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| PM News | |
The Voice of Podiatrists
Serving Over 22,239 Subscribers Daily
October 14, 2021 #7,059  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2021- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL |
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| PODIATRISTS AND SPORTS MEDICINE | |
Podiatrists Volunteer at Boston Marathon
The 125th Boston Marathon was run October 11 after a year and a half delay due to the COVID-19 pandemic. The podiatry team was led by Jonathan Kaplan, DPM and consisted of podiatrists Drs. Paula Marella, John Pizzuto, Paul Heffernan, Kurt Neustrom, Joel Siegelman, Neal Zomback, Scott Aronson, Richard Cullen, Sarah Cullen, Dominic Garibaldi, Carl Conui, Quinn Charbonneau, and Satwinder Gosal.
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Temple podiatry student Lauren Wiesel treats runner. |
Residents from local hospitals and podiatric students from the Temple University also participated in treating runners at the finish line medical tents of this event. Next year’s Boston marathon will return to its usual April date.
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| PODIATRISTS IN THE MEDIA | |
CA Podiatrist Interviewed on the Benefits of Podiatric Medicine on UK Health Radio
Kevin Kirby, DPM was recently interviewed on The Foot Health Show by podiatrist, Dr. Peter Allton, for a broadcast on UK Health Radio. UK Health Radio is billed as the “World’s #1 Talk-Health Radio” show with 1.2M+ dedicated listeners in 54 countries around the world.
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Dr. Kevin Kirby |
Included in the show were discussions about the unique mechanical importance of the human foot and common problems seen and treated in podiatrists’ offices. In addition, Dr. Kirby explained how the concept of biomechanics can be used by the podiatrist to better evaluate and treat patients and how foot orthoses may be used as biomechanical treatments of many ailments of the foot and lower extremity.
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| MEETING NEWS | |
ACFAP Hosts 6th Annual Conference
The American College of Foot & Ankle Pediatrics (ACFAP) hosted its 6th Annual Conference at the Oasis Resort in Death Valley, CA on October 7-9, 2021. The in-person conference featured a National Park outing combined with exceptional CME lectures and hands-on pediatric workshops.
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Attendees at ACFAP 6th Annual Conference |
President of ACFAP and conference organizer, Louis J. DeCaro, DPM stated, “I am extremely proud that approximately 50 doctors from around the world decided to join ACFAP in Death Valley, especially during COVID. What they experienced was priceless: dedicated enthusiastic speakers, engaged attendees, supportive sponsors, and an overall sense of commitment and camaraderie to the advancement of pediatric foot and ankle education.”
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| PODIATRISTS IN THE COMMUNITY | |
MO Podiatrist & Wife Celebrate 70th Anniversary
Marion Zuckerman Cohen and Gerald William Cohen, DPM of University City recently celebrated their 70th anniversary. The couple has three children, Ellen Cohen Mirowitz, Joyce Cohen Olshan and Howard Cohen, as well as eight grandchildren and four great-grandchildren.
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Dr. & Mrs. Gerald Cohen |
This great couple met many years ago through Marion’s brother, Israel, while Jerry, from New Jersey, was at Washington University. He went on to podiatry school in Chicago after a steamy (very hot outside!) wedding on August 19, 1951. They returned here for him to practice podiatry and Marion to use her degree from Harris Teachers College.
Source: STL Jewish Light [10/11/21]
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| PODIATRIC PRODUCTS AND SERVICES IN THE NEWS | |
Microlyte® SURGICAL Shows Positive Outcomes at Risk for Surgical Site Infections
Imbed Biosciences, Inc. has announced the results of a prospective clinical evaluation of its next-generation wound matrix, Microlyte® SURGICAL, in diabetic patients undergoing foot and ankle surgery who would ordinarily be at risk of a surgical site infection. Results will be published in the October issue of WOUNDS, a widely read, peer-reviewed journal in wound care and research.
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Dr. Ryan Chatelain |
In the study conducted by Ryan Chatelain, DPM at East Tennessee State University, 22 diabetic patients with neuropathy, infection, open wounds, history of recurrent infection, non-healing wounds, and/or peripheral vascular disease, were included. All patients were at-risk for surgical site infection (SSI) due to the sequelae of diabetes. The overall SSI rate for the diabetic patient is 13%, and the study’s primary objective was to decrease this rate to 6.5% by prophylactic treatment with Microlyte® SURGICAL wound matrix. Patients were assessed on day 3 or 5 for SSI incidence. The per-protocol patient population (20/22) had a 0% SSI rate with healing times typical to each procedure (between 10 and 34 days).
Source: WDRB [10/12/21]
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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 | |
Five Financial Reports You Need to See Monthly
There are five financial reports that physicians should review no later than the tenth day of every month, for the previous month's activity.
3. Adjustment. Also known as "write-offs," adjustments are the detailed categories to which staff post the amount between an actual payment and your standard fee. These include contractual adjustments and multiple procedure discounts, of course, but also adjustments for denials (such as patient ineligible or a coding error), and A/R clean-up actions (such as bad debt and small balance adjustments).
The report should be several pages long; adjustments are supposed to be granular. If your report contains broad categories such as "miscellaneous" or "insurance write-off," that's a problem. Ask your manager to explain vague sounding categories, as well as large dollar amounts, and request the addition of more detailed adjustment categories if necessary.
source: Cheryl L. Toth, Logan Lutton, Physicians Practice [10/5/21]
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| CODINGLINE CORNER |
Query: Denial of Ketorolac IM Injection
We had a patient present to our office for a painful onychocryptosis. She stated that she was having severe pain even after taking her prescribed opioid drugs from a non-related surgery she had recently. A partial nail avulsion and matrixectomy was performed. We felt that the best option to manage this patient's pain that evening (insurance companies and family medicine offices were closed) and to prevent her from going to the hospital for post-operative pain was to give her a ketorolac IM injection. We utilize these injections at the hospital on a regular basis for post-operative patients. We billed for this injection and Highmark denied it stating that “No payment can be made because we do not cover this service when performed by this type of provider.”
We called for clarification and we were told that doctors of medicine, doctors of osteopathic medicine, dentists, licensed nurse midwives, pharmacists, and ambulatory infusion centers are the only ones that can give this injection. We appealed once with the arguments that (1) we order this in the hospital post-op all the time, (2) that we had no other options to manage this patient's pain but to send the patient to the emergency room and (3) that the list of people allowed to give such an injection sounds like those allowed to vaccinate and this is entirely different than a vaccination. We sent along medical records and showing proof of relief of pain from this injection. It was denied. We plan to appeal again but are looking for any insight or assistance with what may help us win this appeal?
Codingline Archive
Response: This sounds similar if not exactly the same as denial of payment for prescribing DME, performing a skin graft, etc. It’s because 3 letters after our name are not as good as 2. My advice is simple, yet complicated in the time frame it may take to get this issue resolved. Get your state component association to write a letter to the state board of podiatry in your state. That letter should request the state board to provide a letter that within your state scope of practice, podiatrists are licensed to not only order all medications for treatment within the scope of practice, but to perform the therapeutic injection for its use. They can elaborate on training, etc. but essentially that’s it. It will take time, but you should not be writing the state board yourself. This should come from your state component.
Paul Kesselman, DPM, Oceanside, NY
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) | |
From: George Jacobson, DPM
I just had a new patient who was on a ventilator for an extended period of time for COVID-19. She developed bilateral drop foot. I had not heard of this but found the article titled above. Peroneal nerve compression neuropathy makes sense. She is now able to actively dorsiflex one foot to 90 degrees but can't actively dorsiflex the other foot at all.
George Jacobson, DPM, Hollywood, FL
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| RESPONSES/COMMENTS (NEW STORIES) | |
From: Herbert Abbott, DPM
Dr. Markinson, with all due respect, any of my colleagues and friends, from this city, state, country, and several other countries around the world, who have known me for years would corroborate the numbers. Some people give back to others less fortunate in foreign settings in a big way, but don't need or want the “press.” I don't do ankle replacements or gastrocnemius lengthenings, but I have done/do significant forefoot work. I stand by my post and by my numbers.
Please don't be concerned about what you are missing, just do what you do best, enjoy your work and the rest will fall in place. I won't spend any more time defending my colleagues or myself. It's time to get back to work and fix some ingrown toenails!
Herbert F Abbott, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS | |
Jordan’s Game-Worn Nikes Could Be the Most Expensive Sneakers Ever
Ahead of its first luxury sale in Las Vegas, Sotheby’s has revealed the headlining item, Michael Jordan‘s earliest known regular-season game-worn Nike sneakers. The sneakers will be offered at the auction house’s upcoming “Icons of Excellence & Haute Luxury” auction, organized in connection with MGM Resorts.
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Most expensive sneakers ever? |
The sneakers were worn by MJ during his fifth NBA game in his rookie season on November 1, 1984 and stand as the earliest regular-season shoes to surface from the icon’s unparalleled career in the NBA. Estimated to sell for $1-1.5 million USD, the Air Ships holds the highest estimate for a pair of sneakers offered at auction and could become the most expensive sneakers ever.
Source: Nicolaus Li, Hypereast [10/11/21]
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
PODIATRY MANAGEMENT'S AFFORDABLE ONLINE CME
You can Earn up to 50 Continuing 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 3/2/20-1/1/22 may take all credits online
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
PRACTICE FOR SALE – CONNECTICUT
Practice for sale in Fairfield county growing community recently featured in the NY Times. I plan on retiring in one year. Part time practice with strong potential for growth contact: footcaremanagement@gmail.com
PRACTICE FOR SALE - IA/IL BORDER
This practice operates four days per week. Strong patient volume. Office completely renovated (physical plant) and new equipment in 2015. Real estate option included. Practice has full range of services. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - MANHATTAN, NY
Established practice with strong patient volume and consistent revenue stream for sale. Highly profitable. Owner retiring. Participates in insurance and has strong cash pay business. Long term lease in place. Priced to sale. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - NEW HAMPSHIRE
Established practice with history of strong cash flow. Opportunity to expand or enter practice. Full array of services with growing patient base. Enjoy the outdoors and have a great practice. Contact: MCrosby518@gmail.com
PRACTICE FOR SALE - OREGON, NORTHWEST - WILLAMETTE VALLEY
Multisite practice for sale. Owner desires to retire. Offices fully equipped. Less than 10% palliative care. Busy surgical practice with strong referral base. Hospital and surgery center privileges available. Contact: MCrosby518@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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| CLASSIFIED ADS - ASSOCIATE POSITIONS AND FELLOWSHIPS |
SEEKING CLINICAL INSTRUCTOR - NYCPM, DEPT OF RADIOLOGY/MEDICINE
Looking for a motivated full-time podiatrist with excellent clinical and academic skills with a strong background in podiatric radiology. Responsibilities: Providing quality patient care, teaching students and residents in the diagnoses and treatments of foot and ankle diseases at the NY College of Podiatric Medicine and other NYC Health and Hospital facilities. Must be well versed in reading foot and ankle x-ray, CT-scan, Ultrasound, and MRI. Qualifications: DPM Degree from an accredited college of Podiatric Medicine, NY License, Board Certified/Board Eligible. Please send CV and cover letter to Mr. Joel Sturm, COO & Vice President for Administration at JSTURM@NYCPM.EDU
ASSISTANT PROFESSOR - ARIZONA COLLEGE OF PODIATRIC MEDICINE
The Arizona College of Podiatric Medicine with Midwestern University, Glendale, Arizona invites applications for a full-time 12-month tenure track Assistant Professor faculty appointment that includes an academic and clinic appointment. Please review the full job advertisement and submit applications online at www.midwestern.edu. Email questions to Dr. Jeff Jensen at Jjense1@midwestern.edu
ASSOCIATE POSITIONS – VA, CT, DE, PA, OH, MO, NJ, NY, TN, FL
PediRite provides care to nursing home residents. Excellent opportunities working in our contracted facilities. Flexible scheduling, very lucrative commissions! Great match if you have open days/hours in your schedule. Work available in VA, CT, DE, PA, OH, MO, NJ, NY, TN, FL. Resume to sara@sightrite.com (sign-on bonus for VA, CT, DE and PA for immediate start)
ASSOCIATE POSITION – NORTHWEST LOS ANGELES
Largest comprehensive lower extremity provider group in the nation is seeking full-time Podiatric Physician to join an established practice of highly respected DPM w/ existing patient base & opportunity to build & grow an office of their own. Clinic - surgery mix. Successful candidates will be personable and motivated w/ a desire to be active in the community & grow patient panel size. Active or in process CA license & DEA preferred. ABFAS or ABPM BQ/BC. Comprehensive comp & health benefits, 401K, PTO, malpractice, partnership path & add’l benefits. Please send CV to along@upperlinehealth.com
ASSOCIATE POSITION - WASHINGTON DC METRO AREA
Busy and thriving podiatry practice with 4 office locations and ASC seeking a surgically trained, highly motivated, ethical and responsible full time associate. Offering a varied patient base and strong support staff, this position could lead to ownership opportunities. Email CV to LFFAC04@gmail.com
ASSOCIATE POSITION – NEW JERSEY
Full-time position available for immediate hire in New Jersey with multiple locations. We are currently looking for a board certified/qualified person who is highly motivated with excellent bedside manner and personality, charismatic, and most importantly a team player. Compensation would include a competitive salary with bonus structure, health insurance, paid vacation time off, paid malpractice insurance. Full array of office-based services with local hospitals, surgery centers and wound care centers. The practice includes all aspects of podiatry ranging from trauma, elective forefoot and rearfoot patients to routine foot care. If interested, please submit your CV to drbhuta@ankleandfootdoctors.com
ASSOCIATE POSITION - CHICAGO
Available immediately. Home visits and office hours. Illinois license is required. Indiana license is a plus. Independent contract agreement; net $250-300K. Existing patients’ base. Logistics and malpractice provided. Full and part-time available. Contact vadim.goshko@gmail.com
PODIATRIST POSITION – WEST FLORIDA'S NATURE COAST
Join a podiatric team whose work positively impacts the lives of seniors every day! KG Health Partners, the largest podiatric practice in Florida, is seeking full and part-time podiatrists who will provide mobile-based foot, ankle, and lower leg care to residents living in long-term facilities throughout West Florida's Nature Coast. Achieve work-life balance with a Monday through Friday schedule, competitive wages, malpractice insurance, and exceptional benefits for full-time employees (health, paid time off, 401K retirement plan with company match). You must maintain active Medicare and Florida licenses. Email CV to kgadmin@kghealthpartners.com
ASSOCIATE POSITION -- LAS VEGAS, NEVADA
Busy and well-established practice in Las Vegas, NV. Must have excellent bedside manner. Send cover letter and CV to: sierra@lasvegasacfac.com
IMMEDIATE ASSOCIATE POSITION - SOUTHWEST, FL
Stat position for busy, modern practice. ABFAS BC/BQ, EMR, Dig x-rays, U.S., DME, Base salary + bonus, PTO, 401K, fees, health ins. 1 ACFAS fellowship available. DrLam@NaplesPodiatrist.com
IMMEDIATE ASSOCIATE POSITION AVAILABLE – SW FLORIDA (NAPLES/FT MYERS)
Seeking BC/BQ physician for a well-established podiatry practice in beautiful SW Florida. Looking for a motivated and well-rounded candidate who has patient care as priority #1. Multiple hospital affiliations and excellent opportunity for growth. For inquiries please contact footdocswfl@gmail.com.
IMMEDIATE ASSOCIATE POSITION – YUMA, AZ
Looking for a podiatrist/surgeon to work with me in the practice my late husband built over 34 years. It is a hit the ground running business. I'm looking for immediate help. The position is salary with benefits. Location is Yuma, AZ. Please contact Sheila Myers-Farrell 928-287-8498 toedoc@roadrunner.com.
ASSOCIATE POSITION - HAGERSTOWN AND FREDERICK MARYLAND
Offices located in Frederick and Hagerstown Maryland. Motivated seller/owner of 26 years is ready to sell Hagerstown practice after one year associate position. Would consider selling outright from the start. Will be available for advising, teaching, and practice management as long as needed. Highly producing, full scope podiatry office. drhenrock@yahoo.com
ASSOCIATE POSITION - LONG ISLAND/NYC AREA
Group practice requiring a full-time associate podiatric surgeon with minimum 3 years of surgical residency training in all aspects of foot / ankle surgery. ABFAS board qualification in BOTH foot and RRA preferred. Interested candidates can email prevete@faasny.com
ASSOCIATE POSITION - CENTRAL VALLEY/SOUTHERN CA
Largest group in the central valley is seeking associate with partnership availability. Must be highly motivated with good patient skills and personality. Must be board qualified or certified salary excellent with all paid benefits/incentives including malpractice/401k and profit sharing. Compassionate and well-trained for immediate position. Surgery Center and hospital-based with no rest homes. Bilingual in English and Spanish preferred. Offering a permanent position/partnership in a multi-million dollar hi-tech practice. Please e-mail CV and short bio to tflores@wetreatyourfeet.com
ASSOCIATE POSITIONS - AVAILABLE IMMEDIATELY
Podiatrist positions available for immediate hire to treat patients in Nursing Facilities in and around the greater DALLAS/FT WORTH, SAN ANTONIO, and HOUSTON areas. A unique opportunity with flexible schedules and an unmatched potential for growth. Send CV and Cover letter to office@easternpodiatrypllc.com
ASSOCIATE POSITION - MIDWEST UNITED STATES
ONCE IN A LIFETIME OPPORTUNITY to join a thriving group with instant patient volume—practice encompasses dermatology, wound care, limb salvage, sports medicine, pediatrics, in-office formulary, and no nursing homes. We have several types of lasers, including Cutera. We seek a DPM with surgical skills and good clinic patient management skills—the ability to obtain early board certification and outpace your peers monetarily. Buy-in anticipated after initial contract. Starting with an annual six-figure salary and six-figure bonus. PAID-Medical malpractice/Vacation/Hospital dues/medical organizational dues/health insurance/disability insurance/phone & car allowances/401k and $10,000 signing bonus. DPMPROFESSIONAL2021@GMAIL.COM
MOBILE PODIATRIST NEEDED - NEW JERSEY
Well-established and fast growing House-call podiatry practice (www.homefootcareservices.com) is looking for Full-Time OR Part time podiatrists to do home visits in NJ. Full Time Position: $100,000 Base Pay Plus BONUS, Paid Gas, Malpractice Ins., Health Ins, Car allowance, Administrative/EMR support. Email resume - Lana.Raginsky@homefootcareservices.com
ASSOCIATE POSITIONS – SOUTH, CENTRAL EAST AND WEST COASTS FLORIDA
Three positions available in FLORIDA with our growing multi-disciplinary group. Immediately busy, full scope schedules. Must be personable, motivated, and ABPM or ABFAS BQ/BC. Private practice experience preferred. Competitive salary/benefits. Clear path to partnership. Excellent areas to live. Start late 2021/ Early 2022. Send CV to podiatrymanda@gmail.com
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 retirement, health insurance, malpractice, vacation, etc. Look for pleasant person, preferably a doctor to become Rearfoot and Ankle certified, along with skills in wound care and general foot-care. We have a large referral base and newer office, digital x-ray, lasers, EMR, etc. Please send CV to scfootdoc@gmail.com
POSITION AVAILABLE - TAMPA, FL
Well-established, expanding practice in the Tampa Bay Area. Excellent compensation, benefits in a dynamic busy medical/surgical practice. Includes taking hospital calls. Latest technology with digital x-ray, EHR, in-house billing, dedicated support staff. PSR-36 required. Position begins July 2022. Email CV to anklefootassociates@gmail.com
ASSOCIATE POSITION – SOUTHERN, NJ
Due to patient demand, this established practice is seeking an associate to join and help practice with meeting demand. Great place to live and work. Full array of office based services along with local hospital, surgery center and wound center participation. Partnership track established. Competitive salary and benefits. Contact: MCrosby518@gmail.com
ASSOCIATE POSITION - WESTERN NY
Immediate opening - Private practice looking for a full time podiatry associate to groom for ownership. Wonderful opportunity for experienced DPM as well as a new graduate who desires to be part of a team and ultimately wants to partner in private practice and transition to ownership. Willingness to merge with an already established protocol based office with state of the art facility and equipment required. Practice includes all aspects of podiatry ranging from surgery to routine care. Willingness to market yourself and the practice. contact: YourPracticeNow@gmail.com
ASSOCIATE POSITIONS - NATIONWIDE
We have opportunities with private practices across the U.S. These positions are for associates who want to become partners. NY, MI, NM, OR, WA, CA. Send your C.V. to MCrosby518@gmail.com
ASSOCIATE POSITION – SEATTLE, WA
Growing practice looking for well-trained podiatrist to join practice as an associate. Busy office schedule with surgery privileges available at nearby hospitals. Opportunity to step into premier opportunity. Contact: MCrosby518@gmail.com
IMMEDIATE ASSOCIATE POSITION AVAILABLE – ST. AUGUSTINE FL
Stat position for busy multi-office practice. Need a motivated, charismatic, EMR savvy, team player who is board certified/ qualified in surgery. Multiple hospital affiliations and excellent opportunity for growth. Competitive compensation with many perks and benefits. Please send CV to: drfootwound@gmail.com
ASSOCIATE POSITION - NEW HAMPSHIRE
Our goal at Northeast Foot and Ankle is to provide Legendary Patient Care to the New Hampshire communities we serve. We are seeking a DPM to join our Team of Leaders. Successful candidates must be willing to embody all our principles and values in order to meet our goal. roberttilley19@comcast.net.
FULL TIME PODIATRIST - NEW JERSEY
We are a fast-growing podiatry practice in New 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, guaranteed 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
PM NEWS CLASSIFIED ADS REACH OVER 22,000 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 22,000 subscribers. For details, click here or write to: bblock@podiatrym.com or call (718) 897-9700 for details.
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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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- 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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