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03/13/2020 Robert Kornfeld, DPM
Reasons for Leaving Podiatry (James Lucarelli, DPM)
I graduated NYCPM in 1980 and I am still practicing. I’m responding to this thread just to offer another perspective. The evolution of podiatry during my years in practice, and IMO, has taken away our practice freedom and has forced us to constantly scramble for legitimate income. Between insurance companies not wanting to pay a fair and reasonable fee, to malpractice, to patients ripping us off, not to mention the ongoing parity issue, podiatry is no longer what I would consider an attractive profession. Around 25 years ago, I saw what was coming and it came. I hated it. I wanted out of the craziness. But I had been focused in the field of holistic medicine and really was loving the doctoring part of my practice.
So I concentrated my efforts and training and built a niche practice in holistic/functional medicine. Then I quit Medicare and all insurance participation and switched to an all cash practice. Back came my practice freedom, my accounts receivable is always $0, parity is meaningless because I set my own fees and my volume is low - I work smart, not hard. My years practicing this way have been stress-free and wonderful. The other thing I did was to focus on another passion outside podiatry. For me, it is music. I’ve been writing songs for years and playing in bands. I’m now in an amazing blues band and that adds enormous joy to my life.
So you can leave podiatry and I wouldn’t blame you (I would applaud you). Or you can change your practice style by developing a strong niche and go cash. And keeping your passions alive and strong in your life can only grow your joy and contentment.
Robert Kornfeld, DPM, NY, NY
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