The Voice of Podiatrists

Serving Over 12,500 Podiatrists Daily

November 08, 2010 #4,004 Publisher-Barry Block, DPM, JD

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No Scientific Research That Barefoot Running Reduces Injuries: APMA

As barefoot running has grown in popularity, it has drawn criticism from podiatrists who say there is no scientific research that shows barefoot running reduces injuries. The American Podiatric Medical Association recently released a statement urging runners to be wary of the method, noting the lack of peer-reviewed studies and expressing concern that barefoot running could lead to puncture wounds from road debris or added stress in the lower extremities.

Dr. James Christina

“The surfaces that we tend to run on now are different than what our ancestors were running on when they were running barefoot,” said James Christina, a podiatrist and the director of scientific affairs at the podiatric association. Jeffrey Ross, a podiatrist in Houston who specializes in treating runners, said he had seen six patients over the last three months with injuries that he attributed to running barefoot or in minimalist shoes. “Now it’s become a standard question, what are you running in?” he said.

Source: Katie Thomas, New York Times [11/2/10]

AAPPM Fall Conference Another Sell-Out

The American Academy of Podiatric Practice Management (AAPPM) held its 2010 Fall Practice Management Workshop this past weekend to a sell-out crowd of podiatric physicians who came to Florida to hear four days of an action-packed program from 42 leading practice management faculty presenters. Hal Ornstein, DPM, Chairman of AAPPM and the Education Committee provided up-to-date "hands-on" workshops and "Nuts and Bolts" lectures from the country's top practice management experts.

AAPPM Chairman Dr. Hal Ornstein conducts workshop

Through highly interactive roundtables, both physician and executive administrators in attendance had a chance to share ideas with other successful colleagues and hear from leading lecturers. The support of the AAPPM Corporate Sponsors allowed attendees to be further educated on product opportunities. Next year's Seminar will again be held at the Lago Mar Resort in Fort Lauderdale, FL from November 3-6, 2011.

Query: Mortality Statistics for Charcot Surgery

We are all familiar with the mortality statistics associated with major lower extremity amputations. Given the patient pool (multiple co-morbidities, obesity, non-compliance, psychological issues, etc.), I was wondering if anybody was familiar with the mortality statistics (5-year survival) associated with reconstructive Charcot surgery (frames, beams, and all)?

Arden Smith, DPM Great Neck, NY

Query: 1099 to Associates in Another Partnership?

I currently employ two podiatrists who are partners in another location and pay them on a percentage basis, with checks written out to their group (not to doctors personally), and at the end of year they are issued a 1099. It was brought to my attention recently that this may not be a legal way to reimburse for services provided. Any suggestions? 

Name Withheld

Editor’s comment: PM News does not provide legal advice. The IRS provides guidance on this topic which can be read here. Additional information can be obtained from your tax attorney or accountant.

Query: Allscripts EMR

I’m seeking feedback from podiatrists who have used Allscripts EMR? How is the company and the product? Would you choose it again? 

Daniel Cohen, DPM, Melbourne, FL

RE: Web-Based EMR Systems (Marc Katz, DPM)
From: Brock Rasmussen, MBA

I have deeply investigated over 15-20 different EMR systems. The fear of EMR transition like Dr. Marc Katz has illustrated is an unfortunate point that many doctors are running into. But I also think you can be worse off if you wait. Forget about the meaningful use reimbursement; getting an EHR to increase the efficiency and flow of your office as well as increase your ability to bill more efficiently is paramount to becoming a successful office in the new healthcare industry we are developing into. The transition will not be easy and it will not be smooth, but significant and effective change never is. Doctors who are scared to make a change are going to find themselves outpaced.

The meaningful use reimbursement is tiered over a 5-year scale and totals $44,000 over those 5 years. The biggest year is 2011 at $18,000 per provider, and you must have 90 days consecutive use of meeting the meaningful use requirements within that year. That means you must be up and fully operational by September 1, 2011. If you don't, you'll miss out on the $18,000.

I have no tie to any particular EMR company and have no financial incentives, but I have been through the headache of looking for a new EMR. I would be happy to share what I know with anyone who is interested.

Brock Rasmussen, MBA, St. George, UT, brock@feetnet.com

RE: NYCPM Establishes Academic Department of Orthopedic Surgery
From: Mathew M. John, DPM
 
I applaud Dr. Positano on the formation of this department at the New York College and that orthopedic surgeons will be instructing students about orthopedic surgery. But correct me if I’m wrong, it appears that the orthopedic surgeons at the Hospital for Special Surgery place podiatry mainly in the “Non-Operative Foot & Ankle Service.” Looking at their website, if a patient is interested in foot & ankle surgery, the links list only orthopedic surgeons and no podiatrists.

I commend the effort to cultivate a relationship with orthopedic surgeons at this hospital but I just find it ironic that the hospital/ortho department does not recognize surgically board-certified podiatrists as being foot and ankle surgeons and does not list them nor have them on staff under foot and ankle surgery. I am not from New York nor do I know anything more about the situation at this hospital except from this media excerpt and the hospital's website, so feel free to clarify any of my observations.

Mathew M. John, DPM, Marietta, GA, footdoc@afcenters.com

RE: OH Podiatrist Appointed as President and CEO of Hospital
From: Joseph L. Starr, DPM

Congratulations to Dr. Suppan on her accomplishments from a retired (some twenty five years) colleague from the "age of almost no recognition." I was graduated from the NY school in 1940. I recall attending lectures during the 50's and 60's given by her father, Dr. Raymond Suppan, which were terrific.

Joseph L. Starr, DPM, Delray Beach FL, Yusselleh@yahoo.com

RE: Wrong-Patient, Wrong-Site Procedures Persist Despite Safety Protocol (Henry Slomowitz, DPM)
From: Multiple Respondents

For the past 32 years, I have seen the patient before any sedatives and asked one simple question: "Which foot do YOU think we are scheduled to work on today." I then mark a “NO” on the non-operative foot and a “YES” on the operative extremity. If I am going to be working on the posterior of the leg or foot wherein the patient may be prone, then I mark the posterior of the extremity. I have even added arrows to a foot if many toes are going to be done.

My own chart notes, my own office consent, and my own marks on the extremity take precedence over anything a nurse or an OR tech may have marked. This hasn't failed me yet, and I hope I haven't jinxed myself now saying that out loud.

David E. Gurvis, DPM, Avon IN, deg1@comcast.net

My podiatric surgeon, Dr. Pedram Hendizadeh, saved the day by simply writing "YES" on the correct foot and drawing arrows pointing to the digits that were to be operated on. Because of a previous surgery, the admissions desk at the surgical center had filled out paperwork relating to the wrong foot, and the pre-op nurse had included an extra digit. I am really glad that my doctor was on his toes!

Gina Ryan, CAE, CEO Pathways, Creative Executive Options, gina.ryan@me.com

About 10 years ago, I was involved in a wrong-site surgical case. I was working for a doctor who never did a surgical residency and had been...

Editor’s note: Dr. David Secord’s extended-length note can be read here.

RE: NY Podiatrist Evaluates "Revolutionary" Golf Shoe (Joseph Menn, DPM)
From: Narmo L. Ortiz, Jr., DPM, Carroll Kratzer, DPM

I have to agree 100% with Dr. Menn. When it comes to the game of golf, as in the game of tennis, both sports deliver such abnormal positions and stresses to the foot and ankle structures that eventually something will "give up". No amount of therapy, corrective footwear, strapping, bracing, or even surgery, will conquer the potential of permanent damage that these sports may cause, with continued use and abuse, to the lower back and extremities.

Narmo L. Ortiz, Jr., DPM, Cape Coral, FL, nlortizdpm@embarqmail.com

I agree with Dr. Menn's assessment. The only REAL innovation in golf shoes that was historic was the "Weight Rite" golf shoe. In 1990, the company put these on John Huston and he wore them at the Honda Classic, at least in one round. The USGA/PGA disqualified the shoe because it contained a device that assisted the golfer. Weight Rite immediately sent John Huston shoes without the "addition" that made them "swing enhancing." He had to wear regular golf shoes, and oh by the way, he won the tournament without the artificial help.

What was this "revolutionary" devise? A valgus wedge in the shoe to pronate the foot so he would not sway off the ball on the backswing so weight transfer would be easier. I once had a superball partner in a tournament show up in a pair of boat shoes with a slick bottom. He has a long flowing balanced swing, swung easily at the ball, and made 6 natural birdies to help our team win. Afterwards, he said that he was throwing away his spikes.

Carroll Kratzer, DPM, Raleigh, NC, CKratzer@raleighortho.com

RE: PM News Publishes 4,000th Issue
From: Multiple Respondents

I would also like to extend my congratulations and gratitude to Dr. Barry Block on reaching this incredible milestone. But let’s go one step further and put our money where our mouths are!  I challenge all of you to join me in making a contribution in Dr. Block's honor to the APMA Educational Foundation. Let’s see if we can raise $4,000 in his honor! To contribute online, write to donatenow@apma.org

Marlene Reid, DPM, President, Illinois Podiatric Medical Association

Congratulations to PM News on your 4,000th issue. You have revolutionized the way podiatrists communicate with each other, and you have provided the profession with an incredible community feel. The podiatric profession has benefitted greatly from your contributions.

We are avid readers and will continue to be so. Everyone at Pedinol looks forward to the next 4,000 issues!

Richard Strauss, R.Ph., President, Gary Strauss, Chief Executive Officer, 
Pedinol Pharmacal, Inc.

Congratulations to Dr. Barry Block for creating a world-class site for all podiatrists. As one who has probably read every PM News since its infancy, I can appreciate the foresight that Dr. Block had when he created this wonderful medium from the chaos that existed on the early Internet. Those of us who remember the DOS-based message boards accessed by 400 baud telephone modems can appreciate the pioneering effort and tremendous vision as we look back on this tremendous forum.  It was Dr. Block's perseverance, effort, and finances that carried PM News from its infancy. Many thanks!

Richard A. Simmons, DPM  RASDPM32955@gmail.com  Rockledge, FL
 

Editor's note: We wish to thank all those who called, wrote, or personally congratulated us. This topic is now closed and no new letters will be published. 

RE: PA Podiatrist is Among Doctors Paid By Pharmaceutical Companies on Posted Database
From: Michael Turlik, DPM

If you have the time and interest to review the literature regarding drug and device manufacturers, you will conclude that they over-emphasize the benefits of their products and downplay the risks. Pharmaceutical and device manufacturers are for-profit companies which have fiduciary responsibilities to their investors to maximize profits. They are only in the business of education if it improves their bottom line.

It is difficult to scan high impact publications monthly and not read something about...

Editor's Note: Dr. Turlik's extended-length letter can be read here. No additional letters will be accepted.

SEEKING EMPLOYMENT OPPORTUNITY - NORTHERN, NJ

Looking to relocate my current position closer to home. I am honest, ethical, punctual and hard-working. PM and S-36 trained with over four years of work experience. Seeking a full-time employment opportunity starting as an associate with the potential for partnership in the future. If interested, please contact  footdoctor36@gmail.com

PART-TIME / FULL-TIME PODIATRIST NEEDED ASAP - CHICAGO

Part-time podiatrist needed for 2 offices in Chicago with an average of 20 hours/week. Must have Illinois license. Must have completed 2 years of surgical residency. If qualified, email to f-massuda@footexperts.com

ASSOCIATE POSITION - NYC, NY

Part/time, full/time associate for busy, well established multi-doctor, multi-office NYC group. Seeking motivated, ethical, NYC licensed DPM with excellent office management and clinical skills in all phases of Podiatry. Board Qualified/Certified preferred. Salary plus incentives, pension/medical/dental. Partnership potential. Fax CV to 631-369-6570.

ASSOCIATE POSITION - MARYLAND AND DC

Immediate opportunity to join our group in Maryland and DC. Will consider full or part-time. Our practice is general podiatric care with a heavy slant on sports medicine/orthotics. In-office ASC. Must be PSR 24-36. Send cover letter and CV to hgodpm@verizon.net

ASSOCIATE POSITION - PHILADELPHIA, SOUTHERN NEW JERSEY

Seeking motivated, independent foot & ankle surgeon to join large practice. Our multi-office practice covers all aspects of foot and ankle pathology, including heavy hospital volume. Offering competitive salary and benefit package. Send CV and two references to bleich5252@yahoo.com

ASSOCIATE POSITION - MICHIGAN - (OAKLAND COUNTY)

Outstanding opportunity for associate in well established practice, general & surgical podiatry forefoot, rearfoot & ankle (full or part-time). Well-trained, responsible, motivated with good communication skills, ABPS qualified or better. Send CV & letter of interest to: PodiatristWanted@AOL.com. All replies kept strictly confidential

ASSOCIATESHIP - MARYLAND

A great opportunity to join and gain ownership interest of a well established, diversified practice in Maryland. 2-year residency needed, EHR, ultrasound, ASC, hospital close by with wound care center. Fax resume to 410-749-6807.

PART-TIME/FULL-TIME PODIATRIST NEEDED - INDIANA

Part-time full-time Podiatrist needed for our Indiana offices. Must have Indiana license. Must have completed two years of surgical residency. If qualified email to f-massuda@footexperts.com

ASSOCIATE POSITION - FREDERICK, MARYLAND

Well-established group practice is located only 45 minutes from both DC and Baltimore. Immediate opening for a minimum PSR 36 Podiatrist for full time position. We have it all: EMR, digital x-ray, ultrasound, ASC, etc. Excellent salary with bonus structure and benefits. Please email resume to docsbnb@aol.com

ASSOCIATE POSITION - SOUTHWEST FLORIDA

Immediate opening for the right candidate. Join a well-established podiatric group in Southwest Florida. We are a multi-office practice with EMR, Digital x-ray, and more. Seeking full-time associate that is PM and S-36 trained, personable, independent and highly motivated individual. Must be BC/BS in rearfoot and ankle with confidence in complex reconstructive cases. Full benefits package, competitive salary, excellent lifestyle. Please respond to JLH459@aol.com

ASSOCIATE POSITION - CALIFORNIA

Busy, surgically-oriented practice in Bakersfield, CA seeks ABPS qualified/certified surgeon to join our existing two surgeons. Must be hard-working and honest. Strong reconstructive surgical practice with trauma privileges and wound care center/diabetic limb salvage center. Starting in December or January. E-mail CV to aghams2@aol.com

ASSOCIATE POSITION - NORTHERN NEW MEXICO

Associate needed for a dynamic group practice in Northern New Mexico. We are looking for a well-trained 3-year surgical resident to help us build our practice leading to partnership. In New Mexico we have a leg law. Besides a great professional experience, we have the mountains for skiing, fishing, hunting, and horseback riding. Ideal for an experienced podiatrist looking for a location change. Please send a resume to Ohiodoctors@aol.com

IMMEDIATELY AVAILABLE- ASSOCIATE POSITION - DAYTON, OHIO

Join a well-established modern practice with an excellent reputation and referral base. Base salary $100,000 and benefits with a bonus structure. EMR, diagnostic ultrasound, all aspects of DME, Padnet vascular studies, and CO2 lasers. We seek a surgeon that is well trained, personable and motivated to join our group of 3 Podiatric Surgeons. Would like this individual to buy in the practice eventually. Please send resume and photo to

ASSOCIATE POSITION – NORTH, CENTRAL & SOUTHERN ILLINOIS

Quality Podiatry Group provides quality services to residents at long term care facilities. We are currently offering full-time or part-time positions for motivated ethical podiatrists. Immediate openings are available. If interested, fax curriculum vitae to 847-674-2113 or e-mail to feetwork@aol.com

EQUIPMENT FOR SALE - WHIRLPOOL AND WHIRLPOOL CHAIR
 
Professional, Whitehall brand 15 gallon Podiatry Whirlpool and Whirlpool Chair. In excellent condition. $2000.00. Please contact fergusondpm@aol.com

TRAUMA FELLOWSHIP - FOOT & ANKLE

Broadlawns Medical Center in Des Moines, IA is currently accepting applications for its 12 month trauma surgery fellowship beginning August 1, 2011. Fellowship to include advanced techniques in all foot and ankle surgery with an emphasis on lower extremity trauma, reconstruction & total joint replacement. Residency training required. Competitive salary and benefits. Please submit a letter of interest, CV, and 3 letters of recommendation to: Ben Olsen, DPM, Director: Foot and Ankle Trauma Fellowship, Broadlawns Medical Center, 1801 Hickman Road, Des Moines, IA 50314, 515-282-7927, bolsen@broadlawns.org

PRACTICE FOR SALE - CONNECTICUT

Outstanding solo practice for sale in northern Fairfield county, CT. Shared space with other medical professionals. Very low overhead. Grossing almost $300K on 30 hours per week. Referrals from three different primary care physician offices. If interested e-mail CTPodiatry@gmail.com

PRACTICE FOR SALE - MARYLAND, DC SUBURB

Own your own practice and be your own boss.Great opportunity. Retiring after 38 years in practice at the same location. Practice is fully equipped with digital x-ray, diagnostic ultrasound, computer network, orthotic scanner and state licensed ambulatory surgical center.  Owner will stay on as needed for easy transition. dpmpracticeforsale@yahoo.com
 

PM News Classified Ads Reach over 12,500 DPM's and Students

Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 12,500 DPM's. Write to bblock@podiatrym.com or call (718) 897-9700 for details. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.

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