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| PM News | |
The Voice of Podiatrists
Serving Over 22,160 Subscribers Daily
November 13, 2023 #7,626 Publisher-Barry Block, DPM, JD
A partner of Podiatry Management https://podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2023- 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 |
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How satisfied are you with your EMR? |
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| PODIATRISTS IN POLITICS | |
OH Podiatrist to Retire from Congress After 6 Terms
Rep. Brad Wenstrup, DPM, an Ohio podiatric surgeon representing what is considered a safe Republican Cincinnati-area seat in Congress, announced late Thursday that he will retire at the end of this term. Wenstrup, 65 was first elected in 2012. He cited his wife, Monica and his two young children, Brad Jr. and Sophia, in his decision to leave Congress.
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Dr. Brad Wenstrup |
Though conservative, Wenstrup joined with Democrats in 2021 in backing legislation to prevent patients from receiving “surprise” medical bills for unexpected out-of-network care and to set up an arbitration process for the bills. Later, he led 150 lawmakers in a November 2021 letter asking the Health and Human Services, Treasury, and Labor departments to change how they plan to regulate the arbitration process.
Source: Jessica Wehrman, Roll Call [11/9/23]
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| APMA NEWS | |
APMA BOT Visits Students at TUSPM
Last week, several members of the APMA Board of Trustees (BOT) traveled to the Temple University School of Podiatric Medicine (TUSPM) in order to give a presentation on the workings of APMA and membership benefits for students. After a short slide presentation, each Trustee gave a review of their career paths, relating to the students a varied path to both podiatry school and a career afterward.
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(L-R) Drs. Alan Block, Jane Andersen, Bob Sage, David Alper, Will Long, and Larry Santi |
This was followed by a pizza "meet and greet" where the students and trustees interacted one-on-one for well over one hour. This is all part of the APMA's Student Engagement Committee's project to have a Trustee visit each school and their students, hoping to create 100% student membership and build paths for the future.
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| ACFAP NEWS | |
ACFAP Elects IL Podiatrist as Newest Board Member
The American College of Foot and Ankle pediatrics (ACFAP) has welcomed Hannah K. Park, DPM of Chicago, IL as its newest Board Member. Dr. Park specializes in pediatrics and is a current fellow of the American College of Foot & Ankle Pediatrics. She is board certified by the American Board of Foot and Ankle Surgery and the American Board of Podiatric Medicine. She is fellowship-trained in pediatric orthopaedics from Advocate Christ Medical Center in Oak Lawn, IL as the first podiatrist to graduate from this fellowship.
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Dr. Hannah Park |
As a mother of two young children, she understands parents and children who come in for podiatric medical care. She is enthusiastic about pediatric podiatry and eager to educate and grow the field of pediatric podiatry. She has been attending the American College of Pediatric Foot and Ankle Conference since her second year of residency.
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| PODIATRISTS IN THE COMMUNITY | |
WY Podiatrist Joins Hoskinson Health and Wellness Clinic
Hoskinson Health and Wellness Clinic is adding to its line of services with the introduction of Greg D. Pound, DPM, to its provider team. Dr. Pound earned his podiatric medical degree from the Des Moines University College of Osteopathic Medicine.
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Dr. Greg Pound |
Dr. Pound completed a podiatric residency at West LA VAMC/UCLA Medical Center. He is board-certified by the American Board of Foot and Ankle Surgery.
Source: County 17 [11/10/23]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
UK Podiatrist is Chief Allied Health Professions Officer for Northern Ireland
The Department of Health has announced the upcoming appointment of Michelle Tennyson as new Chief Allied Health Professions Officer for Northern Ireland (NI). Tennyson will take up the post in January 2024.
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Michelle Tennyson |
Michelle is the current Deputy Director for Allied Health Professionals within the Public Health Agency in NI. Michelle qualified as a podiatrist in 1995 and has experience working in Health and Social Care Trusts, Public Health, Commissioning and Performance Management.
Source: Northern Ireland Executive [11/10/23]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
5 Ways to Retain Great Physicians
Healthcare organizations invest significant time, energy, and money into hiring physicians. But according to Douglas Farrago, MD, the author of The Hospital Guide to Physician Retention, very few invest adequate resources into keeping physicians. Here are some steps to take.
2. Show doctors that you care
Practices need to show physicians that they are valued, says Farrago, who experienced the opposite at one organization he worked for. “Six months after my practice partners and I were recruited to join a new hospital, the CEO didn’t even recognize me,” he says, a striking contrast from the attitude he experienced before he signed his employment contract. “The administration went from throwing us a big party and hugging us to not even acknowledging us. Now, does that leave a mark? It does.”
Source: Rebekah Bernard, MD, Medical Economics [11/3/23]
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
RE: Saluting our Veterans and Their Caregivers
From: Lee C. Rogers, DPM
As the nation recognizes Veterans Day, ABPM would like to thank our veteran and active-duty diplomates. ABPM respectfully salutes all our nation's veterans for their devotion to duty, coupled with the time and commitment required on behalf of the United States of America. It is a debt impossible to repay.
We also give thanks to our many diplomates who care for veterans as part of the VA system.
Lee C. Rogers, DPM, President, ABPM
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| RESPONSES/COMMENTS (OBITUARIES) | |
RE: The Passing of James S. Tavolario, DPM
Retired Dr. James Tavolario from the Warren/Youngstown, OH area passed away on Tuesday. I have been in podiatry sales for over 33 years, and this week I hear Dr. Rocco Palermo also passed. These two podiatrists were very kind, good people.
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Dr. James Tavolario |
In my early days with PedinoI, they both were so helpful teaching me the podiatry world! Heartfelt condolences to their families, and may they rest in peace.
Paula Pitts
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| RESPONSES/COMMENTS (MEDICARE ADVANTAGE) | |
RE: 14 Insurers Leaving Medicare Advantage
From: Paul Kesselman, DPM
A recent article in Becker's Healthcare revealed that 14 payers are exiting the fraudulent filled Medicare Advantage Market. While some other big movers and shakers will no doubt fill their shoes, perhaps the tide will soon be turning as criminal investigations directed against individuals such as Medical Directors of MA plans are pursued by HHS and OIG.
Here in NY, Catholic Health Systems, a large privately-held medical group to Optum's Pro Health and which has thousands of patients, announced they are leaving the MA market. Hopefully, this is the initial shot across the bow. We can only hope that the future of Medicare is not with private equity companies and the government will no longer tolerate being ripped off.
Paul Kesselman, DPM, Oceanside, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Is there a Psychiatrist in the House?
When asked what was his chief complaint, the patient responded that he had a severe case of "Morton's Neurosis". After speaking with him for a while, I realized he was right. There certainly was a neurosis there.
Charles Morelli, DPM, Mamaroneck, NY
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MEETINGS & WEBINARS
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NEED CME CREDITS FAST?
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Earn 15 CECH only $279 (less than $19 per CECH)
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Choose any or ALL from 25+ CECH Category-1 articles posted
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| CLASSIFIED ADS - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE | |
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.
EQUIPMENT FOR SALE - ESWT MACHINE
EMS Swiss DolorClast Low Energy ESWT machine for sale with two handpieces and roll cart. One handpiece with full set of 600,000 shocks, second handpiece approx 200,000 shocks remaining. Needs a new compressor eventually but is fully functional. EMS trade-in valued at $5k. Buyer responsible for shipping or pickup. Contact Daryl at daryl.podiatristofnaples@gmail.com
PRACTICE WANTED TO BUY – ILLINOIS
Podiatrist seeking to purchase an established podiatry practice in Illinois. Open to practices of all sizes and locations. Seller financing requested. Please contact me at psadoctor@gmail.com
WANTED TO BUY - OFFICE IN NORTHERN NJ AND SOUTHERN HUDSON VALLEY NY REGION
Looking to purchase an established office for sale in Northern NJ and Southern Hudson Valley NY region. Prefer a practice with real estate for sale but not a requirement. Please contact PodOfficeSale@Gmail.com
REAL ESTATE AND/OR PRACTICE FOR SALE – HEWLETT, NY
Great location in Hewlett, New York/Nassau County. Fully equipped podiatry office, 3 exam rooms, digital x-ray. Stand Alone 1800 sq. foot space commercial multiuse/office property. Can be sold with practice, with equipment or without- as just real estate. Contact: doctorgitlin@gmail.com or call 718-607-2689.
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| CLASSIFIED ADS - ASSOCIATE AND FACULTY POSITIONS, AND FELLOWSHIPS | |
PM NEWS CLASSIFIED ADS REACH OVER 20,000 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.
LIMB SALVAGE FELLOW POSITION – LOS ANGELES
Part of a busy rapidly growing practice providing care in Los Angeles. Position includes multiple settings for learning including tertiary and community hospitals, private clinic with in house surgery center and skilled nursing facilities. Training also includes practice management along with coding training. Position comes with a competitive salary with full benefits including CME allowance, Health, Dental, Vision coverage as well as matching 401k plan. Email resume to info@woundinstitute.com
ASSOCIATE POSITION – MARYLAND
Are you a licensed podiatrist in Maryland? Southern Maryland Foot and Ankle is looking for a dedicated podiatrist to join our dynamic team. We have three locations near Washington D.C./Virginia area. We provide an amazing work life balance. Monday-Thursday 7:30 a.m.– 4:30 p.m. and Friday 7:00 a.m.-3:00 p.m. We offer a competitive compensation package and a supportive work culture. Please send your CV to: Jelena@somdfootandankle.com
IMMEDIATE, FULL-TIME ASSOCIATE POSITION AVAILABLE- ALBUQUERQUE, NEW MEXICO
Foot & Ankle Specialists of New Mexico has an exciting, immediate full-time position open for a board qualified or board-certified foot and ankle surgeon. You can view our website at footanklenm.com. Spanish speaking and Fellowship are a plus but not a requirement. Billing/coding experience is preferred. Compensation is a competitive salary plus a percentage bonus structure to start. Please email CV and cover letter to ACharlie@footanklenm.com
POSITION AVAILABLE - NEW YORK CITY
Footcare Now, the only podiatric urgent care, is seeking highly skilled, ethical, and New York minded physicians to join its team. Competitive salary, sign on bonus, and other benefits. Send letter of interest and CV to scdpmjobs@gmail.com
ASSOCIATE POSITION – SOUTHERN COLORADO
Pueblo Ankle & Foot Care, PLLC is offering the most comprehensive conservative and surgical care in Southern Colorado. This private practice is looking to bring in an associate and eventually partner with a hardworking, team oriented, empathetic, honest podiatrist. The Hospital provides care to a growing 400,000-person service area and draws from an additional 14 counties throughout Southern Colorado with excellent surgical services and wound care center associated with hospital. Offering $100k salary to transition to percentage of collections with $180-200k gross expected within 1-2 years. Health and Malpractice Insurance, CME Signing Bonus, Relocation Package and more! drbenmarble@gmail.com
ASSOCIATE POSITION – LOS ANGELES AREA
Looking for an experienced podiatrist to join our team! If you're passionate about foot health and have a proven track record in podiatry, we want to hear from you. Take your career to the next level with the potential for partnership in our thriving practice. Apply now by sending your CV to comeworkfordpm@gmail.com
ASSOCIATE POSITION - ASHEVILLE/HENDERSON NC AREA
US Foot and Ankle Specialists (USFAS), one of the largest podiatric groups in the United States is hiring! USFAS is looking for an experienced associate doctor to join our team in the Asheville/Henderson NC area. Our group of physicians use state of the art, podiatry-specific technology, and software to stay on top of today’s changing medical trends and provide our patients with the highest quality care. USFAS is an excellent opportunity for those who are seeking long-term employment. Please send a cover letter and resume to recruiting@footandankle-usa.com. Candidates must be either licensed or in the process of becoming licensed.
PODIATRIST POSITION – HAMPTON/WILLIAMSBURG, VIRGINIA
Collaborative and rewarding practice with 2 locations is seeking to hire a DPM to join our team! Candidate must have strong clinical skills, comfortable with high volume, and providing call to the local hospital. In addition, be interested in making a difference in the community with their surgical, wound care, and interpersonal skills. Our practice focuses on autotomy; you will not be micro-managed, therefore you must be ethical and diligent. Please send CVs to: domiana@hamptonroadsfootandankle.com
ASSOCIATE POSITION - PORT CHARLOTTE, FL
Need experienced associate to replace retiring physician. Full schedule from day 1. Good mix of wounds, sports, and surgery. Unlimited growth potential in fast growing area. Hospital and ASC privileges. Must be able to function independently. Must have FL license. Hiring immediately. Email CV to SWFLpodassociate@gmail.com.
2 ASSOCIATE POSITIONS: 1 OFFICE-BASED AND 1 FOR FELLOWSHIP TRAINED IN PODIATRIC TRAUMA/SURGERY – BOTH IN BEAUTIFUL SUBURBS OF NYC
Looking to grow and be challenged and get Board-Certified? Our Associate Mentorship Program in our well-established practice will help you achieve your goals. High-Volume Surgery, Modern Equipment, Great Work Culture. ABFAS BQ/BC required. Competitive Salary + Bonus, PTO, Paid Vacations and Paid Holidays, Retirement Plan with Matching, All Professional Fees Paid, Generous Signing Bonus. Income: $275,000-$375,000 for Fellowship Trained Trauma/Surgery, and Income: $175,000 - $240,000 for Office-Based. Send CV to: linchpindpm@yahoo.com
ASSOCIATE POSITION - SUFFOLK COUNTY, NY
Advanced Foot Care is Seeking FT DPM for Suffolk locations. Excellent work environment with newly renovated modern offices with excellent company culture. Latest technology. Must be surgically trained, motivated, with a great work ethic. Competitive salary with significant upside. Visit www.AdvancedFootCare.com and email dr.evanv@advancedfootcare.com for more info.
ASSOCIATE POSITION – TULSA, OK
Associate needed for established busy group practice in Tulsa, OK with EHR, digital x ray, MRI, etc. Practice entails all aspects of general podiatry and surgery. Benefits include 401k, malpractice, CME allowance, health and dental insurance, and more. Please send CV to jmason@mtfas.com. Website: https://tulsafoot.com/
ASSOCIATE POSITION – FLORIDA
Podiatry in Paradise! US News and World Report called our city the #4 best place to live in the US and the #1 place in Florida. Come practice with us in paradise. www.podiatryinparadise.com
ASSOCIATE POSITION – OREGON
Tracktown USA! Seeking full-time forefoot/rearfoot associate, ABFAS BQ/BC. Both strong clinical and surgical skills required. Well paid hospital call at level III trauma center. Compensation with base and bonus structure. Benefits: insurance, paid vacation/holidays, paid CME, malpractice. Enjoy skiing, world class mountain biking, surfing, fly fishing and the Oregon Coast. University of Oregon Ducks, Minor league baseball, great live music, Eugene Ballet, Eugene Symphony. CV to dustydock@gmail.com
ASSOCIATE POSITION – NEW YORK CITY
Group podiatry practice with 6 locations, 3 boroughs in NYC. Looking for a part time/full time podiatrist. Must be willing to travel to different locations if needed, and work on some weekends. Competitive rates, with 401k, vacation days, etc. Please contact nyjumex@gmail.com if interested.
POSITIONS AVAILABLE - SOUTH CAROLINA, GEORGIA
Beautiful places and smiling faces. Join the Southeast’s most progressive podiatry practice. If you are retirement ready or residency ready; surgical or non-surgical; full time or part time; we may have a place for you. Competitive salary, sign-on bonus, relocation assistance, and more careers@physiciansfootcare.com
ASSOCIATE POSITION – GREATER SYRACUSE AREA
Multi-doctor, multi-office podiatric practice looking for a full-time associate to support growing patient demand. Candidate must be highly motivated, team oriented, hardworking, and exhibit excellent bedside manner. Competitive salary (base + bonus) offered with benefits: Health & dental insurance, 401k Plan, malpractice coverage, professional expenses (License fees, society memberships, hospital staff fees), paid vacation & CME days. Must be actively seeking board qualification, or already board certified. Four season fun abounds in beautiful Central New York! Send CV with references to Practice Manager at: info@westsidepodiatrycenter.com
ASSOCIATE POSITION - MARYLAND
We are seeking a FT podiatric associate to join our well-established, fully equipped, private practice. We treat all aspects of foot and ankle pathology in all age groups. Our practice is fully modernized including a state of the art in office, Certified, Accredited, Ambulatory Surgical Center. We pride ourselves on quality patient care, our excellent reputation, and our knowledgeable friendly staff. We offer a competitive base salary with potential for bonus income, depending upon productivity. Benefits are included. Potential for partnership exists. Forward CV/ professional goals to rscpod@comcast.net
ASSOCIATE POSITION - LOS ANGELES
Associate position as part of a rapidly growing practice providing care in Los Angeles. Position including hospital rounding, clinic and skilled nursing facility providing wound care and limb salvage. Position comes with a competitive salary with full benefits including CME allowance, Health, Dental, Vision coverage as well as matching 401k plan. Email resume to info@woundinstitute.com
ASSOCIATE POSITION - DALLAS/FT. WORTH AREA
Well-established growing podiatry practice with multiple locations seeking to hire full-time podiatrist in the Dallas/Ft. Worth area. Competitive salary with bonus opportunities, PTO, CME stipend, malpractice coverage, and sign-on bonus. Candidate should be aligned with our core values, God-honoring, excellence, integrity, innovative, community-impacting, respect, and kindness. Email CV to info@nctfa.com
ASSOCIATE POSITION, FOOT & ANKLE SURGEON – SEATTLE, WA
Growing practice in greater Seattle area seeking full-time associate. Well balanced practice, both surgical and non-surgical, with multiple office locations. Competitive salary + bonus, malpractice, health insurance, 401k, and PTO. Interested candidates, email CV to SeattleDPM.hire@gmail.com
ASSOCIATE POSITION – MIDTOWN MANHATTAN
Looking for a full time/part time Podiatric Associate for a busy Midtown practice. Please email CV to amaltese2185@yahoo.com
ASSOCIATE POSITION – TAMPA, FL
Looking to add a podiatrist to join our growing practice in Tampa, FL. Make your own hours and can choose to do as much or as little surgery as you want. No hospital call required. Please email a cover letter and CV to DRNTFC@GMAIL.COM. Emails without a cover letter will not be eligible.
ASSOCIATE POSITION – WEST SUBURBAN CHICAGO
West suburban Chicago podiatry practice looking for FULL TIME or PART TIME associate. We are a 3 doctor practice with a mix of surgical and non-surgical opportunities, heavy in wound care. Competitive compensation package with bonus structure and benefits available. Please forward CV via email to podiatryoffice10@gmail.com
ASSOCIATE POSITION - SOUTHEAST FLORIDA
Busy group practice seeking to add a full time associate. Practice comprises a mixture of hospital, clinic and nursing home patients. Candidates must be hard working with surgical training of at least a 36 month residency. BQ/BC applicants preferred. Competitive salary and benefits. E-mail CV to eastfloridafootdoc@gmail.com
FULL TIME PODIATRIST - NEW JERSEY
Established 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. 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
ASSOCIATE POSITION - KANSAS CITY METROPOLITAN AREA
Immediate practice opportunity with well-established practice for experienced podiatrist. Would entertain new graduate in future. Must be BE/BC. Competitive salary with bonus structure, healthcare, PTO, profit sharing. Partnership opportunity available. Send CV to bspodiatry@msn.com
ASSOCIATE POSITION – SAN FRANCISCO EAST BAY
Join our multi-office practice. Must have great people skills, bedside manner, and positive demeanor. Must work well with staff and local medical community. Prefer private practice experience. California license required. Send CV and cover letter to: ebpod2008@gmail.com
IMMEDIATE POSITIONS – FLORIDA AND SOUTH CAROLINA
KG Health Partners is seeking full-time and part-time podiatrists to provide mobile lower extremity care to long-term care residents in Florida and South Carolina. Monday through Friday schedule, competitive wages, malpractice insurance, and benefits for full-time employees. Email CV to Kgadmin@kghealthpartners.com
ASSOCIATE POSITION – DAYTON, OHIO
Well established, fully equipped single office private practice looking for full time associate. Candidate should be highly motivated with strong surgical and clinical skills. Competitive salary, bonus structure, paid malpractice and benefit package. Potential for buy-in available if interested. Please email CV to schapman1@woh.rr.com
ASSOCIATE POSITION - CHICAGO SUBURBS
Looking to hire Summer 2024. Thriving podiatry practice in Chicago suburbs looking for an associate to take practice to the next level. Must be highly motivated and have the ability to WOW our patient with your charismatic personality and professionalism. This is an excellent opportunity to work in a state-of-the-art office (which includes MRI) with a team-oriented culture. 3-year surgical residency required. Submit CV to jswalter@hotmail.com
FULL-TIME PODIATRIST - LOS ANGELES
Join a well-established multi-location group practice. Participate in residency training and clinical research. Must be well trained in reconstructive surgery, trauma, and limb preservation. Send CV to podiatricri@yahoo.com
ASSOCIATE POSITION - CT (FAIRFIELD, GREENWICH, AND NORTH HAVEN)
Full time position available immediately. A very busy schedule and competitive compensation package is being offered. Our EMR system is MacPractice and digital x-ray is 20/20 Imaging. Sonoace ultrasound, a PinPointe laser, and an EPAT by Curamedix as well. Please visit our website www.greatfootcare.com and send resume to DrKassaris@GreatFootCare.com
PART-TIME ASSOCIATE POSITION – LONG iSLAND, NEW YORK
Looking for an associate to join rapidly growing house call practice starting on a PT basis. Great for podiatrist looking to earn extra income. Can earn up to $1,000 per day. Must have NY license, malpractice insurance, reliable car, & DEA. Can help with insurances and privileges. Call 516-699-1868, or email footdocsli@yahoo.com
ASSOCIATE POSITION - MICHIGAN (OAKLAND COUNTY/DETROIT SUBURBS)
Outstanding opportunity, well established group practice, general podiatry, surgical forefoot, rearfoot & ankle (full time). Responsible, motivated team player with good communication skills, base salary + bonus,+ benefits, malpractice, continuing education. Confidential reply CV & letter of interest to: DPMposition@AOL.com
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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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