Apma News Oct 2009

The Magazine of the American Podiatric Medical Association l Volume 30 Number 9 l OCTOBER 2009

APMA, SVS Alliance

DPMs, Vascular SurgeonsTogether at California Center

Hands Across the Border:APMA Meets in Toronto

The Team Approach for Limb Salvage

APMANews APMA News (ISSN 8750-2585) is publishedmonthly,exceptbimonthlyinJuly/AugustandNo-vember/December,bytheAmericanPodiatricMedi-cal Association, 9312 Old Georgetown Road,Bethesda,MD20814-1621 (301-581-9200).Peri-odicalspostagepaidatBethesda,MD,andataddi-tionalmailingoffices.APMA NewsisdistributedasanAPMAmembershipbenefit.Statementsofopin-ion expressed in this magazine are not necessarilyendorsedbytheAPMA.Acceptanceandpublicationofadvertisements,newsstories,orproductinforma-tiondoesnotimplyendorsementorapprovalofthecompany,product,orservicebytheAmericanPo-diatricMedicalAssociation.PrintedinUSA.Fax301-530-2752.

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Assistant editor I Aimee R. CondayanArt director/production manager I Edith A. Caro

Advertising manager I Rachel Richardseditor emeritus I David J. Zych

© MMIX, APMA

America’s Foot and Ankle Physicians and Surgeons

october 2009

APMA and SVS Establish Cooperative Alliance By David Zych . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 DPMs team with vascular surgeons to fight amputations.

Podiatrists, Vascular Surgeons Join in California By Aimee Condayan . . . . . . . . . . . . . . . . . . . . . . 16 Amputation prevention center to open in Los Angeles.

APMA Annual Scientific Meeting By Amie Hornbaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Crossing the border into Toronto.

O Canada! Dr . Chelin Revisits the Annual Meeting By David Zych . . . . . . . . . . . . . . . . . . . . . . . . 28 Canadian DPMs welcome APMA.

Dr . Soulier Hikes to Promote APMA By Aimee Condayan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Climbing all the peaks in Utah!

Dr . Albright to Retire from Scholl College By Dean M. Wakefield, APR . . . . . . . . . . . . . . . . . . . . . . 44 A significant career in education.

Dr . Mandracchia Named Chief Medical Officer By Timothy Sprinkle . . . . . . . . . . . . . . . . . . . . . . . . 52 Breaking stereotypes at Broadlawns Medical Center.

Making a Successful Practice By Jeffrety Frederick, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 From the American Academy of Podiatric Practice Management, the voice of podiatric practice management for the profession.

l FEATURES l

l DEPARTMENTS l

In Short . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8President’s Message By Ronald D. Jensen, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . 10Talking Practice Enhancement By John Guiliana, DPM, MS . . . . . . . . . . . . . . . . . . . 32Insurance Advisor By William F. Munsey, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Committee Nominations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Federal Advocacy Forum By Phillip E. Ward, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Podiatric Medicine in the News By Mike Kulick . . . . . . . . . . . . . . . . . . . . . . . . . 48

New Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Death Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

News from the American Podiatric Medical Students’ Association . . . . . . . . . . . . . . . 56

New Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Development Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

APMAPAC Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Resolutions Deadlines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Classified Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Dates to Remember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Advertising Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

ON THE COVER: Enhancing limb salvage through teamwork. Original photograph ©istockphoto.com/Pete Saloutos. Cover design by Edith A. Caro.

6APMA NewslOctober 2009

Ajointstatement,draftedatanearliermeetinginTucson,AZ,lastFebruaryhasnowbeenapprovedbytheAPMAandSVSboardsandtheorganizationshavemovedquicklytoestablishadialoguebetweentheirhighestleaders. Theapprovedagreementreadsasfollows: “Thespecialtiesofpodiatryandvascularsurgeryhaveacommoninterestincaringforpatientswithdiabetes.TheAmericanPodiatricMedicalAssociationandtheSocietyforVascularSurgeryplantocollaborateonseveralactivitiestoreduceamputationsthroughraisingawarenessandimprovingcareofpeoplewithdiabeticfootproblems.Areasofcommoninterestandpotentialcollaborationinclude(a)professionaleducation,suchasspecialjournalsupplementsandjointsymposia;(b)publiceducation;(c)healthpolicyandadvocacy;(d)research;and(e)bestpracticeinitiatives,throughpracticeguidelinesandinterdisciplinarycenters.”

“No Doctor Is an Island”

APMA and Vascular Surgeons Form Alliance

twasasummitmeetingbetweentwohealth-careprofessionswithmuchincommon. OnAugust21,2009, the leadershipof theSociety forVascularSurgery(SVS)metinBethesda,MD,withtheleadershipoftheAmericanPodiatricMedicalAssociationtoenthusiasticallyhammeroutdetailsofastrategic

collaborationbetweenthetwoorganizations,acollaborationthatwillencouragea teamapproach fordoctors in the treatmentofpatientswith critical limbischemia,especiallyinthediabeticpopulation,inordertoreducecomplications,speedhealing,andloweramputationrates.

By DAVID ZYCH

continued on page 14

APMA NewslOctober 2009 1312APMA NewslOctober 2009

Dr.Taubmansaidthatinitialmeetingwasexploratory,inordertogaugetheinterestbetweenSVSandAPMAoncommonareasofconcern.“Thesynergy,however,wasimmediatelypalpableasthetwoorganizations realized their complementary roles in treatingpatientsthathavewoundsandvasculardisease.Itisincrediblyex-citingtoseesuchpositiveresultsinsuchashortperiodoftime.” “WhatweareseeingnowmakesitevenmoresignificantthanwhatitwasinFebruary,”saidDr.Armstrong.“WeseethisSVS-APMAcollaborationblossomingintosomethingreallyspecial.” ThingssurelybegantoblossomattheBethesdameetinginAugust.Amongthecollaborativeprojectsagreeduponwasap-pointingagrouprepresentingbothorganizationstowriteaposi-tionstatementonthemultidisciplinaryapproachtothecareofthediabetic foot. “It’s a statement thatwill be sentout to theworld,”saidDr.Sidawy,addingthatsuchastatement“willhavelegs”asitreachestotheCentersforMedicareandMedicaidSer-vicesandotherhealthorganizations.“It’s a statement thatwillunderscorewhatisrightandbestforthepatient,”saidDr.Gast-wirth,addingthatitwillbeclinicallyorientedandscholarly. Bothgroupsalsoagreedtoproduceasupplementonthecareofthediabeticfootthatwillbejointlypublishedinthe Journal of Vascular Surgery (JVS),editedbyDr.Sidawy,andtheJournal of the American Podiatric Medical Association (JAPMA),editedbyWarrenJoseph,DPM.CurrentplanscallfortheSVStopublishthearticlesinitsJulyissue,withJAPMApublishingtheminthecombined July-August issue.The top-quality scientific articleswill raise thebar forpatientcare in thisareaandpromote thepodiatric-vascularsurgeonteamapproach. TheSVS-APMAalliancewillalsoestablishjointpostgraduatecoursestobeheldattheannualscientificmeetingsofbothorga-nizations,particularly intheareasofdiabetesandwoundcare.ThisprospectwouldbemeaningfulforbothDPMsandvascularsurgeons,andunderconsiderationareplansforSVScomingtoAPMA’sAnnualScientificMeeting,andviceversa.

Cooperation in the area of practice models brought muchdiscussion,withthebottomlinebeingthatDPMsandvascularsurgeonswhoworktogetherarecriticalforwoundcare.Dr.Zwolaksaidthegroupsshouldspearheadatemplatesothatpeo-plecanseethebenefitsofthetwogroupsworkingtogether.“Theteamapproachtotreatthediabeticpatientisexactlywhatwecando,”saidDr.Sidawy.“Itisamajorinitiativetocomeoutofthismeeting.Whenthere isnopodiatricphysicianavailabletoourpatient,thereisagiantholeinhisorhercare.” APMATreasurerJosephCaporussoisalsovicechairofthePe-ripheralArterialDisease(PAD)Coalition,agroupofapproximately50differentorganizations that represent thegamutofhealth-carepersonnelworking toward education in this area, includingSVS.“Wewantandneedrelationshipswithallthemedicalspecialtiesthatcanhelpdealwithourpatients,”hesaid.“Themoreweworkasateam, themore ithelpsourpatients.”Dr. Stone strongly agreed,addingthat“Ifwedon’tstartreachingouttoothergroupswewillnotreachourgoalsetbyVision2015.” Dr.Armstrongsaidthatthereisastrongsimilarityherewithcancercare.“Theepidemiologyissimilar,”hesaid.“Whensome-one has a limb amputated, his or her five-year survival rate issimilartopatientswithsomecancers.Butwedon’tthinkaboutitthatway;wedon’torganizeourcarethatway.Ifyouhavecancer,youcanbedamnsurethatyou’renotgoingtogotoyourgeneralpractitionerfortreatment.Youaregoingtogotoacancercenter.Thekeyhereisthatwehavetoorganizetoeandflowcenterstoprovidethesamelevelofconcentratedcare.” Dr.Millsadds:“BeforewehadDr.Armstrongandhispeoplehere,wewould takecareof thepatients’wounds,get themtowheretheywerestable,andthenatsomepointtheywouldhavetobereferredforoff-loadingorfurthercare.Now,fromthemo-mentpatientsareinthehospital,theyaretakencareofbyDa-vid’sgroup,workingtogetthefoottotallyhealedandkeepingitfrombreakingdownagain.” Anotherbenefitofthecollaborationisanunderstandingthateachorganizationwillbeavailabletosupportandadvocateforefforts in areas of common interest. In this area, both groupshopetoworkonappropriatereimbursementratesforanklebra-chialindices,aswellassupportingAPMA’seffortsinitsTitleXIXinitiativewithCongress. Dr.CaporussocallstheagreementafeatherinAPMA’scap:“Withtheincreaseinourknowledgeandeducationweareabletodothingstosavelimbs.Weworkhandinhandwithspecialistswho see every day what podiatrists do across the country. I’mlookingtoestablishrelationshipsinmyareaofMcAllen,TX,sothatpodiatristswillhaveaccesstoSVSphysicians.”

AttheBethesdameeting,theseareasofcommoninterestwereexploredandspecificplanswerediscussed. SVSwasrepresentedbyPresidentAntonSidawy,MD,MPH,professorof surgery atbothGeorgetownandGeorgeWashingtonSchoolsofMedicineinWashington,DC,anddirectorofthevascu-larsurgeryresidencyprogramatGeorgetownUniversityandWash-ingtonHospitalCenter;President-ElectRobertZwolak,MD,PhD,professorofsurgeryatDartmouthMedicalSchool;VicePresidentRichard Cambria, MD, professor of surgery at Harvard MedicalSchoolandchiefofvascularandendovascularsurgeryatMassachu-setts General Hospital; and Executive Director Rebecca Maron,CAE.APMAwas representedbyPresidentRonald Jensen,DPM;President-ElectKathleenStone,DPM;TreasurerJosephCaporusso,DPM;andExecutiveDirectorandCEOGlennB.Gastwirth,DPM. “This meeting was arranged as a first step to implement theagreementapprovedbytherespectiveBoardsofSVSandAPMA,”saidDr.Gastwirth.“Weareidentifyingclinicalissuesandquestionsimportanttobothourmembershipsandworkingtogethertofindsolutionsthatwillbenefitourpatients.”Theagreement,accordingtoDr.Jensen,wasvitalbecauseitgave“directiontobothorganiza-tions”oncurrentandfuturegoals. Patient care was the underlying theme of the meeting inBethesda,andbothgroupsfeltthatthealliancewasanaturalevo-lutioninthecareofpatientswithdiabetes. “Ourrelationshipwithpodiatricmedicineisvitalforpatientcare,”saidSVSPresidentAntonSidawy,whoisalsoeditoroftheJournal of Vascular Surgery.Dr.Sidawynotedthatthecoopera-tion between SVS and APMA is essential and ongoing. “Thisagreementisaformalwaytocodifytheimportantrelationshipbetween vascular surgeons and podiatric medicine that exists,andIamveryexcitedaboutmovingforwardwithourplans.” The value of this alliance was summed up earlier by DavidArmstrong,DPM,PhD,whenhecalledthecollaborationbetweenpodiatric medicine and vascular surgery as “toe and flow.” Dr.Armstrong, alongwith JosephMills,MD,anotedvascular sur-geonandco-directorwithDr.ArmstrongattheSouthernArizonaLimbSalvageAlliance(SALSA),hostedtheearlierFebruarymeet-ingbetweenAPMAandSVSleaders,aprecursortothis secondmeetingatAPMAheadquarters.“Toeandflow”characterizedtheteamapproachintreatingpatientswithdiabeticcomplications. Inthisequation,the“toe”isthepodiatrist,andthe“flow”isthe vascular surgeon. Dr. Stone said that this characterizationspeakstowhatDPMsdoeverydaywithpatientswithdiabetesandperipheralvasculardisease.“Whenwe’veperformedDopplerstudiesanddiagnosedthatthepatientisintrouble,whatisournextstep?It’sthevascularsurgeon,andbeingpartofthisteamisawaytofurtherourgoalsoutlinedinVision2015.”

ThealliancehaditsgenesisatSALSA,whereDrs.ArmstrongandMillswereincreasinglyenthusedaboutthesuccessoftheirwork through the teamapproach in limb salvage anddiabetescare.“Joe(Dr.Mills)isaleaderinSVSandhecalledmanyofhiscolleagues,tellingthemhowsuccessfulSALSAhasbecome,”saidDr.Armstrong.“Iwasdoingthesame,talkingtoDr.Gastwirthandthen-PresidentDr.RossTaubmanaboutbringingpodiatryandvascularsurgerytogether.” NeitherDr.ArmstrongnorDr.Millsrealizedatfirsthowsig-nificanttheSALSAexperimentwouldbeandhow“phenomenal”thepairingofDPMsandvascularsurgeonscouldbe.“Thatwasreallythegenesisoftoeandflow,”saidDr.Armstrong.“Whenyouput things together to an irreducibleminimum,youhavesomeonetakingcareofthefootandsomeonetakingcareoftheflowintothefoot.Itwasthatsimple.” Dr. Mills called diabetic foot treatment a microcosm ofAmerican’shealth-caresystem:“Theonlywaytodobetterwithproblemslikediabeticfootcare is toworkasateam,”hesaid.“We’vebeendoingthishereforayear;it’sbeentriedbeforeandworkedtoavariableextent.Tome,it’sthewaveofthefuture.Ifyoucangettherightpeopleworkingtogetherinaseamlessenvi-ronment to takecareof thepatient, thepatientwillgetbetterbecausethereislessfragmentedcare.AndIthinkwecanactuallyshowit’scheaper.” Dr.Armstrongcalledthatstatementthe“secretsauceinSAL-SA,” adding that this collaboration is, ifnot amatchmade inheaven,atleastamatchmadeintheclinic:“Whenwebroughtour colleagues from SVS and APMA together last February, Ithinkweallhadarealizationofwhata fortuitousandhistorickindofmeetingitwas.”

14APMA NewslOctober 2009 APMA NewslOctober 2009 15

SVS AND APMA Alliance SVS AND APMA Alliance

continued from page 13

Previous page: SVS and APMA meet at APMA headquarters in Bethesda, MD.

Below: Left to right—Glenn B. Gastwirth, DPM, executive director and CEO, APMA; Robert Zwolak, MD, president-elect, SVS; Joseph M. Caporusso, DPM, treasurer, APMA; Ronald D. Jensen, DPM, president, APMA; Anton Sidawy, MD, president, SVS; Kathleen M. Stone, DPM, president-elect, APMA; Rebecca Maron, CAE, executive director, SVS. (Not shown: Richard Cambria, MD, vice president, SVS.)

Richard P. Cambria, MD, vice president of SVS, with APMA President-Elect Kathleen M. Stone, DPM.

SVS and APMA Alliance continued on page 20

Dr.Andros’specialtyisrevascularizationofdiabeticlimbsandheco-directstheDiabeticFootGlobalConference,or“DFCon,”withDavidG.Armstrong,DPM,PhD,oftheSouthernArizonaLimbSalvageAlliance(SALSA). “Youhavetofocusonthefuture,”Dr.Androssaid,“becausethat’swhereyou’regoingtolive.Andthefutureisthis:Diabeticfootcareneedstobespecializedcareprovidedbyateamofpodiatristsandvascularsurgeons,becausethere’snoothermodelthathasworked.” Thecenterwillspananentire4,000-squarefootfloor.It’suniquerounddesignwillincludealargenurse’sstationinthecenter,surroundedby24rooms,whichwillallowstafftoefficientlykeeptrackofpatients. “Anotherthingwe’retalkingaboutisnothavingawaitingroom,”Dr.Rogerssaid.“Therewillbeareceptionistaspeoplecomein.Igotthisideaaftermywifehadourbaby,andIsawhowlaboranddeliveryworks.Youhaveoneroomandyoustayinthatroomthewholetime.Thepatientswon’thavetomovearoundatall.Peoplewithdiabeteshavelimitedmobilityasitis.”

Podiatrists, Vascular Surgeons Team in California

henitcomestoamputationpreventioninpatientswithdiabetes,there’snobet-terpartnershipthanthatofpodiatricphysiciansandvascularsurgeons.

TheAmputationPreventionCenteratValleyPresbyterianHospital(VPH)inLosAngelesisslatedtoopenitsdoorsonDecember1,makingitthethirdlimb-salvagecenter intheUnitedStates inwhichDPMsandvascular surgeonsworkonthesameteamunderthesameroof.LeeC.Rogers,DPM,directoroftheAmputationPreventionCenteratBroadlawnsMedicalCenterinDesMoines,IA,andNicholasJ.Bevilacqua,DPM,attendingsurgeonatBroadlawns,willserveastheassociatemedical directors, with vascular surgeon and proponent of podiatry GeorgeAndros,MD,asmedicaldirector.

continued on page 18

16APMA NewslOctober 2009 APMA NewslOctober 2009 17

By AIMEE CONDAYAN

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Inadditiontotheinnovativedesignofthecenter,itwillutilizesomeexcitingtechnology,suchasawaterscalpelandathree-dimen-sionalwoundcamera.“MyresearchpresentationwonfirstplaceatAPMA’sannualmeeting inTorontobecauseof thiscamera,” saidDr.Rogers.Thecameratakesthree-dimensionalimagesofwoundsandotherbodyparts.Theimagesarethenscannedintoacomputer,whichoutputstheexactareaandvolumeofwhateverit’smeasuring. “ItworksgreatforwoundsbecauseIcantakeapictureoneweek,dosomewoundtreatment,thennextweektaketheimageagainandittellsmeexactlyhowmuchdifferentit is.Withallthese things coming together, and the focus beingon vascularsurgeryandpodiatry,therewillbeareductioninamputation.” Dr.Rogersiscoauthorofanarticlesoonbepublishedinthe Journal of the American Podiatric Medical Association (JAPMA),explaininghowtheyreducedtheamputationrateby72percentinoneyearatBroadlawnsbyimplementingasix-stepprogram.“We’regoingtotakethatsamemodelandbringittothehospitalinLA,”Dr.Rogerssaid. Thedoctorsandthehospitalbelievethattheopeningofthiscenterwillandmustmarkasteptowardmoreifitskind. “SALSAandGeorgetownUniversityHospital’slimb-salvageprogramarehighlyintegratedcenters,”saidDr.Andros.Therea-sonforthis,inpart,hecontinued,istherelationshipthatAPMAand the Society of Vascular Surgeons (SVS) have developed.“We’re going to be doing a joint publication, which has beenpushedbyDr.Armstrong,hispartneratSALSA,Dr.JoeMills,andme.Whatwe’vewantedtodoisputtogetheraprogramthatcanbereplicated.It’snotidealifweonlyhavefouramputationcentersinthecountry.We’vegottohave44.That’sgoingtobeoneofourjobs--toreplicatethiscenter--sotherearecentersfo-cusingonthediabeticfootbecausethat’swheretheamputationsare.Likethefamousbankrobber,WillieSuttonsaid,‘Irobbanksbecause that’swhere themoney is.’ I takecareofdiabeticsbe-causethat’swheretheamputationsare.” TheLAlocationofthecenteralsoisidealbecauseitwillservethelargeHispanicpopulationinthearea,whosufferahigher-than-averageincidenceofdiabetes,saidDr.Andros. VPHandDrs.Rogers,Bevilacqua,andAndrosalsoseethecenteraspossiblybeingabighubformedicaltourism.“People

arelookingforalternativestoamputation—ontheInternet,andelsewhere,”Dr.Rogerssaid. NotonlywillthiscenterstrengthentherelationshipbetweenDPMsandvascular surgeons,but that, in turn,Dr.Rogers said,couldmeanasteptowardparityforDPMs.“I’mworkinginahos-pitalinIowarightnowwherethechiefmedicalofficerisaDPM—herunstheentirehospital.WhenIgotowork,I’veneverfelt,assomeofmycolleagueshave,thatI’m‘justapodiatrist.’Ithinkthisnewcenterwillbe like thataswell,becauseof theemphasis thehospitalisplacingonpodiatriccareasthecenteroflimbsalvage.” InadditiontohispositionatVPH,Dr.Rogers,hasbeenap-pointedtoserveaschairoftheFootCouncilfortheAmericanDiabetesAssociation(ADA)forthenexttwoyears,whichalsoisapositivesteptowardpartnershipbuildingbetweenDPMsandotherphysicians. ThepurposeoftheADAinterestgrouponfootcareistoes-tablishnationalstandardsforfootcare.Itsmembersdevelopedu-cational programs in foot care management, promote clinicalandscientificresearchofdiabeticfootdisease,andfosternationalandinternationalcollaborationbetweenagenciesconcernedwithdiabetesresearchandeducationalprogramsgearedtowardampu-tation prevention. The chair is called upon to write positionstatementsfromtheADAondiabeticfootcare,manyofwhicharepublishedinthejournal Diabetes Care. In thisposition,Rogerswillberesponsible forchairing thepanelsondiabeticfootcomplicationsattheADA’sScientificSes-sions,whichdrawmorethan15,000scientists,physicians,andotherhealthprofessionals.HealsowillchairthediabeticfootsectionattheADAannualmeetingtobeheldinOrlandoinJune2010,wherehewillberesponsibleforthecontentandspeakerselectionsforthesection. As thedemand fordiabetic foot care increases, sodoes theneedforlimb-salvageteams,andthecenteratVPHbringsusonestepclosertoreducingunnecessaryamputations.n

See the article in this issue on page 12 for more information about the partnership between APMA and SVS.

For more information on VPH, visit www.valleypres.org.

Images courtesy of Greater Boston Convention & Visitors Bureau, © Lee County Visitor & Convention Bureau, and Park City Chamber/Visitors Bureau (Dan Campbell)

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CALIFORNIA TEAM

Previous page: ©istockphoto.com/Greg Panosian

Near right: Geroge Andros, MD. Middle: Lee C. Rogers, DPM, left, and Nicholas J. Bevilacqua, DPM, right. Far right: David G. Armstrong, DPM, PhD.



Benefits to APMA

Patient care comes first, but the SVS-APMA alliance haspositivebenefitsforbothgroups,including,forexample,dispel-lingtheatavisticideasthatvascularsurgeonsjusttreatvaricoseveins or that podiatrists are concerned only about toenails.“Theaveragepersondoesn’tknowthetrainingthat’sinvolvedtobecomeapodiatristoravascularsurgeon.Podiatrictrainingisquitesimilartophysiciantraining,andinsomecasesevenmorerigorous,”saidDr.Mills.“Vascularsurgicaltrainingisunbeliev-ablyrigoroustogettowhereonecandocomplexopenproce-dures.Ithelpsbothofourfieldsbylettingpeopleknowwhatthedepthofeachspecialtyis.It’sgreatwecanhelpeachotherandit’sgreatforourpatients.” Dr.ArmstrongcallsthebenefitstoAPMA“enormous,”addingthat“itbringspodiatrytotherestofmedicine.Weareinthehospitaleverydaybecauseofcomplicationsduetodiabe-tes.Andweprovidethatcarereallywell.Butnodoctorisan

island.Withthemanymedicalschoolsinthecountry,aswellascommunityhealthproviders,somethinglikeregistryoftoeand flow doctors could be implemented. We could create analliancebybringinglike-mindedphysicianstogether.Theben-efitsareuntold.” He is clearly energizedby theworkbeingdone inTucson,adding,withasmile,that“ourSALSAbowlrunnethover.”

Dr.ArmstrongcallstheSVS-APMAallianceamajoreventforAPMA:“Membersliketoask,‘WhathasAPMAdoneforme?’Often,it’saboutthemember’sMedicareEOB,orwhyheorsheisn’tonacertainplan.Thisalliance,however,Ipre-dict will be one of the most significant initiatives that theAPMAhasever launched.I reallymean it.AsI looktothefutureofourprofession,Iseeitnotasoneinisolation,justasourcountrydidn’thaveafutureinisolationaftertheHawley-SmootTariffera.Inclusionisthewayforwardforus.It’spo-diatry’sversionofinternationalismandit’sthewaytocontin-uedprogress.”n

One-Year Sports Medicine, Reconstructive Surgery, and Practice Preparation Fellowship

About University Foot and Ankle Institute

University Foot and Ankle Institute is the premier foot and ankle practice in Southern California with seven foot and ankle surgeons servicing eight offices across

the greater Los Angeles area. With over 45,000 patient visits per year and premier surgical facilities, University Foot and Ankle Institute is an integral part of and affiliated with UCLA Medical Center and UCLA Medical Group. From conservative care, orthotic and brace management to complicated revision surgery and ankle replacement, University Foot and Ankle Institute is proud to offer full service care to all patients. Our locations have physical therapy, MRI services, ultrasound, neurosensory testing and surgical facilities all run by our institute.

The Fellowship Position

The fellowship position is offered for a one year period starting August, 2010 and extending until July, 2011. Three-year surgical training is preferred but two-year

surgical training will also be considered. The goal of the fellowship is to improve and expand the training that was received in residency and to educate the fellow to the demands of running a practice with all aspects of billing, patient education, physician relations and office administra-tion considered. The fellow is responsible for assistance in patient care, coverage of the emergency room and assistance with surgeries performed by all eight members of the staff. The fellow will also be responsible for completion of two academic papers for publication prior to the end of their fellowship. Applicants must be US citizens or permanent residents and hold or complete a California license. Please e-mail CV to [email protected] if interested.

Setting the Standard in wound-care education for nearly a decade!

Save the Dates! April 8-11, 2010

THE association-sponsored conference for ALL wound-care professionalsPresented by more than 40 world leaders in wound care practice

Wound Care and the Related Sciences

NatioNal CliNiCal CoNfeReNCe

Sheraton PhiladelPhia city center

Pre-conference Courses April 8

Post-conference Course and Certification Exam April 11

Visit www.apwca.orgfor more information!215-364-4100 | [email protected]

APWCA • 853 SeCond Street Pike, Suite #A-1 • riChboro PA 18954 (215) 364-4100 • [email protected]

ConferenCe PArtnerS • Temple University School of Podiatric Medicine

• World Union of Wound Healing Societies• American College of Hyperbaric Medicine

• New Cardiovascular Horizons• Veithsymposium

• iLex/Biba Medical

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Temple University School of Medicine and the American Professional Wound Care Association. Temple University School of Medicine is accredited by the ACCME to sponsor Continuing Medical Education for physicians.

Certification Statement

Temple University School of Medicine designates this educational activity for a maximum of 30 AMA Physician’s Recognition Award Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

30 CONTACT HOURS

SavetheDateFullPgAd_APMANews.indd 1 9/4/09 9:38:30 AM

Setting the Standard in wound-care education for nearly a decade!

Save the Dates! April 8-11, 2010

THE association-sponsored conference for ALL wound-care professionalsPresented by more than 40 world leaders in wound care practice

Wound Care and the Related Sciences

NatioNal CliNiCal CoNfeReNCe

Sheraton PhiladelPhia city center

Pre-conference Courses April 8

Post-conference Course and Certification Exam April 11

Visit www.apwca.orgfor more information!215-364-4100 | [email protected]

APWCA • 853 SeCond Street Pike, Suite #A-1 • riChboro PA 18954 (215) 364-4100 • [email protected]

ConferenCe PArtnerS • Temple University School of Podiatric Medicine

• World Union of Wound Healing Societies• American College of Hyperbaric Medicine

• New Cardiovascular Horizons• Veithsymposium

• iLex/Biba Medical

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Temple University School of Medicine and the American Professional Wound Care Association. Temple University School of Medicine is accredited by the ACCME to sponsor Continuing Medical Education for physicians.

Certification Statement

Temple University School of Medicine designates this educational activity for a maximum of 30 AMA Physician’s Recognition Award Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

30 CONTACT HOURS

SavetheDateFullPgAd_APMANews.indd 1 9/4/09 9:38:30 AM

SVS AND APMA Alliance


Apma News Oct 2009

Documents

Transcript of Apma News Oct 2009