving Over 11,000 Podiatrists Daily
August 14, 2009 #3,622 Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2009- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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Aetrex Evolution-Rx Program
The Aetrex Evolution –Rx adds patient services, state-of-the-art technology and significant incremental revenue to your practice. This extraordinary program features Aetrex’s patented iStep SP5000 scanner that quickly determines foot type, pressure distribution and foot size. This information is then utilized to help determine the ideal footwear and foot orthotics for your patients. Medicare eligible A5513 inserts can be ordered via this system.
Since the Evolution-Rx was introduced hundreds of doctors have successfully integrated the technology into their practice and seen substantial increases in revenue and patient satisfaction. To view a demonstration of the technology, or to schedule a presentation in your office click here.
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PODIATRISTS IN THE NEWS |
IA Podiatrist Appointed Chair of ADA Foot Council
Lee C. Rogers, DPM, been appointed to serve as Chair of the Foot Council for the American Diabetes Association (ADA) for the next two years. Rogers is a podiatric surgeon at Broadlawns Medical Center of Des Moines, Iowa, and Director of the Amputation Prevention Center at Broadlawns. Rogers has authored more than 50 publications, including several book chapters on diabetic foot disorders, and has been an investigator on more than 20 clinical trials.
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Dr. Lee C. Rogers |
"My first action will be to complete a position statement writing panel on the definition and diagnosis of Charcot foot, a progressive degenerative condition that affects the joints in the feet, occurring most often in people with diabetes," Rogers added.
In this position, Rogers will be responsible for chairing the panels on diabetic foot complications at the ADA’s Scientific Sessions, which draw over 15,000 scientists, physicians, and other health professionals. He will also chair the diabetic foot section at the ADA annual meeting to be held in Orlando, FL., in June 2010, where he will be responsible for the content and speaker selections for the section.
Source: Gallatin North Missourian [8/12/09]
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CALL 1-877-270-3518 OR EMAIL INFO@DOXEMR.COM
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AT THE COLLEGES |
CPMS Faculty and Students Receive Poster Abstract Awards
The following students and faculty of the College of Podiatric Medicine and Surgery in Des Moines, IA were acknowledged at the 2009 APMA National Scientific Meeting Poster Abstract Competition.
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Kyle Peterson |
Kyle Peterson (’10) received the first place award in the Resident/Student Abstract Category for his research project, “Radiographic analysis of Haglund’s deformity: an evaluation of NCSP and RCSP." Co-authors include Nicole Jedlicka (’10), Dr. Vassilios Vardaxis, and Dr. Tim Yoho.
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Tea Nguyen |
Tea Nguyen (’10) received the second place award in the Resident/Student Category for her research project, “Load deformation evaluation of lateral radiographic foot measurements.” Co-authors include Adam Lang (’10), Dr. Vassilios Vardaxis, and Dr. John Bennett.
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Dr. Roy Lidtke |
Associate Clinical Professor Dr. Roy Lidtke (‘91) received the first place award in the Outstanding Poster Abstract Category for his research project, “New technique advances foot orthosis design.”
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Dr. Tim Yoho |
Dr. Tim Yoho received the second place award in the Outstanding Poster Abstract Category for his research project, “Assessing admission variables and academic performance of podiatric and osteopathic medical students at DMU.” Co-authors Dr. Vassilios Vardaxis and Dr. Kat Comstock (’09).
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www.orthofeet.com 800-524-2845
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PODIATRIC SPONSORS IN THE NEWS |
Realm Labs to Donate $5,000 to Western U
Western University of Health Sciences’ College of Podiatric Medicine will receive $5,000 over the next four months from Realm Labs of Delray Beach, FL, for the College’s Dean’s Scholarship Fund.
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Dr. Richard H. Mann |
“It is with great pleasure that Realm Labs makes this donation,” said Dr. Richard H. Mann, CEO and Founder of Realm Labs. Mann said College of Podiatric Medicine Founding Dean Lawrence Harkless, DPM, “has a vision to build a podiatric college of excellence at Western University of Health Sciences. Such an admirable goal is worthy of the support of the podiatric profession.
Realm Labs, a specialty pharmaceutical and medical food company, distributes Neuremedy, a medical food for the management of peripheral neuropathy.
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The PERFECT Diabetic Sock is Here
Dr. Comfort has created the perfect diabetic sock.
Here’s Why:
• Nano Bamboo Charcoal Fibers provide natural deodorizing, breathability & moisture control
• Contoured design perfect for the diabetic foot
• Seamless construction for a comfortable fit
• Patient friendly choices- DrC socks come in four styles and multiple colors!
Your patients are looking for a high quality, comfortable diabetic sock. Why not provide them the perfect sock for their diabetic condition? Call 800-556-5572 or email Dr. Comfort now to learn more.
Dr. Comfort: The Finest Quality Shoes and SOCKS, PERIOD
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QUERIES (CLINICAL) |
Query: Bleomycin Protocol
What is the protocol for using Bleomycin on a 65 year old female patient with verruca plantaris who has been unresponsive to Effudex, Aldara cream, and lazerformaldehyde, as well as OTC medications? The patient does not want surgical removal of the wart.
John M. Scholl, DPM, Lady Lake, FL
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"I attended the Top Practices Summit last year and was overwhelmed with the amount of information that I was able to immediately incorporate into my practice. Rem delivers what he promises. I now have the direction I needed to market my practice, and it does not involve the Yellow Pages. Because of Rem and Top Practices I know where I want my practice to be in the future as it continues to grow. More importantly I know how I will get there. Top Practices is what every practice needs to get to the top. -Matt Neuhaus, DPM, Nashville, TN
THE EARLY REGISTRATION DEADLINE OF AUGUST 17TH is Fast APPROACHING! Register for the lowest price before then.
The Third Annual TOP PRACTICES Marketing and Management Summit
BREAKING THROUGH THE BARRIERS IN YOUR PRACTICE
DALLAS TX - OCTOBER 9, 10, and 11, 2009
Visit www.TopPractices.com to find out more.
It's not just words.
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QUERIES - (NON-CLINICAL) |
Query: Referral Fees Under Stark Law
If a patient were referred to me for a non-covered procedure, would the Stark Law still apply and forbid a referral fee paid by me to a referring podiatrist? I am of the opinion the law would still apply, but in this case, a group of us is having a disagreement. Does anyone know for certain?
Name Withheld
Editor’s comment: PM News does provide legal advice. While the Stark laws affects only government-run programs such as Medicare and Medicaid, accepting a referral fee is always problematic. Under most state laws, it is both illegal and a professional misconduct violation. In short, don’t ever consider any referral fee without consulting a healthcare attorney in your state.
Additionally, it is a violation of the APMA Code of Ethics:
BE2.11 The podiatrist neither accepts nor offers commissions in any form or manner on fees for professional services, referrals, consultations, pathology services, radiology services, prescriptions, or other services or article supplied to patients.
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New! ALL-IN-ONE TOOLKIT FOR HIPAA, HITECH, RED FLAG RULE
2009 HIPAA HITECH security breach enforcement begins in September 2009. Breaches of 500 records mandate PUBLIC DISPLAY of your name in major media and on the/ HHS website.Penalties for willful neglect of HIPAA/HITECH regulations are now mandatory, from $10,000 to $50,000. Criminal prosecution is now part of the law. So are mandatory audits.
We have decided to expand our Toolkit to comply to HIPAA / HITECH and Red Flag Rule requirements in one bundled package, to provide safe, all-in-one, turn-key compliance for all of the new regulations.
Staff can implement in hours • Complete Documentation for Regulatory Audits • Includes policies for Safe Harbor from public reporting in a breach • FREE updates for 3 years
Buy it now at: www.PhysicianRedFlagRule.com Only $137
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RESPONSES / COMMENTS (CLINICAL) - PART 1 |
RE: Tarsal Tunnel Syndrome? (Jim Fisher, DPM)
From: Tip Sullivan, DPM, Robert Colligan, DPM
In my experience, radiographs, CT's, MRI's, are largely unremarkable in aiding the diagnosis of tarsal tunnel syndrome. The diagnosis is made largely on subjective and clinical findings. I have referred to several neurologists, who have completed an entire battery of lab studies, EMG's, NCV's. Most of those findings return indicating an idiopathic neuropathy, or unremarkable findings. I've also found minimal favorable responses to the various medications available today. Injection of an anesthetic with steroid has had mixed results, but usually offers partial and temporary relief. Orthotics, custom or OTC, also offer about the same results.
With surgery, I have often found very favorable results in the immediate post-op phase. But as scar tissue develops during the healing process, the pain has a tendency to return, usually not to the same severity. And then, as the scar tissue resolves, the pain decreases again. Overall success is perhaps not as high as seen with carpal tunnel releases. I'd estimate approximately 50% success, that being 50% have complete pain relief long-term, the other 50% varies from partial pain relief to no improvement.
The other day, I saw a sign promoting one of the first standing CT's. I thought at that moment, how many compressed discs, herniated discs, compressed degenerated joints, etc. escape detection with non-weight-bearing exams. Podiatrists have figured this out long ago with routinely taking weight-bearing radiographs. How many tarsal tunnel syndromes escape detection because they are performed non-weight-bearing and while asymptomatic. Isn't that about the equivalent of testing for exertional compartment syndrome without exertion? How would a neurologic study differ if the test were performed while performing the Tinel's test?
Robert Colligan, DPM, Norfolk, NE, rcolligan@cableone.net
Editor's note: Dr. Sullivan's extended-length note can be read at: http://www.podiatrym.com/letters2.cfm?id=28092&start=1
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All the benefits of a Live Conference available to you conveniently online
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Great professional education and networking opportunities • CME lectures from the finest teachers
Get answers to questions from world experts • Connect with colleagues all over the world
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RESPONSES / COMMENTS (CLINICAL) - PART 2 |
RE: Surgical Options for Hallux IPJ Pain (Richard Frost, DPM)
From: Randall Brower, DPM
This fracture injury is likely to cause post-traumatic arthrosis even if repair is possible. I would excise the proximal phalangeal head and fuse the joint. This is the quickest recovery with the least amount of long-term post-op sequelae.
Randall Brower, DPM, Roswell, NM, randoman33@yahoo.com
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MEETING NOTICES
• DESERT FOOT CONFERENCE 2009 •
6th Annual High Risk Diabetic Foot VA Conference
For podiatrists, nurses, wound care specialists - All welcomed
Weds, Nov 18 - Fri, Nov 20, 2009
The Buttes, a Marriott Hotel, in Tempe, AZ
14 hours state of the art CME from Frykberg, Armstrong, Robbins, Joseph, Wukich, Andersen, Halpern and more
Co-Chairmen • Robert Frykberg, DPM, MPH and Jeffrey Robbins, DPM
• Building interdisciplinary diabetic foot care teams • Improving self-management via educational interventions • Maintaining max functional potential after amputation • Review latest limb salvage research • Bring the family • programs for the kids • Escape your office routine to learn
Free for VA podiatrists, residents and other VA personnel. $150 for non VA podiatrists
LEARN MORE and REGISTER here or contact Nadine Taylor at 800-538-3375
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RESPONSES / COMMENTS (CLINICAL) - PART 3 - CLOSED |
RE: Tingling and Burning of Toes Under Bedcovers (Bob Hatcher, DPM)
From: Nicholas Sol, DPM
Burning of toes under bedcovers and immediate relief when uncovered sound suspiciously similar to erythromelalgia. The textbook complaint is similar with relief obtained by standing on a cold surface.
Nicholas Sol, DPM, Colorado Springs, CO, drsol@thewalkingclinic.com
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LEARN and EARN
• SUPERBONES 2010 Conference January 14-17, 2010 •
• Atlantis, Paradise Island, Nassau, Bahamas • 20 hours CME •
• Over 25 Featured Speakers including: Kalish, Steinberg, Zelen, Armstrong, Schoenhaus, Harkless, Jacobs, Block •
• Practical Skills Workshops • Medical and Surgical Advances in the Lower Extremity •
• Intense AM Learning Sessions •
• Join us for this dynamic and growing annual conference •
View FREE SAMPLE LECTURE from prior year’s Superbones program.
To register online, click here or phone 800.966.9056
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RESPONSES / COMMENTS (NON-CLINICAL) - PART 1 |
RE: Care Credit (Bruce Pinker, DPM)
From: Rick Burnell, DPM
I used Care Credit for several years after first opening my practice. I dropped it about two years ago. I found that when I first started with them, it was relatively easy for my patients to get credit for a procedure. After about one year, it became increasingly more difficult to get them approved, until eventually only about one out of every eight to ten people who applied were accepted.
Also, their fees for using MasterCard and Visa were very high. I switched to a local bank for my credit card use and dropped the idea of trying to get credit for the patients. As is customary with most lending institutions, those people who don't need credit are about the only ones who could get it.
Rick Burnell, DPM, Camden, SC , burnell_cfc@bellsouth.net
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CLICK HERE FOR FULL BROCHURE
July 18-25, 2010
AAPPM & PM News Present
Practice Management 7-Day Cruise to Alaska
(Following the 2010 APMA Annual Meeting in Seattle)
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Princess Cruise to Alaska |
Register at www.podiatrym.com/alaska
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RESPONSES / COMMENTS (CLINICAL) - PART 2 |
RE: Yellow Pages Parity (Frank DiPalma, DPM)
From: Carl Ganio, DPM
This discussion can go several ways, and in fact, goes full-circle. In the past, we had fought for parity with the MD listing. I remember also being listed under podiatrist. We are currently back to being listed under “Physicians and Surgeons, DPM, Podiatrist”.... and no one can find us (of course, we are found at the beginning of the section, as DPM comes before MD...).
I have handed a Yellow Pages to some of my most educated patients, and asked them to find me in the Yellow Pages... and they cannot without prompting. Rather than tracking calls as the sales rep recommends, perhaps that simple test will open your eyes.
Carl Ganio, DPM, Vero Beach, FL, drcarlganio@bellsouth.net
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ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES
Congratulations to Paul Scollo, DPM of Fairfield, NJ, winner of a copy of The Podiatric Practice Manual by Joseph Borreggine, DPM (Value $99)..
We encourage you to participate in this important survey at www.podiatrym.com/survey Completing this anonymous survey provides us with valuable data, which we will publish in the February 2010 issue of PM. It also makes you eligible to win thousands of dollars of valuable prizes. Enter by sending Question #43 (no answer necessary) to bblock@podiatrym.com along with your name and address.
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TempTouch® |
This week's prize is aTempTouch® donated by Diabetica Solutions, Inc. (Value $99.95) .
This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.
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RESPONSES / COMMENTS (NEWS STORIES) - PART 1 |
RE: Gary Ceresnie, DPM
It was with great sadness and horror that I read about the the apparent brutal murder of my friend and colleague, Gary Ceresnie. Gary was a very caring and gifted physician. Gary was a kind soul with a big heart and loving nature. His goodness makes the circumstances of his demise that much more horrific. We have lost a special soul.
Richard Mann, DPM, Delray Beach, FL
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CODINGLINE CORNER
CURRENT TOPICS BEING DISCUSSED ON CODINGLINE'S LISTSERV INCLUDE:
o ICD-10-CM & ICD-10-PCS
o E/M Coding with a Surgical Code
o Lesser Met Resection with Implant
o Autograft from Bunion Repair
o Proper Code for a Subtalar Arthroereisis
Codingline subscription information can be found here
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RESPONSES / COMMENTS (NEWS STORIES) - PART 2 |
RE: Obama's Amputation Remarks
From: Paul Bishop, DPM, Gary S. Smith, DPM
The following quote is from President Obama, "If a family care physician works with his or her patient to help them lose weight, modify diet, monitors whether they're taking their medications in a timely fashion, they might get reimbursed a pittance. But if that same diabetic ends up getting their foot amputated, that's $30,000, 40, $50,000 immediately the surgeon is reimbursed. But why not make sure that we're also reimbursing the care that prevents the amputation? Right? That will save us money."
I find this appalling and personally insulting to myself and our profession. Why would the single profession who openly combats amputation as aggressively as we do, get slandered like this? As podiatrists, I would guess that we would do the majority of foot level amputations. We have the CLEAR, Georgetown’s center, major teaching centers, wound care boards, and yet it is all totally discounted in politics.
When is the last time that any of you were even paid $1,000 for ANY amputation? How many of you after a 90-day global period think that you made any money at all from that reimbursement? We all see the need to integrate family medicine, endocrine support, and all other specialties in managing our diabetic population, but to lump the ills of an amputation on the laps of surgeons is ridiculous. I am wondering what response to this the APMA, ACFAS, and other boards will have? What are we as individuals doing or are going to do about things like this? I would ask you all to call your representatives and let your voice be heard that we are not to be dismissed as uncaring, monetarily-motivated, non-ethical physicians. It’s time to make some noise.
Paul Bishop, DPM, Yorkville, IL, feetpeople@aol.com
I assume there will be many letters concerning this by well spoken physicians, so I'll make this short. When I step foot in the OR, I lose money from being away from my office. Surgical reimbursement is so poor in my area that I would be better off financially if I never did it. The point that should be taken here is that the person overhauling our health system is absolutely clueless about healthcare and the cost of healthcare, and that should scare everybody.
Gary S. Smith, DPM, Bradford, PA, penndoc@verizon.net
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PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn 30 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours for only $139(Less than $14 per credit)
http://www.podiatrym.com/cme.cfm
Choose any or ALL (30 CME Contact Hours) from the 20 CME articles posted
You Can Now Take Tests and Print Your CME Certificates Online
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CLASSIFIED ADS |
ASSOCIATE POSITION - MARYLAND (MONTGOMERY COUNTY)
Multi-office, well-established practice with surgical centers, digital x-rays, in-office vascular testing, ultrasound, EMR with voice recognition charting, and many other perks looking for personable, well-trained, motivated individual. Patient base available for immediate in-office productivity. If you are new or ready to change locations, contact us ASAP to discuss opportunities. Send resume and cover letter to mddpmassociate@comcast.net
WANTED: PRACTICE TO PURCHASE IN BERGEN COUNTY NJ
DPM interested in purchasing a practice in NNJ. If you are considering selling/retiring/slowing down etc let's talk and come to a mutually beneficial arrangement. Open to all situations/options. Contact: AdvancedFtCare@aol.com for quick deal.
ASSOCIATE POSITION - MARYLAND
Harford County, Bel Air, est. 1991, seeking PSR24/36, strong ethics, friendly demeanor. Associate or partnership opportunity for the right applicant. We provide onsite ambulatory surgical center, patient base, strong referral resources, billing, scheduling, and many technologies. Visit our website. e-mail your CV to drhoward@hlsfootcare.com.
ASSOCIATE POSITION - CHICAGO AREA
Join one of the most successful, long-established podiatry practices in the Chicago area, with excellent salary and benefits. We have an immediate opening for a full-time podiatrist in a multi practice location in Chicago. Must have two years of surgical residency. Please e-mail resume to fmassuda@footexperts.com
FOR SALE: MICROVASC UNIT
Excellent Condition, Never Used, New 14K, BEST OFFER. All-Pro 2010 X-Ray processor, used, great condition, Includes cassettes BEST OFFER
NYCPodiatry@gmail.com
ASSOCIATE POSITION - FREDERICK, MD
Well-established and growing 2 office state-of-the-art practice located in medical/professional buildings. EMR, Digital X-ray, Ultrasound, DME provider, etc. Competitive Base Salary plus bonus, malpractice, health insurance, etc. PSR 24 minimum/Board Qualified or Certified with ability and desire to take ER call. If interested, forward CV to DOCSBNB@aol.com
ASSOCIATE POSITION - BOSTON, MA
Associate wanted, Full-time or part-time, for busy long time, well established, and well-rounded practice. Good mix of general podiatry and surgery. Office will generate approximately 100+ surgical cases per year. Must have surgical background, ABPS Qualified minimum needed to obtain hospital privileges. Associate position is open for partnership or purchase. Contact robert.nunberg@comcast.net
PRACTICE FOR SALE - FLORIDA—CENTRAL/SOUTH
Turn-key operation grossing $570,000 annually based on one full-time doctor. Great opportunity for growing the top-line. Surgery is only 14% of the professional man-hours; it can significantly increase income. Medicare makes up 64% of revenues. Seller will assist with transition. Call 863-688-1725, ask for Chas.
PRACTICE OPPORTUNITY - CINCINNATI, OH
Well-established practice located in medical/professional building minutes from hospital. Many referrals, three satellite clinics and two assisted living facilities to keep you busy. Associate leaving due to family emergency-need to either find an associate or sell ASAP. Contact bjadpm@hotmail.com for more details.
PRACTICE FOR SALE-VIRGINIA (SOUTHEAST)
Very busy office near Williamsburg. Currently, a satellite office 2 days a week. Great opportunity to make office full-time. Grosses approx. 130,000/year. The office has everything needed to start practicing. All included. Must sell. If interested, e-mail totalfootcareva@hotmail.com
NEEDED CHICAGO -- NW IND & BALTIMORE/WASHINGTON, DC PODIATRISTS
Home Physicians, a medical group specializing in house calls is looking to hire podiatrists in Chicago, Northwest Indiana, and Baltimore, MD. Full and part-time positions are available. Competitive Compensation including malpractice. Contact Scott Schneider. Phone-773-342-4201 FAX 773-486-3548-E-Mail sschneider@homephysicians.com Visit our website
ASSOCIATE POSITION - FLORIDA
Busy practice in East Central Florida in search of full-time podiatrist to perform routine foot care in office and nursing home. Competitive salary and full benefits available. Reply to jrdpm@bellsouth.net
PRACTICE FOR SALE - ALABAMA, GULF COAST
Established 26 year old practice. Owner desires to sell and relocate. Operated 25 hours per week. Mixture of surgery and general podiatry. MD referrals. Surgery center and hospitals in close proximity. Highly profitable. Priced to sell. Will lease office to buyer. Call Mike Crosby at 888-776-2430 or email mcrosby@providerresources.com
PM News Classified Ads Reach over 11,500 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 11,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451 Ext 110
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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.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
| Guidelines |
- To Post a message, send it to: bblock@podiatrym.com
- Notes should be original and may not be submitted to
other publications or listservs without our express written
permission.
- Notes must be in the following form:
RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
Spellchecker
Your name, DPM City/State
- 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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