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| PM News | |
The Voice of Podiatrists
Serving Over 17,567 Subscribers Daily
December 22, 2016 #5,824  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
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| PM NEWS QUICK POLL |
Quick Poll
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How do you manage patients’ credit card information? |
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| APMA COMPONENT NEWS | |
APMSA Appoints New Executive Director
After an extensive search, the American Podiatric Medical Student Association (APMSA) has announced the appointment of Ms. Heather Keith as its new Executive Director. Ms. Keith brings a wealth of experience to her new role with more than 25 years of association experience. She has extensive knowledge in all aspects of volunteer-governed organizations, including operations management, meeting planning, advocacy, marketing, and information technology.
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Heather Keith |
Ms. Keith has a B.A. in Government and International Politics from George Mason University. She is a graduate of the U.S. Chamber of Commerce Institute of Organization Management (IOM). She served on the Board of Regents for the U.S. Chamber of Commerce West Institute from 2010 to 2014 and is an active member of the American Society of Association Executives.
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| ON THE LECTURE CIRCUIT | |
IL Podiatrist is Guest Lecturer at Columbia College
Sev Hrywnak, DPM, MD served on the faculty of Columbia College this past fall semester as a guest lecturer in the Department of Business and Entrepreneurship teaching economics. "It was a great experience to teach economics to undergrads as they prepare to enter the business world," stated Hrywnak.
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Dr. Sev Hrywnak |
"The course covered micro-economics and macro-economics as it pertains to entrepreneurship. Knowing how to interpret the economic data can only help you in any type of business. Courses in practice management and business law should be part of every podiatry college to prepare the podiatry students in the realities of the business world," added Hrywnak.
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| RELEVANT RESEARCH | |
Researcher Pursues Synthetic ‘Scaffolds’ for Muscle Regeneration
Miqin Zhang, a professor of materials science and engineering at the University of Washington, is looking for ways to help the body heal itself when injury, disease, or surgery cause large–scale damage to one type of tissue in particular: skeletal muscle. Muscles have a limited ability to regenerate, repair, and re-align themselves properly after certain types of damage. Zhang and her team are taking a synthetic approach to muscle regeneration. Their goal is to create a synthetic, porous, biologically compatible “scaffold” that mimics the normal extracellular environment of skeletal muscle — onto which human cells could migrate and grow new replacement fibers.
As she recently showed in a review article published online Nov. 16 in the journal Advanced Materials, this endeavor builds on decades of work into the growth, repair, and behavior of normal skeletal muscle, but also relies on keen knowledge of engineering and materials science.
Source: James Urton, University of Washington Health and Medicine News via MDLinx [12/21/16]
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
10 Collection Tactics for High-Deductible Patients - Part 10
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.
10. Have a heart: There are some patients in poor or dire health who simply don't have the money. There will be times when we care for patients with no expectation of getting paid. It's okay.
Source: Lucien W. Roberts, Physicians Practice [12/7/16]
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| RESPONSES/COMMENTS (CLINICAL) - PART 1A | |
From: Joel Morse, DPM
My first thought on this patient is that this is trauma related as the lysis of the nail plate is present in generally the same area of the hallux. Does the patient wear nylons? Does the patient wear tight shoes? Is there a forefoot deformity which may traumatize the nails?
You stated that the dermatologist used cortisone cream and psoriasis medication without any response. But the only treatment for psoriatic nails is injectable steroid into the matrix - and it appears that this was not tried. So if this is not biomechanical - and the shoes are not too short. I would try steroid injections into the matrix, q 6 weeks.
Joel Morse, DPM, Washington, DC
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| RESPONSES/COMMENTS (CLINICAL) - PART 1B | |
From: Gino Scartozzi, DPM
It appears on the clinical photograph that has been submitted that the distal middle-lateral portions of both hallux nails are in a state of onycholysis (loosened from the nail bed) with the halluces impinging onto the second toes of both feet. The patient appears in the limited photograph to have a bilateral hallux valgus deformity.
The loosened or onycholytic portions of the hallux nails are the result of biomechanical trauma from shoe wear which may accentuate the hallux valgus deformity. The nail biopsies and fungal nail cultures are negative for psoriatic disease or dematophytic infection. It should be noted, however, that these regions of nail that are loosened from the nail bed are susceptible to secondary fungal colonization, and proper foot hygiene should be stressed to the patient.
Gino Scartozzi, DPM, New Hyde Park, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 1C | |
From: Win L. Chiou, PhD
About 50% of toenail disorders may be attributed to diseases mimicking onychomycosis. That includes the commonly occurring trauma due to the friction of the big toe against the shoe (M. A. J. Allevato, "Diseases Mimicking Onychomycosis", Clinics in Dermatology, 28: 164-177, 2010). Your patient’s hallux nails might be caused by footwear trauma. About a year ago, my two big toenails were injured by a metal bar, resulting in some dark bruises. Both nails stopped growing for about six months until I applied my Dr. Win’s Fungal Nail Therapy solution twice daily to the cuticle areas. Healthy nails quickly grew out in about five months, which was very quick considering my age of 77.
Disclosure: Dr. Chiou is President of Winlind Skincare.
Win L. Chiou, PhD, Burr Ridge, IL
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Dieter J Fellner DPM
Has anyone else tried to Google the term "Modified Katzen-Wilson osteotomy." If so, are you as disappointed with the findings as I was?
It will be helpful, to the reader, to know the definition of terms applied to a discussion. And when a respondent justifies clinical practices with research evidence, to know those references. Otherwise, this is but a sound-bite.
Dieter J Fellner DPM, NY, NY
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Allen Jacobs, DPM
This article is available at no cost. It represents the most recent recommendations for the effective management of pain following surgery. I believe that all readers engaged in podiatric surgery would benefit from a review of this article.
Allen Jacobs, DPM, St. Louis, MO
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| RESPONSES/COMMENTS (NON-CLINICAL) - PART 2 | |
From: Michael J. Trepal, DPM)
A recent posting by Dr. Dave Williams and subsequent responses raised the question of pharmacogenetic testing and therapy. At the New York College of Podiatric Medicine, we teach during the first year, a year's course in human genetics. The first semester is Introduction to Human Genetics followed by a second semester course in Molecular Biology/Molecular Genetics. In the first semester, students learn classical Mendelian genetics, with emphasis on genetic diseases caused by single gene defects. A genetic counselor from the Department of Genetics and Genomic Sciences, Icahn School of Medicine of Mount Sinai gives a guest lecture on how to take a pedigree and each student is required to draw their family's pedigree. In the second semester, emphasis is on precision/personalized medicine, including pharmacogenetics/genomics.
The genetics of common complex diseases including Type 2 Diabetes is studied in depth. The Human Genome Project and ways to identify and study genes are explored. Lectures on use of DNA sequencing in clinical medine and pharmacogenetics are given by expert guest lecturers from the Department of Genetics and Genomic Sciences, Icahn School of Mount Sinai. The importance of genetic variants in determining the correct drug/dosage is discussed. The future role of precision/personalized medicine in podiatry is also emphasized. The course director at NYCPM is working with the Council of Faculties to include genetics in the podiatric medical school curriculum, and the working group has already decided on objectives.
We believe that our year-long genetics course prepares our student well for future changes in Podiatric Medicine and introduces them to the concept of precision/personalized medicine including pharmacogentics.
Michael J. Trepal, DPM, NY, NY
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: 'Tis the Season for Wound Care
From: Timothy P. Shea, DPM
After 30+ years of wound care, you'd think I had heard it all. In the spirit of the holiday season - I had a new patient at our wound care center who presented with a Wagner Grade 3 diabetic foot wound of the left hallux. Duration of about 2-3 weeks. In taking the history of the patient, I asked what type of wound care she was using for the wound. With a big smile on her face, she stated that she applying Myrrh to the wound daily. When I asked which of the three Kings had prescribed that for her, she gave me this unusual look. Anyway, I left the room singing Christmas carols for good luck. God, I love this job.
Timothy P. Shea, DPM, Walnut Creek, CA
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MEETING NOTICES
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FAPA FRATERNAL INC. OUR 22nd ANNUAL
Seminar in the Sun 2017 Feb. 18 - 25, 2017
“Diabetic Foot Care” “New Wound Care Protocols” “Foot and Ankle Surgical Pearls”
Matt Garoufalis, DPM, David Novicki, DPM, Steve McClain, MD
Iberostar Rose Hall Suites Resort Montego Bay, Jamaica, WI
Five star superior “All Inclusive Resort”
Lectures given four mornings, 8:00 AM –12:30 PM 16 CME Contact Hrs.
Sponsored in conjunction with the William Goldfarb Foundation
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| 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
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 |
ASSOCIATE POSITION - EAST CENTRAL FLORIDA
Large Practice in East Central Florida has a fulltime position open. Responsibilities include servicing patients in ALF and SNF facilities along with inpatient hospital responsibilities. To apply please go to www.yourcareerinpodiatry.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.
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 – FT/PT NORTHERN VIRGINIA
Immediate opening but will wait for 2017 residency graduate. Looking for a well-trained, well rounded, podiatrist. Should be competent in forefoot, rearfoot and ankle surgical procedures and wound care. All aspects of podiatry, pediatrics, orthopedic and surgical. Competitive salary, bonus, benefits and buy-in potential. Send cover letter, CV to footdocva@cox.net
ASSOCIATE POSITION - START IMMEDIATELY -TORRANCE, CALIFORNIA
Beautiful South Bay of LA - Seeking Doctor/Associate to work full-time in a busy, progressive, modern podiatry group practice. Surgical 2-3-year residency, and ideally, 3 years of practice experience and board qualified. Please email CV and contact information to footcareone@verizon.net if you are interested.
MMEDIATE ASSOCIATE POSITION AVAILABLE – INDIANAPOLIS
For motivated, hard-working residency-trained podiatrist in busy 3-office practice leading to partnership. Would consider 2017 residency graduate. Two locations in Indianapolis and 1 location outside of Metro area. Competitive salary and benefit package including 401, profit-sharing, Health insurance. Surgery center ownership available. Forward letter and resume to Imalament1@comcast.net.
ASSOCIATE PODIATRIST - FREDERICK, MARYLAND
Group practice seeks well-trained podiatrist to join our group. Our practice has all the bells and whistles. Hospital emergency room call is required. Must be confident in Trauma, Ankle Fractures and Diabetic Limb Salvage. Drsteinberg@mynewfeet.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 - ST. PETERSBURG/CLEARWATER FLORIDA
Community Health Solutions of America (CHS) has a territory opening in the St. Petersburg/Clearwater 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 second year doctors earn $150,000 and up. Email CV to psojobs@chsamerica.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 - ST. LOUIS, MO
Expanding group practice seeks full-time podiatrist to join our team, we have state of the art facilities with EHR, lasers, EPAT, digital x-ray, etc. Candidates must have completed a PSR/36 residency and be well-trained, ethical and collegial.
Competitive salary with incentives and benefits. If interested, please Contact CHARLENEW@FACSTL.COM.
POSITION AVAILABLE – WESTCHESTER, NY
One day per week for house calls in the Southern Westchester area. Podiatrist must be licensed in the state of New York, and have malpractice insurance. Podiatrist will see 13-17 patients per day. Will discuss competitive compensation for interested podiatrists. Please email your CV to: westchesterpod1@gmail.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
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
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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| 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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