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PMNews
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| PM News | |
The Voice of Podiatrists
Serving Over 17,557 Subscribers Daily
December 23, 2016 #5,525  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 | |
FINAL CHANCE TO VOTE
Quick Poll
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How do you manage patients’ credit card information? |
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| PODIATRISTS IN THE NEWS |
Foot Pain Should Not be Left Untreated: IL Podiatrist
Did you know you can tell how healthy a person is by looking at their feet? You might not realize that your foot health can be a determining factor to your overall health. But if you think about it, we spend our whole lives on our feet. Dr. Kellen Cohn, a podiatrist at Advocate Good Shepherd Hospital in Barrington, IL, provides tips on what to keep an eye on when it comes to your feet:
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Dr. Kellen Cohn |
Developing pain without injury can lead to chronic pain if left untreated. Plantar fasciitis and sometimes arthritis can loosen up with activity, but fractures certainly worsen it. Fractures aren't usually something people develop without noticing, unless it's a stress fracture. Tendonitis is another cause of pain that worsens with activity.
Source: Liz Donofrio, Daily Herald [12/19/16]
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| INTERNATIONAL PODIATRISTS IN THE NEWS | |
Jamaican Podiatrist Explains How Lupus Affects the Feet
Lupus is a chronic inflammatory disease that occurs when the body’s immune system attacks its own tissues and organs. "Foot problems in lupus patients can involve any of the tissue structures within the foot. Joint problems can lead to bunions, claw toes, and hammertoes. Patients tend to feel pain more intensely than the average person when they have lupus. The greatest concerns for the podiatrist are the vascular complications, as these can lead to slow, painful healing and gangrene," says podiatrist Angela Davis.
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Angela Davis |
"The key aim in the treatment of the unstable lupus foot is the prevention of serious complications, reducing pain and increasing mobility. Regular foot assessments are essential. Patients are advised regarding hygiene and the correct footwear with the provision of orthotic insoles, if necessary. Treatment may involve the aseptic reduction of corns and callus with padding added to reduce stress," says Davis.
Source: Jamaica Observer [12/18/16]
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| 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.
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Today's Featured Article |
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| RELEVANT RESEARCH | |
New Bone-Forming Growth Factor that Reverses Osteoporosis in Mice Discovered
A team of scientists at the Children’s Medical Center Research Institute at UT Southwestern (CRI) discovered a new bone–forming growth factor, osteolectin (Clec11a), which reverses osteoporosis in mice and has implications for regenerative medicine. Although osteolectin is known to be made by certain bone marrow and bone cells, CRI researchers are the first to show Osteolectin promotes the formation of new bone from skeletal stem cells in the bone marrow.
The study, published in the journal eLife, also found that deletion of osteolectin in mice causes accelerated bone loss during adulthood and symptoms of osteoporosis, such as reduced bone strength and delayed fracture healing. Researchers in the Hamon Laboratory for Stem Cell and Cancer Biology plan to further test osteolectin’s therapeutic potential and to identify the receptor for osteolectin, which is key to understanding the signaling mechanisms the protein uses to promote osteogenesis.
Source: UT Southwestern Medical Center [12/22/16] Via MDLinx
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| PRACTICE MANAGEMENT TIP OF THE DAY | |
4 Branding Tips for Medical Practices - Part 1
Your brand isn't just what you say your practice is about. Your brand is about your relationship with your patients, and the emotional response they have to your practice. You can influence it through branding efforts, but the patient ultimately decides his perception based on his own experience. Here are four ideas that can help you meet your goals for branding, while minimizing wasted time, money, and effort.
1. Prioritize consistency: Building a brand — much like your personal reputation — is largely about reliability. If your goal is to establish a brand that's about, say, convenience or innovation, back that claim up with corresponding actions that are meaningful to your patients. For example, a pediatric practice that offers busy parents early morning or evening hours is 'walking their talk' about convenience. When your services align with what you say about your brand, the two reinforce each other in patients' minds. Conversely, if your promotions are inconsistent with what patients experience, there's a good chance that disconnect will make patients feel worse about your brand.
Source: Joe Capko, Physicians Practice [12/14/16]
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| QUERIES (CLINICAL) | |
Query: Dystrophic Nails in 18 month Old Boy
Below are photos of thick toenails growing in a dorsal direction. A trial of topical urea was attempted, but the parent stated that this made the nails "gummy" and wants other options.
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Dystrophic Nails in 18 month Old Boy |
I know how I would handle this in an adult, but I am looking for advice for this 18 month old boy.
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| CODINGLINE CORNER | |
Query: Debridement During a Global Period
We have a patient who is in the post-op global period for a toe amputation. At his last visit, he presented a new problem requiring the doctor to perform CPT 11042 (debridement, to and including subcutaneous tissue). Is it correct to bill CPT 11042 with both modifiers "-79" and "-58"?
Vanessa Sloan, Effingham, IL
Response: A toe amputation has a 90-day global so debridement of the amputation site within the global period may be included in the amputation global fee allowance depending on the payer. This is especially true for Medicare if the procedure is not performed in an operating room.
Your chart note must be very clear as to what you mean by "he presented with a new problem." I wasn't clear as to whether the ulcer was at the same or a different site than the amputation. If it was the same site, when the patient stubbed his foot, did the wound open resulting in the need for the debridement or was the amputation site in need of local clean up despite the contusion?
The "-58" modifier implies a staged or related procedure while the "-79" modifier is reserved for a completely unrelated procedure. You cannot apply both to a procedure.
Tony Poggio, DPM, Alameda CA
For information on Codingline subscriptions, click here
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| RESPONSES/COMMENTS (CLINICAL) - PART 1 | |
From: Daniel Chaskin, DPM
This probably is a biomechanical fault caused by ill-fitting footgear or something else.
This post shows a clinical picture, but is missing a dermatoscopic picture of suspicious areas of the rest of the foot. Tinea Nigras might not be that common yet. A discolored area on nearby soles might show a wispy pigmentation. Tinea Nigra might not show up on fungus cultures.
Daniel Chaskin, DPM, Ridgewood, NY
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| RESPONSES/COMMENTS (CLINICAL) - PART 2 | |
From: Edward Cohen, DPM
I agree with Dr. Fellner that there is not a lot of information when you Google this MIS procedure and probably no published studies on this surgery. In contrast to this MIS bunionectomy, there are a lot published material and studies on the MIS Reverdin Isham bunionectomy, as that procedure is very popular around the world, especially in the orthopedic community. The three best sources for the MIS Katzen Wilson bunionectomy would be PM News, PM Magazine, and lectures sponsored by the AAFAS.
This procedure is a modification of a MIS Wilson bunionectomy made through a dorsal incision. You can view pre- and post-op pictures in the ads of these publications as well as occasional discussions and an article written by Dr. Katzen on the procedure in PM Magazine. The procedure is also demonstrated at the AAFAS cadaver meetings and you can usually find Dr. Katzen at these AAFAS-sponsored meetings. The fact that there are no published studies on this surgery does not mean that the procedure is without merit. It might be worth your time getting more information on this bunionectomy, especially if you have a large geriatric practice. The procedure is also very popular with patients who want to have bunion surgery and can't afford to miss a lot of work.
Edward Cohen, DPM, Gulfport, MS
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| RESPONSES/COMMENTS (CLINICAL) - PART 3 | |
From: Don Peacock, DPM
I agree with Dr. Gurnick's conclusion with regard to the necessity of weight-bearing lateral x-rays for appropriate assessment. In my original post, I included both AP and lateral x-rays pre and post. Only the AP x-rays were published.
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Pre- and post-op lateral x-rays |
This patient had a relatively small IM angle and our differing measurements may reflect some differences in how we are viewing the IM angle. Our measurements are not drastically different, and as Dr. Gurnick states, good correction is noted. Also both of us are getting improved...
Editor's note: Dr. Peacock's extended-length letter can be read here.
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| RESPONSES/COMMENTS (NON-CLINICAL) | |
From: Leonard A. Levy, DPM, MPH
Kudos to Michael J. Trepal, DPM for reporting the provision of instruction in genetics and genomics at the New York College of Podiatric Medicine. It should be noted that The Johns Hopkins School of Medicine known for its active learning approach, adopted a new Genes to Society curriculum in 2009. The concept of the curriculum emphasizes team-based learning, small group discussion, group presentations, and simulation training including clinically relevant experiences from day one of the student’s medical education.
I was invited to attend as representative of the American Association of Colleges of Osteopathic Medicine (AACOM) a National Institutes of Health/National Human Genome Research Institute (NHGRI) meeting on Developing a Blueprint for Primary Care Physician Education in Genomic Medicine June 8-9, 2009 in Bethesda, MD. The NHGRI leadership made it clear that the best way to assure future physicians are able to use genomics is to avoid didactic courses and instead provide a thread in genomics that goes throughout the curriculum beginning with day one of medical school, which includes exposure to clinically relevant experiences involving genomics. Before he became Director of NIH, the head of NHGRI was part of this institute.
Leonard A. Levy, DPM, MPH, Ft. Lauderdale, FL
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INVITATION TO PARTICIPATE IN THE NBPME
PARTS I & II PRACTICE ANALYSIS SURVEY
The National Board of Podiatric Medical Examiners (NBPME) commissioned a practice analysis study to update the Parts I & II Examination. The practice analysis survey below is designed to elicit your input on the process. The results of the study will be used to update the test specifications for the Parts I & II Examination. We would greatly appreciate your input to this very important project.
The online survey will take approximately 30 minutes to complete and most questions take just seconds to answer. You also have the option to save and complete the survey in multiple sessions.
To thank you for your participation, the National Board of Podiatric Medicine (NBPME) is offering five $100 Amazon gift cards.
Participation in the drawing is optional. You will be contacted via email if you are a winner after the survey closes. All of the information you provide will be kept confidential.
INSTRUCTIONS FOR PARTICIPATION:
To access the survey, please click on the following website or copy the website to your Web browser:
Your completed survey should be submitted by Sunday, January 15, 2017 (8:00 PM EDT).
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| YOU CAN'T MAKE THESE THINGS UP | |
RE: Outrageous Shoe of the Day
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A high-fashion menorah for Chanukah? |
Source: Pinterest
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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 CPME-Approved CME Contact Hours Online
Earn 15 Contact Hours only $210
(Only $14 per credit) http://www.podiatrym.com/cme.cfm
All required credits can be taken online for AL, AK, AR, CA, CO, CT, DE, HI, IN, KS, KY, LA, MA, ME, MD, MI, MN, MI, NV, NJ, NM, ND, OH, OR, RI, SC, SD, UT, VA, WV, WI, & WY
Partial required credits can be taken online for AZ, CT, FL, GA, ID, KY, IL, IA, MO, MT, NE, NH, NY, NC, OK, PA, PR, TN, TX, VT, WA, and DC
Choose any or ALL from 30+ CME Category-1 articles posted
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| CLASSIFIED ADS - PART 1 - ASSOCIATE POSITIONS AND FELLOWSHIPS |
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.
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
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
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 - 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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| 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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RE: (Topic)
From: (your name, DPM)
Body of letter. Be concise. Limit to 250 words or less). Use
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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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