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PM News

The Voice of Podiatrists

Serving Over 17,780 Subscribers Daily


December 13, 2016 #5,817 Publisher-Barry Block, DPM, JD

A partner of Podiatry Management http://www.podiatrym.com
E-mail us by hitting the reply key.
COPYRIGHT 2016- No part of PM News can be reproduced without the
written permission of Barry Block

Bakomacer


PM NEWS QUICK POLL

Quick Poll

Prior to podiatry school, did you apply for medical, osteopathic, or dental school?

ICS66


Richie711


PODIATRISTS IN THE NEWS
CA Podiatrist Provides Advice for Healthy Nails  
 
We all love our nails to look beautifully manicured and polished to perfection, but maintaining nail health is no easy feat. All too often - nails split, crack or break; not only is it a bummer looks-wise, but it can be totally painful, too. "Applying vegetable oil helps relieve dryness and cracking of toenails," confirms Dr. Wenjay Sung, a board-certified podiatrist in Los Angeles. "Unlike creams, oils do a better job soaking into the nail bed and moisturizing the structural toenail bed longer than creams and gels."
 
Dr. Wenjay Sung
 
If your nails have seen better days, taking a break from nail polish can help to support healing. Dr. Sung advises, "To repair damaged nails, sunlight is sometimes the best answer. Using nail polish excessively prevents vital sunlight from reaching the nail bed and may prevent nails from fully healing and regenerating cells. Sunlight is vital to our skin and also to our hair and nails as well."
 
Source: She Knows [12/8/16]
AMERXL5

PODIATRISTS AND FOOTWEAR
MN Podiatrist Determined to Reshape the Way We Think About Footwear
 
If success can be measured by how you apply what you know to benefit those around you, then we’re sure luxury shoe designer Dr. Marion Parke, who was a foot surgeon in a past life, is a name that will be on the tips of tongues for many seasons to come. Marrying her love of shoes and fascination with the anatomy of the foot, Parke is determined to help reshape the way we think—and feel—about footwear.
 
Dr. Marion Parke
 
Thankfully, in her world, form is never sacrificed for function. “The shoe first has to be beautiful,” she says. Since intelligent high-end designs require equally intelligent craftsmanship, Parke traveled to Italy to find a production home for her collections.
 
Source: Jessica Mahler, Vogue [12/6/16]

sigma


SUCCESS TIPS FROM THE MASTERS

Bret Ribotsky: Everybody has been talking about “biofilm” over the past year. What role does this play in treating patients with open wounds?

Dr. Warren Joseph

Warren Joseph: There has been a push today to identify all the organisms within the biofilm, but we really don’t know their role. I’ve been lecturing for years on infected vs. non-infected wounds, and today I consider myself a biofilm agnostic. I know they exist, but we don’t know what they mean. About two years ago, the European Wound Management Association said that we know it exists, but we are unclear what role biofilm takes in wound healing. I do believe that molecular diagnostics are the future.

Dr. Len Schwartz

Meet the Masters is broadcast each Tuesday Night at 9 PM (EST). This week's guest will be entrepreneur, speaker, author, and master marketing consultant, Dr. Len Schwartz . You can register for this event by clicking here

Nuvolase


FROM PM's CURRENT ISSUE
Twice 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.
 
Today's Featured Article
 

Allied125


IN THE COURTS
U.S. Court Puts Obamacare Case on Hold Until Trump Takes Office
 
A federal appeals court has brought to an end President Barack Obama's bid to overturn a ruling that threatens to gut his signature healthcare law by putting the case on hold until after President-elect Donald Trump, who aims to repeal Obamacare, takes office.
 
The Obama administration had appealed a judge's May ruling favoring the challenge filed by Republicans in the U.S. House of Representatives against a key part of the 2010 law. But the U.S. Court of Appeals for the District of Columbia Circuit agreed to a request by the Republicans to delay its consideration of the government's appeal until after Trump takes office on Jan. 20. The Obama administration opposed the move. If the law is repealed by Congress, the case would be moot.
 
Source: Managed Health Care Connect via Reuters 

comfortfit1031


RELEVANT RESEARCH
Depression a Growing, Hidden Epidemic in Med Students
 
Rates of depression are high among medical students in the United States and around the world, according to a systematic review and meta-analysis of nearly 200 studies involving 129,000 medical students in 47 countries.
 
More than a quarter of medical students suffer from depression or depressive symptoms, and more than 1 in 10 report suicidal ideation during medical school, the review found. Yet, only a minority of students who screen positive for depression seek help. The study was published in the December 6 issue of JAMA, which is a theme issue on medical education.
 
Source: Megan Brooks, Medscape News [12/8/16]

padnet


PRACTICE MANAGEMENT TIP OF THE DAY
10 Collection Tactics for High-Deductible Patients - Part 3
 
Patient collections are much more than collecting $10 co-pays: those days are long gone. Patients are paying a greater percentage of what you get paid and will be paying an ever higher percentage in the years to come. Smart and consistent patient collections tactics must be a part of every practice's financial strategy. Though the rate of healthcare spending may have slowed, the share absorbed by patients has done the opposite. Here are a few basics for improving your patient collections. 
 
3. Let patients know in advance how much they will need to pay: This step is critical. We are retraining patients who have been educated by all of us to only bring a co-pay to every visit. For patients with existing balances or whose services will drop straight to their deductible, we must let them know before the service how much they must pay. 
 
Source: Lucien W. Roberts, Physicians Practice [12/7/16]

aspen


aspen


CODINGLINE CORNER
Query: PQRS *Diabetic Shoe Size*
 
When we enter our diabetic patients' shoe size (PQRS) in our documentation, must we actually measure the patient's foot or can we just ask and document what they tell us? Also, do we need a width entered? 
 
Jeffrey Klein, DPM, Waterford, MI
 
Response: The actual PQRS measure noted on the CMS PQRS website stipulates that you measure the patient's feet with a standard measuring device. Thus, you cannot simply record the patient's shoe size from the patient (or family), even if you believe that the size shoe they are wearing is appropriate. 
 
You must also record which type of standard device (e.g., Ritz stick or Brannock device) you are using. Because both of these devices are capable of measuring both size and width, to record those numbers as both are important variables in determining whether the patient is wearing an appropriate sized shoe. 
 
Paul Kesselman, DPM, Woodside, NY 
 
For information on Codingline subscriptions, click here

DPM-Preferred


RESPONSES/COMMENTS (CLINICAL)
From: James Koon, DPM
 
When I read this query, the first thing that popped into my head was, "who's the doctor here?" I am the one who decides if I do surgery, not the patient. The second thing that popped into my head was my famous saying to patients: "We do not provide surgery for financial reasons. We provide surgery as a last resort after the patient has exhausted all conservative measures and is at their end stage of tolerance of the pain."
 
Do not ever let patients dictate what you do. You have to live with your actions. Providing operative intervention when it is not absolutely justified is asking for problems. Making clinical decisions based on financial reasons usually results in your making the wrong decision for the patient. The results can be disastrous. Others will balk at my position but I am the one responsible for my opinion. Somehow it works for me. I have become enormously successful over the last 18 years doing what I think is best every day, for every patient. I have never advertised. Everyone who walks into my office is a physician or patient referral.
 
Yes, there are patients who are insistent. Yes, there are those with a painful bunion that is going to need to be corrected anyway; why not do it while they have insurance? Because if I don't feel it is the right thing to do, I will not do it. After all, we don't do things to patients. We do things for patients.
 
James Koon, DPM, Winter Haven, FL 

Fabi1205


RESPONSES/COMMENTS (NON-CLINICAL)
From: Elliot Udell, DPM
 
One of the things that you should be aware of when starting with a credit card company is the paper they will make you sign. Some of these companies are unscrupulous and will have you sign a multi-page document with a lot of bad things written in fine print.
 
We just discontinued doing business with one company because when we decided that there were better options out there, they informed us that in the fine print in the contract I signed, there was a clause stating that early discontinuation will result in a 700 dollar penalty. We had to wait a year for the contract to expire.
 
Elliot Udell, DPM, Hicksville, NY

Neurogenix1128C


RESPONSES/COMMENTS (PM NEWS QUICK POLLS)
From: Rod Tomczak, MD, DPM, EdD
 
I am exceptionally happy to be a DPM. I have accomplished much in and for the profession; publishing, starting a three year residency at Ohio State University, being a board examiner, teaching at the Des Moines Podiatry Program for nine years before accepting a full-time faculty position at Ohio State University Department of Orthopaedics in 1995. We considered expanding the Division and I was asked to look at a list of the previous applicants. It consisted of many of the leaders in our profession. 
 
During my fourth year at OCPM, I applied to medical school and was accepted but because the residency program I wanted chose me in the first podiatry match in 1977, I went to...
 
Editor's note: Dr. Tomczak's extended-length letter can be read here.

berman


YOU CAN'T MAKE THESE THINGS UP

RE: Outrageous Shoe of the Day

What to wear when whale watching?

Source: Kobi Levi via Virtual Shoe Museum

MEETING NOTICES

aafas926

IFAFSLESS1128


KSU117


CLASSIFIED ADS PART 1 - PRACTICES FOR SALE OR WANTED, EQUIPMENT FOR SALE
EQUIPMENT FOR SALE - PADNET SYSTEM 
 
Padnet System for Sale: $6,500 OBO. Complete system. The computer has been erased and it’s software updated by Padnet. I will include two rolling stands as well if the purchaser wants to pay the shipping or pick it up on the west coast of Florida. Contact: venicefootclinic@comcast.net
 
LOOKING TO BUY YOUR PRACTICE! 
 
We are an expanding, well-rounded, multi-site, state-of-the-art podiatric practice seeking to acquire another practice located anywhere in North Broward County or Palm Beach County, FL. If you are interested in selling, but still hope  to continue working part-time within the field, we are flexible and open to accommodating this request. If interested, please contact Dr. Ian S. Goldbaum at Podfather5@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.
CLASSIFIED ADS PART 2- ASSOCIATE POSITIONS AND FELLOWSHIPS
ASSOCIATE POSITION – FLORIDA 
 
Excellent opportunity for qualified candidate. Looking to add an accomplished, driven individual looking to grow personally and professionally with a successful and thriving practice. Ideal candidate will have 2-3 years of experience, but will consider new grad as well. Reply with letter describing your personal and professional goals with CV to podsuccess123@gmail.com
 
ASSOCIATE POSITION - TAMPA BAY 
 
Seeking a PSR-36 associate completing their residency and begin in July 2017. Well-established, dynamic multi-doctor practice in Tampa Bay. High tech, EMR, digital x-rays. Sports medicine, surgery and general podiatry. No NH/HMO's. Excellent hospital privileges. C.V. to floridapodiatrist@tampabay.rr.com
 
ASSOCIATE POSITION - NORTHERN NJ
 
Practice with multiple locations looking for a surgically trained podiatrist with license to practice in NJ, BQBC Full Or Part time for immediate hire, attractive salary with bonus structure and profit sharing. Partnership for the right individual. Please send CV with references. Full scope of podiatry. dpmassociate@hotmail.com
 
ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND 
 
Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com.
 
ASSOCIATE POSITION - SPRING HILL/CITRUS COUNTY AREA OF FLORIDA
 
Community Health Solutions of America (CHS) has a territory opening in the Spring Hill/Citrus County area of Florida for a mobile podiatric physician.  Physicians must maintain an active Medicare and Florida licenses.  Expenses including malpractice insurance, medical supplies, travel allowance, etc. are covered. Exceptional benefits include paid holidays, vacation, health insurance and 401K retirement plan with company match. First year six figure salary is guaranteed! Second year profit sharing. Most 2nd year doctors earn $150,000 and up. Email CV to psojobs@chsamerica.com
 
ASSOCIATE POSITION - KANSAS CITY 
 
You're not looking for a typical podiatry practice. We're not looking for the typical podiatrist. We’re busy and still growing and need another doctor who understands the importance of creating an amazing patient experience as much as providing great medical care. You will be working with doctors who are committed to your success. Go to: www.YourFutureInPodiatry.com for full details 
 
ASSOCIATE POSITION - UPSTATE NY 
 
Rapidly growing practice seeks associate to join and become partner. Key attributes: Board Qualified/Certified, self-starter, willingness to build practice. Partnership starts beginning year 2 based on per-established criteria. Contact: docryanlee@gmail.com
 
ASSOCIATE POSITION - NEW JERSEY 
 
Doctor needed in south Jersey for expanding practice. Multidisciplinary setting. Six figures. No weekends. Must be both conservative and surgically capable. ABFAS certified/qualified. jennberlin1@gmail.com
 
ASSOCATE POSITION – GEORGIA 
 
Village Podiatry Group, a wholly owned subsidiary of Extremity Healthcare, Inc. is seeking board qualified/certified associates with a Georgia license. Ideal candidates have 3-5 years’ experience and knowledge of coding/billing, and desire to excel while utilizing our practice owned ancillaries. Our successful model is built to enrich the physicians and their efforts. Serious inquiries only to Tony Brzezicki, Human Resources, at tbrzezicki@extremityhc.com or fax (770.874.1748). Starting salary will be based on experience and the value you bring to the practice. EHI also offers a competitive benefits package.
 
F/T OR P/T PODIATRIST- PENNSYLVANIA
 
Expanding, well rounded, multi-site, state-of-the-art group with offices and Nursing homes throughout Lehigh County, Pennsylvania. We offer: Competitive salary Benefits, paid time off, partnership opportunity We're associated with hospitals, wound care centers, and a residency program.  Requirements:  Hard-working, self- motivated, Non-Surgical OK 2017 graduating residents welcome. Please email CV to:   recruiting@foi-solutions.com
 
POSITION AVAILABLE - LOS ANGELES, CA
 
Multi office, multi physician foot and ankle surgical practice looking for highly trained foot and ankle surgeon to join our growing group. Practice emphasis on sports medicine, reconstructive foot and ankle surgery and revision surgery. Prospective candidate must have excellent personal skills and work well with a team. Competitive compensation and 401K, profit sharing, health insurance, dental and vision insurance. Surgical center partnership potential and full scope hospital privileges available. Facility is state-of-the-art with PT, CT, MRI, ultrasound and digital x-ray all in office. New graduates are welcome. Interviews prior to and at ACFAS in Las Vegas.  Contact us at: bbaravarian@mednet.ucla.edu
 
ASSOCIATE POSITION – NEW YORK  
 
Seeking motivated PMS-36 trained podiatric surgeon for full-time associateship in group with offices in Manhattan, Queens, LI, and and the Bronx.  Offering competitive salary with room for growth. Surgical-based practice - special emphasis on trauma, reconstruction, rearfoot and ankle surgery.  Please email resume to: nypodrecruit@gmail.com 
 
PM NEWS CLASSIFIED  ADS REACH OVER 16,500 DPMs AND STUDENTS
Whether you have used equipment to sell or are offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 16,500 subscribers. For details, click here or write to: bblock@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.
Disclaimers
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management® Magazine and Podiatry Management® Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify me and you are hereby instructed to delete all electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be either timely or free of viruses.
Guidelines
  • To Post a message, send it to:    bblock@podiatrym.com
  • Notes should be original and may not be submitted to other publications or listservs without our express written permission.
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  • Subscribers are reminded that they have an ethical obligation to disclose any potential conflicts of interest when commenting on any product, procedure, or service.

Barry H. Block, DPM, JD
 
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