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PM News

The Voice of Podiatrists

Serving Over 18,417 Subscribers Daily


October 14, 2020 #6,788 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2020- No part of PM News can be reproduced without the
written permission of Barry Block

PM NEWS QUICK POLL

Quick Poll


Do you expect to continue suitable telemedicine visits post-pandemic?
 
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PODIATRISTS IN THE NEWS
Foot Hygiene Often Lacking: NY & CA Podiatrists
 
By now, you probably think you have your shower routine down pat. And even though you likely never forget to scrub your underarms or wash your hair, there may be other extremities that don't get as much attention. The truth is, much like the rest of your body, your feet are covered in more than just dirt at the end of a long day. "The feet are the closest proximity to the ground, which means they easily pick up dirt and bacteria when walking around," Emily Splichal, DPM, a New York-based podiatrist, told Well+Good.
 
Drs. Emily Splichal and Robert Lee
 
Robert K. Lee, DPM, chief of podiatric foot and ankle surgery at UCLA Medical Center, Santa Monica, told Self that bacteria on your feet "feed on waste products that come out of your sweat glands, and they produce odor as they build up." Podiatrists also recommend making a few changes to your overall hygiene routine to take better care of your feet, like making sure to wear clean socks made of moisture-wicking synthetic fibers, rotating your shoes every other day to allow for proper drying out, and considering orthotics if you're experiencing lingering issues.
 
Source: Zachary Mack, MSN Lifestyle [10/12/20]
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PODIATRISTS IN THE COMMUNITY - PART 1
MA Podiatrist Joins Orthopedics New England
 
Daren Bergman, DPM, a podiatrist, has joined Orthopedics New England in Hopkinton. Dr. Bergman received his doctor of podiatric medicine in 2014 from the Ohio College of Podiatric Medicine.
 
Dr. Daren Bergman
 
He completed a podiatric medicine and surgery residency at MetroWest Medical Center in Framingham and a fellowship in reconstructive foot and ankle surgery at the Weil Foot and Ankle Institute in Chicago. 
 
Source: Worcester Business Journal [10/9/20]
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PODIATRISTS IN THE COMMUNITY - PART 2
NC Podiatrist Joins Cape Fear Valley Podiatry
 
Kristen McGinness, DPM has joined Cape Fear Valley Podiatry. The Southern Pines native earned her medical degree from Des Moines University of Podiatric Medicine and Surgery in Des Moines, IA. She completed her residency at Yale Haven Health in Bridgeport, CT. 
 
Dr. Kristen McGinness
 
McGinness is the former chief of podiatry and assistant residency director with the Yale School of Medicine and is certified by the American Board of Podiatric Medicine.
 
Source: Bobby Parker, The Fayetteville Observer [10/11/20]
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RELEVANT RESEARCH
Topical Oxygen Heals Hard-To-Heal Diabetic Foot Ulcers 
 
Topical oxygen has been used for the treatment of chronic wounds for more than 50 years. Its effectiveness remains disputed due to the limited number of robust high-quality investigations. Frykberg, et al. recently published a study that has shown the efficacy of multimodality cyclical pressure topical wound oxygen (TWO2) home care therapy in healing refractory diabetic foot ulcers (DFUs) that had failed to heal with standard of care (SOC) alone. Patients with diabetes and chronic DFUs were randomized (double-blind) to either active TWO2 therapy or sham control therapy, both in addition to optimal SOC. The primary outcome was the percentage of ulcers in each group achieving 100% healing at 12 weeks. A group sequential design was used for the study with three predetermined analyses and hard stopping rules once 73, 146, and ultimately 220 patients completed the 12-week treatment phase.
 
At the first analysis point, the active TWO2 arm was found to be superior to the sham arm, with a closure rate of 41.7% compared with 13.5%. This difference in outcome produced an odds ratio (OR) of 4.57 (97.8% CI 1.19, 17.57), P=0.010. After adjustment for University of Texas Classification (UTC) ulcer grade, the OR increased to 6.00 (97.8% CI 1.44, 24.93), P=0.004. Cox proportional hazards modeling, also after adjustment for UTC grade, demonstrated >4.5 times the likelihood to heal DFUs over 12 weeks compared with the sham arm with a hazard ratio of 4.66 (97.8% CI 1.36, 15.98), P=0.004. At 12 months post-enrollment, 56% of active arm ulcers were closed compared with 27% of the sham arm ulcers (P=0.013). In conclusion, this sham-controlled, double-blind randomized controlled trial demonstrates that, at both 12 weeks and 12 months, adjunctive cyclical pressurized TWO2 therapy was superior in healing chronic DFUs compared with optimal SOC alone. 
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FROM PM's CURRENT ISSUE
Several times a week, PM News posts an entire article from a recent issue of our partner, Podiatry Management Magazine. Please note that the views expressed in Podiatry Management Magazine do not necessarily reflect the views of PM News or Barry Block.
 
Today's Featured Article
 
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PRACTICE MANAGEMENT TIP OF THE DAY
Top Tips for Succession Planning - Part 2
 
Positioning yourself and your practice for a smooth transition takes time and thoughtful planning.
 
2. Plan
  • The easiest answer as to when you should start succession planning for your practice is "always":
  • Almost all strategic and professional decision-making for the practice should be conducted with an eye toward long-term succession planning.
  • Remember, there's no such thing as "too early," but there is certainly such a thing as "too late."
Source: Christopher Mann and Logan Lutton, Physicians Practice [10/6/20]
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MEDICAL-LEGAL TIP OF THE DAY
Presenting Your Medicare Case to the ALJ - Part 13
 
32. Is it okay to read your answers to the judge? Absolutely not. As soon as you start reading, the judge will stop paying attention to what you are saying. The hearing is a conversation between you and the judge. Think about it. If you are debating a topic with someone and they start reading something from a piece of paper, are you still paying attention? Of course not. And the judge is not going to pay attention to whatever you are reading, either.
 
33. What is the difference between a perfect answer read to the judge and a conversational answer that is slightly incomplete? A conversational explanation that is slightly incomplete beats a stilted, read-from-a-piece-of-paper explanation every time.
 
34. How much emotion should you include in your oral presentation to the judge? None.
 
Source: David Mullens, DPM, JD, How to Win Medicare Appeals
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RESPONSES/COMMENTS (OBITUARIES)
RE: The Passing of Richard T. Carter, DPM
 
Dr. Richard T. Carter, 92, of Ashland, KY, died Monday, Oct. 5, 2020, in Ashland Community Hospice Care Center from complications from a fall. He was a retired podiatrist and a U.S. Air Force Veteran serving during WWII.
 
Source: Daily Independent [10/9/20]
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QUERIES (NON-CLINICAL)
Query: Source for Wharton’s Jelly?
 
Does anyone use Wharton’s Jelly for a DFU? If so, where do you find it?
 
Tom Lyman, DPM, Winfield, KS
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RESPONSES/COMMENTS (NON-CLINICAL)
From: Brian Lee, DPM
 
I guess I'm old school. In my opinion, Foredom cable drills are still the best. I still have 2 that I've been using for over 30 years! They have much better low-end torque than Osada, even with their stepdown handpiece. Not as compact, but definitely less expensive. 
 
Brian Lee, DPM, Mt. Vernon, IL
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YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

This shoe adjusts to 4 heel heights!

Source: Júlia Káldy via Virtual Shoe Museum

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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 5Continuing Education Contact Hours (CECH) Online

Earn 15 CECH only $249 (less than $17 per CECH)

 podiatrym.com/cme.cfm

All required credits can be taken online for AL, AK, AR, CA, CO, DE, HI, IN, KS, LA, MA, ME, MI, MI, MS, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, VT, WV, and WI

Partial required credits can be taken online for AZ, FL, GA, ID, KY, IL, ID, IA, MD, MN, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, WA, and DC

Choose any or ALL from 25+ CECH Category-1 articles posted

NY podiatrists whose licenses expire from 3/2/20-5/1/21 may take all credits online


CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION- NORTH CAROLINA
 
Live on a beautiful lake. Take over the practice of a retiring doctor but be part of a large group. Run your own office with a strong support system and ownership potential. Perfect for a NC-licensed doctor who is tired of shoveling snow. Life is short – get the boat. Reply to Jennifer.mcmurphy@instridefoot.com
 
FULL TIME ASSOCIATE – CENTRAL FLORIDA
 
Exciting opportunity in Central FL with national comprehensive lower extremity physician group. Collaborative culture w/ high autonomy. Established patient base (retirement), excellent referral base & surgical opp, expansion, high growth potential. Seeking balanced clinic mix, complex surgery & desire for trauma call. ABPM or ABFAS BQ/BC. Current FL license preferred. Comprehensive comp & health benefits including 401K, PTO, malpractice, partnership path & add’l benefits. Please send CV to physicianrecruitment@upperlinehealth.com
 
IMMEDIATE OPENING – PENNSYLVANIA 
 
Multi-Office Podiatry Clinic. Hiring both surgical and non-surgical podiatrists. Generous Salary. Bonus pay schedule. Benefits. LARGE SIGNING BONUS. Send CV to Penndoc@Verizon.net
 
ASSOCIATE NEEDED - WESTERN NY 
 
Growing practice seeks well trained associate who is willing to contribute to the growth and devlopment of the practice.  Surgical skills a must.  Exceptional personality to meet and treat patients a key requirement.  Competitive salary with benefits.  Contact: Yourpracticenow@gmail.com
 
ASSOCIATE POSITION- WESTERN MI 
 
Practice seeking experienced podiatrist for a part time associate position. Opportunity to practice without ownership responsibilities.  Competitive compensation. Flexible schedule.  Multiple surgical options/opportunities. Contact: Yourpracticenow@gmail.com
 
FULL TIME PODIATRIST- NORTHERN NEW JERSEY
 
We are a fast-growing podiatry practice in North Jersey with multiple locations and Doctors.  We are currently looking for a full-time motivated and caring Doctor to join our busy practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time off, paid malpractice insurance and CME time off. Great prospects for experienced Doctors as well as new Associates. This is an excellent opportunity to expand your Podiatric medical and surgical experience in an office-based practice! If interested, please submit your CV to DrSamofal@PodiatryCenterNJ.com
 
ASSOCIATE POSITION - NW FLORIDA/COASTAL ALABAMA 
 
busy, well-established practice, EHR, digital x-ray, diagnostic ultrasound. Offering competitive six-figure salary w/bonus structure, health/malpractice insurance, and PTO. PSR-36 required. Partnership path to motivated and compassionate associate. Must obtain Florida and Alabamalicenses. Send CV: Brentmharwood@gmail.com
 
ASSOCIATE POSITION - SOUTHWEST, FL
 
Immediate position for busy practice in Sunny Southwest, FL. ABFAS RRA BC/BQ. EMR, E x-rays, US, DME.  Base salary + bonus w, PTO, 401K, fees, health benefits. Also 1 ACFAS credentialed fellowship avail, must be BQ ACFAS by start of program 8/2021:  DrLam@NaplesPodiatrist.com
 
POSITIONS AVAILABLE IMMEDIATELY - MASSACHUSETTS
 
Looking for reliable and ethical podiatrists to service Skilled Nursing Facilities and Nursing Homes in the Boston, MA vicinity.  Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
 
ASSOCIATE POSITION – NORTH CAROLINA 
 
Established, rapidly-growing practice is seeking a full-time associate podiatrist with potential for partnership track. We are a multi-location private office in the greater Winston-Salem area excelling in comprehensive, protocol-driven care. Competitive salary plus bonus options and attractive benefit package. Must be licensed in NC. Interested? Email CV to ncpodiatrist@gmail.com.
 
ASSOCIATE POSITION – NEW YORK 
 
Seeking a highly motivated individual interested in evolving in private practice to a wealthy and knowledgeable affiliate entity with a large surgical based podiatry group. Surgeons with a two or three year residency preferred. Come join and Let’s keep New Yorkers on their feet! Please email your CV at podiatrynewyork@gmail.com 
 
FACULTY POSITION -- DES MOINES, IOWA 
 
The College of Podiatric Medicine and Surgery (CPMS) at Des Moines University seeks applicants for a full-time faculty position that will participate in academic, clinical patient care, scholarly, and service activities within the College, University and community. Qualified candidates are invited to apply by submitting a CV and cover letter to www.dmu.edu/employment where detailed information about the position is available.  Candidate review and interview scheduling will commence immediately
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 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
CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
PRACTICE FOR SALE - PITTSBURGH - SW SUBURBS 
 
Significant price reduction.  Busy established practice for sale. Opportunity to expand or have your own office.  Excellent growth potential. Doctor is retiring and will transition.  Well trained staff, EHR, hospital and surgical privileges.  Excellent reputation and referral source loyalty.  Contact: Yourpracticenow@gmail.com
 
PRACTICE FOR SALE- NYC & LONG ISLAND
 
Selling 3 part-time general podiatry offices, together or separately, well established, excellent growth potential in Bushwick, Brooklyn, Rego Park, Queens and Franklin Square, Long Island. All fully equipped with very low overhead. Priced to sell. Turn-key, will transition. Great starter office or secondary office. wperez1000@gmail.com
 
PRACTICE FOR SALE- BOCA RATON, FL 
 
35 year old practice, great location in central Boca Raton. General practice specializing in sports medicine and orthotics. 25% routine care. Great potential for surgically oriented podiatrist. Willing to stay for transition. 561-306-3399.
 
PM NEWS CLASSIFIED  ADS REACH OVER 18,000 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 18,000 subscribers. For details, click here or write to: bblock@prodigy.net or call (718) 897-9700 for details.
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.

Barry H. Block, DPM, JD
 
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