July 21, 2010, Issue #374

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

Question: I have neuropathy CMT with drop foot that makes walking difficult.

I wear braces whenever I'm going to walk outdoors for a while. I have difficulty keeping my balance if the surface is slightly uneven and it's hard for me to walk up a slight incline.

I would like to know - whenever I'm not wearing braces, would it be of any help to wear orthotics to walk around the house or when going for short walks? I asked this question to a doctor, who said, "Wearing orthotics for the above reasons would not help."

I would very much appreciate any information you can give me.

- Frank Biondo

Question: I was wondering what the regulations on prescription are regarding RX/DX information on the prescription. I get several prescriptions for Therapeutic footwear and all that is written on the prescription is "Diabetic shoes." Most of the time there is no DX at all or it may say "diabetic." Is this enough to go ahead and see/evaluate the patient (covered under Medicare) and order footwear under the therapeutic footwear bill?

Is the prescription or the physician statement for therapeutic footwear the priority document when providing diabetic footwear?

- Cped2005

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

Question: Here in rural Oklahoma one of my challenges is fitting diabetic shoes and socks for patients with severe edema and/or obesity. We want lots of volume across the instep and forefoot area, but a shoe cut low around the heel to accommodate the ankle girth. The only one I've heard of is by Apis Footwear. Does anyone have any other suggestions? Does anyone know of some seam-free diabetic socks that can accommodate lower legs with a circumference of 23" and over??

- P. Mitchel, C. Ped.

Response: Severe Edema and obesity are normal problems for the Diabetic population. For this reason, Dr. Comfort focused much of its design effort on how to make socks that provide the necessary protection, but comfortably accommodate over-sized, what we call "Extra Roomy" legs and feet. It is quite difficult to manufacture socks with the extra size and also keep the normal appearance of socks. So, most over sized socks look unattractive to say the least. Dr. Comfort has invested in specially designed machines built specifically for this purpose. As a result, we can offer Dr. Comfort socks with fit capacity of up to 24" circumference, along with all the other benefits our products offer.

- Nancy Carr, L. Ped, Dr. Comfort

Question: I know I have seen comments on this subject in the past, but I think it is a gray area. What are some thoughts on billing for L5000? Some will only bill for this code if the patient has a complete transmet amputation. Others will bill for complete transmet amputation as well as hallux amputation. Does a hallux toe filler meet criteria for an L5000 (Partial foot, shoe insert with longitudinal arch, toe filler)?

- Joe Eads, C. Ped., COF

Response: After speaking with several of my colleagues (in Pedorthics as well as O&P) about this subject in the past, the consensus seemed to be the following list of amputations that would qualify for Medicare reimbursement under the L5000 billing code:

- complete hallux amputation only

- complete 5th toe amputation only (including the metatarsal)

- complete hallux plus 1 or more lesser toes

- complete 5th (incl. the metatarsal) plus 1 or more lesser toes

- TMA

The amputations that do not qualify are:

- partial toe amputations (e.g.- DIP joint amputations)

- 5th toe NOT including the metatarsal

This list was not obtained from CMS however. When I called and asked them in regards to this, the person I spoke to seemed to think that the list was appropriate for L5000. I have used these guidelines ever since that conversation.

To answer your question: yes, the hallux toe filler does meet the criteria for L5000 billing. The L5000 code does, however, get abused a little bit so it is always good to fully document the level of amputation that you are presented with.

L5000 (Partial foot, shoe insert with longitudinal arch, toe filler) as it is written here provides a pretty big gray area as partial foot/ toe filler is not specifically defined. If anyone has a clearer definition with specific amputations that qualify for this code, it would be great if that could be shared with the rest of the readership.

- Rob Patai C. Ped./ L. Ped, Victory Orthotics & Prosthetics

Question: We have had several requests as of late for pedorthic related products that will run on an I-Phone/Pod/Pad or Blackberry. These are generally Pre-cert or CE in nature. We have several CE apps that will run in that environment but are always looking for ideas to develop more. My first question is how many practitioners out there are utilizing current technology (iPhone/Pad/Pod, Blackberry, etc) in their work environment, and secondly, who would if they only knew how to better utilize this technology?

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

Response: The best "pedorthic related product" I've found of late that will run on IPad (or any computer with Internet access) is called Kiwi. It's an easy-to-use, web-based, clinic management tool that can revolutionize how you run your practice and assess your patients. Designed for Pedorthists by Pedorthists.

What I enjoy most is charging for my evaluations in addition to my modalities and looking very professional in the process. I email a branded copy of my report with my name and logo instantly to the doctor as a follow-up and email a copy to the patient as a thank you. It's all digital, but I can print a hardcopy if necessary. My patient files are at my fingertips if I can remember where I laid my IPad. Kiwi is cheap at only $19 per month. A very small price to pay to keep me organized and looking good! Check 'em out at, www.kiwirevolution.com

- Shane Hayes. C. Ped.

Comment: Well, Region C finally received the all expected prepayment reviews. I thought that we had prepared our business to deal the progress note issue based on the prepayment review in Region B. However, in the last section regarding the progress note required, Region C essentially negated our plan. In response to the new criteria, my business had to redefine our shoe program. I always thought that the best way to run a shoe program was to have patients walk in and get fitted. From a business standpoint, I have changed my view.

I have not been able to deliver any shoes to my diabetic patients since the prepayment review was initiated. My patients are left wondering what's happening. The physicians are upset that they have to provide more documentation after they have already signed a prescription and a certifying statement. Now we're back asking for proof that what they signed is essentially documented by a third party. It's RIDICULOUS!

It will take time to launch the new strategy and I have no choice but to add several of my employees to the ranks of the unemployed. If the Federal Government wants to re-instill public confidence in our economy, CMS has to be realistic about the "Change" that our current administration promised. Our TSD programs were originally set up by government to help prevent amputations. This change is choking the life this public confidence program.

CMS is being very shortsighted.

- Antonio Davila BSN, RN, C. Ped.

Previous Response: I will share my comments that I made directly to Tony.

Early in our endeavors as a Medicare supplier, we determined that one's attitude about supplying Medicare covered DME technology had to be one of thinking like the Pony Express. That is, you better have a fresh pony available every 20 miles to dismount off the exhausted pony and jump onto the fresh pony for the next 20-mile journey.

When it was published 7-8 years ago that the OIG was putting TSD benefits in the top 10 list of items to investigate, we determined that ramping up retail sales was the sanest approach to stay in the TSD supply business but to hedge our involvement with Medicare by growing non-Medicare revenues. Yes, a retail customer can come back with buyer's remorse (or lower pricing found on the internet) and request a refund. At least, we can find compensation for time invested with this type of customer by using our store policy of assessing a restocking fee and a sterilization of shoes fee if the customer does not want to exchange our shoes for another pair of our shoes.

A Medicare audit involves increased costs of copying files and of tracking Medicare's response. With TSD's slim margins destroyed by chasing primary care physician charts notes that still miss one element of Medicare's requirements after multiple communications by our customer service staff, there is no longer any reason to be a Medicare TSD supplier. Why risk a recoupment of money that had no profit margin?

As of June 17th, when the CIGNA email showed up that TSD claims would be subject to a pre-payment audit before payment, we stopped accepting Medicare referrals. These referrals became "self pay" as the only option on June 18th. Are we losing revenues? Maybe. But at least we know on the spot if it is money that will stay in our checking account or not. No putting out inventory only to find a letter in our mail a month later that the claim is subject to a pre-payment audit and worse that the PCP left out one arcane element that the auditor could use to deny payment for that claim.

Being indignant, upset, and righteous does not pay the overhead and employees' payroll. Let it go, Tony. Move on. It is a frightening, new world of politicians and bureaucrats and insurance executives controlling our health. But that is really not new. It is just new to those who have not seen it coming for many years and put all their eggs in the TSD basket.

The other frightening thought for ABC and PFA is this: Why incur the costs of being a Certified Pedorthist if most of your competitors in your market are not certified but giving out business cards that say "Pedorthist?" There is zip branding of Certified Pedorthist versus pedorthist in our community and I imagine many other communities across America. At the one-on-one level of customer service, it is your knowledge, not your title, that keeps the customer coming back and telling their friends, neighbors, and co-workers to come to you.

So ABC and PFA may reap what they have not sown if one does not need to be a C. Ped. "qualified practitioner" to make a living after dropping out of Medicare.

- John Mishasek, BOC Pedorthist, C. Ped.

New Response to John Mishasek: The beaucoup problems with Medicare not withstanding, your assessment of how to actually run a pedorthic practice/business is spot on. But, you went off the rails at the end by stating that your title has nothing to do with your knowledge. Without your certification training and the mandatory continuing education; you wouldn't have gained as complete of a body of knowledge by sitting within your own four walls.

I've always maintained that pedorthics is so much greater than just diabetes. A lot of C. Peds are guilty of not utilizing their full scope of practice and falling into the "TSD Trap." Pedorthics existed 30 years before there was a TSD and the demand for pedorthics will continue to grow long after the TSD. I hope all C. Peds are realizing the growth I've seen in my practice as the population ages and the news of my qualifications expands.

- Shane Hayes, C. Ped.

PREVIOUS QUESTIONS WITHOUT RESPONSES

Question: An article about "toning shoes" recently appeared in USATODAYthat has a potential impact on pedorthists as providers of toning shoes by "experts who can advise and train customers on their proper use and application." What are PNW readers doing to capitalize on this "revolution?"

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

Question: No, really? Just received the latest PFA Magazine. There is an advertisement for High Heel orthotics on page 17. Is this for real? I cannot see how any orthotic would do any good in any high heel (especially in those "exquisite spikes" shown). How can any orthotic give any support in a high heel shoe. Didn't "Oprah" have something like this on one of her shows? This brings me to the following question: should there be advertising for very questionable products in a health related magazine? As a C. Ped. I see myself as a footwear specialist who works toward long-term maintenance of healthy feet and the prevention not the promotion of foot damage. What is your take on this?

- CPed2005

ANNOUNCEMENTS

BOC Revises Requirements for Orthotic Fitter Certification

After a recent review and analysis of assessment and testing procedures for certification as an orthotic fitter (COF), the Board of Certification/Accreditation International (BOC), has updated its COF requirements. Like the BOC Mastectomy Fitter and BOC Pedorthist credentials, the COF designation will be awarded based upon three requirements: completion of a required course of study, experience in patient care under appropriate supervision, and passing a three-hour multiple-choice examination that is conducted four times each year in more than 150 cities.

"The demand for certification in orthotic fitting is growing," says BOC president Claudia Zacharias, MBA, CAE. "When several respected education providers suggested we re-evaluate the criteria for the COF, we launched an analysis of the program requirements. Our Board strongly believes it is important to increase the number of qualified health care providers available to patients. Through the review and analysis process, we have been able to establish a certification level that allows practitioners whose work focuses on fitting the most-in-demand devices - orthotic, mastectomy and pedorthic - to follow similar qualification stages in education, experience and examination requirements. This will streamline the certification process and encourage practitioners to consider learning to fit multiple devices, enhancing their value to patients and to other health care providers." Full Text

Source: BOC

SPONSOR NEWS

HEALTH AND INDUSTRY

High Heels Reshape Leg Muscles, Create Pain When Not Worn

By Rachael Rettner

Women who wear high heels daily might be signing up for more than a little foot pain. Habitual high-heel wearing can lead to changes in the calf muscle and tendons, according to a new study. So much so that these women actually experience discomfort when they walk around sans stilettos.

The high-heel habit can cause fibers in the calf muscle to shorten, and the Achilles tendon, connects the calf muscle to the bone, to stiffen and become thicker. While this set-up doesn't pose problems when the heel is propped up, it can lead to discomfort when standing or walking around flat-footed because the muscle and tendon are stretched beyond their normal range of movement. Full Text

Source: LiveScience.com

Sales of Fashion Footwear Are Up

If the trend in recent sales of women's fashion footwear is any indication, the economy is starting to get a spring in its step.

For a three-month period ending in April, the women's shoe market was up almost 24 percent, according to the NPD Group Inc., a leading marketing research company.

The biggest jump in sales has come in the walking shoe category, which is up more than 100 percent since the same time in 2009. The sales of casual shoes are up 25 percent and the shift into the warmer seasons hasn't cooled women's interest in boots -- those sales are up 30 percent from this time last year. Full Text

Source: Post-Gazette

Hemingway's Son Approves New Footwear Line

The 82-year-old son of writer Ernest Hemingway says his famous father would approve of a new line of shoes named after the Pulitzer and Nobel prize-winning author that are divided into angler, literary and sportsman collections. Bozeman resident Patrick Hemingway tried on a pair of loafers Friday at Schnee's Boots and Shoes and says the best part is he can wear them without socks, and that his father also hated socks. Full Text

Source: AP

Study: Economy + Technology = 'XTreme Shoppers'

By Sarah Mahoney

Think of them as robo-consumers: A new study from GfK Consumer titled "Future Buy" reports that a full 31% of the U.S. population now falls into a category it calls "the Xtreme Shopper," characterized by the amount of time they devote to finding the best deals on everything.

"It's not so much that these shoppers do anything that different than other consumers," Lew Paine, VP/Gfk Consumer, tells Marketing Daily, such as relying on Internet research, especially through mobile devices, using multiple retail channels, and checking product reviews. "It's just that this 31% do so much more of it. They are using many more touchpoints and more resources. They visit more Web sites, and are more likely to participate in online communities." Full Text

Source: Marketing Daily

AETREX iSTEP WEBINARS

View our Full July 2010 Webinar Calendar

DIABETES

New Study Proves Care by Podiatrists Dramatically Decreases Lower Limb Amputation

Essential foot care by a podiatrist has now been statistically proven to reduce hospitalization and amputation in adults with diabetes, according to a first of its kind study conducted by Thomson Reuters. The study will be presented by Vickie R. Driver, MS, DPM, during the American Podiatric Medical Association's (APMA) 98th Annual Scientific Meeting in Seattle, July 15-18, 2010. The presentation will highlight the dramatic impact that as few as one visit to a podiatrist can have on patients with diabetes.

The study, which was sponsored by APMA, examined records for more than 32,000 patients with diabetes, ages 18-64, and compared health and risk factors for those who had podiatry visits to those who did not. Researchers found that care by a podiatric physician (defined as at least one preventative, pre-ulcer visit) was associated with a nearly 29 percent lower risk of amputation and 24 percent lower risk of hospitalization. Diabetic foot complications are the leading cause of non-traumatic lower limb amputation in the U.S. Full Text

Source: PR-USA.net

Diabetes Breakthrough, New Insulin Discovered

PTI | New Delhi

Diabetics, who need insulin injections daily, may now hope for some relief with Indian scientists having discovered a novel form of the hormone that can keep blood glucose levels down for up to three months.

A team of scientists of the National Immunology Institute of India, led by Avdesh Surolia, has developed a fresh approach to insulin injection wherein 'Supramolecular Insulin Assembly-II (SIA-II)', a form of the hormone, is used for a sustained treatment of diabetes mellitus type-I.

The studies constitute the first work of its kind where a single administration of SIA-II to animal models of diabetes, such as rats, has been experimentally demonstrated to lower blood glucose levels to normal values for as many as for 120 days. Full Text

Source: The Pioneer

SPORTS AND FITNESS

The Debris Inhibitor™ Approved By NFHS for High School Play During 2010 Football Season

The Debris Inhibitor has been approved by the National Federation of High School Associations for wear by players during high school football games in 2010. Developed by Southern Sport, Inc., the cleat covering prevents debris found on artificial turf fields from entering athletic shoes and socks.

Citing the NFHS Football Rule 1-5-3k on uniform adornments, the Equipment Subcommittee ruled that under the current language, "The Debris Inhibitor did not constitute a violation of adornment."

According to Eddie Parker, Southern Sport director of marketing, debris within the shoe can lead to discomfort, distraction and possible injury for the player. The athlete simply pulls on The Debris Inhibitor like a sock, but over the shoe. The patented design contains openings on the sole to provide a snug fit while adapting to fit around various cleat patterns. The Debris Inhibitor is also pulled above the ankle, which covers openings of the shoe with a barrier and allows freedom of motion. Full Text

Source: PRNewswire

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

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. Eneslow Website: www.eneslow.com Eneslow Pedorthic Institute: http://www.eneslow.com/inner.cfm?siteid=4&itemcategory=22505&priorId=0

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.

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.

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

INTERNATIONAL SCHOOL OF PEDORTHICS SUMMER COURSES

LIVERMORE FALLS ME

AUGUST 9^th-13^th PRE CERTIFICATION CLASS

MEQUON WI

AUGUST 23^rd-27th PRE CERTIFICATION CLASS

For more information, contact 702 449 0974 or email kathymeanwell@yahoo.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

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.

INTERNATIONAL SCHOOL OF PEDORTHICS SUMMER COURSE SCHEDULE

DALLAS TX

JULY 19TH CTSF

VANCOUVER WA

JULY 31 CTSF

For more information, contact 702 449 0974 or email kathymeanwell@yahoo.com

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 Veanne Lupia at 1-800-673-8446, ext. 7006, veannel@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 Solutions Results Calendar:

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

INTERNATIONAL SCHOOL OF PEDORTHICS SUMMER SCHOOL SCHEDULE

VANCOUVER WA

JULY 27^th-30^th CEU CLASSES

LIVERMORE FALLS MAINE

AUGUST 9^th-17^th CEU CLASSES

HUGO MN

AUGUST 30^th-SEPT 4^th CEU CLASSES

For more information contact 702 449 0974 or email kathymeanwell@yahoo.com.

JULY, 2010

18th Annual Foot Care Symposium

Place:

Hyatt Regency Lost Pines Resort and Spa

575 Hyatt Lost Pine Road

Austin/Bastrop, TX

Date:

July 28, 2010 - July 31, 2010

This program is designed to provide the primary care physician, podiatrist and physician assistant with practical information on the care of the foot.

Please refer to the conference brochure for additional information.

Registration online »

For more information, contact the CME Office at 254-724-7609 or 800-724-7280.

Fax: 254-724-1753

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: 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 Employment: Certified Pedorthist with varied pedorthic background seeking position in Colorado. Prefer footwear/orthotics/sports environment or clinical setting that has its own billing staff and insurance gurus. Contact: certpedorthist@yahoo.com 7/21

Inventory for Sale: Diabetic Shoes Available. Brand name Propet, various sizes and styles available. Over 200 brand new pairs in stock. View the shoes on our website: www.plannedeldercare.com. Call 847-495-7005 or email gwinner@plannedeldercare.com. 6/30

Seeking to Hire in Oklahoma City, Oklahoma: Certified Pedorthist [or Board-eligible]. Ideal candidate will be clinically sound, patient-focused, and possess great customer service skills. Certified Fitter preferred. Full time position, comprehensive benefits, 4-day work week. Come see what our growing company and vibrant community have to offer. Qualified candidates please contact Les Brown, lbrown@viscent.com for application. 6/30

Seeking to Hire: The Veterans Health Administration has openings for a Pedorthist/ Orthotic fitter in three locations; Danville and Peoria, Illinois and Fort Wayne, Indiana. For information on the application process please contact Mickey Howard, MA, CO, FAAOP at 317-988-3723 or via email ernest.howard@va.gov. 6/16

Seeking to Hire: Safes Reps Wanted in NY Metro, Chicago and Southern CA. SafeStep is looking for a few independent, motivated, personable individuals to help DPMs streamline utilization of the Medicare Therapeutic Shoe Program. Work from home. No cold calling. 25% local travel.

Use your expertise to help others fit shoes, ensure Medicare compliance and bill properly. SafeStep features shoes from Aetrex, OrthoFeet, New Balance, Brooks, Hush Puppies, Pedors and more. AFOs from Ossur, Aircast, Donjoy, Swede-O, Bauerfeind. SafeStep is the exclusive podiatric distributor of the Arizona AFO. SafeStep uniquely offers free electronic billing to Medicare and other carriers. Join the best company in terms of product assortment, Medicare compliance and electronic billing. Send your resume to joshwhite@safestep.net. 6/2

Seeking to Hire: SHOE FITTER WANTED FOR CHICAGO AREA - Gottlieb Memorial Hospital is seeking an applicant to help run our therapeutic shoe program. Qualified applicant should be certified (Cfts) or have experience in shoe fitting/pharmacy technology that will help them achieve certification. Pharmacy technician experience is preferred. Applicant must have excellent customer service skills. Bilingual ability is a plus, as is computer experience and knowledge of Medicare billing. Position is full time with benefits. Apply online at www.GottliebHospital.org 5/24

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: 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 5/19

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

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