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| PM News | |
The Voice of Podiatrists
Serving Over 18,659 Subscribers Daily
October 17, 2019 #6,529  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2019- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
Quick Poll
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Do you participate in the Medicare Diabetic Shoe Program?
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| PODIATRISTS OVERCOMING ADVERSITY | |
AK Podiatrist Advocates for Early Breast Cancer Screening
Dr. Heather Kaufman knows the importance of early screening and hopes that other women will recognize that as well. “I went and had imaging done, and it showed that it was a solid mass," Kaufman said. "Which was biopsied and it came back positive for breast cancer.” Kaufman, who is a podiatrist with Anchorage Foot & Ankle Clinic, said that she discovered a lump on her breast while in the shower.
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Dr. Heather Kaufman |
She went through chemotherapy and radiation, and she said soon, she is expecting to be cancer-free. October is Breast Cancer Awareness Month, and local physicians want the public to know the importance of getting checked.
Source: Samie Solina, KTUU [10/15/19]
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| PODIATRISTS AND FOOTWEAR | |
Crocs Not Recommended for Kids: NJ Podiatrist
Are Crocs okay for your kid’s feet? Or will wearing the clog-esque shoes damage her tootsies? Here’s what a podiatrist wants you to know. “When kids wear Crocs, their heel is allowed to be excessively mobile because of the wide nature of the shoes and the loose strap around the heel,” Dana Canuso, DPM, a podiatrist, tells Romper. “This mobility does not give adequate support to the rearfoot which can lead to flat arches and hyperpronation as they get older.”
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Dr. Dana Canuso |
Over time, flat feet can cause common foot complaints such as plantar fasciitis, tendonitis, bunions, and hammertoes — exactly what Crocs were created to prevent in the first place. And if you’re walking incorrectly, the problems can become more pronounced as you get older, even causing knee, hip, and back pain.
Source: Jennifer Parris, Romper [10/15/19]
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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.
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Today's Featured Article |
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
Healthcare Trends Impacting Physician Practices - Part 3
Physicians are facing new challenges as they balance patient care with business priorities. Restrictive insurance rules, government regulations, and declining compensation are just a few of the obstacles that modern practices are up against. Despite these challenges, successful practices are identifying solutions to these business pressures. Here are five trends shaping the healthcare industry. As we approach 2020, administrators should consider how these trends may impact, and potentially improve, their practices’ outlook.
3. Regulatory Uncertainty - While healthcare regulatory reform has increased some reimbursements, it has also posed potential penalties related to reporting quality standards and the documented use of EHRs. Meanwhile, political attempts to alter or eliminate the Affordable Care Act have brought additional uncertainty for physicians and their practices. As a result, many physicians are postponing important decisions to expand, sell, or participate in new patient-centered medical homes, affordable care organizations and other innovations encouraged by the current law.
Source: Mark Bennett, Physicians Practice [9/30/19]
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| QUERIES (CLINICAL) | |
Query: Re-evaluation of Traditional Angular Parameters for Austin Bunionectomies
According to standard podiatric textbooks, the maximum angular relationship between the first and second metatarsal should be around 16 degrees but can vary due to other parameters such as metatarsal width. A wider metatarsal would allow greater translocation and maintain adequate bone to bone contact for primary bone healing. In the last year, I have been using a minimal incision neck osteotomy technique which I have found to be quite effective. The technique can be seen on Wright Medical’s website. I have been able to use this technique on intermetatarsal angles of much greater than 16 degrees without complications, and if you watch their video, you will see a bunion repair that shifts the metatarsal head over greater than 50%. I was wondering if any other podiatric surgeon has experienced the same and wondered if re-evaluation of the traditional angular parameters for this “short Austin” should be revisited.
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Pre-op and Intra-op X-Rays |
Above is an x-ray of a mid-aged female with a significant bunion and a pre-op intermetatarsal angle of >18 degrees as an example: pre-op and intra-op. I believe the main reason for being able to get so much stable correction is that the first and largest screw used to fixate the head passes through both the medial and lateral cortex of the first metatarsal proximal to the osteotomy and imparts significant stability when advanced into the head of the metatarsal.
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| RESPONSES/COMMENTS (CLINICAL) | |
RE: Itraconazole Dosage Error
From: William P Scherer, DPM, MS
With regards to treating patients with oral antifungals, assuming a PAS has already been performed in the past, I advise ordering a DNA test (PCR Assay) to identify the causative genus and species and choose the drug that best covers that organism. I also strongly recommend proper specimen collection with obtaining proximal nail and subungual debris, not just submitting from the distal nail plate.
The latest evidence-based medical literature reports itraconazole having a 54% success rate (mycologic and clinical cure), an average cost of $2 per pill, and prescribing the Sporanox PulsePak has clear instructions that help reduce patient dosing errors. Terbinafine has been shown to be superior for most patients presenting with onychomycosis, as it has a reported 70% success rate with an average cost of $.30 per pill, but may be less effective against some saprophytes.
William P Scherer, DPM, MS, Boca Raton, FL
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
RE: APMA Young Physicians' Institute
From: R. Andrew Pavelescu, DPM
On October 11-13, along with fellow young member Dr. Jeff Kagan (PGY-1), I attended the APMA Young Physicians' Institute in Nashville, TN. As a member of the APMA Young Physician Leadership Panel, I met with fellow panel members prior to the main YPI program for a strategic planning session. Here the panel discussed key and imminent problems facing young DPMs and established working goals for the next two years. The leadership panel is composed of young podiatrists from across the country, who serve as the intermediaries between the APMA Board of Trustees and the membership at large. The primary goal of the YPLP is to advocate on behalf of all young DPMs.
The formal APMA YPI program took place October 12th and 13th. Attendees representing a wide variety of component states had the opportunity to partake in lectures and workshops focused on building leadership skills. This is a phenomenal yearly program whose goal is to help build the next generation of leaders in podiatry!
R. Andrew Pavelescu, DPM, Fresh Meadows, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Steven Finer, DPM, Jim Steinberg, DPM
When I was in full-time practice, I had these small drill engines attached to Sani-Vacs via black vinyl tubing. We had reamers to clean the tubing. In addition, we had Honeywell cleaners with charcoal filters. We had no problem in 40 years.
Steven Finer, DPM, Philadelphia, PA
There has been a lot of input about air purification, not filters. Nail dust can only be extracted from a room or entire office if you treat the air itself. There is only one way to successfully do this and it is by ozonation and ionization. Remember, air can only be cleaned when it gets to a filter. Ozone cleans the air by using O3 to change the chemical structure of impurities and ions attack the negative change of neutral particles in the air (nail dust). Look into Alpine Industries on the Web, it makes sense.
Jim Steinberg, DPM, The Villages, FL
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| RESPONSES/COMMENTS (PM ARTICLES) - PART 1A | |
From: Jeffrey M. Robbins, DPM
It is gratifying to see at least some comments on my original call for a single board. It is painfully obvious that change is hard and opinion strong on this topic. However, the future requires growth and development; otherwise it stays stagnant which will move us backward as the rest of the progressive world passes us by. We are only as good as our weakest link. Let’s make sure we have a high standard and strengthen all the links in our chain, keeping in mind that we are a procedure-based profession regardless of the simplicity or complexity of those procedures.
Jeffrey M. Robbins, DPM, Cleveland, OH
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| RESPONSES/COMMENTS (PM ARTICLES) - PART 1B | |
From: Ira Baum, DPM, Naples, FL
I don’t think a unified board would do anything to mitigate confusion regarding the services podiatrists provide to the public. I also think it would be a disservice to those podiatrists who received specialized training in surgery. Here’s the obvious dilemma: a majority of states require at least 2 years of post-graduate training in a certified residency program. So how can the profession satisfy state laws requiring the minimum residency training and differentiate non-surgical from surgical training?
Additionally, DPMs, by definition, are doctors of podiatric medicine and surgery, so the definition of our degree needs to be addressed. I’m sure there are many other hurdles that would need to be addressed before changes in board status, training, and meaning would be rational.
Ira Baum, DPM, Naples, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Aptly named Rapunzel (Photo: Shay Ben Efraim) |
Source: Maya Gutwein, Virtual Shoe Museum
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MEETING NOTICES
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
ASSOCIATE POSITION - KANSAS, OKLAHOMA, CENTRAL TEXAS
If your passion is to enhance people's independence and quality of life through helping them improve their mobility, then a career as a Preferred Podiatry Group podiatrist could be for you. Flexibility, autonomy, resources - they're all yours! High income potential without the logistical hassles of running an office! Significant sign-on bonuses available in these areas too. Please send an email to recruiting@PPGpc.com if you're interested in learning more about PPG podiatric care for residents in long-term care homes.
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Multi-office podiatry practice in Suffolk County seeks full time associate, leading to partnership. New York State license required. Must be self-motivated and energetic. Competitive compensation package. Please email CV to newpodiatrist@optimum.net
ASSOCIATE POSITION – KENTUCKY
Modern, upscale, all-female group practice seeking energetic, team-oriented and caring FT Associate to join our busy practice. No travel, nursing homes, minimal wound care, or Medicaid. Only 18% Medicare. Compensation benefits: Salary of $125,000 + generous bonus structure, health insurance, 410K, all professional fees covered (including malpractice), time off for paid CME, scrubs/shoes annually, etc. Looking for a highly motivated and ethical individual with excellent clinical and surgical skills (residency must be 3-year surgical with plans on sitting for the FF & RF boards. Please see our website: www.lexpodiatry.com and email drfreels@lexpodiatry.com your cover letter and CV.
ASSOCIATE POSITION – NAPLES, FL
Immediate and July 2020 associate positions for busy practice in SWFL. ABFAS or ABPM BC or BQ. Interpersonal skills and willingness to work as a team a must. Cloud EMR, Digital x-rays, Ultrasound, DME. Base salary, bonus, health, 401K, Paid vacations etc. Our practice cadaver surgical labs to enhance everyone's skills as a group exclusively available. If you like FL sunshine, fishing, golfing, beaches and to live and work in paradise. DrLam@NaplesPodiatrist.com
ASSOCIATE POSITION – CENTRAL FLORIDA
We are an established and growing group of podiatric physicians and surgeons looking for new physicians in central Florida. We are looking for a full-time, hard-working, doctor to join our practice. Board certification or qualification preferred, but not mandatory. We offer a competitive compensation and benefits package for those who would like to join a larger group of podiatric physicians. If interested, please submit your CV to cindy@atlanticfootandankle.com
ASSOCIATE NEEDED - OH
Gentle Foot Care is a rapidly growing podiatry practice. Well established busy 42 year old group podiatric practice with multiple locations. Great opportunity for energetic, motivated, personable podiatrist. Broad scope of practice. Full-time or Part-time positions available. Full-time available if able to travel between multiple locations. High salary based on production includes malpractice. Hospital privileges available. Please send CV and cover letter to pnnywlls@hotmail.com
ASSOCIATE PODIATRIST - CALGARY, AB
Seeking full-time podiatrist for private office in Calgary. Well-established practice equipped with 4 examination rooms, in-suite accredited operating theatre, shockwave therapy and laser equipment, digital x-ray and EMR. Partnership and buyout opportunities available. Interested candidates, please e-mail lalani@alpinefootankle.com
ASSOCIATE POSITION - UPSTATE SC
Group practice looking for ABPS certified or PSR-36 trained DPM. Must be well versed in forefoot, rearfoot and ankle surgery and diabetic wound care. Senior doctor looking at early retirement or transition to part time work. Please send resume and cover letter to rose6584@att.net
PART-TIME POSITION - SOUTH JERSEY
POSITIONS AVAILABLE - UPSTATE NEW YORK, BRONX, NY and MINNESOTA
Rapidly expanding company serving Skilled Nursing Facilities, Nursing Homes, and Assisted Living Centers is looking for doctors for positions in Bronx, NY, Upstate New York and Minnesota. Positions available immediately. Send inquiries and CV to: phasetwopodiatry@gmail.com
MOBILE PODIATRIST NEEDED - SAN DIEGO AREA
Fast growing house call practice is looking for a podiatrist to see patients in their homes or an assisted living facility. We offer a flexible schedule (Part-Time /Full time), excellent monthly compensation, dedicated support staff. If interested, please email CV to: barefeetpodiatry1@gmail.com Our website: https://barefeet-podiatry.com
ASSOCIATE POSITION – MARYLAND
Perfect opportunity for highly motivated individual with excellent clinical skills and bedside manner. Candidate must be proficient with inpatient management, wound care and all aspects of podiatry. Competitive compensation package which includes base salary and bonus structure. Email letter of interest/CV to contact@shadygrovepodiatry.com
ASSOCIATE POSITION - LONG ISLAND/QUEENS
Advanced Podiatry Seeking Full Time DPM for upscale practices located at the Americana Manhasset, Huntington and Queens. Excellent work environment and company culture. Latest technology with digital x-ray, laser, EHR, Ultrasound, the latest Apple software and iPads. Must be surgically trained, motivated, with a great work ethic. Very competitive salary with significant upside. Visit www.LIFootCare.com and email eavieiradpm@gmail.com for more info.
ASSOCIATE POSITION - ST. LOUIS
Group practice seeking motivated DPM. Only 25% Medicare (no Medicaid) so excellent compensation resulting from substantive workload with good surgical balance. No travel and includes malpractice coverage, health insurance, 401k, and all professional fees. Please send CV to stlouispodiatrists@gmail.co
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Well established practice is looking to expand and have eventual partner and possible even transition to possible buyout. Compensation along with 401K, health insurance, malpractice, vacation, etc. Looking for pleasant person, who is desiring to become rearfoot and ankle certified along with skills in wound care and general foot-care. We have a large referral base and new office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@gmail.com
ASSOCIATE OPPORTUNITY – FLORIDA
Private Practice in the Tampa/St Pete area that is looking for a preferably full-time podiatrist to see patients in long-term care facilities. Some travel would be required. Traditional office hours in modern office setting also available. Part-time candidates will also be considered. Candidate must have active FL license. Reply to MCrosby518@gmail.com
ASSOCIATE POSITION - UPSTATE NY
Rapidly growing practice seeks associate for fast paced, fun, busy practice. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Looking for a motivated individual to contribute to our growth through all aspects of podiatry. Office work, hospital call, and surgery. Please send CV to: docryanlee@gmail.com
ASSOCIATE PODIATRIST - NORTHERN NEW JERSEY
We are a fast growing podiatry practice in North Jersey with multiple locations, and more to come! We are currently looking for full-time motivated and caring associates to join our practice. Some benefits include: competitive six-figure salary, generous bonus structure, health insurance (including vision & dental), paid vacation time, we pay for malpractice and give CME time off. This is an excellent opportunity to expand your podiatric medical and surgical experience in an office-based practice! If interested, please submit a CV to DrSamofal@PodiatryCenterNJ.com
INFECTIOUS DISEASE/ WOUND CARE AND LIMB SALVAGE FELLOWSHIP – OHIO
Join a premiere podiatry program. Become a leading expert in our profession. The fellowship has a multi-disciplinary approach to wound care and limb salvage. Participate in numerous surgical procedures. Be exposed to the world renowned Harrington Heart and Vascular Surgery Institute at UH Cleveland Medical Center along with research at Case Western Reserve Medical School. Become part of a winning team. Change your future. One 24-month fellowship position beginning July 1, 2020. Candidate must currently be completing a PGY 3 residency. Application requests: Deborah.mott@uhhospitals.org Deadline November 8, 2019. Interviews: Saturday, December 7, 2019. Visits encouraged. CPME approved
NON-CLINICAL FACULTY POSITION – POMONA, CA
Western University of Health Sciences College of Podiatric Medicine is seeking a podiatric physician who is interested in a full-time non-clinical faculty position at the Assistant, Associate or Professor level. Academic rank will be commensurate with past experience. Please apply at https://apptrkr.com/1591872.
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
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – MARYLAND
Established 22+ year. Grossing over 450K 3 days a week all palliative. Digital x-rays, diagnostic ultrasound, EMR. Turn-key set up, ideal for a new practitioner, can easily increase revenue with surgery and wound care. Priced for immediate sale, owner is retiring and will help with transition. Send inquiries to beachhouse179@gmail.com
PRACTICE FOR SALE - LEHIGH VALLEY PENNSYLVANIA
Over 30 years in practice. Both hospital and office-based surgery, with orthotics and palliative care also part of the practice. Most insurance plans accepted. Meaningful use compliant EHR. Digital x-ray and EPAT shock wave therapy present in office. Contact at Blarney13@verizon.net
PRACTICE FOR SALE – MARYLAND
Busy practice with great reputation in the community. Well rounded practice with 25+years. Includes office and potential ownership in surgery center. High volume, high gross. Confidentiality insured. Serious and highly qualified candidates only. Respond to: footopportunity@gmail.com
EQUIPMENT FOR SALE - MIDMARK 622 PODIATRY EXAM TABLE/CHAIR
Almost new as it has barely been used. Over $6,000 new, but will accept any reasonable officer as it has to be sold ASAP. Located in Yonkers, NY and will have to be picked up. Email: podiodoc@gmail.com
EQUIPMENT FOR SALE - F-SCAN & SENSORS
F-Scan Versatek System. Use it wireless or tethered. Software for both applications provided on a flash drive. THIS IS NOT F-SCAN LITE, but a bilateral in-shoe system. Comes with 46 new in-shoe sensors for the Versatek system in the original packaging.System and sensors: $7,500. Contact: drgct1950@gmail.com
EQUIPMENT FOR SALE - 2020 DIGITAL X-RAY SYSTEM
I purchased a brand new combined server computer rather than upgrade the older-type laptop and server to Windows 10. So it’s basically like new. X-ray hardly used. It was at a satellite research office. $17,000 delivered and set up. Email AustinPodiatry@hotmail.com for pictures, details and questions.
EQUIPMENT FOR SALE
PDM chair (excellent condition), Diagnostic ultrasound FALCO 100 Pie Medical with printer and stand, wound mapping and all other functions. Instratek Edintrack systems for endoscopic decompression and endoscopic plantar fasciectomy. Gold instruments complete set, hardly used. Surgical instruments and osteotomes. Ergo power drill for osteotripsy. drjsfox@gmail.com
EQUIPMENT FOR SALE - PEDCAT -D CT SCANNER
Like new PedCat 3-D CT scanner. 50% off brand new machine. Machine is 4 years old and covered for 2 more years under warranty. Location Las Vegas Generate revenue for your CT scans for Medicare and most insurances. Ideal for group of 4 or more. Takes less time than x-ray and replaces it. No special setup needed. Big Tax write off! email: footguru@cox.net
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.
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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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