NEW QUESTIONS AND COMMENTS

Question: I received an email from a person who simply said, "My legs get over heated if I continuously wear shoes and socks. Then if I remove the shoe and sit I will become alright.  I have diabetic, but it is only in the brim. Fasting sugar is between 112 to 118. After food it is around 114 to 118." 

That isn't much to go on, and I have no idea if the issue is circulatory or neurological in nature. How common is neuropathy of the legs? Would it be common in a person that seems to have his blood sugar levels under apparent control? I have seen leg muscle strains that can produce a burning feeling, and sitting may reduce that sensation, but I don't see how removing his shoes would be a factor, even if they were poorly fitted. Any suggestions?

- Chris Stanley, C. Ped.

Comment: I share Rob Zellmer's concern regarding misinformation about sock wear, especially where the diabetic foot is concerned [Sept. 29 PNW Issue]. Most MD's are still recommending white cotton socks to their diabetic patients. The reason for that has a long history, most of which is no longer relevant. In the early days of synthetic sock manufacturing, the materials (nylon, polyesters, etc.) were unpleasant colors, so that very strong dyes had to be used to enhance the sock cosmetic. Many people were slightly allergic to these strong dyes, so the docs started to recommend white cotton (no dyes), a material that they had been using in the hospitals for dressings and bandages.

What the docs didn't realize is the propensity of cotton fibers to collapse when wet, and the tendency to "pool" the moisture. This is aptly demonstrated by a dishtowel that no longer dries dishes halfway through the washing process. Both of these properties can cause friction and blisters on a fairly active foot, and when the cotton material becomes saturated, it "pools" and bathes the foot in its own juices. The skin becomes over hydrated and is even more susceptible to friction forces.

It often seems an uphill battle to try to sell diabetics a pair of $15 socks when they can buy three pair of acrylic socks at Costco for 5 or six bucks. But a few more dollars for socks that could potentially prevent ulceration and a subsequent amputation is a small price to pay for that added insurance.

As for seams on socks, I completely agree with Mr. Throneburg [Oct. 6 PNW issue].  In all my years of practice I've never witnessed a problem caused by seams in an otherwise well-fitting sock.

- Hugh Solaas, C. Ped. 

Comment: I have attached my letter to Brian Lagana and board members of the Pedorthic Footwear Association. Please run this in your next issue of Pedorthic Newswire, as I believe their efforts may have a very negative impact on our profession. Read the letter here.

- Burt Humphries, ABC Board-Certified Pedorthist

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

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.

Response: I couldn't agree more with what Mr. Ralph Baker, Jr., C. Ped. stated about the 2nd and 5th recommendations that PFA is proposing for regulation changes. The 2nd recommendation would cause unnecessary and costly visits for (mostly senior aged) patients and would necessitate additional paperwork for all concerned. Surely everyone can agree additional paperwork is the last thing we C. Peds need. The 5th recommendation would be a nightmare to regulate.  I would have to question these two recommendations. PFA, please reconsider these. PFA members need to respond on this before we wake up to something that is NOT in our best interest. 

- Pam Cook, C. Ped.

Response: I also regret how PFA described the situation of the three sets of inserts.  I think the PFA Coding Committee did a much better job describing it in the PFA Coding Document (available for purchase from PFA) - the appropriate portion is excerpted here. In a perfect world, I would agree that "one every 4 months" has some appeal. However, the world is an imperfect place and the TSD is an imperfect benefit. As non-compliant as most beneficiaries are, the bottom line impact of a "once every 4 months" rule is that the vast majority of beneficiaries will get one pair a year and try to "save money" by wearing one pair a year. This will yield the exact same ulcers that the program is designed to prevent - and you only need a few amputations to negate any "savings" to either the patient or Medicare. The average insert has a life of 4 months-that is why they get three. If you don't think that the inserts work-then cancel the program and save a lot of money. If you do think the inserts work, then get them into the hands of the wearer and encourage them to use them. Any sort of middle ground is silly. The only reason we have the TSD program is that it saves the government lots of money. IT IS PREVENTATIVE, NOT CURATIVE. The more people who get the benefit - the more money the government stands to save. Somewhere along the way, people in government have forgotten this. They have equated greater use with greater cost rather than greater use with greater savings. Please do stop the fraud and abuse, but don't forget that as one of two preventative portions of Medicare (the other is flu shots), they should be encouraging it, not stifling it.

- PNW Reader

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

Response: Re: Mr. Davila and Dr. Beasley's dialog [in response to this question in the previous issue]: Thank you both for your posts, but why did neither of you mention venous blood flow return under the topic of possible circulatory disorders? I see patients who have adequate to good arterial circulation yet have venous insufficiency. In diabetics, this is a circulatory disorder of note as it can create shoe-fitting challenges and is a daily, on-going challenge for the patient. For the physician, it complicates overall treatment for his patient, as it can be a contributory factor in hypertension, to mention but one example. As well, V.I. can proceed into venous stasis, venous stasis dermatitis and, in some cases, venous stasis ulceration. Fluid retention in the feet can complicate the treatment of hypertension and of course limit joint motion and flexibility, which often leads to lowered gastroc muscle "pumping" action, thus further worsening venous blood return. As you mentioned of course, congestive heart disease needs to be differentiated from V.I. Arterial blood flow and adequate perfusion is a critical element of course in the patient's treatment plan and, by a physician, objectively verifiable by appropriate tests. V.I. is similarly verifiable as well by testing but for some reason is not as often done in my neck of the woods.   

- James Garner, R.Ph., C. Ped., C.O.  Denton, TX

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.

Response: If you have a Medicare number that you bill items to Medicare for, you MUST file all claims on behalf of Medicare patients, regardless of if you are a Participating provider or not. You can ask that the patient pay for the item up front and file the claim Non-Assigned, and the money that Medicare pays goes straight to the patient. In your comment you stated that you take assignment on other items but not Diabetic shoes. If you are "taking assignment" on other items that you bill to Medicare, then you are in essence acting like a Participating Provider by accepting Medicare's allowable on certain items.

- Jennifer Cunningham, BOC Ped

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

Response: I agree with you wholeheartedly...every one of the "customs" I've seen from the labs look very generic. If you are interested, I do make the inserts on a wholesale level. I am a practicing pedorthist, not a central lab, but I do use my down time to make these for a dozen or so other pedorthists. I use dual lam inserts of materials I get from MatPlus:  1/8" MP35 pink and 3/16" MP55 posted with 1/4" MP55. I mold them the old-fashioned way, by pouring plaster in your impression foam and vacuum forming. I also have a huge inventory of footwear, so I can test fit the inserts to what you'll be using before I send them out. I normally have about a 2 - 3 day turnaround.  

What I make, you would be proud to dispense to your patients. Cost is higher than what you get from the other guys, but the quality is in a whole different league. Medicare doesn't allow nearly enough for custom inserts so I will go with A5512 when I can, and I'm sure you do too. However, sometimes we have to have these customs for additional support, pressure distribution, etc.

Let me know if you're interested and I'll send you an order form.

- Ralph Baker, rbaker3054@carolina.rr.com, 704-636-1850

Response: Joe raises a good point regarding the quality of custom molded orthotics for Medicare's Therapeutic Shoe Bill. Over the last several years, there have been many labs advertising to make three pairs of custom for the low price of $65 -$90.  Clearly, these offers are in response to the current reimbursement rate, but it is a race to the bottom in terms of quality and patient care. As a profession it is vital that we maintain standards of service, and refuse to dispense products that could potentially harm patients. Our energy is best spent protecting feet, proving our value to diabetics and seeking to get better reimbursement on A5512 and A5513, than taking a short cut to profit.   

- Séamus Kennedy, BEng(Mech), C. Ped.

Response: We make an excellent custom foot orthosis for diabetic feet, but it is not an A5513, it is an L3020. Just because it is custom and a diabetic wears it, it doesn't necessarily meet the definition of A5513. Our device has 5 layers, excellent support, and fits nicely into OTS shoes. We have used this design successfully for over 20 years. HOWEVER, IT LACKS A BASE LAYER OF 3/16" RUNNING DISTAL TO THE METS WHICH IS THE SINE QUA NON OF AN A5513. Believe me, it has plenty of TOPCOVER thickness under the mets - but that padding is not an extension of the BASE layer (which in our device is cork). The devices we have made for our custom shoes meet the definition of A5513 and are billed that way. The ones we make for OTS shoes do not. L3020 is not covered by Medicare, but is covered by many other insurances. When filing to Medicare, we bill the L3020 with the GY (noncovered) modifier. If the patient has no secondary or a secondary that does not cover L3020, they are told the price of the L3020 and that they must pay it. If they choose not to pay it, they are offered the A5512 and have the risks and benefits explained.  They sign a document stating such, and we proceed. We also loop back with the doctor as to what happened. If they have a secondary insurance and the secondary insurance DOES cover L3020, the secondary will pick up the coverage on the device after Medicare denies. Most times, the reimbursement is far superior to the reimbursement for the A5513. This makes sense, because the L3020 device is far superior to an A5513. The L code that most closely resembles A5513 is the L3002. I think where practitioners get themselves into financial or quality troubles is making L3020s and billing them as A5513s. They make a Mercedes, and bill for a Chevy.  Remember, even if you are ok with losing money, you are not allowed to bill a device as an A5513 unless the BASE layer is at least 3/16" DISTAL TO THE METS. 

- PNW Reader

Response: My name is Brent Konantz from Prothotics, and I hold a Canadian Certification in Pedorthics for Canada and operate Prothotics Corporation in Winnipeg Manitoba Canada. I believe I can help provide you the solutions you are looking for with regards to custom made anatomical corrected orthoses for your patients. We have a number of programs that may help you. Should you wish to further discuss how we can help provide solutions for you and your patients please feel free to contact myself at 1-800-667-3679 or via e mail at prothotics@aol.com.

- Brent Konantz, Ortho.,RMT LCSP C PED (C)

Response: We fabricate our own orthoses and have a central fabrication for several O&P companies in town. I understand your frustration; I have seen some of these "custom " products that local doctors are sending away for. They all look the same, no arch, no met pad, and they fit no one. The price looks good to them and they go for it, once or twice.

We would be happy to make true custom molded orthoses for your patients. Ours are made by hand, no cad-cam system. We use a Plastazote trilaminate and nickleplast as the base material and can leave the forefoot big for you to trim to the shoe. These will last up to a year. I believe in making a quality product for the foot that truly needs it.

- Reggie Swickard, LPed, 937-256-3668

ANNOUNCEMENT

ABC Reinstates Certified Assistant Credential

Alexandria, VA -- The American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc. (ABC) is pleased to announce the reinstatement of its Certified Orthotic/Prosthetic Assistant certification program.

An ABC certified assistant is an individual educated and trained to participate in comprehensive orthotic and/or prosthetic care. "ABC believes that this individual plays an important role as care extender in current and future business models for the delivery of O&P care and with the encouragement of the profession, we are confident that now is the appropriate time to reinstate this certification program," said D. Deane Doty, Jr., CPO, ABC President. Read the announcement here.

Foot Strike Patterns Study Ignites Barefoot Running Debate

Daniel Lieberman, PhD, professor of Human Evolutionary Biology at Harvard University, caused a stir within the media and running community when the study, Foot Strike Patterns and Collision Forces in Habitually Barefoot Versus Shod Runners, was published. Lieberman, lead author, and his colleagues investigated how runners generate impact caused by the foot colliding with the ground prior to the invention of the modern shoe. Though the study was initially intended to investigate general footfall patterns, it has created a controversy regarding what people believe is implied about barefoot running.

Hypothesis

According to the study, most American runners who habitually use running shoes generally rearfoot strike, in part because the shoes they use facilitate this kind of landing and they are designed and equipped to slow down the rate of loading of the high impact forces that rearfoot striking generates. Habitually barefoot and minimally shod runners predominantly forefoot or midfoot strike, according to the study. The study explained the biomechanics of why there is no discernable impact transient when you run with a forefoot or midfoot strike.

"Evidence that barefoot and minimally shod runners avoid rearfoot strikes with high impact collisions may have public health implications," the authors wrote in the study. Full Text

Source: oandpbusinessnews.com

Women Can Avoid Foot Problems with These Steps

By Daphne Howland

Women often believe that aching feet are a natural consequence of a busy and fashionable life. Take the right steps, though, and you can feel and look your best at the same time. The foot is a complex system of 26 bones plus networks of ligaments, tendons and soft tissues for walking, running, pivoting, holding weight and being the foundation of our upright bodies.

"It's very complicated, how the foot and ankle work," says Joel W. Brook, a Dallas podiatrist. "When something is out of kilter, it can cause problems up the chain - not just your feet, but your knees, hips and back." For women, shoes are the No 1. culprit for foot problems. Full Text

Source: The Dallas Morning News

Man Charged with Fraud in Alleged Insole Scheme

An East Peoria businessman is facing bank fraud and wire fraud charges for allegedly obtaining loans after he falsely told banks he obtained a military contract to make insoles for soldiers' boots. Forty-eight-year-old Timothy Potendyk was indicted earlier this week for the scheme which allegedly began in March 2009. The indictment was sealed until Potendyk appeared in U.S. District Court late Wednesday. Full Text

Source: AP, Chicago Tribune

Stores Begin Hiring for Holiday Help

Anybody looking for a job might have a better chance at getting hired this month because many department stores are now hiring for holiday help. In fact, the National Retail Federation expects those shops to hire more temporary employees this year than last season.

Toys R Us just put up their "now hiring' signs Friday morning. They are one of dozens of stores that have begun hiring for holiday help. Jimmy McMichael, marketing director at the Fashion Show mall, says those stores are looking for people for a variety of jobs.

"It's not just sales positions that are open for the holiday, it's stock staff, lost prevention, visual merchandiser that are being hired," he said.  Full Text

Source: 8 New Now Las Vegas

Copper Fiber Socks Provide Health Benefits to Trapped Chilean Miners

Rescuers along with the efforts of global companies and the Chilean government were able to innovatively maintain the 33 trapped Chilean miner's hygiene. Buried beneath 2,200 feet of rock, in unsanitary, dark and airless conditions, posed health risks to the trapped miners. The kind of conditions that would allow algae, bacteria and fungi to thrive perfectly.

But thanks to copper fiber socks, the trapped miners have one less thing to worry about. Each was supplied with unique socks that contain cutting edge copper ion technology. Simply put, the technology allows copper ions to bind to the fibers of the socks.  For centuries, copper, a natural element, has been found to have powerful disinfecting characteristics that helped treat various skin diseases. Specifically, copper ion technology has been found to have tremendous healing power on feet and has been affirmed to kill 99% of bacteria and fungi, eliminate odors and rejuvenate skin tone and texture.

Utilizing the same technology as Aetrex's Copper Sole Socks, the sock's characteristics are extraordinary, allowing them to withstand and function under extreme conditions. The fibers are even guaranteed to last the life of the product.

Read the Wall Street Journal Article here.

Apligraf® Approved by Saudi Food and Drug Authority for Treatment of Chronic Wounds

Diabetic Foot Ulcers a Widespread and Growing Problem in Gulf States

Organogenesis, Inc. announced that its Apligraf® bilayered living cellular construct has been approved for the treatment of diabetic foot ulcers and other chronic wounds by the Saudi Food and Drug Authority (SFDA) of the Kingdom of Saudi Arabia. Apligraf is a living cell based product used by physicians to heal chronic wounds in patients in the U.S. and around the world.

"With diabetes being a widespread and growing medical problem in Saudi Arabia and other Gulf States, the incidence of Diabetic Foot Ulcers is expected to increase," explained Dr. Damien Bates, M.D., Ph. D., F.R.A.C.S. (Plast.), and Chief Medical Officer at Organogenesis. "The prevalence of diabetes is now nearly 14% and expected to increase to 19% by 2030, the highest incidence in the Middle East nations." Full Text

Source: PRNewswire

Sanuwave Completes Patient Follow-up in Phase 3 Trial of Diabetic Foot Ulcer Treatment

Sanuwave Health, Inc. a medical technology company focused on noninvasive, biological-response activating devices in regenerative medicine, announced in a press release the completion of patient follow-up in the company's pivotal phase 3, Investigational Device Exemption (IDE) clinical trial with dermaPACE for the treatment of diabetic foot ulcers.

A total of 206 patients were enrolled in the 26-week, prospective, randomized, double-blinded, sham-controlled trial, which was conducted at 22 U.S. sites and two sites in Western Europe. The goal of the study is to establish superiority in diabetic foot ulcer healing rates using the dermaPACE treatment compared with sham control, when both are combined with the current standard of care, according to the press release.  Full Text

Source: OrthoSuperSite.com

Poles Turn Walking Routine into Full Body Workout

Do you feel like your walking routine is getting a little, well, routine? Maybe you want to add some poles and give Nordic walking a try. Nordic walking uses specially designed poles and an easy-to-learn technique that engages all of the major muscle groups. It turns walking into a full-body workout by encouraging longer strides and arm swings than walking alone. The best part is that there is no increase in perceived exertion between regular and Nordic walking, proponents say.

[...]Balance Walking, created by Ray Margiano, pedorthist and founder and CEO of Foot Solutions, uses a toning shoe in addition to poles. Full Text

Source: PennLive.com

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   

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

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 Seminars Calendar:                            

October                           

          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!

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