Pedorthic Newswire Issue # 365

May 19, 2010, Issue #365

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. Please note: the deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.

NEW QUESTIONS AND COMMENTS

Comment: Healthcare reform was passed amid much controversy. Whether you are Republican or Democrat or Tea-Party, does not matter. Healthcare reform is here. What we know is that more than 32 million Americans will be insured. So how is the system going to insure previously uninsured Americans while still holding down the costs of healthcare? The answer is prevention. Healthcare Reform is set to waive the annual deductibles and co-pays for preventative healthcare. As an industry, the therapeutic shoes for diabetics, TSD has always been discussed as preventative. But what is TSD preventing?

Our shoe programs are really NOT about shoes. Our programs are about identifying high risk patients and attempting to prevent foot ulcers. A diabetic foot ulcer is the leading cause of a lower limb amputation. Lower limb amputations are expensive to our healthcare system. In addition, statistic indicate that within 3 years of an amputation half of the amputees will die. We know that dying in the United States is expensive. Last year Medicare paid hospitals and doctors $50 billion dollars during patients' last two month of life.

Medicare is well aware of this statistic. In fact, Medicare has established a program via the Physicians Quality Reporting Initiative, PQRI that allows for therapeutic shoe programs to perform foot ulcer prevention foot exams and to measure diabetics feet for proper shoe sizing. Medicare's rationale for this, shoe trauma leads to foot injury that leads to ulceration that leads to amputation. CMS is also aware that physicians do not make time to exam diabetic feet. These examinations are part of what TSD is designed to do.

So, why would Medicare, CMS, the OIG, LCD and all the other governing bodies want to harm the one industry that was created to help prevent the costly amputation? Why are we being required to have physician progress notes. The medical industry is well aware that physicians are notorious for their lack of documentation. How many physicians have ever had their hospital credentials placed on hold until they signed off on their inpatient charts?

We need to defend our diabetic shoe industry as we part of the solution in the a war for prevention. But who should take the lead in defending the pedorthic industry?

Obama talking about the cost amputations
http://www.youtube.com/watch?v=SG56B2et4M8

- Antonio Davila BSN, RN, CPed

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

Comment: Medicare requested information on 13 of our patients. Medicare then reviewed the information and denied 12 of the claims. When I contacted them they stated the M.D. or D.O. did not have documentation in the medical records we submitted that substantiated the TSB.

Medicare instructed us to get all medical records prior to delivering any items. Medicare will not allow us to create a form that would include all the information they are expecting the doctors to document. We have lost a fourth of our business and our customers are outraged. Physicians are sending documentation that does not meet Medicare's policy and we are upsetting Physician's by requesting more info. We can't upset Physicians or they will stop sending their patients our way.

Medicare requires that we have medical records from the M.D. or D.O. that treats the patients' diabetes. I spoke with POE and Medicare and cannot get an explanation of what they classify a comprehensive plan. Per Medicare the medical records supplied must include:

1) The diagnosis marked on the TSB

2) A comprehensive plan of treatment

3) The need for shoes/inserts/modifications and the quantity

Medicare states we cannot use notes from another physician. Most M.D.'s and D.O.'s send their patients to a Podiatrist to treat their feet. We have sent all the documentation suggested by Medicare to the physician treating the patient's diabetes. There are other providers in our area who our patients have told us are not requiring this information. If Medicare is going to enforce this, then everyone dispensing items from the TSB should be required to follow these rules. Does anyone out there have any suggestions?

WHY IS THIS THE DME PROVIDER'S RESPONSIBILITY VERSES MEDICARE OR THE CERTIFYING PHYSCIANS?

- Lisa Long, F.W. Toenges & Sons Inc.

Response: In regards to the new "documentation standards," why did we just go through facility accreditation and bonding? What's it good for? After 16 years of proud service to the community I am thinking seriously of throwing in the towel. At some point it's just not worth it. Sad day.

I'm writing my congressman, today. Pedorthists will be extinct in a few years.

- Robert Sylvester, C. Ped., American Foot Comfort Ctr.

Response: This is the deal, in my opinion. Diabetic patients SHOULD be under a comprehensive plan of care. There are so many vital organs that are affected by diabetes. The "captain of the ship" the PCP SHOULD have a comprehensive plan of care for his diabetic patient. However, we all know that PCPs are under severe time constraints. CMS knows this as well. In fact, CMS has a provision under PQRI that allows "non-MDs" to perform basic foot ulcer prevention examinations. CPeds fall under the scope of practice that allow for these foot ulcer prevention screenings. What has to happen is we must get that information into the PCPs' hands. They must have possession of our assessment, which should include the multi-disciplines involved in the patients' care. I have a comprehensive plan of care that may be of assistance to you.

- Tony Davila RN, BSN, CPed, Diabetic Foot Ulcer Prevention Strategies

Response: I retrieved some reprints from the O&P Almanac regarding Medicare Documentation that might be of interest (titles link to articles*):

Submitting Correct Claims

Decoding Medicare

Medicare Annual Checkup

Medicare Documentation

*O&P Almanac magazine is published by the American Orthotic & Prosthetic Association

- Jerry Klein, C. Ped., Aetrex Worldwide

PREVIOUS QUESTIONS AND COMMENTS WITHOUT RESPONSES

Question: Has anyone had any success treating a Baxter's nerve entrapment/irritation with an FO? If so, what type of FO was used...any special modifications?

Thanks!

- Erick J. Janisse, C.O., C. Ped.

Question: Has anyone else had this happen yet?

We received four of the Prepayment Reviews from Medicare, we called the doctors and received the notes for the patients and sent them all back for review. Three went through fine and we received payment. The fourth is a lady from the Air Force Base Hospital in town; this one did not get approval because the base physicians do not follow Medicare guidelines and do not test their patients for neuropathy yearly, and there was no documentation for poor circulation or foot deformity that they circled on the CPF. Now we have to bill the patient, and this is a regular yearly customer, for the shoes and custom foot orthoses -- which means we have lost a patient because they won't be back next year, and I don't blame them. So, is my only option here to not accept patients from the base hospital just in case Medicare decides to do this again? Many of my patients are from this military hospital.

It sure is tough making a living in this profession. We did a cost analysis for custom molded diabetic foot orthoses made in our lab. Cost is about $70.00 a pair for materials, salaries, and time. This does not include fitting, adjustments and follow-up appointments. Aetna pays $32 a pair, the same amount they pay for A5512's. They don't cover our costs on shoes either. Who can afford to lose money for each Aetna patient? We can't and won't.

Is it worth it? I wonder.

- Reggie Swickard, LPed

Question: With the recently announced meeting between NCOPE, ABC, PFA, BOC and the Pedorthic Educators, it seems that "formal" pedorthic education (which we all know translates into "associates degree") is finally looming on the very near horizon. As one of the 30 people invited to this function, I heard from many of the organizational heads of state that they thought this was the way to go. So, what do you think? Is this a good idea? If so, are you willing to upgrade your skills to match (Anatomy/Physiology/Biology/Physics)? What is this going to do to the already slim supply of pedorthists in conjunction with all of the new patients entering the system through the new Healthcare setup? Can you afford to send your employee to school in another State for 2 years, and help pay their student loans off over the next 10 years? Good questions, and this is a great forum to let the organizations know what the men and women on the street think.

- Rick E. Sevier BS Ed.BOC Orthotist C. Ped. BOC Ped. L. Ped CPOA, CFS Allied Health Education

ANNOUNCEMENTS

OPERF Announces 2010 Educator and Student Award Programs

The Orthotic and Prosthetic Education and Research Foundation (OPERF), Inc. is pleased to announce two new award programs; one for educators and one for students.

The O&P Educator Award Program is designed to support prosthetic and orthotic educators who currently hold teaching positions at Commission on Accreditation of Allied Health Education Programs (CAAHEP)-accredited O&P education institutions. It is meant for faculty who are pursuing higher degrees to improve their skills as O&P instructors. The Educator Award is a $2,500 cash grant. This year up to three awards are available.

The OPERF Student Award Program is designed to support students currently enrolled in a CAAHEP-accredited O&P program and who have completed at least one semester toward their degree program. The award is a $200 cash grant and this year, up to ten Student Awards are available.

Instructions and forms for submission of applications are available online at www.OPERF.org. Educator Award Program Applications are due June 30, 2010 and awards will be made on or about October 1, 2010. Student Award Program Applications are due by October 1, 2010 and awards will be made on or about December 15, 2010.

About OPERF: The Orthotic and Prosthetic Education and Research Foundation (OPERF) was established in 2008 as a foundation to serve the entire O&P field. Since its inception the foundation has awarded grants, fellowships, and the first Tamarack Prize together totaling nearly $100,000 to promote and reward research in our field.

SPONSOR NEWS

HEALTH AND INDUSTRY

Red Wing Shoe Gets $261K Grant to Expand, add 42 Jobs

Red Wing Shoe Co. has received a $261,270 grant to expand its Potosi, MO plant and add 42 new full-time jobs within two years. The Industrial Infrastructure grant, made through the Community Development Block Grant program, will help spur at least $736,600 in private investment, according to Gov. Jay Nixon's office.

Nixon visited the plant Friday to announce the grant, which will go toward increasing production, adding card-reader access, installing new truck driver entrances, putting on a new roof, re-paving parking lots and upgrading lighting systems. Full Text

Source: St. Louis Business Journal

Crocs: Off the Endangered List

By Alyce Lomax

Can Crocsbite back? The footwear purveyor posted heartening first-quarter results, but the long-term sustainability of its growth remains in question.

Crocs swung to a first-quarter profit of $5.7 million, or $0.07 per share. Last year this time, it reported a harrowing net loss of $22.4 million, or $0.27 per share. Revenue surged 23.7% to $166.9 million, but that's an easy comparison to last year's malaise, when first-quarter revenue dropped 32%. Full Text

Source: The Motley Fool

Georgia: Foot Dynamics Specializes in Orthotics

By Carol Niemi

It's been said that shoes make the man. Nowhere is this truism truer than at Foot Dynamics, where people suffering from mild to debilitating foot pain find relief in custom-designed, handmade orthotic inserts and orthopedic shoes and boots.

Established in 1997 by Rick Martinez, an ABC Board Certified pedorthist with a masters' degree in orthopedic shoemaking earned in Frankfurt, Germany, and in its current location on Hammond Drive in Sandy Springs since 2009, Foot Dynamics provides solutions to everyone from athletes to diabetics adjusting to amputations.

Half of Foot Dynamics' customers are walk-ins. Many of them are athletes whose problems can be solved by a pair of off-the-shelf orthopedic shoes sold in the store and a custom-designed accommodative insert. Full Text

Source: The Crier

Proper Foot Care a Must for Patients with Peripheral Arterial Disease

People who have peripheral arterial disease (P.A.D.) - or clogged arteries of the legs --are likely to develop foot problems. When the blood vessels in the feet and legs are narrowed or blocked, not enough blood flows to these parts of the body. As a result, minor problems such as cuts, sores or blisters cannot heal quickly, or heal at all.

P.A.D. is very common in adults with diabetes and these patients have an even greater risk of foot problems. In addition to poor circulation, people with P.A.D. and diabetes also may develop nerve damage from high blood glucose (sugar) levels, causing loss of feeling in their feet. One may not feel a pebble inside their sock that is causing a sore or not feel a blister develop due to friction or poorly fitting shoes. These small foot injuries can cause sores or ulcers that can turn into serious infections. If not treated promptly, these problems may lead to losing a toe, foot or leg. In fact, P.A.D. is one of the leading causes of foot or leg amputations in the United States and perhaps around the world. Full Text

Source: PRWeb

AETREX iSTEP WEBINARS

View our Full May 2010 Webinar Calendar

DIABETES

Research and Markets: Atlas of the Diabetic Foot, 2nd Edition - A Reference Guide for Identifying Patients at Risk for Foot Problems

Research and Markets (http://www.researchandmarkets.com/research/1db452/atlas_of_the_diabe) has announced the addition of John Wiley and Sons Ltd's new report "Atlas of the Diabetic Foot, 2nd Edition" to their offering.

"Atlas of the Diabetic Foot, 2nd Edition"

Foot ulcers occur in approximately 15% of the patients with diabetes mellitus in their lifetime, with a major impact on their quality of life. Many hospital admissions related to diabetes are due to foot ulcers, which can result in prolonged hospital stay and increased morbidity and mortality. The majority of lower limb amputations are performed in patients with diabetes every year (80,000 at least in the USA). Most of the diabetes-related foot problems can be prevented or their severity reduced by early detection and treatment. This book contributes to improved foot care through raised awareness of prevention, clinical manifestations, diagnosis and management among healthcare professionals. Full Text

Source: BusinessWire

Diabetes Nerve Pain May Worsen at Night

By Charlene Laino

People with diabetes-related nerve damage may experience worse pain in the evening hours, preliminary research suggests. If confirmed in larger studies, the findings suggest that people with diabetic peripheral neuropathy might need more pain medication late at night.

Peripheral neuropathy is a type of nerve damage associated with type 2 diabetes most often characterized by pain, tingling, and numbness in the hands and feet.

"It could be that patients need more [pain] medication at night or that if they are taking a once-a-day medication, it should be taken in the evening," says Brett Stacey, MD, medical director of the Comprehensive Pain Center at Oregon Health & Science University in Portland. But it's too early to make recommendations on the basis of this study, he tells WebMD. Full Text

Source: WebMD

SPORTS AND FITNESS

Li Ning's Portland Store Nearly Triples in Size

Just months after opening its first U.S. store in Portand, Oregon's Pearl District, Li Ning Co. is preparing to unveil its expanded retail showroom, with street-level access and more merchandise, on Saturday. The Chinese athletic shoe and clothing maker's current location at 910 N.W. Hoyt St. has merged into adjoining space at 916 N.W. Hoyt, increasing its retail footprint from about 850 square feet to 2,200. The building also houses its U.S. corporate offices as well as a design center.

"We couldn't be more thrilled with the amenities the expanded space provides, and our employees are very enthusiastic about re-locating to the new space," said Jay Li, general manager of Li Ning USA, in a news release. Full Text

Source: The Oregonian

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 Certification/Accreditation, Int'l. Both the ABC and BOC are independent certification bodies that set standards for the profession and offer certifications that are recognized by the National Commission for Certifying Agencies.

More information, including FAQ's

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

Board of Certification/Accreditation International

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

ONGOING COURSES AND EDUCATIONAL OPPORTUNITIES FOR BECOMING A CERTIFIED PEDORTHIST

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.

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.

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 prepare for the Certified Fitter of Therapeutic Shoes or the

Pedorthic Pre-Certification Course and Exam, also those who wish to improve their pedorthic, sales, retailing, biomechanics and business skills or those who need a refresher course;

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

Pro-Learn, LLC announces its new CAPE approved Pedorthic Pre-certification program

Pro-Learn's program is accredited by the Commission on Accreditation of Pedorthic Education (CAPE) to provide Levels 1, 2 and 3 of pedorthic pre-certification coursework required by ABC and BOC to become eligible to apply and sit for board examination. ProLearn utilizes the latest technology in Distance Learning and Virtual Classrooms. This is the same Distance Learning Program technology model used by advanced O & P schools used to deliver their curriculum. This allows maximum flexibility in our programs that gives the student choices that fit their busy lifestyle, level of experience and learning style. Programs vary from three-week, live classes to completing the coursework completely online (Experienced, advanced degree holding healthcare professionals only). Our staff and faculty is composed of degree holding healthcare professionals who are Pedorthists, Nurses, O & P, Professional Pedorthic Educators and Physicians.

Please visit www.pro-learn.com or email cmartin@pro-learn.com for more information to assist you or your staff in making a decision on the right option for you, your business, your family, and your lifestyle.

COURSES

JUNE, 2010

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. Level 1 & 3 performed online - Level 2 Dates: June 4-14, 2010 - Elwood, Indiana - Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.

Tuition includes Dormitory Housing and Transportation to and from the Indianapolis International Airport and the RMPI school. Note: limited availability and by confirmed reservation only. Private Apartment Housing is also available by request and comparably priced within walking distance from the RMPI.

June 30, Foot Solutions 1-day Cram Session. Foot Solutions is an accredited facility that holds classes three times per year. The company's course will offer the certificate needed in all three levels to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. 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

JULY, 2010

Pedorthic Pre-Certification Training Course July 26th - August 8th, 2010

In cooperation with the ABC and BOC requirements, the Eneslow Pedorthic Institute (EPI) is offering a three-level competency training course for aspiring CPEDS. To provide maximum benefit in a minimum of time, a portion of the level one curriculum will be administered through a distance learning program that includes required readings, and testing of all mandatory topics. Upon passing the level one test, students will attend the remainder of the pedorthic pre-certification course at the Eneslow Pedorthic Institute. The course includes the required tests for competency to sit for the ABC or BOC exams.

Upon completing the course and successfully passing the competency tests, and fulfilling the 1,000 hour "Clinical practice Requirement" students are eligible to sit for the ABC or BOC exam to earn their Pedorthic Certification (CPED or BOC Pedorthist). For detailed information on the ABC requirements please refer to the ABC website at www.abcop.org.

For more information on ABC Clinical Practice Requirements, please go to www.abcop.org or www.bocusa.org.

SPECIAL NOTE: Aetrex is offering to all attendees of EPI pedorthic pre-certification course the following offer. Buy 40 pair of new Aetrex footwear and receive 20 pair free, a $1300 offer. Attendee must be signed and attending the course to receive special offer.

Pedorthic Pre-Certification Course July 26th - August 8, 2010 - $3,995

AUGUST, 2010

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. Level 1 & 3 performed online - Level 2 Dates: August 7-16, 2010 - Elwood, Indiana - Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone 765-557-7216.

August 9 - 20, Foot Solutions Pre-Cert class. Foot Solutions is an accredited facility that holds classes three times per year. The company's course will offer the certificate needed in all three levels to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. 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

SEPTEMBER, 2010

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. Level 1 & 3 performed online - Level 2 Dates: September 18-27, 2010 - Elwood, Indiana - Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.

OCTOBER, 2010

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. Level 1 & 3 performed online - Level 2 Dates: October 9-18, 2010 - Elwood, Indiana - Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.

NOVEMBER, 2010

1 Day Review for Pre-Certfication Exam November 4th, 2010

In order to better prepare candidates for the November ABC Pedorthic Certification exams, The Eneslow Pedorthic Institute is offering a one-day review class on April 30th, 2009. Topics covered will include anatomy, biomechanics, shoe anatomy and construction, pathologies, operating procedures, materials and test taking techniques. To sign up for our one-day review class or for private tutoring, contact Sarah Goldberg at 212 477 2300 x211 or sarah@eneslow.com.

1 Day Review for November 4th, 2010 Pre-Certification Exam - $295

November 12, Foot Solutions 1-day Cram Session. Foot Solutions is an accredited facility that holds classes three times per year. The company's course will offer the certificate needed in all three levels to sit for the C. Ped. Exam. The facility is located at 2359 Windy Hill Road, Suite 400, Marietta, GA 30067. 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

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. Level 1 & 3 performed online - Level 2 Dates: November 13-22, 2010 - Elwood, Indiana - Condensed course hours available upon successful completion of pre-entrance exam. Scholarships Available - Please visit our website at www.rmpi.org or contact pam@rmpi.org - Phone: 765-557-7216.

DECEMBER, 2010

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. Level 1 & 3 performed online - Level 2 Dates: December 4-13, 2010 - Elwood, Indiana - Holiday Scholarship Available - Please visit our website or contact pam@rmpi.org - Phone: 765-557-7216.

BECOME AN ABC THERAPEUTIC SHOE FITTER

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

Aetrex Worldwide Therapeutic Shoe Fitter Courses

May

Aetrex Therapeutic Shoe Fitter/Live Portion: May 18 (Oklahoma City, OK), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: May 20 (Houston, TX), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: May 25 (Nashville, TN), $195.

June

Aetrex Therapeutic Shoe Fitter/Live Portion: June 16 (Flint, MI), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: June 29 (Charleston, WV), $195.

July

Aetrex Therapeutic Shoe Fitter/Live Portion: July 14 (Teaneck, NJ), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: July 21 (Columbia, SC), $195.

August

Aetrex Therapeutic Shoe Fitter/Live Portion: August 24 (Portland, OR), $195.

September

Aetrex Therapeutic Shoe Fitter/Live Portion: September 16 (Cincinnati, OH), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: September 30 (Mobile, AL), $195.

October

Aetrex Therapeutic Shoe Fitter/Live Portion: October 7 (Oakland, CA), $195.

Aetrex Therapeutic Shoe Fitter/Live Portion: October 9 (Los Angeles, CA), $195.

November

Aetrex Therapeutic Shoe Fitter/Live Portion: November 15 (Atlanta, GA) (Medtrade Atlanta), $195.

ONGOING THERAPEUTIC SHOE FITTER COURSES

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.

CFS Allied Health Education is pleased to announce its new BOC approved Orthotic Fitter Distance Learning Program. This program incorporates advanced Web-based instruction coupled with a three day live hands-on Learning Activity covering head-to-toe prefab orthotic fitting, fracture bracing, basic shoe fitting and basic mastectomy fitting. Additional modules are available at no extra charge for BOC Orthotist exam review. Tuition is $495. See www.certifiedorthoticfitter.com for schedule or call (918) 266-3678 to enroll. Fellow Pedorthists: Do not miss this opportunity to increase your scope of practice and income in these challenging times!!!

- Rick E. Sevier BS Ed. BOCO C. Ped. - CFS Allied Health Education

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

UPCOMING COURSES FOR CERTIFIED PEDORTHIST & ALLIED PROFESSIONALS

Submit course listings to: editor@pedorthicnewswire.com

2010 COURSES AND EVENTS

MONTHLY AND ONGOING

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.

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/.

The Robert M. Palmer, M.D., Institute of Biomechanics, Inc. a not-for-profit pedorthic school: Advanced Manufacturing - 50 Hour Course - Approved For 49.5 CME's for Pedorthists by the ABC. This course is designed to teach BAPFOL standards in manufacturing functional feet orthoses and provide an introduction to advanced biomechanical posting. Class size is limited to two students. For more information or to customize a course to meet your manufacturing educational needs, please email pam@rmpi.org or phone 765-557-7216. Tuition cost: $2K - includes housing and transportation to and from the airport and school.

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, click http://www.nsra.org/wiser_intro.php?ad=pn

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

Aetrex Worldwide Pedorthic Results Seminars

Attendees will learn the importance of a thorough evaluation using traditional and computerized methods. The differences of various foot types and their individual requirements in choosing the proper footwear, foot orthoses and external shoe modifications will be discussed. A hands-on workshop is also included. ABC - 7.5 Scientific Credits; BOC - 7.75 CPE Category 1

For information on Aetrex Worldwide Pedorthic Results Seminars, please contact the Aetrex Marketing Department at: marketing@aetrex.com.

2010 Pedorthic Results Seminars Calendar:

May

27 Jackson, MS

June

8 Akron, OH

10 Chicago, IL

15 Birmingham, AL

23 Milwaukee, WI

July

8 Salt Lake City, UT

20 Columbia, SC

August

18 Atlanta, GA

26 Las Vegas, NV

September

14 Minneapolis, MN

October

4 Seattle, WA

6 Oakland, CA

11 Los Angeles, CA

19 Teaneck, NJ

26 McCallen, TX

28 Baton Rouge, LA

November

9 Indianapolis, IN

December

7 Orlando, FL

NOVEMBER, 2010

2010 North American Pedorthic Congress - Pedorthics and the Global Footprint - jointly produced by PFA and the Pedorthic Association of Canada. November 18 - 21, 2010, Hilton Walt Disney World Resort, Orlando, FL. For more information, visit http://www.pedorthiccongress.org

CLASSIFIEDS

Seeking to Hire: Aetrex is seeking to hire an individual for the position of "Technical/Service Representative" based in the Chicago/St. Louis area. The position requires strong computer and interpersonal skills servicing "house accounts". There will substantial product and technology training to prepare the right person for a position with an aggressive company in full stage growth momentum. Substantial travel is required. Competitive salary. Car allowance. Comprehensive health care benefits, expenses and performance based bonus.

Please submit resumes to careers@aetrex.com, or fax to 201-833-1570

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. The company sells its products through broad channels of distribution including, retail shoe, sporting goods, golf, pedorthic, DME, podiatry, O&P and others.

Check www.aetrex.com and www.foot.com for additional information.

Seeking to Hire: Foot Solutions, Sugarland and Houston, TX, a Franchise Retail Company, has more than 240 locations worldwide. We are the world's largest and #1 ranked health and wellness franchise, focusing on foot care and proper fit. Foot Solutions™ focuses on providing a full line of quality shoes, arch supports and footcare accessories for all customer lifestyles. We are seeking a C.Ped, Pedorthist or a person with shoe fitting experience to help grow our business. This position preferences salesmenship, computer and typing skills but will consider others. Please email resume to: lebel_co@birch.net

Seeking to Hire: Since our company's founding in 1923, Yale Surgical Company has been dedicated to meeting the Orthotic, Prosthetic and Pedorthic needs of Connecticut. We are beginning a new family generation of practitioners and are eager to meet the continuing need in our area. We currently have multiple opportunities for C. Ped., CO, CP, CPO and Orthotic/Prosthetic Techs in our New Haven office. We would love to speak with you to discuss your goals and future plans. Please feel free to look at our website, http://www.yalesurgical.com/ and email your resume to info@yalesurgical.com at your earliest convenience. Comp. salary, 401k etc. - Edward N. Kaufman Ongoing

Seeking to Hire for Certified Pedorthic Shoe Technician/Sales Position: Comfort Shoe Specialists in St. Louis is seeking a member to join our team. This job requires attention to detail, compassion for helping others, and drive. Our perfect member would have excellent skills in shoe repair and sales. This person has an interest in ultimately becoming a Pedorthist or is already a Pedorthist. Many people can simply "sell;" we want someone that is going to truly embrace our company as their own.Comfort Shoe Specialists is open Monday through Saturday. Saturday is a required workday. If you have what it takes to practice excellence in the field of Pedorthics, we'd love to hear from you. To be considered for this position please send your cover letter and resume' to Jesse@ComfortShoe.com. PLEASE NO PHONE CALLS. 5/19

Seeking to Hire: Birkenstock USA, LP Job Title: Field Service Representative - 4 positions: Northwest Region, Southeast Region, Upper Midwest Region, and Southwest Region

Summary of Position:

Responsible for representation and sales support for Birkenstock, Footprints, Tatami, and Birko Orthopädie brand products in an assigned territory. Provide excellent customer service to account base through regular visits to educate about products, present promotions, and assist with visual merchandising of respective brands. Position also known as Tech Rep. Interested candidates who are Certified Pedorthists are encouraged to apply, as a higher level of responsibilities and compensation will apply.

Position Requirements/Qualifications:

2 years presentations/public speaking/stand-up training experience; 2 years wholesale/retail apparel or footwear experience preferred. Some college preferred. Knowledge of shoe industry and retail business. Ability to travel 50% of the work time, must have valid driver's license/ acceptable driving history. Strong merchandising, public speaking, and customer service skills. Effective written and verbal communication. If interested, please send cover letter and resume to: jobs@birkenstockusa.com with the subject title "Field Service Rep", or fax to (415) 884-3211.

BIRKENSTOCK USA LP IS AN EQUAL OPPORTUNITY EMPLOYER. 4/28

Seeking to Hire: Orthopedic Shoe Co. located in Brooklyn, NY is seeking full-time Certified Pedorthist. Please send resumes to comfortdesign@optimum.net 4/14

Seeking State-Licensed Pedorthists in the Following States:

FLORIDA

OKLAHOMA

ARKANSAS

ALABAMA

ILLINOIS

OHIO

Midwest Medical Services is seeking Certified Pedorthists for commission work. Looking for a career with longevity and growth opportunity? Leads are provided; however you must be a self-starter who can generate your own leads as well. If you are interested in working with our team on the next level of Pedorthic care, please contact us immediately. Call 913-647-4529 or e-mail at kbarth@midwestmedservices.com. 4/14

Seeking Reps: A national supplier is looking for representatives to service the entire state of Pennsylvania, Illinois, and Texas. Certification is done online.

FITTERS RECEIVE THE FOLLOWING FEES:

Product/Service	Fee
Diabetic shoe sizing and fitting	$50.00 as submitted
Diabetic supplies and training	$30.00 as shipped
Diabetic supplies with meter upgrade	$50.00 as shipped
Back brace sizing and fitting	$25.00 as shipped
Knee brace sizing and fitting	$30.00 as shipped
Ankle brace sizing and fitting	$15.00 as shipped
Night splint sizing and fitting	$10.00 as shipped

All marketing supplies are FREE
All shipping costs are FREE
The training is FREE
Leads are FREE

If interested please forward your contact information to email rosie.salas@yahoo.com. 4/14

Seeking to Hire: Foot Solutions, Caldwell, NJ, a Franchise Retail Company, has more than 240 locations worldwide. We are the world's largest and #1 ranked health and wellness franchise, focusing on foot care and proper fit. Foot Solutions™ focuses on providing a full line of quality shoes, arch supports and footcare accessories for all customer lifestyles. We are seeking a person with shoe fitting experience to help grow our business. Please email resume to Caldwell@footsolutions.com. 3/24

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

To place a classified ad, please email editor@pedorthicnewswire.com

STAFF

Editor: Faye Rapoport DesPres, M.S., M.F.A.

Design/Layout: Aetrex Marketing Department

ADVISORY BOARD

Robert Schwartz, C. Ped.		John Mishasek, BOC Pedorthist, C. Ped.
Erick Janisse, C. Ped.		Jerome S. Klein, C.O., C. Ped.
Edith James, C. Ped.		Rick E. Sevier BS Ed. C. Ped. BOC Ped.

ADDITIONAL COMMENTS

Our goal at Pedorthic Newswire is to generate an active online exchange of ideas among those interested in pedorthics. Please send articles, questions, responses and courses listings to editor@pedorthicnewswire.com.

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DISCLAIMER

General Disclaimer. Acceptance and publication by this newsletter of questions, comments, news stories, or case studies does not imply endorsement or approval by Aetrex Worldwide, Inc. or Foot.com of the company, product, content, or ideas expressed in this newsletter, which are the sole responsibility of the respective authors. Neither Aetrex Worldwide, Inc. nor Foot.com, nor any of its subsidiaries or affiliate entities, agents, employees, or subcontractors shall be liable for any direct, indirect, special, incidental, consequential, punitive, or exemplary damages, including lost profits (even if we are advised of the possibility) arising in any way from the information contained in this newsletter.

Disclaimer of Endorsement. Reference to any products, services, hypertext link to the third parties, or other information by trade name, trademark, supplier, or otherwise does not constitute or imply its endorsement, sponsorship, or recommendation by Aetrex Worldwide, Inc. or Foot.com, or its employees.

No Individual Treatment Information. All information published by Aetrex Worldwide, Inc. or Foot.com is provided solely for general information and shall not be construed as an attempt to practice medicine or provide specific medical advice and should not be used to make a diagnosis or to replace or overrule a qualified health care provider's judgment. We strongly encourage users to consult with a qualified health care professional for answers to personal health questions.

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