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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,473 Subscribers Daily
September 11, 2016 #5,750  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. Nicholas Bevilacqua of Teaneck, NJ winner of last week's prize, Comprehensive Financial Planning Strategies for Doctors and Advisors: Best Practices from Leading Consultants and Certified Medical Planners™ (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. To begin survey, click here.
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DERM in a Day Seminars |
This week's prize is free registration to DERM in a Day Seiminars in Los Angeles or Chicago (Value $349). 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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| REMEMBERING 9/11 | |
Editor’s note: On this, the 15th anniversary of 9/11, we continue our proud tradition of publishing the following note from the editor, which was published in PM News on 9/12/01 and circulated via the Internet throughout the world.
It is just after 3 AM here in New York City and I simply can't sleep. Looking out the window of my bedroom on the 17th floor, there is an unobstructed view of the Manhattan skyline. I search again for the once familiar sight of the two tall white buildings that marked the lower end of the skyscraper-filled island. All I see are some eerie search lights of the rescue crews.
Like everyone else, I have been in shock all day, particularly since I witnessed in real-time the morbid views of the second plane hitting the World Trade Center and the sequential collapse of both towers.
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World Trade Center 9/11/01 |
The gamut of emotions runs from shock, fear, sadness, to anger. Barely one half-century after the Holocaust, despite all our technological advances, man remains uncivilized. The realization sets in that the terrorists who committed this crime could have and still could set off a nuclear bomb, killing millions. The safety and security we have taken for granted in America is and will never be the same.
My phone has been ringing all day. Family and friends call to determine that everyone is safe. My mom calls to tell me my brother was scheduled to be at the WTC at 9 AM and was at the subway station when the first plane hit. Had the plane hit five minutes later, he would have been on an elevator headed for certain death.
Unfortunately, many thousands were not so lucky, including many employees of Blue Cross/Blue Shield, which only a few years ago moved from midtown to this location. There will be many tears shed as the names of those murdered in this horrific disaster become known, many unnecessary funerals to attend. So many innocent lives lost for no reason. So many families destroyed.
Later this morning, my wife and I will donate blood and attempt to do what we can in this time of crisis. We know the entire podiatric community will collectively pray for those affected by this catastrophe and provide whatever support is needed.
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| PODIATRISTS IN THE NEWS | |
PAD Increases Risk of Heart Disease and Stroke: VA Podiatrist
According to the U.S. Department of Health and Human Services, Peripheral Arterial Disease (PAD) affects on average 8 to 12 million Americans. According to Dr. Mitchell Waskin, a podiatrist with The Foot & Ankle Center, "PAD is basically a clogging of the arteries. It can happen anywhere in your body, but it is more common in the lower extremities and the legs. As it decreases bloodflow, it can lead to gangrene and amputations."
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Dr. Mitchell Waskin |
"What's significant about PAD is that it doesn't just affect the legs. People who have peripheral vascular disease are also at a greatly increased risk of heart disease and strokes," says Waskin.
Source: Greg McQuade, Virginia This Morning (CBS) [9/9/16]
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| PODIATRISTS AND FOOTWEAR | |
Change to Fall Shoes Often Leads to Bunion Pain: PA Podiatrist
For those suffering with bunions, shoes can aggravate the bunion, leading to foot pain when walking and the inability to wear fashionable shoes, says podiatrist Dr. Michelle McCarroll, owner of That Foot Doctor in Allentown.
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Dr. Michelle McCarroll |
Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types that make a person prone to developing a bunion. Bunions get aggravated in the fall once you transition out of sandals into an enclosed, narrow shoe that rubs on a bunion. “Poorly fitted shoes don’t cause a bunion, but certainly aggravate one,” McCarroll says.
Source: Linda Doell, The Morning Call [9/10/16]
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| PODIATRISTS IN THE COMMUNITY | |
VA, NPS, and AARP Recognize AL Podiatrist on Her 100th Birthday
The Central Alabama Veterans Health Care System (CAVHCS), National Park Service (NPS) and the American Association of Retired Persons (AARP) are joining forces to honor Dr. Mildred Dixon on her 100th birthday. In 1957, Dr. Dixon became the first female to be hired as a full-time podiatrist in the Veterans Administration, as the Department of Veterans Affairs was then known. She was also the VA’s first African-American podiatrist.
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Drs. Jeffrey Robbins and Mildred Dixon |
Although Dr. Dixon worked primarily at the VA medical center in Tuskegee, where she is credited with establishing the facility’s first podiatry residency program, she also spent several years working part-time at VA facilities in Montgomery and Tuscaloosa. Dr. Dixon retired from the VA in 1985. “I cannot overstate the significance of Dr. Dixon’s contributions to the profession, to America’s veterans, and to the community she serves,” said Dr. Jeffrey Robbins, National Director of Podiatric Service (VACO). “She stands as an inspiration to us all for a life well-lived in service to others.”
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| MACRA UPDATE | |
MACRA 'Escape Clause' Lets Docs Exclude Satisfaction Ratings in Determining Pay
Most physicians have long been critical of patient satisfaction surveys. They question whether the surveys truly measure quality and whether it's fair to use them to determine physician bonuses. They will finally get their wish under the new physician payment system under the Medicare Access & CHIP Reauthorization Act. The 90% of physicians expected to use the standard incentive program (dubbed MIPS for Merit-based Incentive Payment System) will have the option of excluding patient satisfaction ratings from the formula for determining rewards or penalties to their pay.
The CMS escape clause came in response to the general hostility most physicians have toward the surveys. In a survey for Modern Healthcare conducted by New York City-based SERMO, an online physicians' social networking website with over 600,000 members around the world, only 9% of 2,100 respondents thought patient satisfaction surveys accurately reflect the quality of care.
Source: Howard Wolinsky, Modern Healthcare [9/3/16]
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| E-HEALTH NEWS | |
Doctors Spend Twice as Much Time with EHRs Than With Patients
For every one hour that ambulatory care physicians spend with patients, they spend nearly two hours on electronic health records (EHR) and desk work during a regular office day. They also spend an additional one to two hours of personal time at home each night to “keep up,” according to a time-and-motion study published September 6, 2016 in Annals of Internal Medicine.
So much time spent on EHRs instead of on patient care could be contributing to physician burnout, according to the study which was led by researchers from the American Medical Association (AMA). The researchers found that physicians spent 27% of their total office day on direct clinical face time with patients and more than 49% of their time on EHRs and desk work. In the exam room, physicians spent about 53% of the time on direct clinical patient interaction and 37% on EHRs and desk work.
Source: John Murphy, MDLinx [9/6/16]
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| HEALTHCARE NEWS | |
Hospital Ownership of Medical Practices Grows by 86% in Three Years
Hospital ownership of physician practices has increased by 86% in the last three years, according to a new report. The analysis, conducted by healthcare consulting firm Avalere Health and the not-for-profit Physicians Advocacy Institute, found that from 2012 to 2015, hospitals acquired 31,000 physician practices in the U.S.
In 2012, about one in seven physician practices were owned by a hospital. In mid-2015, one in four medical practices, or 67,000 practices, were owned by hospitals. The report also found that in the same three-year period, physicians employed by hospitals increased by 50%. In 2015, about 140,000 physicians were employed by hospitals or systems, a rise from the 95,000 physicians who were employed by hospitals in 2012. Overall, about 38% of physicians in the U.S. are employed by a hospital or system, according to the report.
Source: Maria Castellucci, Modern Healthcare [9/7/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
7 Reasons Why Physicians Work Locum Tenens - Part 4
Most physicians have heard of locum tenens and many have worked alongside locums doctors in a hospital or clinic. However, the majority of doctors are unaware of the benefits of locums or even how these temporary assignments really work.
The reasons physicians do locums vary but here are seven primary motives for working locum tenens:
4. Money on the side — Locums is a great way for physicians looking to make a little extra money on the side. Picking up a weekend shift or using vacation time to work locum tenens provides extra cash that can be used for student loan debt, savings, or other expenses. While most locum tenens physicians take assignments here and there, some physicians choose to book assignments back-to-back and make locum tenens their full-time job.
Source: Bill Heller, Physicians Practice [9/4/16]
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| QUERIES (MEDICAL-LEGAL) | |
Query: Prescribing Medical Marijuana by Podiatrists
Now that nurse practitioners will be able to prescribe medical marijuana, I have two questions:
1) Where do we stand legislatively? As we are licensed to prescribe opiates?
2) What is our position as a profession? Do our patients with neuropathy, and chronic and ischemic pain qualify for this treatment?
Jay Kerner, DPM, Rockville Centre, NY
Editor's Comment: PM News does not provide legal advice. Whether a podiatrist can prescribe medical marijuana and under which conditions apply varies state by state. This is an evolving situation, so podiatrists are advised to check with their state associations or podiatric boards for the current rules and regulations.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Name Withheld
I am in the final stages of closing on the sale of my practice. I know the following comment will not sit right with some, but the valuation of a practice should be a combination of knowledge of one’s practice and, more importantly, what the market dictates. Yes, it's nice getting a valuation but let's face it, the price you get is solely determined by what a buyer is willing to pay.
I used the 50-90% of gross as a very basic formula. I ended up getting 70% of my gross. Yes, I wanted more, but I got a price that was very fair to both the buyer and me. I invested a little more time in marketing via the classified section in PM News, but the money I saved not using an agent more than made up for the price I would have liked to have gotten.
Name Withheld
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
California Wildlife Center recently rescued a Northern Mockingbird whose feet were knuckling, meaning she was unable to open her feet to stand or perch. This was causing the bird to have to stand on the tops of her toes which were curled under and causing her additional injury.
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These shoes are for the birds! |
CWC veterinary staff created “snowshoes” for the mockingbird to retrain her feet to open and allow the injuries to her toes to heal. The treatment was successful and the bird is now snowshoe-free and on the road to full recovery!
Source: California Wildlife Medicine [8/19/16] via Dr. Richard Simmons
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MEETING NOTICES
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 ASSOCIATE POSITIONS AND FELLOWSHIPS |
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
POSITIONS AVAILABLE - PENNSYLVANIA AND NEW JERSEY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Pennsylvania and New Jersey. Great opportunity for full-time or part-time income. Email inquiries to: phasetwopodiatry@gmail.com
IMMEDIATE OPENING FOR DPM - WASHINGTON DC
Established practice in Northwest DC in search of associate with potential for long term. Active DC License required. All facets of podiatry including office, ER, surgery center, hospital surgery, and nursing homes. We are in three offices in the DC area. Applicants should be PSR-24/36. Competitive salary. Significant patient flow. EMR. Laser. Opportunity to get cases for boards. Office / Hospital based practice. Must be board qualified. Come grow with us. Send CV and references to DCMDfootdoc@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 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.
IMMEDIATE FULL TIME OPPORTUNITY IN CHICAGO
Office hours and house calls. Partnership track for right candidate. Financial arrangements to be discussed. Contact chipod12@yahoo.com
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
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 2 - 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.
| | 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
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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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