NEW QUESTIONS AND COMMENTS

Question: I was wondering if anybody knows of a good lab that will fabricate real "custom molded diabetic orthoses" that are actually shaped like the pt's feet. I have some frustration (as I am sure a lot of you do) with how terrible my orthoses come back looking. They usually do not contour the arch properly, or they are too narrow in the forefoot, or heel, or both. Because of the "low reimbursement" for these orthoses, I continue to get poor quality. I fabricate my own if the foot has deformities (which most do), or if the feet are really wide, as I have yet to find a lab that can fab to anything but an average foot. This then bogs me down with technical work. I have seen how many pt's end up getting sub par footwear and have their feet put at risk because their orthotics were made incorrectly to save a few bucks, and their practitioner has no problem sending them home with said footwear.  

How many practitioners are fabricating their own orthoses? How many are doing more heat molded than custom? How many care enough about your pt's to assure that the orthoses are made properly and fit well? If there are any representatives from any labs that read this who think they have an answer to these problems, please feel free to e-mail me. [Please also send your responses to Pedorthic Newswire for the benefit of other readers.]

- Joe Eads, Joe@waoandp.com

Question: If I am not a participating provider with Medicare, and I do not take assignment on a particular claim (i.e. diabetic shoes), am I required to send a claim in for patient if he/she asks?  If the answer is yes, is it because I bill Medicare for other services and get paid?

Obviously, some shoe stores sell Diabetic type shoes, but never bill Medicare for any services, so I am sure Medicare cannot require them to file a claim on behalf of patient.

- Scott Torppey, CO, C. Ped.

Comment: To PFA Board, Members, and other Pedorthists:

Regarding the recent publication from the PFA (PFA's Pushes for Common Sense Changes to Improve the Administration of Medicare's Therapeutic Shoes for Person's with Diabetes Benefit), I have serious concerns about the organization that is representing us as Pedorthists.   I don't know when this publication was written, but I just received it yesterday.  In it, there are six areas the PFA recommends improving.  The first is to establish a qualified supplier definition.  This is excellent, and should control 90% of all fraud, waste, and abuse by having only credentialed professionals dispensing the footwear. However, has this not already been implemented?  I thought with all the facility and individual accreditation, we had already covered all of this.

My main concern is with the second and fifth recommendations.  The second wants to restrict the number of inserts that can be dispensed to only one pair per visit.  While this may be a highly noble stance to take in lowering Medicare payouts, it will hamper the quality of the products the patient receives, as well as make every practitioner consider the viability of continuing this program.  Where will the time come from to do these additional fittings in the future?  How can we continue to provide good service while lowering our revenues?  I am a one-man operation.  I see 8 - 10 patients a day five days a week and spend about 45 minutes with each.  I spend any extra time and my entire day Saturday in the lab fabricating the custom jobs.  I have always dispensed 3 pairs at one time. Whether it is the A5512 or A5513, the nature of soft plastazote or similar inserts is that they will bottom out.  I have always advised patients to rotate their inserts once a week.  I also don't know of any of my patients who would want to come back thee times a year to get what they're getting now in one visit.  It should also be noted that the vast majority of my patients do have to pay a co-pay.  The point that a patient's condition may change during the year is valid, but as practitioners, it is our responsibility to make sure their inserts are refurbished or replaced as necessary at no charge during that year.  [Read the rest of this letter here.]

- Ralph Baker, Jr., C. Ped.

Comment: I read this publication thoughtfully and often. I am delighted to see some light being shed onto the subject of diabetic socks. Having something to do with the creation of this product category way back in 1994, I have had more than just a small stake in its development and growth over these years. There is creditable research on socks, albeit out of date, and there is more than enough anecdotal evidence to support the benefits of well-made diabetic socks. I have been in the premium sports, medical and functional sock business for over 25 years, the last 10 spent as a consultant to interested and vested companies. In 2004, I was asked by the USA's largest direct-to-consumer Internet/Catalog diabetic sock seller to draft a document for their personnel as guidance in the development and selection of diabetic socks. I have attached this document for the benefit of your readers. (Read the document here.)

- David B Higgins, President, ING Source, Inc.

Comment: I am responding to the comment from Rob Zellmer in the September 29, 2010 issue of Pedorthic Newswire and your response [Thank you for pointing out the inaccuracies in the article we linked to, and for furthering the cause of educating our readers about the appropriate treatment, footwear, and socks for diabetic patients.  After reading your letter I did some research to try to find a comprehensive, more reputable published article about diabetic socks, and I was surprised at the differing recommendations in the media in the very few articles that I could find.  The American Diabetes Association also had limited information on their website.]  You are correct that there are not many articles on the subject of diabetic socks, nor is there much peer-reviewed, published clinical research on the topic. However, there is an authoritative article that was published in Diabetes Spectrum, a peer-review journal of the ADA, in 2001 entitled "Sockwear Recommendations for People with Diabetes" by Carol B. Feldman and Ellen D. Davis [see this link: http://spectrum.diabetesjournals.org/content/14/2/59.full].  The key concluding statement in this article reads, "Patients who are at risk for ulcer development because of decreased pressure sensation should be advised to wear densely padded socks.  In the studies cited here, the padded socks used were the Thorlos brand, which are made of 100% acrylic fiber with nylon and spandex for elasticity."

Additionally, for the most part, Mr. Zellmer's information is correct; however, his assertion that "hand linked seamless toe closures eliminate the rough toe seam that is present in 'ordinary' socks and, although very more expensive to manufacture, are critical to a patient suffering from neuropathy who may not feel a rough spot in his footwear" is not substantiated by anypublishedresearch that we can find.  There was a study done by Stacpoole-Shea, et.al. in the 90's that measured pressure on the seams of socks with a mechanical pressure measurement device (not on humans) and determined that there was a significant variation in pressure under the seams as compared with other locations on the sock.  However, a subsequent (unpublished) study was done by the same researchers; and it was discovered that the pressure measurements were within the range of normal variation of the measurement device.  Translation: invalid conclusion from the first study, and no scientific basis for any efficacy claims for seamless socks.  Claims for seamless socks have gained notoriety largely due to marketing efforts by manufacturers of "thin" diabetic socks, in which a seam certainly could create pressure.  Notably, Thorlos diabetic socks are "densely padded" as the Feldman and Davis article described, and have over-the-toe padding such that the seam does not cause any friction or pressure.  If the Dr. Specified brand has any such research we would recommend they put it forth; but to our knowledge, there is but one sock product that has peer-reviewed, published research to support efficacy claims for pressure reduction, blister reduction and pain reduction: Thorlos.  The studies to which I refer can be found at this link:http://www.ipfh.org/research/summary_peer_research.php

I appreciate your efforts to educate the medical community as well as the general public on what we all know is a key to quality of life for our aging population, Preventive Foot Health. I also feel an obligation to make sure that the message is as factual as possible, for as we know myths abound and help no one and can even be harmful in some cases.

-  Jim Throneburg, Owner of THORLO, Inc.

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

Question: Every once in a while a client returns a full-length carbon fiber foot plate because it is fractured. What are the conditions you have found to cause this to happen? What are the preventions?

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

Response: This is a normal occurrence, and you should explain to all of your clients that the potential to fracture is there, and you will not replace them/refund them.  The normal gait structure involves bending of the toe joint.  The plate retards that.  But normal stress will cause the plate to weaken and eventually crack.

- Chris Bonsall

Question: We have Medicare questions needing clarification by PNW readers:

1) Medicare states that the physician must confirm that the patient meets the criteria for the Therapeutic Shoe Bill. I understand all the diagnoses/requirements but the "poor circulation one." There is no ICD9 diagnosis for "poor circulation." Therefore, I am looking for insight into whether a "congestive heart failure" would imply "poor circulation" and would be acceptable to Medicare (in your opinion) or any other systemic diseases that we can "assume has poor circulation because of the diagnosis."

2) Does the pedorthic community believe that a "hammertoe, mallet toe or claw toe" meets Medicare's criteria of "foot deformity?" If a misshaped digit of this nature can meet the criteria for "foot deformity," then can a curly toe, medially or laterally deviated digit upon its long axis, also be considered a "foot deformity?" Is an everted calcaneus considered a "foot deformity?"

3) I remember the day when Janis Gregory, who is now considered "our pedorthic expert on Medicare," was our mentor.  I would be interested in discussing how we might put together a short PPT on this topic to aid in our students' understanding, and most importantly to ensure that we are compliant in our internship program as we enter nursing homes to provide pedorthic services.

- Pam Haig, C. Ped., RMPI Pedorthics School

Previous Response: CHF is caused by poor left ventricular function, or left side heart muscle failure. CHF, in my opinion, is a stretch for poor circulation. I believe that the only way to prove that a person has poor circulation is by ankle brachial index, or a diagnosis of peripheral arterial disease, PAD. Ultimately, poor circulation is the only reason that a person will develop a foot ulcer. A foot deformity coupled with good circulation will not result in a foot ulcer. But a foot deformity with "poor circulation" is very dangerous.  

- Antonio Davila BSN, RN, C. Ped.

New Response: I respectfully disagree with the response offered by Mr. Davila and feel it is important enough to speak up.   Based both on clinical experience working together with vascular surgeons in a wound center environment and mostly on the vast current literature on these subjects, an ankle brachial index is known to be a poor indicator of true vascular status in diabetics.  Moreover, poor circulation is clearly not the only reason a patient will develop a foot ulcer.  Neuropathy, malnutrition, vasculitis, connective tissue disease, neoplasms (cancers), bacterial infections, fungal infections, viral infections, etc are just a few that we see with some regularity in clinic.

- Bradley D. Beasley, DPM, CWS, Fellow, American College of Foot & Ankle Surgeons,

President - Oklahoma Podiatric Medical Association

PREVIOUS QUESTIONS WITHOUT RESPONSES

Question: I have been listening to all the talk about changing the educational requirements to a two-year Associate's Degree.  While I agree that the requirements need to be changed, I have one question for thought.  Why would one want to go to two years of education to become a C. Ped. to work basically on the foot and ankle when in the same two years of education, you can become an Orthotist?  This field opens the doors to more modalities that can be done, and the potential to making more money.  Then I have another question.  What will happen to the Pedorthic field?  Some questions for thought!  The future of Pedorthics is at hand.

- Jim Murray C. Ped.

SKECHERS Launches Limited Edition Shape-ups Awareness Shoe to Benefit Breast Cancer Research

SKECHERS USA, Inc. has announced the launch of the Shape-ups Awareness shoe, a specially designed original style featuring The Breast Cancer Research Foundation's pink ribbon symbol. For every pair of Shape-ups Awareness shoes sold in the United States, SKECHERS will donate $10 to The Breast Cancer Research Foundation. In addition, international sales of this style will benefit various breast cancer charities and organizations around the world. Full Text

Source: MarketWatch

Mobile Retailing Clicks for Small Businesses

You can check your Facebook page, look for directions to a new restaurant and even buy a new sweater using your smartphone these days. Mobile phones have provided retailers with an easy, affordable way to reach new and existing customers. The National Retail Federation estimates that by 2015 shoppers worldwide are expected to use their mobile phones to buy goods and services worth close to $120 billion - amounting to 8 percent of the total e-commerce market.

A lot of national companies already are cashing in on the mobile retailing concept - Target and Walmart, for example, both have mobile sites. But what about the small mom-and-pop shops? Is mobile retailing beyond their capabilities? Full Text

Source: Argus Leader 

Holiday Retail Sales Forecast

Holiday retail sales forecasting begins in earnest during the month of September. "Back to School" and Labor Day sales are the early indicators. Usually apparel sales perform better during this period than during the holiday season. The day after Thanksgiving is the next big indicator. The holiday shopping season usually peaks on the Saturday immediately before Christmas. The majority of shoppers begin their holiday browsing in October, but most begin purchasing gifts in early November.

In 2009, holiday retail sales amounted to approximately $458 billion, an increase of about 3.6 percent from 2008 sales. However, it is important to note that the 2009 holiday shopping season benefited from an additional day of sales - there were 28 days in the holiday season of 2009, whereas there were only 27 days in 2008. Full Text

Source: The Times-Tribune

Cobbler Also Crafts Prosthetics and Braces

When Esteban Botello was 7 years old, his grandfather put him to work in his cobbler's shop. "You need to learn this skill because one day you may be the only one left who can do this," his grandfather told him. Today Botello bills himself in ads for his Baton Rouge shop, R & L Orthopedic Shoes Inc., as "the only cobbler in the state" - and says he's one of the few anywhere making footwear the slow, painstaking way of the craftsman rather than on an assembly line.

His grandfather, in Brownsville, Texas, made fine shoes and boots to order. (He was a friend of the famed Lucchese boot-making family of San Antonio). But he also made prosthetic limbs and braces. And he soon had his young grandson carving peg legs.

In his small shop in the Corner Square shopping center at Florida and North Sherwood Boulevard, Botello practices his skill as a cobbler as well as a "prosthetist, orthotist and pedorthist." And, for a hobby, an upholsterer. Full Text

Source: 2theadvocate.com

Rite Aid Joins American Diabetes Association in Fight to Stop Diabetes

Rite Aid is teaming up with the American Diabetes Association to raise awareness and funds for its national Stop Diabetes campaign, offer incentives for patients to take Diabetes Risk Tests, distribute diabetes guides at every pharmacy counter, and host more than 1,200 free diabetes clinics during American Diabetes Month(R) in November.

Diabetes is a lifelong disease in which blood glucose, or sugar, levels are too high. It occurs for different reasons when the body can't make or appropriately use the hormone insulin. According to the Centers for Disease Control and Prevention (CDC), more than 1 in 10 American adults currently have diabetes, including nearly 1 in 4 Americans age 60 and above. People living with diabetes have to work hard every day to manage their disease, and even with their best efforts they may face diabetes complications that can damage their eyes, feet and kidneys, and even shorten their lives.  Full Text

Source: MarketWatch

Drug Reverses Debilitating Condition in Diabetics

Researchers at the University of Kansas have developed a drug that stops and reverses diabetic peripheral neuropathy (DPN) in mice, a condition that that ultimately leads to nerve death in the extremities of diabetics. This drug, KU-32, restored sensory function to damaged tissue when orally administered to diabetic mice with DPN once a week. It appears to be completely non-toxic according to tests and it is very well absorbed into the bloodstream. Full Text

Source: CalorieLab.com

Getting to the Sole of 'Toning Shoes': Local Podiatrist Offers Advice on Footwear Fad

By Emily Droege

While the newest fad for getting fit may sound as simple slipping on new shoes, one local doctor cautions that results from so-called "toning shoes" can vary widely. In recent years, the footwear market has exploded with an array of toning shoes, also known as fitness shoes, which claim to promote muscle toning by making leg muscles work harder.

According to Bartlesville podiatrist Dr. James Webb Jr., such shoes can either have positive or negative effects, depending upon the age and physical condition of the potential purchaser. For example, Webb said that if properly utilized, the shoes may help some with heel problems and relieve heel pain. However, he also pointed out that because of how the shoe is designed, instability is a main concern for those who have poor balance and may be vulnerable to falling. Full Text

Source: Examiner-Enterprise

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 earn certification in Pedorthics, 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 certified pedorthist

Board of Certification/Accreditation International information on becoming a BOC Pedorthist.

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

ONGOING COURSES AND EDUCATIONAL OPPORTUNITIES FOR BECOMING CERTIFIED IN PEDORTHICS

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  

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.

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.

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

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: November 6 - 15, 2010 (Orlando, Florida)

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.

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.

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.

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.

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.

2011 COURSES

JANUARY, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: January 8 - 17, 2011 - Final Course For May Exam (Orlando, Florida)

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.

Pedorthic Pre-Certification Training Course January 24th - February 7th, 2011

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.

Pedorthic Pre-Certification Course January 24th - February 7th, 2011 - $3,995

MARCH, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: March 5 - 14, 2011 (Orlando, Florida)

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.

APRIL, 2011

The Robert M. Palmer Institute will be offering a Pre-certification in Pedorthics course in Brea, California on April 2 - 11, 2011.  Levels 1 and 3 can be performed online while Level 2 will be held at Biomechanical Services at 1050 West Central Avenue, Brea, California, 92821-2200. To enroll in this course please visit the RMPI website at www.rmpi.org or email the RMPI at online@rmpi.org. Be sure to mention the "Biomechanical Services Scholarship" which reduces our published tuition from $4K to $3K due to the generosity of Biomechanical Services who believes in the mission and vision of the RMPI - education for everyone!

MAY, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: May 7 - 16, 2011 (Orlando, Florida)

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, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: June 4 - 13, 2011 (Orlando, Florida) and June 18 - 27, 2011 (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.

JULY, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: July 9 - 18. 2011 (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, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates: August 20 - 29, 2011 - Final Course for November Exam (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.

SEPTEMBER, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates:September 3 - 12, 2011 (Orlando, Florida) and September 17 - 26, 2011 (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.

OCTOBER, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates:October 15 - 24, 2011 (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.

NOVEMBER, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates:November 5 - 14, 2011 (Orlando, Florida)

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.

DECEMBER, 2011

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, Beijing, Mainland China and Korea are available. Level 1 & 3 performed online - Level 2 Dates:December 10 - 19, 2011 (Brea, California) - To Be Confirmed Soon

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.

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

October

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

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

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 Results Calendar:                                

October

          11      Los Angeles, CA                                   

          19      Teaneck, NJ            

          26      McCallen, TX                     

          28      Baton Rouge, LA      

November

          9        Indianapolis, IN                 

December

          7        Orlando, FL

RMPI Advanced Manufacturing Courses: 49.5 CME's. For info contact: online@rmpi.org

Elwood Courses Includes Dormitory Housing & Transportation From Airport To Dormitories & School

·        November 3 - 7, 2010 (Orlando, Florida)

·        December 15 - 19, 2010 (Brea, California)

·        December 17 - 21, 2010 (Elwood, Indiana)

·        January 5 - 9, 2011 - (Orlando, Florida)

·        February 4 - 8, 2011 - (Elwood, Indiana)

·        March 2 - 6, 2011 (Orlando, Florida)

·        April 15 - 19, 2011 (Brea, California)

·        May 4 - 8, 2011 (Orlando, Florida)

·        June 1 - 5, 2011 (Orlando, Florida)

·        July 27 - 31, 2011 (Elwood, Indiana)

·        October 5 - 9, 2011 (Elwood, Indiana)

·        November 2 - 6, 2011 (Orlando, Florida)

·         December 7 - 11, 2011 (Brea, California) To Be Confirmed Soon

NOVEMBER, 2010

Masterfit University, Reno, NV, Nov. 4-5. The snowsports industry's official fit education centers, has expanded its focus from alpine ski and snowboard boots to include hiking boots, trail running shoes as well as Alpine touring and Telemark ski boots. All two-day Master's Course versions qualify for continuing education credits from The American Board for Certification in Orthotics, Prosthetics & Pedorthics (14 CEPs) and the Board for Orthotist/Prosthetist Certification (14.08 CPEs).  Information: www.masterfituniversity.com; (914) 944-9038.

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

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 looking for employment in the Central Indiana area.  Possess 25 years experience in Orthopaedic and industrial footwear and customer service.  Trained in Orthopaedic modifications and shoe repair, I own vacuum press and oven for custom lab work.  Clinical experience working in Indiana's largest wound care center.  I'm looking for a position with Pedorthic, Lab, or O & P business servicing patients and clients.  Please contact: pltrwart@sbcglobal.net   9/30

Seeking to Hire: Interested in hiring a C. Ped. with experience in fitting the diabetic patient.  Preferably, the individual should be residing within ½ hr. from our facility, which will be based in Lakewood, NJ. 08701 please contact Judah Rosenberg at: 917-309-1341 or pedicare2@gmail.com  9/22

Female Certified Pedorthist looking to share hotel expenses with another female C. Ped. for the 2010 North American Pedorthic Congress in Orlando this November. Also looking to share cost of getting to/from the airport. Considering staying at a different hotel other than the Hilton Walt Disney World in order to cut down on costs. Please email mydancingfeet@hotmail.com 9/1

Seeking To Hire, New Jersey: AmPed Foot Health. Experienced Certified Pedorthist wanted for shoe/orthotic fitting. Off-the-shelf and custom. We specialize in clinical/institutional environments throughout mostly Northern and Western Counties. Presently expanding further south into Central areas. Perfect position for a caring, personable, self-starting individual. Flexible hours with good growth potential for the right person. Salary commensurate with experience. Please forward resume to smandel@ampedfoot.com. 8/25

Inventory For Sale: We have closed our retail comfort shoe store and have a large amount of comfort shoes to sell.   SAS, Brooks, Drew, Durea, P. W. Minor for less than cost.   Contact me:  Lee A. Hunter 417 496-0808 for a list of the inventory. 7/28

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

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