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| PM News | |
The Voice of Podiatrists
Serving Over 18,394 Subscribers Daily
November 12, 2018 #6,306  Publisher-Barry Block, DPM, JD
A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2018- No part of PM News can be reproduced without the
written permission of Barry Block
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| PM NEWS QUICK POLL RESULTS |
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Results of last week's poll |
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| PM NEWS QUICK POLL |
Quick Poll
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What percentage of your patients utilize your portal to access their medical records?
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| PODIATRISTS AND SPORTS MEDICINE | |
NY Podiatrist Discusses Stress Fractures
Repeated stress (like the continuous pounding of running) can cause a tiny break in the bone, also known as a stress fracture. “The metatarsal bones, which make up the front part of the arch, are a common area for stress fractures with the second and third metatarsals being affected most often,” says Loretta Logan, DPM, an associate professor at the New York College of Podiatric Medicine & Foot Center of New York. “The pain is typically felt at a specific and localized spot, usually on the top portion of the bone.” Sadly, your stress fracture might not be obvious at first, which puts you at risk for making it worse: “The pain may be mild at first, but it can intensify with time if you don’t take care of it.”
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Dr. Loretta Logan |
“Stress fractures take about six to eight weeks to heal and are routinely treated with rest, ice, compression, and elevation,” Logan says. Rest is key here: “Ice and NSAID medication may assist in early days, but the fastest pathway to healing is through relative off-loading of the fracture site.” To be clear, that means no running until your doc says so. Some doctors may even prescribe a walking boot to help take some load off the affected area. The stakes are high: A stress fracture can turn into a fracture-fracture (or full break) if you aren’t careful.
Source: Kiera Carter, Runner's World [11/3/18]
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| PODIATRISTS AND ACADEMICS | |
FL Podiatrist Receives Dean's Award
“Excellence” was the word of the night as the College of Medicine honored core and volunteer faculty, staff members, and students at the annual awards celebration. “Whether we are teachers, learners, researchers, or providers of care, our mission is the same... to improve the health of all,” Dr. Deborah German, vice president for health affairs and dean said as she welcomed guests to the event.
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Drs. Gideon Lewis and Deborah German |
Gideon J. Lewis, DPM was the recipient of the UCF College of Medicine Dean’s Award, the medical school’s highest honor.
Source: University of Central Florida
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| PODIATRISTS IN THE COMMUNITY - PART 1 | |
NH Podiatrist’s Annual Shoe, Boot, and Sock Drive Begins
After collecting more than 420 pairs of footwear during her annual drive last year, a local podiatrist is hoping to collect even more shoes, boots and socks this year to help homeless individuals and others in need. Billie Bondar, DPM has started collecting items through her annual holiday drive. Bondar said she greatly appreciates community members helping other people in need each year, as she said she believes that level of human-to-human support is an admirable and defining trait of New England.
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Dr. Billie Bondar |
“It is so important to get this going early for the donations because the temps are dropping, and providing footwear for the winter season ahead needs to be accomplished now,” said Dr. Bondar.
Source: Kyle Stucker, Fosters [11/8/18]
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| PODIATRISTS IN THE COMMUNITY - PART 2 | |
Asbury Park Press Readers Select Best NY Podiatrists In 2 Counties
Every year, the Asbury Park Press asks its readers to select the "Best" in Monmouth and Ocean Counties both online and with write-in ballots. The readers have spoken, the votes have been tallied. Monmouth County: Best: Caruso Foot & Ankle; One of the Best: Affiiliated Foot & Ankle Center, LLP, Jennifer Dowd, DPM.
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Asbury Park Press Best! |
Ocean County: Best: Maureen Jennings, DPM; One of the Best: Donovan's Family Foot & Ankle Center, Main Street Foot & Ankle Care, LLC.
Source: Asbury Park Press [11/1/18]
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| MACRA UPDATE | |
Vast Majority of Docs will get a Pay Bump under MIPS—But it Won't be Much
Most doctors and other clinicians did okay in the first year of the Merit-based Incentive Payment System (MIPS). More than 90% of the doctors and clinicians who participated in MIPS will receive a pay bump based on their performance in 2017, said CMS administrator Seema Verma in a blog post about the program implemented under MACRA in which clinicians receive either a positive, negative, or neutral payment adjustment based on their performance. However, it won't be much.
Even those with the highest performance scores only earned a 1.88% positive adjustment. That left many physicians disheartened. Overall, 95% of participants avoided a negative payment adjustment, Verma said. That leaves only 5% of participants with a negative 4% payment adjustment. 71% earned a positive adjustment and an adjustment for exceptional performance and received a 1.88% adjustment, 22% earned a positive payment adjustment only and received a .20% adjustment, and 2% received a neutral adjustment (no increase or decrease).
Source: Joanne Finnegan, Fierce Healthcare [11/8/18]
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| E-HEALTH NEWS | |
Individuals’ Use of Online Medical Records is on the Rise
It has taken years, but healthcare consumers are now becoming comfortable with the notion of accessing their medical records online. In fact, the use of portals and other mechanisms to access medical records is rising, according to the Office of the National Coordinator for Health Information Technology. And the pressure will rise in coming years, with the 21st Century Cures Act including provisions intended to improve patients’ access to and use of their electronic health information.
More than half of individuals have been offered access to records. Researchers from ONC’s Office of Technology—Vaishali Patel and Christian Johnson—say individuals’ access to online medical records increased by 24 percent between 2014 and 2017.
Source: Fred Bazzoli, Health Data Management
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| QUERIES (NON-CLINICAL) | |
Query: Billing Service for Small Practice
I am need of a billing service that is willing to work with a small solo practice in IL. Any recommendations would be appreciated.
Gary Trent, DPM, Chicago, IL
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| RESPONSES/COMMENTS (OBITUARIES) | |
Dr. Mildred K. Dixon was one of the most decent human beings ever. She was a "mensch", honest, and gracious. She was one of a kind who dedicated her life to caring for veterans. I know that she was recognized by the Department of Veterans Affairs in the past for her efforts. She was a bright star for our profession.
She will be missed. May she rest in peace.
Arthur E. Helfand, DPM, Narberth, PA
Our profession lost a real champion for podiatric medicine when we lost Dr. Mildred K Dixon. I have known her my entire career in podiatry as just a sincere and friendly person who would always be there to help anyone in need. She will always be a special person and one to remember. In her days in practice, she overcame many racial issues that she confronted, particularly in her community during those early years of practice. We should all have her energy for the good of the profession. I want to extend my deepest sympathy to her loving family whom I have also met on several occasions.
Steven J Berlin, DPM, Baltimore, MD
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 1 | |
From: Allen Jacobs, DPM
Injectable collagenase may be helpful for plantar fibromatosis, although neither robust nor long-term studies are available for reference. My personal approach is as follows:
1. Confirm the diagnosis with MRI, ultrasound, or percutaneous needle biopsy prior to treatment;
2. Daily BID application of a compounded mixture of 5% lidocaine, 5% diclofenac, and 15% verapamil (EBM);
3. Stretching of the plantar fascia (night splint and/or active stretch);
4. Avoidance of hard insoles or rigid orthotics.
My experience (for many years) with the utilization of this technique for non-aggressive type fibromatosis has been nothing short of excellent.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Ira Baum, DPM
I’m taking an opposing position than most of the previous posts. I think there is a place for altruism, but I believe podiatrists must be pragmatic. I don’t think that the decision to perform multiple procedures in one session based on one variable is appropriate. Podiatrists and healthcare providers dependent on third-party payors have been financially battered with no real potential recourse. So, if patients depend on a third-party paying for their care, then by implication, they should also expect the care their payors are willing to pay.
Podiatrists have overhead responsibilities. If those obligations can’t be met, then I don’t see how this benefits anyone. I am not a proponent of putting patients at increased risk, but I am also sensitive to the financial predicament put on our providers.
Ira Baum, DPM, Naples, FL
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoes of the Day
"We focused on consumerism and waste as its bi-product, and began trawling the UK shorelines (including the tidal Thames) to find plastic rubbish.
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These shoes are real garbage! |
We then reconstituted the rubbish to manufacture a consumer product from the product of our consumption."
Source: Charles Duffy, Billy Turvey, and William Gubbins via Virtual Shoe Museum
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MEETING NOTICES
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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 $219 (less than $15 per CECH)
(Only $15 per credit) http://www.podiatrym.com/cme.cfm
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Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, ID, IA, 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
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| CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE |
SURGICAL INSTRUMENTS FOR SALE
Have retired. Selling surgical instruments and Ellman Surgitron For pictures and prices. Contact. Ksherkin@gmail.com
PRACTICE FOR SALE – BLOOMINGTON, IN
A well-established, profitable 47 year-old podiatry practice is for sale in Bloomington, Indiana. All office equipment and inventory is separately for sale, including but not limited to a digital x-ray, c-arm, laser, and power chairs. Inquires can be made to blmpodiatry@gmail.com
PRACTICE FOR SALE - WESTERN WASHINGTON
30 year established practice in Auburn Washington. In medical office building connected to hospital. Practice scope includes clinic, hospital-based surgery, and hospital consultations. Forefoot, rearfoot, and ankle surgery. Will stay on three months during transition. Contact/send resume to Dgusman@hotmail.com
SPACE AVAILABLE – NY AND LONG ISLAND
Offices available to sublet and share, Manhattan and North Shore Long Island. Offices fully equipped with state-of-the-art equipment extremity MRI, foot/ankle CT scanner, diagnostic ultrasound and the availability to become a staff member of a certified ambulatory surgical center. Call 1516 476-1815 podo2345@aol.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 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
MULTI-LOCATION GROUP - CHICAGO/NEAR WEST SUBURBS
Seeking F.T. ABFAS Board Certified/Eligible associate- P.T. available. MINIMUM 2 year practice experience required. Surgical/ortho patients. Great staff. DME, MIS, EMR, ultrasound, PRP, shockwave, digital x-ray, laser, sx center & Physical Therapy- Top pay, associateship & practice equity available for experienced candidates. Contact podiatryoffer@gmail.com
ASSOCIATE POSITION - UPSTATE NY
Excellent opportunity to start your career in a fresh practice! Seeking an associate to join, grow, and become partner. 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. Please send CV to: docryanlee@gmail.com
ASSOCIATE POSITION - LOUISVILLE, KY
Immediate opportunity to walk into a busy three doctor practice to take over for an established podiatrist moving back to his home town for family reasons. Multifaceted well-equipped office centrally located with a local residency. Send resume and letter of interest to benfeet@yahoo.com.
POSITIONS AVAILABLE – BROOKLYN, NY
Looking for podiatrists to see residents in nursing homes and skilled nursing facilities in Brooklyn, NY. Great opportunity for part-time income. Position available immediately! Send inquiries to: phasetwopodiatry@gmail.com
ASSOCIATE POSITION – WESTERN PA
Well-established podiatry practice in Western, PA looking for a full-time Podiatrist to join their team. Position will involve seeing patients at multiple hospitals, wound care centers and satellite offices. Basic qualification: Graduation from an accredited medical school and completed accredited residency program. Board Certified/Qualified. Certificate/license medical license to practice in State of Pennsylvania. We offer a competitive compensation and benefits package to our team members. email CV to: dysteindpm@gmail.com
ASSOCIATE POSITIONS – PHOENIX
Phoenix office seeking the services of podiatrists. Practice offers a great opportunity to the right physicians to establish and grow. Physicians holding an Arizona State license preferred. IMMEDIATE full and part-time openings available. Please email your CV and cover letter to FootAnkleRescue@gmail.com
ASSOCIATE POSITION - WASHINGTON, DC
Growing, well-established practice seeking well-trained, hard-working surgical trained podiatrist. Practice with concentration in foot & ankle surgery as well as sports medicine. Excellent referral base. Downtown location. Full benefits package. Please send CV to WDCDPM@gmail.com
ASSOCIATE POSITION - UPSTATE SOUTH CAROLINA
Busy two physician practice in Upstate South Carolina seeking highly motivated, ethical associate. PSR-36 trained. High surgery case load. Competitive benefits & salary. Send CV to upstatescpodiatry@gmail.com
ASSOCIATE POSITION – NORTH CAROLINA
Great opportunity in rural Northeastern NC! 20 year, well established practice with multiple locations, ready to continue to grow, seeking hard working podiatrist/s just entering practice or with experience, to join us. North Carolina license a must, Send questions and/or CV to iiicms@aol.com
FULL-TIME or PART-TIME PODIATRIST - DALLAS/FORT WORTH AREA
PSR 24-36 Trained Multi-dimensional, Multi-office group treating a wide range of patients to include: forefoot, rearfoot, diabetic wound care, sports medicine and work-related injuries. A great opportunity for driven personable individual. Please e-mail CV, Letter of references, 1 minute Video Introduction Email: cnunez1940@gmail.com
ASSOCIATE POSITION - EASTERN SHORE of MD
Multiple office practice located on the Eastern Shore of MD near beaches. Seeking motivated, energetic individual to join our three existing physicians willing to start within 3-4 months. We are an expanding practice with focus on all aspects of Podiatric care. Offices equipped with ultrasound, digital imaging, 3-D scanners, onsite ambulatory surgery center and many other state of the art amenities. Excellent salary with bonus and benefits package. dpmkthomas@gmail.com
ASSOCIATE POSITION – MARYLAND
Established practice looking for a full-time podiatrist for our three Maryland locations. The ideal candidate will have strong clinical skills including ulcer care, diabetes, surgery and general foot care. Must have a strong office personality with the ability to maintain and attract patients. Must be willing to merge into an already established protocol based office. Please send C/V to podiatristsmd@gmail.com
ASSOCIATE POSITION - NASSAU COUNTY, NY
Exciting opportunity! Busy Nassau County, NY office seeks full time podiatrist. State-of-the-art facility. Complete EMR, digital radiograph and diagnostic ultrasound. Excellent salary and benefits. Must be board qualified. Please e-mail resume to: Medicalofficeinquiry@gmail.com, or call: 516-902-1073
ASSOCIATE POSITION – HOUSTON, TEXAS
Busy podiatry practice seeks motivated DPM to join our team. Amazing opportunity for someone looking to grow with us. Incredible company culture. Suburban outpatient practice in an active part of town. Sports medicine and lots of kids. No weekends or hospital call. Interested applicants invited to send CV's to: HoustonDPMJob@gmail.com
PM NEWS CLASSIFIED ADS REACH OVER 18,500 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 18,500 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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