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PM News

The Voice of Podiatrists

Serving Over 17,200 Subscribers Daily


October 22, 2015 #5,504 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2015- No part of PM News can be reproduced without the
written permission of Barry Block

Richieelite


PM NEWS QUICK POLL

Quick Poll

How do you get your CME credits? (indicate % of each)

ICD10


EDITOR'S NOTE
Call for Nominations - Podiatry Management's 2016 VIP List
 
Every five years, Podiatry Management Magazine publishes its "Most Influential Podiatrists" list. This list is compiled by the editorial board of PM. We invite nominations of individuals for this prestigious honor. Please send nominations along with a brief statement of why this podiatrist belongs on the VIP list to bblock@podiatrym.com. Self-nominations will be accepted. The deadline for nominations is December 1, 2015.

jublia


INTERNATIONAL PODIATRISTS AND SPORTS MEDICINE
Store Bought Insoles Don't Address Underlying Problems: Aussie Podiatrist
 
Walk into any running store worth its shorts and you'll see a wall of specialty insoles promising to stabilize, boost efficiency, and possibly even alleviate your aches and injuries. Some shops launch into their sales pitch for the insert — comfort, efficiency, injury prevention — as soon as a runner slips on a comfy new shoe. But after you've already agreed to drop $120 or more on new trainers, is another $40 purchase really necessary? The need for running insoles is far from universal, says Simon Bartold, a podiatrist, biomechanist, and self-proclaimed bullshit detector. "No one knows what is right for the entire running population."
 
Simon Bartold
 
Many stores simply have a policy of pushing insoles because it's an additional sale, he adds. Most important: Even if insoles alleviate pain, they can't necessarily solve underlying or chronic problems that created the pain in the first place, adds Bartold. "Runners get injured because they have a flaw in the way they train, not because of a shoe, so the key to figuring out what's creating the problem is to look at a bigger picture." Rather than talking to retailers to solve running woes, consult a physiotherapist, podiatrist, or biomechanist, he says, "someone focused on global movement." 
 
Source: Lauren Steele, Men's Journal

luzo


HIPAA UPDATE
Patient’s Arrest for False ID Reminds CEs To Review Validation Procedures
 
The HHS Office for Civil Rights (OCR) is investigating whether a Texas clinic acted appropriately following the arrest of a patient, Report on Patient Privacy has learned. The woman, who is not a U.S. citizen, while waiting to see her doctor, was taken into custody for allegedly presenting a fabricated driver’s license; she has not been charged with violating immigration laws. OCR spokeswoman Rachel Seeger told RPP the agency is “reviewing the news report(s) to determine our authority under both HIPAA and civil rights laws to take action in the matter.”
 
Covered Entities (CEs) will not find much to go on under HIPAA as to whether they are asking for too much information when trying to validate a patient’s identity. “HIPAA generally is silent about specifically requesting identification from patients,” says Becky Williams, a former nurse who chairs the Health Information Technology/HIPAA Practice Group at Davis Wright Tremaine LLP. But “[v]erification of identity is consistent [with] best practices to prevent medical identity theft,” adds Williams, who is based in Seattle. Conversely, HIPAA does “recognize the need to verify the identity of a person requesting protected health information,” Williams says. She recommends that providers who have a question about the identity of a patient they’re treating “keep records of the patient separate until it can be confirmed that the patient presenting actually is the individual he or she claims to be. This may help avoid ‘polluting’ the medical records of an identity theft victim,” Williams points out.
 
Source: Report on Patient Privacy [October 2015]

apex4


PRACTICE MANAGEMENT TIP OF OF THE DAY

11 Things to Know about the Meaningful Use Final Rule - Part 8

Harmonizing Reporting Requirements
 
Providers have railed against the fact that federal programs require a variety of reporting requirements, which typically means a huge investment in personnel to track and report data. CMS promises that Stage 3 will have alignment between Clinical Quality Measures reporting with CMS quality reporting programs. The result—reduced expense and increased ability for providers to act on the findings.
 
Source: Health Data Management [10/11/15]

vilex


QUERIES (MEDICAL-LEGAL)
RE: Hospital Call Responsibility
 
We are a three-doctor equal equity partnership practice. Two of us take call for the local hospital affiliated with our residency program. We asked this new partner to start sharing call responsibilities and he has refused. We are looking for suggestions and arrangements that other partnerships have made to compensate the doctors who take the added responsibility of being on call.
 
Name Withheld

drjill


QUERIES (NON-CLINICAL)
Query: Recommedation for Power Walking Shoes
 
One of my patients, a 65-year-old male, is becoming involved in competitive power walking. What specific shoe structure and features should he look for in his competition and training shoes?  He has no significant biomechanical instability, structural, or functional issues.
 
Howard Bonenberger, DPM, Nashua, NH

MBB


RESPONSES/COMMENTS (CLINICAL)
From: Bryan C. Markinson, DPM
 
Dr. Borreggine's comments on acral melanoma are on target. However, for the specific case presented in this forum, I do not recommend biopsy at this time, as he does. The lesions consumed the plantar aspects of both feet. Where would Dr. Borreggine do the three biopsies that he recommends? As far as I could tell, the plantar lesions presented in the photo are typical of acral melanosis, sometimes referred to as ethnic pigmentation. They all seem completely macular, and homogenously pigmented. It is perfectly okay to monitor these lesions if one has confidence in what they are looking at.
 
Although I am a champion for sure of podiatrists, in general, sharply increasing their biopsy volume, we must do so on firm clinical grounds. The presentation shown here is a daily common occurrence in podiatry offices. Of course, if ANY equivocation exists, absolutely biopsy. Other things to consider are level of patient awareness of the lesions (duration, change, etc.), family history of both melanoma and non-melanoma skin cancer, and established criteria for heightened index of suspicion.
 
Bryan C. Markinson, DPM, NY, NY

AZweb


RESPONSES/COMMENTS (NON-CLINICAL)
RE: Kudos to Chris Case and Pedifix 
From: Michael J. Schneider, DPM
 
Kudos to Chris Case and Pedifix for the generous donation of orthotics to the Denver Rescue Mission!
 
Michael J. Schneider, DPM, Denver, CO

Blaine21


RESPONSES/COMMENTS (NEWS STORIES)
From: Paul Kesselman, DPM 
 
Dr. Buggiani has retired and feels his life's work and reputation have been damaged by what has happened to him. This is a shame because in reality he did nothing criminally wrong, yet the Vermont Attorney General's office has chosen to make an example of him. I know that Kevin West is preparing a letter to be published in the Vermont press which will outline the various misdeeds of the VT prosecutor's office. In the interim, I hope you will share this with your readers: 
 
The Vermont attorney general's office has for several years been on a fishing expedition in an attempt to convict a handful of VT podiatrists on charges of criminal fraud charges. Five podiatrists were accused of providing patients with devices which did not...
 
Editor's note: Dr. Kesselman's extended-length letter can be read here.
The University of Texas Health Science Center at San Antonio
 
Academic Podiatry Faculty Position
 
The nationally recognized School of Medicine at the University of Texas Health Science Center at San Antonio,  Department of Orthopaedics, Division of Podiatric Medicine & Surgery is seeking an individual for full-time faculty position at the Assistant or Associate Professor level. Academic rank will commensurate with past experience. Responsibilities will include involvement in clinical care, resident education, and research activities.  
 
The applicant must be Board qualified/certified to apply. A Texas License will be required. The School of Medicine, at the University of Texas Health Science Center at San Antonio is an equal employment opportunity/affirmative action employer including protected veterans and persons with disabilities. All faculty appointments are designated as security sensitive positions.  Please send letter of intent, 3 recommendation letters and CV to:
 
Robert H. Quinn, M.D., Chair and Residency Program Director,
Department of Orthopaedics – MC 7774, 7703 Floyd Curl Drive 
San Antonio, TX 78229, QuinnR@uthscsa.edu

YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

Best suited for a mannequin?

These 3D-printed heels were inspired by osteoporosis and bones in disrepair.

Source: Pierre Renaux via Virtual Shoe Museum

MEETING NOTICES

aafas8

schuster


Novastep


aens


CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION - WESTERN PHILADELPHIA SUBURBS
 
Wanted: One well-rounded, PMSR36 with RRA trained podiatrist to join “our family”. Your Benefit:  A growing  practice and exposure for treatment of ALL aspects of podiatry. Special Attraction:  Our Associates actually become partners!  You could be next! Please send an email with a cover letter and CV to: Teegee46@gmail.com
 
ASSOCIATE POSITION - CHICAGO AND SUBURBS - HOUSECALLS 3 DAYS A WEEK 
 
We provide logistical support, malpractice, and mileage allowance; another half day at the office is possible if interested; physician will make $140-150k; salary plus bonus structure ; benefits are available. Schedule can be tailored to your need. If you are interested to fill out your schedule, contactchipod12@yahoo.com
 
ASSOCIATE POSITION - LOUISVILLE, KENTUCKY 
 
Available immediately in a busy high visibility office with digital x-ray, diabetic shoe store, and 5 years experience in EMR.  Good patient volume and potential for partnership or purchase.  Contactsamuel10530@yahoo.com
 
ASSOCIATE POSITION - CENTRAL FLORIDA 
 
Associate wanted for well-established practice in central Florida. Experienced support staff, great benefits including malpractice coverage . Excellent opportunity for a promising future. To apply, go to www.yourcareerinpodiatry.com
 
POSITIONS AVAILABLE IN CALIFORNIA AND NEVADA WITH WOUNDTECH
 
Why Woundtech? Largest employer of podiatrists * Earn a six figure living (No nights, No weekends, No call) * Benefits offered (health, dental, vision and paid malpractice)* No billing (No ICD10)* Flexible schedule.If you are ready to take back control of your life give me a call @ 954-602-9148 or email me @manker@woundtech.net to get a priority interview.
 
ASSOCIATE POSITION - TEXAS
 
Suburban North Dallas. Exceptional opportunity for the right individual with superb personal,  clinical and surgical skills. Seeking well trained (PSR 24+), ethical, hard working, motivated individual to join our group practice of 3 podiatrists. Full scope of podiatry including office, hospital and surgery center work. Partnership opportunity for the right individual. Well rounded practice with competitive salary/benefits package. Please send letter of intent, CV and current photo to dpmopening@gmail.com
 
ASSOCIATE POSITION - NYC
 
Lucrative position available for motivated, entrepreneurial Podiatrist in busy, upscale Park Avenue practice. Fabulous opportunity for creative, confident, skilled individual who is interested in all aspects of Podiatry, including surgery and office based procedures. Partnership opportunity.  Contact institutebeaute885@gmail.com  for details.
 
ASSOCIATE POSITION - SOUTHWEST, FL
 
Associate position, now or July '16: must be BC by ABFAS, ability to work independently on complex cases. Long hours, hospital rounds, ER calls, great work ethic, team players needed.  Fellowship experience preferred, not mandatory.  LOI with how you are a superstar, LOR from director, key attendings, CV. great salary, bonus, partnership buy-in.  Naples, FL klamdpm@hotmail.com
 
IMMEDIATE POSITIONS AVAILABLE - ALBANY, UTICA, LITTLE FALLS, SYRACUSE
 
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities across New York, especially in Albany, and other areas in Upstate New York.  Great opportunity for full-time or part-time income; a commitment of as little as one to two mornings/days a month can nicely supplement your current income. Positions available immediately! Inquiries to: phasetwopodiatry@gmail.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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
CLASSIFIED ADS PART 2 - PRACTICE FOR SALE OR WANTED, EQUIPMENT FOR SALE
DESIRABLE LOCATIONS TO SUBLET AND SHARE - NEW YORK / NEW JERSEY
 
Midtown, Gramercy, Financial District and Plainview (North shore of Long Island) turn-key. Extremity MRI, Extremity CT scanner, diagnostic ultrasound, digital xray in selected offices. Fair Lawn ASC,LLC a dedicated certified ambulatory surgical center for foot and ankle surgery accepting applications for staff privileges 516 476-1815 PODO2345@AOL.COM
 
SEARCHING PRACTICES FOR SALE
 
Well-trained podiatrist two years out of residency looking to purchase an established full-time podiatry practice. Will consider any location. Available immediately. Please contact me at podiatry42984@gmail.com
 
PRACTICE WANTED 
 
Two 3rd year residents seek to buy a practice financially stable to sustain two podiatrists.  Well trained in conservative care, forefoot surgery, and wound care.  Willing to move anywhere and start practicing in July 2016.  Ideally selling physician would stay on during transition period.  Please email  footdoctors2016@gmail.com with more information.
 
PRACTICES WANTED - GEORGIA, TENNESSEE & OTHER SOUTHEASTERN STATES 
 
If you are serious about selling or merging your practice into our model, the EHI Equity Based Supergroup Model, then we are interested in a conversation. We are looking mainly in Georgia and the Atlanta area but we will be ready for scaling in early 2016. Our practice top 3 criteria are; successful, must have a high volume of patients and Physicians who stay must be willing to utilize EHI's in-house ancillaries. If you meet these criteria, send us an e-mail to dhelfman@extremityhealthcare.com and dmazzone@globalmna.com, our investment banking firm.
 
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@podiatrym.com or call (718) 897-9700 for details. For commercial or display ads contact David Kagan at (800) 284-5451.
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.
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    RE: (Topic)
    From: (your name, DPM)
    Body of letter. Be concise. Limit to 250 words or less). Use Spellchecker
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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.

Barry H. Block, DPM, JD
 
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