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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,488 Subscribers Daily
September 01, 2016 #5,743  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block
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| ANNUAL SURVEY NOW ONLINE - WIN VALUABLE PRIZES |
Congratulations to Dr. Ronald Werter, winner of last week's prize, Sony Extra Bass Bluetooth Headphones (Value $100). We encourage you to participate in this year's important annual survey. Completing this anonymous survey provides us with valuable data, which we will publish in the March 2017 issue of Podiatry Management. It also makes you eligible to win thousands of dollars of valuable prizes. Enter by completing this confidential survey and providing your e-mail address in the comments section on the last page of the survey. The earlier you enter, the more chances you have to win.
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This week's prize |
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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| AT THE COLLEGES | |
NYCPM Welcomes Class of 2020
NYCPM’s Class of 2020 has started digging into its studies following a three-day orientation that both made the new students feel comfortable and gave them a thorough and interesting foundation for their careers at NYCPM. Orientation started with a welcome by the school administration, led by President and CEO Louis L. Levine; an introduction of the students; a scavenger hunt; an overview of podiatric medicine by Michael J. Trepal, DPM, Vice President of Academic Affairs and Dean; an overview of student services by Lisa K. Lee, MA, Dean of Student Services and Enrollment Management; iPad mini distribution and training; lunch with Student Ambassadors, and presentations by student government and clubs.
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NYCPM faculty and staff joined the Class of 2020 for a cruise up the Hudson River. |
And all of this was topped off with a Welcome Cruise of the Hudson River! The enthusiastic and engaged class is 45% female and 55% male. Its 86 members are an average of 24 years old, and represent 18 states and Canada; 44% are from the tri-state area. Among the students are several second-generation future DPMs.
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| PODIATRISTS AND POLITICS | |
FL Podiatrist Re-Elected to Greater Boca Raton Beach and Park District Seat
Dr. Dennis Frisch has been re-elected to the Greater Boca Raton Beach and Park District seat. Frisch is currently vice-president of the American Podiatric Medical Association.
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Dr. Dennis Frisch |
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Election Results |
Source: Palm Beach Post [8/30/16]
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| HOSPITAL PODIATRISTS IN THE NEWS | |
AZ Podiatrist Delivers Surgery Grand Rounds at Westchester Medical Center
Dr. David G. Armstrong, Professor of Surgery and Director of the University of Arizona’s Southern Arizona Limb Salvage Alliance (SALSA) became the first ever podiatric surgeon to deliver grand rounds as a visiting professor at the institution.
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Professors Rifat Latifi and David G. Armstrong following Department of Surgery Grand Rounds |
Armstrong discussed his and other teams’ surgical, medical and mechanical efforts to treat patients through into diabetic foot remission. The event was streamed throughout the Westchester Medical System to trainees throughout the region.
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| PODIATRISTS AND HUMAN INTEREST STORIES | |
Story About CO Podiatrist's Goodbye to Cat Goes Viral
This is Andrew the cat, a treasured member of Dr. Andrew Bernhard’s family for 15½ years. In this photo, he is holding hands with his owners as they drive to the vet to put him down. Last month, Bernhard shared this photo on Reddit with the caption: “He held our hands on his last trip to the vet. Little Andrew was much stronger than his mom and I.” “I was crying a lot, for sure,” Bernhard told BuzzFeed News of realizing that Andrew might know, on some level, that it was time to say goodbye.
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Dr. Andrew Bernhard and his cat |
Bernhard said that putting Andrew the cat down had become the only “fair” thing to do. “He was by my side for a long time and just had been running out of gas,” he said. “He wasn’t eating or drinking, stopped purring, and just wasn’t himself. It would’ve been selfish to keep him just because I didn’t want to lose him.”
Source: Terri Pous, Buzzfeed [8/29/16] via Dr. Wenjay Sung
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| RELEVANT RESEARCH | |
Older Age Associated with DVT in Patients with Isolated Calcaneal Fractures
Recently published results showed patients with isolated calcaneal fractures had an incidence of pre-operative deep vein thrombosis that was almost twice as high as any reported in previously published examinations of lower extremity injuries. Researchers compared 159 patients with isolated calcaneal fractures who had pre-operative deep vein thrombosis (DVT) with a cohort of patients who did not have pre-operative DVT. At least 7 days after injury, all patients had a pre-operative duplex ultrasound performed, according to researchers.
Results showed 19 patients had pre-operative DVT, with most DVTs presenting distally. Using multiple logistic regression with the presence or absence of a DVT as the outcome variable and patient or injury characteristics as the potential predictor variables, researchers found older age was a risk factor for DVT. According to results, the odds of developing a DVT increased by approximately 6% for every one-year increase in age.
Source: Williams JR, et al. J Orthop Trauma. 2016 via Healio.com [8/27/16]
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| ACA UPDATE | |
Changes to ACA Exchanges May be Enough to Keep Them Afloat for Now
Proposed changes to help stabilize the Affordable Care Act health insurance exchange markets should be enough to stop the bleeding, but further changes will likely be needed next year. The rule, which was released a couple of months earlier than expected includes changes in 2018 to the ACA risk-adjustment program as well as changes to plan requirements.
The rule changes are a response to tumult in the exchanges as Aetna, Humana, and UnitedHealth Group have all said they will be significantly scaling back their plan offerings in 2017. That and overall low enrollment from consumers has led some to question whether the exchanges can remain viable. There have also been concerns about double-digit premium increases in some states, although the HHS released an analysis stating that coverage would still be affordable for most consumers who receive premium subsidies.
Source: Shannon Muchmore, Modern Healthcare [8/30/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Five Ways to Decrease Patient Wait Times
Practices should consider the following five tips to help improve patient wait times by operating more efficiently and increasing physician capacity:
2. Analyze wait times and schedules
With a physician champion on board, practices should analyze the average wait time for the third — not first — available appointment. Studying the wait time for the first available appointment is not a reliable metric due to the frequent cancellations and no-shows that occur at practices, which makes the "first available appointment" wait appear artificially brief.
Source: Johanna Epstein, Physicians Practice [8/28/16]
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: APMA Responds to Proposal to Fix Medicare Appeals Backlog
From: Jon Purdy, DPM
The APMA is currently working with CMS finding ways to speed up ALJ appeals as they are currently in an 18 to 36 month backlog. I think addressing the issue of why the ALJ is backlogged would be a more practical task. Far too often these days, Medicare is returning denials for the sake of denial. Diabetic patients meeting criteria for diabetic shoes with conditions such as former amputation and current ulceration, along with neuropathy or PAD are being denied. The second level appeal with clinical notes and every single document required by CMS, including the primary care doctor’s notes, are returned denied again as “not medically necessary.” This is not the crooked toe argument being pushed as a deformity requiring specialized shoes.
Both doctors and patients are suffering because of these purposeful denials of stated patient benefit, and the process is being punted to the courts. The unfortunate collateral damage is seen as doctors having to incur the initial cost of purchase, as Medicare will not provide pre-approvals, and the doctor again must incur the cost of processing and returns. The patient is unfortunately not receiving their stated benefit within the healthcare plan they were forced to pay into their entire working lives. I know many of us have seen these conditions lead to amputation. I think the APMA, armed with these specific cases and documentation of support, can make a very clean-cut case for doctors and patients.
Jon Purdy, DPM, New Iberia, LA
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
RE: OSHA Penalties Increase Significantly
From: Joseph Borreggine, DPM
The penalties (sometime referred to as fines) that the Occupational Safety and Health Administration (OSHA) imposes on employers that are found to be in violation of OSHA Standards have recently increased significantly. Prior to the current increase, each serious violation could receive an OSHA penalty of up to $7,000. But now, each serious violation can receive a penalty of up to $12,500. That’s roughly an 80% increase.
Consider the fact that a typical small healthcare employer might be charged with several serious violations during a single OSHA inspection. Four or five violations at 12K each can quickly add up to penalties in the $48 to $60 thousand dollar range. And the penalty for a single violation that OSHA judges to be willful on the part of the employer is now permitted to be as high as $125,000.
Source: Stericycle, Inc.
Joseph Borreggine, DPM, Charelston, IL
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Dennis Shavelson, DPM
I disagree with Dr. Busman’s comment that though "The term 'undervaulted' may be more understandable and useful (than overpronation) when discussing plantar fasciitis" to professionals, it would probably not be very informative to the magazine's target audience”. I offer an article that was published in 2010 in Radius Magazine that is available in doctors’ waiting rooms and online dealing with PF. It offers science, physics, and a logical progression as it develops the causes, diagnosis, and treatment of PF.
We have had almost 40 years to sell overpronation without success to the foot-suffering public; also overpronation (abnormal frontal plane eversion by the calcaneus) is a red herring for what actually occurs in most feet to create pathological tissue stress at the PF insertion into the medial calcaneus.
Dennis Shavelson, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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What to wear to a butterfly garden? |
Source: Jan Jansen via Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - PART 2 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOVIATE POSITION - BRITISH COLUMBIA, CANADA
Experience associate for multi office practice Located in beautiful Victoria, British Columbia, Canada If interested and debt free, NO Obama Care here. Reply to Dr.cole@shaw.ca
ASSOCIATE POSITION – NORTH CAROLINA
New associate position available that can lead to partnership. We are a very busy practice providing care in both office and hospital settings. EHR, arterial vascular testing, and ESWT in the office. We are fully integrated in a large tertiary teaching hospital. We are located in the beautiful mountains of Western North Carolina. Research opportunities are available. Applicant should be ethical, personable, hard-working, and committed to quality and patient care. We are offering a competitive compensation package and a wide range of benefits. All interested candidates should send a CV to MFAS828@aol.com
2017 GRADUATE ASSOCIATE POSITION - LONG ISLAND
Expanding Long Island based, well rounded group practice seeks 2017 third and fourth year graduating residents or fellows to join our state-of-the-art practices. Our practices are affiliated with multiple hospital systems, surgical and wound care centers and a residency program. Requirements: Caring, ethical, board qualified/certified candidates with surgical training and leadership qualities who are willing to live/relocate to the Long Island, NY metro area. Email CV to: Drbrook@countryfootcare.com
ASSOCIATE POSITIONS - FLORIDA
KG Health Partners, Inc., a multispecialty group practice in Florida has two territory openings (Tampa and Lakeland) for a full time podiatric physician servicing skilled nursing, assisted and independent living facilities. Physicians must maintain an active Florida license. Physicians are provided a medical assistant, administrative support including scheduling and billing. Expenses including malpractice insurance, medical supplies, travel allowance, etc. are covered. Exceptional benefits include paid holidays, vacation, health insurance and 401K retirement plan with company match. First year six figure salary is guaranteed! Second year profit sharing. Most second year doctors earn $150,000 and up. Email CV to admin@KGHP.net
ASSOCIATE POSITION FULL-TIME – NEW JERSEY
Do you have 8 arms and 12 legs? Can you handle a challenge? Associate wanted for amazingly busy practice. Must be surgically trained but conservatively minded. The sky is the limit. Wonderful environment and great support team. Great pay with potential for expansion Bergen County, New Jersey. Please email CV to: jackienjfootandankle@gmail.com
ASSOCIATE POSITION – DURANGO, CO/FOUR-CORNERS AREA
Busy and growing practice in the 4-corners area looking for high-energy doctor seeking full-time employment. Competitive compensation. Ownership opportunity. Buy-in to surgery center and/or physician owned hospital possible. Board eligible/certified necessary. Competent in all areas of podiatric care. Send CV to nlhuge@gmail.com
ASSOCIATE POSITION – NEW YORK
Seeking motivated PMS-36 trained podiatric surgeon for full-time associateship in group with offices in Manhattan, Queens, LI, and and the Bronx. Offering competitive salary with room for growth. Surgical-based practice - special emphasis on trauma, reconstruction, rearfoot and ankle surgery. Please email resume to: nypodrecruit@gmail.com
ASSOCIATE POSITION - SOUTH CAROLINA
South Carolina's largest provider of foot care is a multi-doctor, multi-location practice currently seeking a highly skilled, personable, and hardworking physician to join our TEAM. South Carolina License is necessary and next exam is December 2016. Exam application must be submitted 90 days prior to exam date. Starting Compensation package $120k-$140k (base + bonus) and benefits. Please send Letter of Interest and CV to: scdpmjobs@gmail.com
ASSOCIATE POSITION - NEW JERSEY
Doctor needed in south Jersey for expanding practice. Multidisciplinary setting. Six figures. No weekends. Must be both conservative and surgically capable. ABFAS certified/qualified. jennberlin1@gmail.com
POSITIONS AVAILABLE- FULL TIME/ PART TIME IN MISSOURI, COLORADO, AND OKLAHOMA
Opportunities are available to serve residents of long-term care facilities in Missouri, Colorado, and Oklahoma. High earning potential with superior benefits with Preferred Podiatry Group, P.C. for the right candidates. Contact ckestner@ppgpc.com for additional information.
ASSOCIATE POSITION - CT (NORTH HAVEN AND FAIRFIELD)
Well-established and progressive offices, including EMR, digital x-ray, vascular and NCV studies, Pinpointe and CO2 lasers, diagnostic ultrasound and electrical stimulation therapy. You can expect a full schedule of patients the day you start, and a very competitive salary. For more info www.greatfootcare.com. Send resume to: Dr.Kassaris@yahoo.com
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
ASSOCIATE POSITION – SAN FRANCISCO, CA
Ready for a change? We have an immediate, full-time opening in our fast-paced, technologically driven, Sports Medicine Practice. If you’re looking for a collaborative team environment, free of politics, with an emphasis on work-life balance then we want to hear from you. Partnership track considered. No travel. No wound care. No Medicare. Candidate must have strong biomechanical and surgical background. Generous salary and benefits. Applications accepted online at www.fdfac.com/z/about-careers.html.
FULL-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. Modern offices and equipment. A great opportunity for driven personable individual. Please e-mail the following: Cover letter, CV, Letter of references Email: cnunez1940@gmail.com
POSITION WANTED – ILLINOIS
Recent 2016 graduate seeking position in Illinois. From the Chicagoland area and hoping to stay in the area long-term. Looking to help the practice grow. Hard-working, motivated, personable, team-player, and honest. Well-trained in all aspects of podiatry with an interest in wound care. Please contact pmnewsad2016@gmail.com for information.
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770.
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PODIATRY EQUIPMENT FOR SALE
2-Midmark 647 Powder podiatry chair $4,250, 2-PDM chair $1000, 5-Midmark 417 $3000, 1-ultrasound $6000, 1-Mini C-arm $15,000, 2-X-cell x-ray $4000 OBO, 1-All Pro imaging scanner, 4- Exam room cabinets, 1-Ritter M9 Ultra autoclave $2500, 1-Sani Grinder $400, 4-Portable office desks, 8-Waiting room chairs, 1-Waiting room table, 5-Patient room chairs, 5-Ritter chairs, 1-Centrafuse Life Line Medical Life Spin 6T, 1-Sonoace Pico ultrasound with Sony printer (1yr old) $13,000 OBO. Contact docbernz@aol.com
PM NEWS CLASSIFIED ADS REACH OVER 16,500 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 16,500 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at davidekagan@gmail.com or call (215) 808-0770.
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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.
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- Notes should be original and may not be submitted to
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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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