The Voice of Podiatrists

Serving Over 13,500 Podiatrists Daily

August 27, 2012 #4,549 Publisher-Barry Block, DPM, JD

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Congratulations to: Dr. Vera Stern of Richardson, TX , winner of a copy of A Podiatric Practitioner's Biomechanic and Surgical Guide by Thomas E. Sgarlato, DPM (Value $120).We encourage you to participate in this important survey at www.podiatrym.com/survey Completing this confidential survey provides us with valuable data, which we will publish in the February 2013 issue of Podiatry Management. It also makes you eligible to win thousands of dollars of valuable prizes.

SugarMill Suites, Tobago, WI

This week's prize is a six night stay for up to four persons in an upper floor of a 2-bedroom bungalow with hot tub at the SugarMill Suites in Tobago, the West Indies (value $1,680)

This is also your opportunity to vote for the next DPM and Non-DPM inductees into the PM Podiatry Hall of Fame.

CA Podiatrist Performs Surgery on Woman's Marathon Record Holder

Marathon world record holder Paula Radcliffe announced on Twitter that she had surgery on her left foot earlier today. "Recovering well from successful surgery in Palo Alto, huge thanks to Dr. Saxena and Palo Alto Med Clinic," Radcliffe wrote. Amol Saxena is a leading sports podiatrist, based in Palo Alto, California.

Dr. Amol Saxena

Radcliffe reported that she had a bone graft done on an 18-year-old fracture and is on crutches. She also posted a photo of the foot, showing a metal frame that, she wrote, keeps the joint apart to hasten recovery.

Source: Scott Douglas, RunnersWorld.com [8/24/12]

TX Podiatrist Joins Hill Country Memorial Hospital

Hill Country Memorial Hospital (HCM) in Fredericksburg is welcoming podiatry and wound care specialist Angela L. Schladoer, DPM, CWS, to its medical staff. Dr. Schladoer purchased the podiatry office at 307 S. Washington Street in Fredericksburg, and offers a full range of foot and ankle treatments and sees patients of all ages. In addition to her podiatry practice, she has joined Marshall W. Cunningham, MD in providing wound healing at Hill Country Memorial’s Wound-Healing Clinic.

Dr. Angela Schladoer

“My family and I are excited to back in the Hill Country, and I’m glad to have an opportunity to join the Hill Country Memorial family,” Dr. Schladoer said. “This is a great place to live and practice medicine, and I’m honored to be a member of the hospital medical staff.” Dr. Schladoer has five years of experience as a podiatric and wound specialist. She is coming here from Eagle Pass, TX, where she practiced at United Medical Centers and Hyperbaric Medicine and Wound Care Center/Fort Duncan Regional Medical Center, where she was a co-medical director.

Source: Johnson City Record Courier [8/23/12]

NY Podiatrist Worried That Re-zoning Could Impact Local Businesses

Four different public hearings were rolled into one, concerning amendments to the village code and zoning. Chief among them was the creation of heretofore-prohibited “entrepreneur lofts” above Broadway businesses – one-bedroom apartments with up to two occupants. Monticello podiatrist Dr. Marc Hudes worried that the village isn’t prepared for such a change, especially if apartment residents – rather than customers – park in front of the stores.

Dr. Marc Hudes

“I think that it’s going to be very difficult to police the rules and regulations you’re going to set up,” he cautioned.

Source: Dan Hust, Sullivan County Democrat [8/14/12]

U.S. Physicians Suffer More Burnout Than Other Workers

Physicians in the United States suffer from more burnout than other workers in the United States, new research shows. A national survey of more than 7,000 U.S. physicians reveals that close to one half report having at least one symptom of burnout. "The fact that almost 1 in 2 U.S. physicians has symptoms of burnout implies that the origins of this problem are rooted in the environment and care delivery system rather than in the personal characteristics of a few susceptible individuals.
 
"Policy makers and health care organizations must address the problem of physician burnout for the sake of physicians and their patients," the authors, led by Tait D. Shanafelt, MD, Mayo Clinic, Rochester, Minnesota, write. The survey findings were published online August 20 in the Archives of Internal Medicine.

Source: Pam Harrison, Medscape News [8/22/12]

Calm Complainers

Calm complainers by first agreeing with something they say. Example: “You’re right; your wait was too long.” Empathize with their position, apologize and then move forward to resolve their problem.

Source: Adapted from “How to Resolve Complaints,” Arnold Sanow, Leader’s Beacon via Communication Briefings

Query: Compensation in a Wound Care Center

I would appreciate comments on compensation structures of DPMs working in wound centers (with or without hyperbarics.), i.e. bill for what you see or ask for an hourly salary (what would be a fair rate? Are there some national guidelines to determine this?). Any idea what a facility gets for a technical component for your services? If there is hyperbarics, is there a portion of that reimbursement that you could get if it is used during your session? 

Ed Dosremedios, DPM, Providence, RI

RE: Recurring Forefoot Pain in a Cyclist (Mark Aldrich, DPM)
From: Robert M. Conenello, DPM

Many times, simply adjusting the cleats to a position proximal to the metatarsal heads can help. You may also suggest that the patient wear a thinner sock as well as evaluating the fit of the bike shoe. Many cycling shoes are very restrictive in the forefoot. The Bont shoe has a wider toe box and may also be an option.

Robert M. Conenello, DPM, Orangeburg, NY, rmconenello@aol.com

RE: Recurring Forefoot Pain in a Cyclist (Mark Aldrich, DPM)
From: Ira Meyers, DPM

In response to the question about recurring forefoot pain in a cyclist, there are several possibilities. The easiest and often most effective treatment is adjustment of the seat--either forward or back, and/or up and down.

Ira Meyers, DPM, Huntingdon Valley, PA, idmrun@aol.com

RE: Scope of Practice (Robert Bijack, DPM)
From: Paul Kesselman, DPM

Is Dr. Bijack serious about his opinion on podiatrists not discussing BMI with their patients? Is it his interpretation that podiatrists can't discuss how systemic body functions and illnesses affect the foot and ankle?

Why does he limit his opinion to obesity and not also include smoking, diabetes, hypertension, high cholesterol, and other systemic maladies which certainly DO affect the foot. I dare say the average podiatrist sees the ravages of all of the above on a daily basis.

Most public health policies have the exact opposite opinion from Dr. Bijack. Why else would...

Editor's note: Dr. Kesselman's extended-length letter can be read here.

RE: Microphone for Dragon Med 11 (David Kahan, DPM)
From: Gary A, Lieber, DPM

I have been using Dragon for 6-7 years now using off-the-shelf Bluetooth headsets. I am currently achieving 95% accuracy at a normal rate of speech. The model I am using now is the Blue Parrot Expressway which is available on e-Bay for about $90.

If you use a wired headset, you can get very excellent dictation for even less. Please remember if you use a Bluetooth headset, you must set up a separate profile for it and make sure you configure it as a Bluetooth mic in the setup.

Gary A. Lieber, DPM, Delray Beach, FL, richd3668@gmail.com

RE: UK Podiatrist Tells Kate Middleton to Fix Her Feet (Sam Bell, DPM)
From: Barry Francis

Dr. Bell raises some most interesting points when commenting on the newspaper article written by a British podiatrist. I have spoken to a number of of my podiatry colleagues about the ethics and advisability of not just the comments made but whether the article should have appeared at all under the signature of a podiatrist. While I acknowledge the professional abilities of the practitioner concerned, I and others deplore not only the format of the 'letter' but the univited comments on health-related issues of a public figure in a particularly detailed manner, not all, by the way, that I would agree with.

A previous correspondent has applauded this action largely on the grounds that it will advance the cause of the profession. On the contrary, I believe that this will be regarded as a cheap publicity stunt by many in the UK, including members of other medical disciplines.

Barry Francis, consultant podiatric surgeon, London, barry-francis@hotmail.com

ASSOCIATE POSITION - NASSAU COUNTY,  NEW YORK

Exciting Opportunity! Associate position. Must be Board Qualified. Joining all Board Certified Doctors in foot surgery and reconstructive rear-foot and ankle surgery. Respond to: Podiatryoffice@doctor.com

ASSOCIATE POSITION - NORTHERN, NJ

 Part-time or-full time. This position can and will lead to purchase of practice if so desired. Well-equipped modern office. Digital x-ray, ultrasound, etc. Individual must be well-trained and be ABPS Qualified/Certified. Must be competent in general foot care and be able to do routine foot surgery without help. Call: 201-986-1900.

ASSOCIATE POSITION - CHARLOTTE, NC

Charlotte, NC practice with excellent reputation and patient base seeks to hire a podiatric surgeon. Looking for an associate with partnership potential to join our team serving 5 offices located in Charlotte metro area. Please send resume to Charpodiatry@gmail.com.

ASSOCIATE POSITION - OHIO

Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO-2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com

ASSOCIATE POSITION – NORTHERN CALIFORNIA/BAY AREA

We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com

ASSOCIATE POSITION - NEW YORK CITY & QUEENS

High Income Potential. One of the fastest growing podiatry practices in New York City and Queens seeks a hard-working podiatrist who participates with HealthFirst, Fidelis, and other Medicaid plans. Contact me at: podocare123@gmail.com

ASSOCIATE POSITION – NEW YORK

Great opportunity to share “state-of-the-art” offices and equipment in mid-town Manhattan and White Plains with Board Certified podiatrist. Out-of-network or participating providers welcome. Please call 212-704-4310 for additional information and fax your CV to 212-704-4311 or email to: ifanelli.hms@verizon.net.

ASSOCIATE POSITION - NORTHWEST IOWA

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

ASSOCIATE POSITION – SUFFOLK COUNTY, LI

Well-rounded podiatry practice. A business-oriented, mature board eligible/certified podiatrist who is not just looking for a job, but a secure future. Equity position possible. 2 hospitals available. No nursing homes. Competitive package. Please send CV to 631-581-0857.

ASSOCIATE POSITION - SACRAMENTO, CA

Associate position available immediately. Full or Part time. Opportunity for buy-in and full partnership. Full scope of practice with hospital and surgical privileges available. Please call 310.854.0203 or fax 916.732.2280.

EQUIPMENT FOR SALE

Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net

EQUIPMENT FOR SALE - PINPOINTE LASER

PinPointe Laser for sale. All accessories included. In service since 2008. Service policy in place, fully transferable. $35,000. tatarb@verizon.net.

PRACTICE FOR SALE - NEW YORK

Located in New York, Capital District (Albany, Schenectady, Troy). Grossing 500k+ consistently with less than 10% surgery. 100% EHR Compliant and steady growth. Great opportunity for a doctor or doctors. Will help in the transition process, long-term lease is available. Please email serious inquiries  to:   PodiatristDoctor@gmail.com

PRACTICE FOR SALE - NEW ROCHELLE, NY

Flexible terms. Stable location, medical co-op, 24 year practice with a stable established patient base. Great opportunity for a self motivated podiatrist wanting immediate income and future stability. Call 551-574-0776 for details.

PRACTICE FOR SALE - SOUTHWEST FL

multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com.

PRACTICE FOR SALE - BALTIMORE, MARYLAND

Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com
 

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM   516 476-1815

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