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| PM News | |
The Voice of Podiatrists
Serving Over 17,868 Subscribers Daily
October 21, 2016 #5,779  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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| PM NEWS QUICK POLL |
Quick Poll
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If you had to start out in practice today, which path would you take? |
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| AT THE COLLEGES | |
Harlem Physician Group Opens Offices within FCNY
Joel Sturm, Chief Operating Officer and Eunice Ramsey-Parker, DPM, MPH, Clinic Administrator of the Foot Center of New York (FCNY), have announced that the Harlem Physician Group, PC (HPG) has joined the the Foot Clinics of NY (FCNY). HPG’s physicians and physician assistants provide primary and urgent medical care. Geriatric care will be added to HPG’s services in the near future.
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Joel Sturm and Dr. Eunice Ramsey-Parker |
FCNY doctors provide complete podiatric and physical therapy services. The Harlem Physician Group will provide all surgical clearances for FCNY patients. In addition, HPG will also provide health services to NYCPM students, acting as the student health center providing examinations, inoculations, and treating minor illnesses. The Harlem Physician Group’s services are available to all NYCPM and FCNY staff as well.
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| PODIATRISTS AND SPORTS MEDICINE | |
TX Podiatrist Discusses How to Avoid Runner’s Toe
For seasoned runners, being prepared from head to toe is key to their success, so when they lose their toenails due to a common ailment known as runner’s toe, it can be an impediment to their routine. According to a podiatrist at Baylor College of Medicine, there are some prevention methods that runners can take to help avoid toenail loss. “You don’t need to be a marathon runner to have this problem,” said Dr. Ronald Lepow, assistant professor of orthopedic surgery at Baylor. “Regular runners very frequently experience toenail issues, and it really comes down to ill-fitting shoes.”
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Dr. Ronald Lepow |
The later stage of toenail of runner's toe can be what is referred to as a subungual hematoma, or a blood blister. This can be uncomfortable and may require treatment, which could include removing the nail or part of the nail under a local anesthetic. Because this issue is caused by the toe or toes slamming up against either the end or top of the shoe, Lepow said that running shoes should be about a half-size larger than regular street shoes. This prevents friction as the toes move up and down while running.
Source: Baylor College of Medicine
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| MEETING NEWS | |
First-ever Hands-on Dermal Filler Lab Held at DERMfoot West
On October 15, 2016, faculty members Drs. Bret Ribotsky, Annette Joyce, and Joel Morse took part in a ground-breaking 8 CME aesthetic/medical cadaver lab event where participants learned how to use dermal filler injections for pedal augmentation as well as the art and science of tangential nail fold biopsy under the direction of Daniela Gutierrez, MD.
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Attendees at DERMfoot West cadaver lab. |
Acral dermatology and dermoscopy is quickly becoming a sought after subspecialty in the podiatric community as DERMfoot continues to bring forth leading experts in these topics across the country. Dr. Bryan Markinson gave a no nonsense demonstration on the legal aspects of skin and nail biopsy to an eager audience. The next 8 CME seminar is DERMfoot Midwest, taking place in Chicago on October 29, 2016.
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| RELEVANT RESEARCH | |
Arch-filled Insoles for Diabetic Patients Could be Adversely Affecting Balance
A study by the Balance Enhancement Ulcer Prevention (BEUP) research group, led by Dr. Joanne Paton, Podiatrist and Research Fellow of the National Institute of Health Research (NIHR), found that insole designs containing an arch fill generated increased body sway and reduced balance when the wearer was standing still, while those without an arch fill did not. The study was carried out to explore whether different insoles affected balance in people with diabetes. Lack of balance is a major problem for older people with diabetes, a third of whom fall each year – rising to half for those with prior foot ulceration.
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Dr. Joanne Paton |
The results of Dr. Paton’s analysis also contradict previous suggestions that soft insole materials shield the sense of awareness under the soles of the feet required to help maintain balance, and therefore appear safe for people with diabetes to wear. Entitled "Getting the right balance: Insole design alters the static balance of people with diabetes and neuropathy," Dr. Paton’s study forms part of a five-year research program funded by the National Institute of Health Research (NIHR) to develop and test a novel dual purpose insole that both enhances balance and reduces foot ulcer risk in people with diabetes.
Source: Plymouth University [10/19/16]
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| INTERNATIONAL PODIATRISTS AND THE LAW | |
UK Podiatrist Faces Bullying Allegations Over Sexual References and Bad Language
A Glastonbury podiatrist accused of bullying and intimidating colleagues over a number of years is facing a hearing at the Health and Care Professions Council. It's alleged that former St. Dunstan's School pupil Timothy Pursey used inappropriate sexual language and swore at colleagues. He's facing a Conduct and Competence Committee in London this week to determine his fitness to practice.
Source: Somerset Live [10/17/16]
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| MACRA UPDATE | |
Health IT Grows in Importance in Final MACRA Rule
The final MACRA rule announced on Friday by the Department of Health and Human Services includes a new Quality Payment Program tying physician payments to quality of care, which will require providers to rely heavily on healthcare information technology, according to CMS Acting Administrator Andy Slavitt. “The Advancing Care Information category will modernize, streamline and replace the Medicare EHR Incentive Program for eligible professionals (also known as ‘Meaningful Use’),” states an ONC fact sheet on the Quality Payment Program and HIT.
According to Slavitt, the focus is on rewarding high-value, patient-centered care, which will be reflected in $1 billion in payments to providers in 2017 for better quality healthcare. However, at the same time, he lamented the fact that technology doesn’t yet support physicians in the way that they need. “For physicians to be successful in value-based care, it requires technology that’s easier to use, simpler and more connected, less burdensome and intrusive, that supports the complexity of medicine but also simplifies by delivering exactly what patients and doctors need when they need it—and no more,” Slavitt said.
Source: Greg Slabodkin, Health Data Management [10/17/16]
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| ACA UPDATE | |
Rate Increases for Health Plans Pose Serious Test for Obama’s Signature Law
Finalized rates for big health insurance plans around the country show the magnitude of the challenge facing the Obama administration as it seeks to stabilize the insurance market under the Affordable Care Act in its remaining weeks in office. Market leaders that are continuing to sell coverage through HealthCare.gov or a state equivalent have been granted average premium increases of 30% or more in Alabama, Delaware, Hawaii, Kansas, Mississippi, and Texas, according to information published by state regulators and on a federal site designed to highlight rate increases of 10% or more.
Most of the 10 million people who currently get coverage through an insurance exchange such as HealthCare.gov don’t pay the full premiums because they receive subsidies from the federal government that are pegged to insurance prices in their area. As many as nine million people currently buy individual coverage without using the site, but at similar prices, and most of them aren’t eligible for subsidies.
Source: Louise Radnofsky, Wall Street Journal [10/18/16]
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| QUERIES (NON-CLINICAL) | |
Query: Podiatrists Prescribing Medical Marijuana
A few months ago, there was a discussion on medical marijuana and podiatric prescribing. Is anyone aware of any podiatrists currently prescribing it for their patients for any podiatric usage? Are there any published articles anyone has come across specific to podiatric usage?
Jeffrey Kass, DPM, Forest Hills, NY
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| RESPONSES/COMMENTS (CLINICAL) | |
From: Dennis Shavelson, DPM
I would take a biopsy or look for some area of pressure (a lump in the shoe) under the lesion you are referring to as IPKs that are pressure and friction related. Many non-weight-bearing “poromatous” lesions are porokeratoses or poromas that would be revealed on biopsy.
Dr. Bakotic and I published an article on this subject that may be of interest. Email me for a copy if you cannot locate it. Dermoscopy may also help in your clinical appraisal in these cases.
Dennis Shavelson, DPM, NY, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: First-ever Hands-on Dermal Filler Lab Held at DERMfoot West
From: Vladimir Zeetser, DPM
I just returned from The DermFoot seminar in a Los Angeles and can say that I was incredibly impressed with the way it was organized and the caliber of the speakers. To many of our colleagues, this was the first opportunity in this profession to learn how to use injectable fillers on a cadaver foot. Based on this information provided and the hands-on learning, this will likely change many attendees' practices and incomes. Although I have been doing some of these techniques for years, I learned some new and valuable treatment options that I will implement in my practice. I think that every podiatrist should get this experience and to me, it was well worth 10 times the price I paid for attending.
Vladimir Zeetser, DPM, Encino, CA
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| RESPONSES/COMMENTS (NEWS STORIES) | |
From: Elliot Udell, DPM
Dr. Andersen's method of soaking feet in concentrated tea solutions will control excessive sweating. The tannic acid in the solution controls the hyperhydrosis. Many patients, however, find making such a brew time-consuming. They are often not happy with the discoloration caused by soaking in concentrated solutions of some teas. In our practice, we have been highly successful in treating both hyperhydrosis and bromhydrosis with Blaine Labs' tannic acid pills.
Two tablets can be dissolved in a couple of pints of water, and if the patients soak daily for three days for 30 minutes each time, the problem will be gone. The only note of caution is that since these pills are packaged in the same way oral supplements are packaged, in addition to the written caution on the bottle, we tell each patient not to store the medication near any of their oral meds, and we reinforce the warning that this is not to be taken orally.
Elliot Udell, DPM, HIcksville, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
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Walking in these shoes can be quite "meshy". |
Source: Laura Papp via Virtual Shoe Museum
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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 |
POSITION WANTED
3rd year surgical resident with PMSR/RRA program looking to add value to a growing practice starting summer 2017. Excellent training with emphasis in FF/RF surgery. Experienced in billing. Preference to IL, CO, TN, TX, and GA, but will consider any location. Contact me at footandanklecareer@gmail.com for more information.
ASSOCIATE POSITIONS – FLORIDA
KG Health Partners, Inc., a multispecialty group practice has a territory opening along the Treasure Coast of Florida for a podiatric physician servicing skilled nursing, assisted and independent living facilities. Physicians must maintain an active Florida license. Physicians are provided a medical assistant, admin 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. 1st year six figure salary guaranteed! 2nd year profit sharing. Most 2nd year doctors earn $150K and up. Email CV to admin@KGHP.net
ASSOCIATE POSITION – NEW JERSEY
We are a busy podiatry office with locations in Piscataway and Hillsborough, NJ. The office has been in practice for over 25 years and has great reputations in its communities. We are looking for motivated and driven full time and part time doctors. This candidate will be comfortable meeting doctors and business owners in the area to build referral relationships, as well as, partaking in health fairs and screenings. The office will provide you with every tool needed for your success such as treatment protocols, peer networking groups, as well as a full time marketing person. We are looking to hire immediately. drwishnie@stopfootpainfast.com
ASSOCIATE POSITION - NORTHERN NEVADA
Live, work and play in the picturesque Northern Nevada situated in the base of the Sierra Nevada Mountains. Fantastic location for individuals seeking an active lifestyle. Great central location to nearby areas; Yosemite 3.0 hours, Lake Tahoe 30 minutes, Reno international airport 30 minutes, San Francisco 4.0 hours. Modern high tech office seeks energetic associated. Everything you need to be successful on your chosen career path is in place; EHR, digital X-ray, Cutting Edge Laser, PadNet, Pinpointe Laser, office practice management systems, professional marketing. Interested applicants please go to www.AcareerInPodiatry.com Additional, information about the practice may be found at www.SierraFootAnkle.com
ASSOCIATE POSITION FULL-TIME – NJ
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 - MADISON, WI
Growing practice is seeking an associate for our Madison Clinics, as well as coverage in our outreach clinics. Partnership opportunity available. Please email CV to: angel.righter@madisonpodiatrists.com
ASSOCIATE POSITION - PHOENIX, AZ
Multi-Office Practice in Metro Phoenix/Scottsdale seeking Part-Time or Full-Time Podiatrist willing to adopt proven system, including good mix of DME and Surgery, to ensure Practice success. Excellent growth potential for motivated individual. Contact ValleyFeet@gmail.com
ASSOCIATE POSITION – FT/PT NORTHERN VIRGINIA
Immediate opening but will wait for 2017 residency graduate. Looking for a well-trained, well rounded, podiatrist. competent in forefoot, rearfoot and ankle surgical procedures and wound care. All aspects of podiatry, pediatrics, orthopedic & surgical. Competitive salary, bonus, benefits & buy-in potential. Cover letter, CV to footdocva@cox.net
ASSOCIATE POSITION - ARIZONA
Well established and growing Podiatry practice has an immediate opportunity for an Associate. Must have completed a 3 year Surgical Residency, have Board Qualification, AZ License and Bilingual Spanish is a +. We have several office locations in the Greater Phoenix area ready for someone to make the most of. We have a good balance of office and surgical practice. Base pay with bonus package, with other benefits included. Looking to fill immediately, and or fill with resident graduate 2017. Please email resume to: KLLOYD@SANTANFA.COM
ASSOCIATE - POTENTIAL PARTNERSHIP – WESTERN WASHINGTON STATE
Busy group practice needs surgically capable associate, 2-3 year surgical resident to replace well trained doctor leaving practice. West of the sound from Seattle with a great environment: water, mountains and free from the Seattle congestion. All phases of practice with ASC, hospital practice/coverage in an expanding regional medical center. Send resumes to pwa@kitsappodiatry.com
ASSOCIATE POSITION- ST. LOUIS, MO
Expanding group practice seeks full-time podiatrist to join our team, We have state of the art facilities with EHR, Lasers, EPAT, Digital X-Ray, etc. Candidates must have completed a PSR/36 residency and be well-trained, ethical and collegial. Competitive salary with incentives and benefits. If interested, please contact charlenew@facstl.com.
MASSAPEQUA (NY) PODIATRY ASSOCIATES SEEKS ASSOCIATE PODIATRIST
We are seeking a full-time associate podiatrist who is committed to making careful, accurate diagnoses for our patients, and then providing the effective care they need. Potential job candidates should be interested in treating heel pain using the latest treatment and equipment, while also possessing both surgical and nonsurgical experience. Benefits include a full compensation package with salary, insurance, and more. If you work hard and always put patients first, this is the opportunity you want! If interested, visit cfoxdpm.com and click on the orange “Career Opportunities” button. For additional information, email admin@cfoxdpm.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
POSITIONS AVAILABLE - NEW JERSEY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in New Jersey. Great opportunity for full-time or part-time income. Email inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION – ARIZONA
Immediate opening for an associate Tucson and Southern Arizona. Board qualified/certified by ABFAS. Multi office practice with opportunities for growth and participation in residency training. Digital x-rays Ultra Sound in every office. MLS Laser. Multi Hospitals Sx Center privileges available. Send CV to associatessaz@gmail.com
ASSOCIATE POSITION - CONNECTICUT
High volume practice seeking a hard working, motivated, Connecticut licensed podiatrist. Duties to include diabetic foot care, wound care, and minor office procedures, nursing homes and house calls. Please submit CV to : podiatrypeople@gmail.com.
EXCELLENT OPPORTUNITY!
Home Foot Care, Inc. is looking for qualified podiatrists to visit home patients in the following areas: Phoenix, AZ, Las Vegas, NV, Honolulu, HI, Palm Springs/Palm Desert, Los Angeles, Ventura County, Santa Barbara, Lancaster/Palmdale, and San Bernardino/Riverside, CA. Full/part time, independence, excellent compensation, dedicated support staff, electronic billing/medical records. Email CV to: homefootcare@hotmail.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 |
PRACTICE FOR SALE - MASON CITY, IA
Well-established, full range, solo podiatry practice for 34 years. Located in professional building next to hospital. Fully equipped with digital x-ray system. Currently 3 days/week, 5-year average gross $409K and $265K net with growth potential. Call 641-423-1565 after 5PM (CST) or e-mail sbrau@mchsi.com
PRACTICE FOR SALE - OTTAWA ONTARIO
Are you surgically trained with osseous surgical competency? Offering a podiatric opportunity of a lifetime. - a 43 year old extremely high grossing, multifaceted practice (including bone surgery) in one of North America's finest and safest cities. There is a way for you to perform in office bone surgery here, given my proximity to Quebec. I will stay to assist, practice, and introduce as required. My practice has little to no competition -well suited to an experienced podiatrist who wants to change and improve the quality of his/her personal and professional life. dgreenberg@greenbergpodiatry.ca
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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