Pedorthic Newswire Issue No. 269

For the latest industry information on foot health and more.

July 16, 2008, Issue #269

DISCUSSION

Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at editor@pedorthicnewswire.com. Your emails will be reviewed by pedorthists and the editors of Pedorthic Newswire, and selected submissions will be posted in an upcoming issue for feedback from other readers. The deadline for each issue is noon on the Monday of each week.

NEW QUESTION

Question: A woman came in with pain and swelling along the course of PT tendon in tarsal tunnel. MRI confirms partial tear. Here's the tough part. She's a professional actress doing a one-woman show....on her feet several hours once or twice 6 days weekly and contracted for another year. She’s wearing a BK pneumatic walker when off stage, but how to treat her onstage? She is not willing to switch to shoe gear that will accept an AFO. Her present costume shoe is a dress shoe with 2" heel. Right now she's just using a compression dressing because she feels it helps. She is taking ultrasound since some studies do indicate it may speed healing. What pedorthic treatment can you recommend to protect the tendon?

- Robert S. Schwartz, C. Ped., Eneslow Pedorthic Enterprises, Inc.

PREVIOUS QUESTIONS OR COMMENTS WITH RESPONSES

Question: A 57-year-old diabetic patient with a failed hallux amputation with several foot ulcers and osteomyelitis was referred for pedorthic care. To date, nothing done by his previous practitioners has healed the foot despite providing good care (hallux amputation, Apligraf application, GraftJacket application along with supportive topical and systemic care). His infectious disease doc wants him to have a transmetatarsal amputation, but his vascular surgeon says it will fail. Blood sugars are under good control. His current doctor is in favor of referring the patient out for a BK amputation rather than subject the patient to another failed surgery to preserve part of the foot. Is there any hope for pedorthic treatment, and if so, what do PNW readers suggest to prevent further amputations?

- Robert S. Schwartz, C. Ped., Eneslow Pedorthic Enterprises, Inc.

Response: As you know, ulcers are usually caused by pressure. Relieving the pressure can help. Also, (not pedorthically related) I have heard of people closing ulcers with total casting. Have to talk with a Ankle and Foot MD for more info on that. Are you using a gel insole, plastizote etc? Have you marked the areas and created cavities so that there is no pressure? Also, are you putting him in a rocker type shoe (maybe even a met bar)?

- Chris Bonsall

Response: It is very hard to give treating method if you don't see the patient, but, I believe that a rocker bottom sole / Bar, (the cam walker style of rocker), with a good rigid orthotics with MT support if the patient can take it, and i haven't seen the patient, but, maybe even a blucher/flange at his/her medial injured foot, in order to off load the pressure off the fore foot. Maybe even recommend his MD for an AFO, to lock the heel and give the patient more balance and off load.

- Sammy Teitelbaum, C. Ped., EMTP

Response: The prognosis for the 57 YO diabetic foot problem is pretty grim in the pedorthic realm. Over the past 28 years of my practice I have tried (heroically I think) to "save the foot" in several instances. With the information you have furnished, this patient sounds like they would probably do better with the BK.

On a brighter note, many the patients I have dealt with that went to amputation had much better control of their general health and a lot fewer doctor and hospital visits.

As a Pedorthist, your support and assurance initially and then proper fit and adjustment of their shoe gear later on (for the protection of their remaining foot) is essential.

- Good Luck, Frank M Davis, DPM, C. Ped.

Question: In regards to pedorthics and AFOs I am quite confused at this point. It is clear that this is a divided issue. Somewhere I was given the understanding that my scope of practice as a C.Ped. was sub-malleolar and that any involvement of the ankle itself was to be left to the CO in our office. Apparently this must not be the case across the board and I was wondering at what point C.Peds began including the lower leg into their practice. Are the lines limiting scope of practice grey and somehow left to personal interpretation? If pedorthists were always allowed to include the lower leg then I don’t understand why it wasn’t included in my Pedorthic education (including the Pedorthic exam itself)? AFOs are obviously more revenue which would be great for my practice but at what point is it to be done by an orthotist rather than myself?

-Mark C. Scheibelhut, C. Ped. , O.S.T.

Response: I remember about ten or so years ago there was a pretty intense debate about whether or not we as C. Peds should be dispensing AFOs and one of the national PFA conventions. The idea was that if we could make a custom boot even one that was "fiber glassed" why could we not make and dispense an AFO. At that time there was no training in this area. Since then there have been several courses and lectures that a C. Ped. could go to learn about this. (I have attended some). What I cam away with that no one was really quite sure who could and should dispense AFOs (especially with central fab companies). Podiatrists were doing it, Physical Therapists were doing it, C. Peds. were doing it, heck in some states people with no real credentials were doing it. It wasn't and still isn't just the orthotist. It is the same today. This is part of the reason that you are seeing states legislate the professions.

When the Certified Therapeutic Shoe Fitter program was established a lot of us argued against that and instead argued for creating an additional program where a C. Ped. was able to get the necessary education to fit the AFOs. As you can see the CTSF won out. We really do need to reinvestigate the idea of creating that additional certification for fitting AFOs. We all want the C. Ped. to flourish. Adding a real program that any state legislature, doctor, podiatrist et. al., can see would end this debate and only increase our acceptance in the medical profession.

- Chris Bonsall

Response: I am responding to the ongoing debate over a Pedorthist ability to manufacture an AFO. I am quite surprise there would even be this discussion. Attacking Mr. Janisse does not negagate the fact that we should not venture outside our scope of practice. If we want our profession to be recognised as creditable, ethical and conpetent, the rules need to be followed.

And since there is a need for the service, maybe PFA should look into developing a curriculum.
Remember, people, all it takes is one bad experince, I know personally in my practice I have had to respond to negative comments about pedorthics and usually it stems from an inexperienced practitioner.

Let's remember we are trying to grow our profession!

- Althea Powell C. Ped. O.S.T.

Response: #1. In response to Dr. Kesselman, DPM [in PNW issue #268]: Well said, Sir!
#2. In response to Erick Janisse, C. Ped. [in PNW issue @268]: Well said, Sir!

- Gordon Rabing, C. Ped., Amfit Sales Manager

Response: A quick read of the ABC Pedorthic Accreditation Standards, for example, shows the following organization of standards designed to reflect and assure compliance with the CMS Medicare DMEPOS Supplier Standards.

Organizational, Governance and Administrative Management Standards

Patient Care and Management Standards

Performance Management and Improvement Standards

Facility and Safety Management Standards

Supplier Compliance Standards

Among other things, these standards address the organizational integrity and stability of the supplier, the quality and safety of the physical facility, documentation and protection of medical and financial information of the patient, and ongoing quality assurance efforts.

The CMS standards exist primarily for the benefit and protection of the Medicare recipient and for the protection of the taxpayer, (all of us,) from fraud and abuse. CMS has seen fit to promote compliance with these standards through approved accreditation programs administered by a number of designated Deemed Accreditation Organizations including ABC and BOC. Some may debate the wisdom of this process, but it is the current reality.

Certain credentials are recognized as qualified to provide TSD footwear. The training, competency, and dedication reflected by these various credentials, be they Pedorthist, Podiatrist, Orthotist, or whatever, provides a lively topic for discussion - but these things are decided elsewhere. The focus of Accreditation is on the organization, not the credentialed individual. From the point of view of recipients and taxpayers there is no logical reason to exempt certain suppliers from the oversight provided by Supplier Accreditation.

Accreditation is a cost of doing business in the wonderful world of Medicare. Accreditation is not mandatory to provide shoes and other footwear items. As far as I know, they can be dispensed from a non accredited facility, or out of the trunk of a car for that matter – for cash on the barrelhead!

- Dennis W. Dillard, C.Ped., RTO

Question: I would like to find a central fabrication facility that does high quality custom orthosis in a timely fashion. I have not been very impressed with the quality and options of “custom” orthotics offered by some of the Diabetic shoe manufacturing companies. Some are little more than a good OTS orthotic. Any advice would be greatly appreciated.

- Kay Drew L.C. Ped.

Response: Having been in the profession since 1975, I can help direct you to a laboratory to meet your needs. If you would please give me your contact information, I will contact you to discuss your goals, desired designs, cost parameters, turn-around time needs, etc. I am well versed in both nationally known podiatric laboratories, as well as labs that our students are associated with and orthopedic oriented laboratories. My husband and I were the co-founders of OSI Labs/Allied OSI Labs and Southwest Laboratories until we sold our shares of stock to begin our dream of founding a not-for-profit pedorthic school.

- Pamela Haig, C. Ped.
- Vice President & Founder
- The Robert M. Palmer, M.D., Institute of Biomechanics, Inc.,
- Phone: 765-557-7216

Question: I would appreciate a suggestion on how to treat a condition called equino varus or tip toeing. My son has been walking on tiptoes since he started walking at 12 months. I was told not to worry about it for at least several years. His condition didn't change so I took him to a pediatric orthopedist at age 5.

It turned out he was born with tight achilles and very little ankle dorsi flexion. I was told by the orthopedist that if he doesn't walk normally by age 9 or 10 surgical corrections would be an option. He loves to play sports and it requires a lot of running around. He is now 12 years old.

At age 5 or 6 he wore a night splint with 5° dorsiflexion to stretch the achilles, a SMO at age 6, then hinged AFO, did some physical therapy and exercises but the problem had not been resolved. He's done much better since then and tries to use his full foot but every now and then I can still see him come up on his toes whether he is wearing high-top sneakers or barefoot.

Is there another device/appliance out there I don't know about, or perhaps a certain shoe that can keep the foot down. After all, I am trying to achieve a heel-to-toe walking pattern. Any suggestions will be helpful.

- Vicki K., C. Ped.

Response: Your son may benefit from the Z-Coil shoes. Although they do not promote shoes for children, if your son is responsible and will follow the guidelines, that the shoes could get caught in bicycle spokes, on ladders, etc., then this shoe just might be the answer. It has a coil in the heel area that can be adjusted to small, medium or large. I would suggest a more flexible coil to allow the achilles tendon to stretch out, but not too soft, as to create achilles tendonitis. After your son has begun with a firmer heel coil, you could exchange the coil to a more soft coil. You may find z-coils in your area, if not I have attached the email address of Al Galegos, the inventor and founder of the z-coil shoes. They are located in Albuquerque, New Mexico. al@zoil.com

- Pamela Haig, C. Ped.

SPONSOR NEWS

Click for more info

AETREX iSTEP WEBINARS

For further information, please contact Dan Bacher at dbacher@aetrex.com

HEALTH AND INDUSTRY NEWS

Green sneaker maker END treads carefully

by Brent Hunsberger

Sneaker makers are going greener, step by step, cobbling soles from recycled tires and laces from used plastic milk jugs. But getting used, hardened rubber to hold up under a runner's pounding has eluded even a multibillion-dollar conglomerates such as Nike.

Now comes Portland startup END, which aims to do what none has dared: market performance running shoes as sustainable footwear. Full Text

Source: The Oregonian

Boomers take the next step in style

Old-fashioned hearing aids resembling chewed circus peanuts are out. Behind-the-ear aids in hot pink or royal blue or even with zebra stripes are in. So are lipstick-red comfort shoes, snappy walking sticks and colorful eyewear.

When it comes to gear to help you as you age, styles are getting hipper. Baby boomers and older folks don't want to wear or use what their grandparents did. It needs to do the job, yes - but increasingly, looks matter, too.

...Aetrex Worldwide Inc., based in New Jersey, offers shoes for people with nagging injuries, diabetes or just a desire for more comfort and support, says Evan Schwartz, the company president. Full Text

Source: News-Press.com

DIABETES

FDA Panel: Test Diabetes Drugs For Heart Safety

A diabetes drug may lower blood sugar but still pose risks for the heart. So a panel of FDA advisers voted 14-2 yesterday that the FDA should require drug makers to show that experimental diabetes drugs don’t increase cardiovascular risks.

If the FDA takes the panel’s advice — which it usually does — it could be costly for drug makers because it takes a bigger, longer trial to prove heart safety than to prove blood-sugar control. Full Text

Source: The Wall Street Journal

In the U.S. and Holland, diabetes looks different

by Patti Neighmond

Two years ago, the Netherlands redesigned its health care system. The reform was developed by Alain Enthoven, the U.S. economist who created HMOs. It resulted in a Dutch health care system that closely resembles a giant American HMO. Unlike in the U.S., however, Dutch citizens are universally insured, and the system is organized around encouraging — rather than discouraging — comprehensive care for patients with chronic illness.

Dr. Steve Edelman, 52, a diabetes specialist at the University of California and founder of a Web site called Taking Control of Your Diabetes, knows all too well that this isn't the case in the U.S. Full Text

Source: NPR

SPORTS AND FITNESS

Choosing the right shoes for exercise

By Judy Rupp

In the corner of the family room is a large box filled with athletic shoes: Mom’s tennis shoes and Dad’s running shoes. There was a time midway through the last century when one pair of generic “tennis shoes” or “sneakers” for each athlete in the family (typically one or none) might have sufficed. Not so today, and for good reasons.

Every sport or activity has its own moves, requirements and challenges. The surface — hard wood, clay, grass, concrete or asphalt — also presents special needs. Full Text

Source: EnidNews.com

BECOMING A CERTIFIED PEDORTHIST

Join A Growing Service Profession: Pedorthics

Pedorthics is a professional field covering the design, manufacture, modification and/or fit of footwear. Pedorthics encompasses shoes, orthoses and foot devices that prevent or alleviate foot problems caused by disease, overuse, injury or congenital defect. Certified Pedorthists work with patients and their footwear to conform to a doctor's footwear prescription as part of the patient's treatment

To become a certified pedorthist, you must take a pre-determined number of course hours in pedorthics and pass a certifying examination overseen by either The American Board for Certification in Orthotics, Prosthetics & Pedorthics® or Board for Orthotists/Prosthetists Certification, Int’l. Both the ABC and BOC are independent certification bodies that set standards for the profession and are recognized by the National Commission for Certifying Agencies.

More information, including FAQ's

The American Board for Certification in Orthotics, Prosthetics and Pedorthics information on the step-by-step process of becoming a pedorthist

Board for Orthotist/Prosthetist Certification

For information on the Canadian certifying organization:
The Pedorthic Association of Canada

UPCOMING COURSES AND EVENTS

BECOME A CERTIFIED PEDORTHIST

COURSES

The Robert M. Palmer M.D.,Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Click here to view a detailed calendar including dates and locations, information and pricing.

The Pedorthic Footwear Foundation has several scholarships and grants for 2007. Visit http://www.pedorthics.org/ and then click on the "Foundation" tab for more information.

Traveling Courses To Your Area sponsored by The Robert M. Palmer, M.D., Institute Of Biomechanics, Inc. a not-for-profit pedorthic school. Please contact us to discuss your needs at phone: 765-557-7216. Email: pam@pedorthicbiomechanics.org or visit our Web site at: http://www.pedorthicbiomechanics.org/.

CFS Allied Health Education: Pedorthic Certification: Exam Review
This review is focused on supplying the student with the skills and knowledge needed to pass the ABC Certified Pedorthic exam by presenting exam-like questions, exploring possible answers, and discussing rationales for correct and incorrect answers. Contact CFS Allied Health Education at (918) 266-3678 or visit http://www.learnpedorthics.com/ for more information.

*ABC and The American Board for Certification in Orthotics and Prosthetics are registered trademarks of the The American Board for Certification in Orthotics and Prosthetics, Inc., which is not affiliated with CFS Allied Health Education and does not endorse this review.

Oklahoma State University has uniquely designed courses to provide pedorthic education for the retail, clinical or biomechanical oriented individual. Your next course option is to begin by enrolling in our Level 1 Online Program! Then you are required to attend a Level Two: Hands-On program. Once you have successfully completed these courses, you may enroll in our Level 3 Online Program! Contact Information: Jerry Wilson 918-293-5330 or Andrea Autaubo 918-293-5330 or visit our website http://www.osu-okmulgee.edu/ Click here for course listings.

For more information on the Scholl College pedorthic pre-certification course: Contact the Special Programs Office at 847-578-8410, email Ellie.Wydeven@rosalindfranklin.edu or click on www.rosalindfranklin.edu/scpm/ce/.

The National Shoe Retailers Association is pleased to bring training and CEs directly to you, without the additional cost of travel, food, lodging, registration fees or lost work time.Our affordable WISER Sales Training DVD makes in-house training easy – and there’s now an online exam for Continuing Education credits from ABC and BOC.

WISER Sales Training provides quality training for new sales associates and re-motivates experienced sales staff. The DVD format makes it easy for employees to train at times convenient for them, and for employers to offer quality training without hiring outside trainers or taking the most experienced staff off the sales floor. ABC’s Category 1 CEUs for WISER Sales Training total 21.75 credits (2.5 scientific, 19.25 business), good through year 2010.BOC’s credit total is 20.34 (6.42 CPE Category 1, 13.92 Category 2).

Pricing for the program is as follows:

DVD, workbook and guide for trainers – Members: $295 (Non-Members $395)

Additional Handbooks: $10 each

Online Test – Members: $100 (Non-Members: $200)

For more information or to order, clickhttp://www.nsra.org/wiser_intro.php?ad=pn

or call or email Kim Surasky at 1-800-673-8446, ext. 318, kims@nsra.org.

2008 FOOT SOLUTIONS C. Ped. TRAINING COURSE INFORMATION Foot Solutions is an accredited facility that hold classes three times per year. The company's course will offers the certificate needed in all three levels to sit for the C.Ped Exam. The facility is located at2359 Windy Hill Road, Suite 400, Marietta, GA 30067
July 25: 1-day cram session
October 31: 1-day cram session
For application and fee information, contact:

Tracy Strickland 1-866-338-2597 EXT: 206 tstrickland@footsolutions.com

Betty Hubauer 1-866-338-2597 EXT: 201 betty@footsolutions.com

Dr. William Faddock 1-866-338-2597 EXT: 209 bfaddock@footsolutions.com

AUGUST 2008

Eneslow Pedorthic Institute, 470 Park Avenue South @ 32nd Street, New York, NY 10016-6819, Phone: 212-477-2300. EPI Pre-Certification Course: August 11th - August 26th 2008 $3,995
EPI Pre-Certification course is a two and a half week all inclusive course to prepare individuals to become a Board Certified Pedorthist. The EPI course is also designed to help health care professionals enhance their practices (ATC, CO, CPO, DC, DPM, MD, PT). Pedorthic treatment has proven to provide incremental patient benefits, particularly when added to other treatment protocols. The awarding of an ABC/BOC fitter certification provides the certified pedorthist with an appropriate and meaningful recognition of professional competence. Contact Sarah Goldberg at (212) 477-2300 ext 211 or sarah@eneslow.com.

Special Note: Aetrex is offering each Aetrex Customer a special $2,000 savings on Aetrex purchases of $4,000 for each person who attends the Eneslow Pedorthic Institute Pedorthic Pre-certification Course. Enroll Now!

OCTOBER 2008

Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science will offer their 3-level competency based training course for future pedorthists from October 14-30, 2008 for the classroom session. The pre-course online session is available prior and must be completed by October 6, 2008. The Pre-Certification Course in Pedorthics has been approved by the Commission on Accreditation of Pedorthic Education (CAPE). Podiatric Physicians and other medical professionals may be considered for advanced placement based on the podiatric/medical education and year of graduation.

BECOME A THERAPEUTIC SHOE FITTER

For additional information on the Aetrex Worldwide Therapeutic Shoe Fitter Course, please contact the Aetrex Marketing Department at: marketing@aetrex.com.

AUGUST 2008

Aetrex Worldwide Therapeutic Shoe Fitter Course: August 12 (Birmingham, AL), $195.

Aetrex Worldwide Therapeutic Shoe Fitter Course: August 21 (Raleigh, NC), $195.

SEPTEMBER 2008

Aetrex Worldwide Therapeutic Shoe Fitter Course: September 5 (Greenwood Village, CO), $195.

Aetrex Worldwide Therapeutic Shoe Fitter Course: September 14 (Pasadena, CA ), $195.

Aetrex Worldwide Therapeutic Shoe Fitter Course: September 16 (Portland, OR), $195.

OCTOBER 2008

Aetrex Worldwide Therapeutic Shoe Fitter Course: October 14 (Louisville, KY), $195.

Aetrex Worldwide Therapeutic Shoe Fitter Course: October 21(Rochester, NY), $195.

Aetrex Worldwide Therapeutic Shoe Fitter Course: October 27 (Atlanta, GA), $195.

DECEMBER 2008

Aetrex Worldwide Therapeutic Shoe Fitter Course: December 5 (Orlando, FL), $195.

For additional information on the Aetrex Worldwide Therapeutic Shoe Fitter Course, please contact the Aetrex marketing department at (800) 526-2739 or marketing@aetrex.com.

ADDITIONAL COURSES

Oklahoma State University is offering various courses ranging from instruction in shoe fitting to biomechanics and pathomechanics of the foot. To view a complete listing of 2007 courses and dates, please click here.

CFS Allied Health Education is pleased to announce their new ABC Approved Therapeutic Shoe Educational Course. An ABC certified fitter of Therapeutic shoes is an individual trained and qualified in the provision of non-custom therapeutic shoes and non-custom diabetic multi-density inserts. This two-day course fulfills the educational requirements needed to apply for the ABC Certified Fitter of Therapeutic Shoes credential. To learn more, please visit CFS Allied Health Education's website at http://www.learnpedorthics.com/ for course dates or call (918) 266-3678.

ENESLOW PEDORTHIC INSTITUTE 1-on-1 or Group Tutoring Available; Eneslow Training & Tutoring Program, Individual and Small Group Program

WHO SHOULD COME:
Those who wish to improve their pedorthic, sales, retailing, biomechanics and business skills.
Those who need a refresher course; prepare for the Certified Fitter of Therapeutic Shoes or the
Pedorthic Pre-Certification Course and Exam.

SUBJECTS: PEDORTHICS - SALES -RETAIL MANAGEMENT
Pedorthic Assessment - Pedorthic Shoe Fitting - Pedorthic Solutions Footwear - Foot Orthotics
Foot Products - Ready-made - Custom Shoe Constructions and Designs
Shoe Modifications - Casting and Evaluation Techniques for Custom Shoes & Orthotics - Business and Practice Management Finance & Administration
Forecasting & Budgeting - Buying & Inventory Control Marketing & Advertising Professional Responsibility - Safety - Human Resources Biomechanics Pediatrics
Pathology of Diseases and Malalignments

HANDS-ON 1-ON-1 INSTRUCTION
$150/ hour for individual training

GROUP TRAINING
$125/hour per person for two or more participants in the same program at the same time
$100/hour per person for five or more participants in the same program at the same time

Fee: Two hour minimum

HANDS-ON 1-ON-1 TRAINING WITH ROBERT S. SCHWARTZ, CPED, OR DR. JUSTIN WERNICK, DPM, CPED
$250/hour for individual training &
$200/hour per person for group training
Added Value: An insider’s look into the retail, pedorthic, sales, store operations, and business management of Eneslow.
ABC and BOC points may be applied for.

ENESLOW PEDORTHIC INSTITUTE, 470 Park Avenue South at 32nd Street, New York, NY 10016

Call for more info (212) 477-2300 (Ask for Sarah Goldberg, CPED) (212) 353-2876 Fax

email: epi@eneslow.com or visit http://eneslow.com/epi

INTERNSHIPS

Internship Course with The Robert M. Palmer, M.D., Institute Of Biomechanics:
Pedorthic Clinical or Manufacturing Internships Available. Daily, Weekly or Extended Internship Courses Available. Experience clinical settings in Orthopaedic, Podiatric, Chiropractic and Physical Therapy Clinics as well as experience in a BAPFOL approved functional foot orthosis laboratory. We specialize in diabetic wound care as well as pediatric and adult biomechanics. Your internship hours can earn you an Associates Degree In Pedorthic Biomechanics or be used as continuing medical education hours. Please contact Pam Haig at 765-557-7216 or pam@pedorthicbiomechanics.org.

Comfort Shoe Specialists, state of the art retail pedorthic facility, offers internships for on the job training requirements in beautiful St. Louis. Room is available as an option. Call Edith James, Certified Pedorthist, at 314-822-3300 -- or email Edith@ComfortShoe.com

CLASSIFIEDS

Seeking to Hire: Aetrex Worldwide, Inc. is a vertically integrated footwear, foot health and technology company whose mission is "to bring to market footwear and footcare products that enable you to live life your way, pursuing your favorite activities, avoiding unnecessary setbacks and overcoming challenges whenever possible."

Aetrex manufactures casual/comfort, athletic and diabetic footwear. The company is also a leading manufacturer of over-the-counter orthotics and diabetic inserts. In addition Aetrex is the leading provider of foot scanning technology to the retail market place. Aetrex sells its products through broad channels of distribution including, retail shoe, sporting goods, golf, pedorthic, DME, podiatry, O&P and others. Check http://www.aetrex.com/ and http://www.foot.com/ for additional information.

"Service/Tech Reps-Northern California, Pacific Northwest , NY Metro & Georgia"
Aetrex Worldwide, Inc. is seeking dynamic individuals to work as a service/tech rep to travel Northern California, the Pacific Northwest, NY Metro and Georgia. The position requires some retail/wholesale shoe experience with knowledge of, and the ability to resolve computer hardware/software issues. We offer salary, bonus and a complete benefits package. E-mail resumes to leslie@aetrex.com or fax (201) 833-0846. No calls please.

Seeking to Hire: Shoe Fitting Specialist, Per Diem openings in New York City and Long Island Excellent way to supplement your income. Work independently on your on schedule. Must be a CPED or other recognized shoe fitting credentials. In Home shoe fittings; flexible schedules and hours. GenCare Systems Inc. is a rapidly expanding healthcare company providing Therapeutic Shoes, Diabetes Supplies and related Durable Medical Equipment. Please email or fax your resume, attention. Fitting Specialist Email steve@gencaresystems.com ; Fax: 631-544-4448. 7/16

Seeking to Hire: Expanding Pedorthic Services Department within retail shoe company in
Milwaukee, WI has an opening for a C.Ped. with a strong Pedorthic fabrication background, as well as patient skills. Team player, good communicator and attention to detail necessary. We offer an established patient and clinic base and a competitive compensation package. e-mail resume to info@stansfootwear.com 7/16

Business For Sale – All inclusive: The Foot Support Center in Allentown PA, Business, Real Estate, Shoe Repair Equipment, Business Equipment & Inventory. Listed on the Lehigh Valley MLS @ www.lvarmls.com MLS # 302587. Located at 120 E. Emmaus Avenue near I-78, Rt. 309 and Rt. 145, there is a high volume of traffic, an ever growing clientele and a very loyal following of current clients/patients. Unique all-inclusive one-stop facility – reason for sale is based on health/illness. Buy now. Call Ben Baker @ 610 -392-5495. 6/11

Seeking to Hire: Certified Pedorthist -- Growing private practice located on I-5 corridor in Western Washington. We are looking for a self motivated person who enjoys the challenge of building and maintaining an existing business. We offer our own in-house central fabrication department. We offer competitive salary, benefits, continuing education allowance. People management skills a must. Please call Althea Schlumpf, C. Ped. (425-345-9745), or email resume and questions to althea@geminico.com. 5/21

Seeking to Hire: Grand opening of Men's and Women's comfort show store in South Ocean County, N.J. . Looking for certified pedorthist with retail sales experience. Salary commensurate with experience, benefits available.Fax resume to 732-279-1987 or e-mail plevy317@comcast.net. 5/21

Seeking to Hire: Expanding O&P Facility has CPed/ Fitter Position Available

Dayton, Ohio. OrPro Prosthetics & Orthotics, a well-established, growing practice has an immediate opening for an experienced, certified Pedorthist. Experience fitting prefabricated orthotic devices a plus, but will train qualified candidates in this area. This is a patient care position with the fabrication being handled by two quality fabrication facilities. OrPro provides competitive salaries plus a performance-based profit sharing compensation plan and full benefits. Please contact Joe Antorietto at jantorietto@orpro.com or 800-423-5469. 5/7

Seeking to Hire: Small, private O&P practice with solid pedorthic business in West Chester, PA looking for a full time/or part time shoe fitter or C. Ped. Knowledgeable in fitting different types of footwear and willing to learn lower extremity orthotics. Will train with room for growth. Contact: Frank Caruso 610.696.5650. or fax resumes to 610.696.5652. 4/30

Seeking to Hire: Growing healthcare services company has immediate openings for experienced Certified Pedorthists in Wisconsin and Pennsylvania. Candidates must be able to work closely with Podiatrists and possess strong professional skills. Position includes travel to various long term care facilities. We offer a well established patient base and a competitive compensation package. If interested, please call Sean at (888) 964-6681 ext 166 or email your resume to caring2@healthdrive.com or fax it to 866-657-5400. Website: http://www.healthdrive.com/ 4/23

Classifieds will run for 90 days unless we are informed that the position has been filled. Thank you!

UPCOMING COURSES

Submit course listings to: editor@pedorthicnewswire.com

2008 COURSES AND EVENTS

MONTHLY

Riecken's Orthotic Labs - 800-331-8040; SAFIO Class, Second Friday of every month, at 5115 Oak Grove Rd., Evansville, IN. Four casting stands provided, limited to 8 students. Contact Darlene at the above number for more information.

AUGUST 2008

The Robert M. Palmer M.D., Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Dates: Level 1 & 3 performed online - Level 2 Dates: August 2 - 11 - Elwood, Indiana - Final Course For November Exam - Scholarships Available - Please contact pam@pedorthicbiomechanics.org or 765-557-7216.

Eneslow Pedorthic Institute, 470 Park Avenue South @ 32nd Street, New York, NY 10016-6819, Phone: 212-477-2300. EPI Pre-Certification Course: August 11th August 26thh 2008 $3,995
EPI Pre-Certification course is a two and a half week all inclusive course to prepare individuals to become a Board Certified Pedorthist. The EPI course is also designed to help health care professionals enhance their practices (ATC, CO, CPO, DC, DPM, MD, PT). Pedorthic treatment has proven to provide incremental patient benefits, particularly when added to other treatment protocols. The awarding of an ABC/BOC fitter certification provides the certified pedorthist with an appropriate and meaningful recognition of professional competence. Contact Sarah Goldberg at (212) 477-2300 ext 211 or sarah@eneslow.com.

SEPTEMBER 2008

American Orthotic & Prosthetic Association (AOPA) National Assembly. We're taking the National Assembly to New Heights! Don't miss the county's oldest & largest meeting for the orthotic, prosthetic & pedorthic profession, Sept. 10-14 at The Hyatt Regency Chicago. Earn over 40 CE credits at this five day event. Visit www.AOPAnet.org or contact Tina Moran at tmoran@aopanet.org for more info.

The Robert M. Palmer M.D.,Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Dates: Level 1 & 3 performed online - Level 2 Dates: Sept 13 - 22 - Elwood, Indiana - Scholarships Available - Please contact pam@pedorthicbiomechanics.org or 765-557-7216 or visit our Web site at: www.pedorthicbiomechanics.org.

OCTOBER 2008

The Robert M. Palmer M.D., Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Dates: Level 1 & 3 performed online - Level 2 Dates: October 11 - 20 - Elwood, Indiana - Scholarships Available - Please contact pam@pedorthicbiomechanics.org or 765-557-7216 or visit our Web site at: www.pedorthicbiomechanics.org.

Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science: Pre-Certification Course in Pedorthics - will be held October 14-30, 2008. For more information on the Scholl College pedorthic pre-certification course, contact the Special Programs Office at 847-578-8410, email Ellie.Wydeven@rosalindfranklin.edu or click on www.rosalindfranklin.edu for a Scholl College Special Programs listing.

NOVEMBER 2008

The Robert M. Palmer M.D., Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Dates: Level 1 & 3 performed online - Level 2 Dates: November 15 - 24th - Elwood, Indiana - Scholarships Available - Please contact pam@pedorthicbiomechanics.org or 765-557-7216 or visit our Web site at: www.pedorthicbiomechanics.org.

DECEMBER 2008

AOPAversity- Mastering Medicare: Advanced Coding and Billing Techniques. December 1-2, Orlando, Fla. Contact Erin Kennedy at (571) 431-0834 or e-mail ekennedy@AOPAnet.org for more information.

The Robert M. Palmer M.D., Institute Of Biomechanics "A Not-For-Profit School" has uniquely designed courses to provide pedorthic pre-certification education for the retail, clinical or biomechanical knowledge seeking pedorthist. Course dates for Levels 1-3 in a variety of locations in the United States, Hong Kong, Mainland China and Korea are available. Dates: Level 1 & 3 performed online - Level 2 Dates: December 6 - 15 - Elwood, Indiana - Scholarships Available - Please contact pam@pedorthicbiomechanics.org or 765-557-7216 or visit our Web site at: www.pedorthicbiomechanics.org.

STAFF

Editor: Faye Rapoport DesPres, M.S.

ADVISORY BOARD

Robert Schwartz, C. Ped. John Mishasek, BOC Pedorthist, C. Ped.

Stephen F. Albert, D.P.M., C. Ped. Jerome S. Klein, C.O., C. Ped.

Edith James, C. Ped. Erick Janisse, C. Ped.

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