NEW QUESTIONS AND COMMENTS

 Question: Does anyone have recommendations for shoes and/or sandals (not flip-flop style) with good arch support for someone who suffers from plantar fasciitis but prefers to buy shoes that aren't made with animal materials such as leather?  In shoes, she does use high quality over-the-counter orthotics to help support the arch of the foot.

- PNW Reader

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

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

Previous 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

New Response: This is in response to a response regarding my question about custom molded diabetic orthotics by a "PNW reader."  What kind of response do you get from the beneficiary when you tell them that the shoes will be paid for, but they are going to have to pay $250 - $400 for their custom orthotics?  The TSD bill was set up so that these patients (most of whom have multiple health problems, and have little to no funds) could receive appropriate footwear to protect their feet.  Even more, what do your referring physicians think of this?  I'm not sure what your 5 levels of material are, but if they don't include some kind of soft conforming material like plastizote, p.cell, or ultra cloud that will mold to and protect those high pressure areas on insensate feet, I wouldn't call it an appropriate diabetic orthotic. 

I don't agree with the low reimbursement from Medicare, either, but we as pedorthists need to make sure we are fitting our patients with appropriate shoes and orthotics that actually fit the patients' feet and last for an appropriate time, and that are comfortable to wear.  Medicare should and does pay for this.  For those doing 3 pairs of A5512 at a time (in one visit), you should be heat molding each orthotic and most likely be adding a scaphoid pad to the plantar aspect of the medial longitudinal to ensure total contact of the foot while in the shoe.  And if you are doing this, how much time is this taking?  To me, it takes quite a while if done properly.   

- Joe Eads, C.Ped., COF

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

Response: Having read Burt's letter to PFA, I have to take issue with one part of his letter condemning Podiatrists, Orthotists and Prosthetists as poor fitters of shoes or somehow less qualified than C. Peds to fit diabetic shoes. I think we all (DPMs, COs, CPs and C. Peds alike) can name instances where someone from another profession(s) may have misfit someone. It happens. I will give you that perhaps those professions, generally speaking, might benefit from additional shoe fitting training, but I will also say that a lot of C. Peds can use it as well! Just because we, as C. Peds, are supposed to be experts in shoe fitting, this alone doesn't qualify us to be good fitters. It is experience and the sharing of that experience with other C. Peds and professions that will help make us all "more qualified." You included in your letter your experience, which seems considerable. Perhaps you might use that to your advantage and work with those other professions in your area to increase their skills or simply WORK to have them send to you their patients so that there will be increased positive outcomes. A win-win situation for everyone! Ask yourself this question: With the scope of practice that DPMs, COs and CPs have (compared to ours), do you really think they want to deal with shoes, with all the other modalities and procedures they have to perform? In most cases, they don't! Again, a perfect opportunity for you to be your own best advocate for your particular skill set. Furthermore, whether you like it or not, diabetic shoe fitting is part of their collective scopes, so you'll just have to deal with it.

Also, you failed to mention those outfits such as pharmacies, medical supply shops, fly by nighters who use people fitting "under the supervision of a qualified practitioner" (no one seems to know who that is in these places). These "fitters" are the ones that actually have NO significant training or experience whatsoever and have no business fitting shoes period, let alone on the diabetic foot. These places have jumped on the TSD gravy train to increase their bottom line rather than provide proper patient care. Sure, they may have attended a weekend course on shoe fitting, but that absolutely DOES NOT qualify them to fit a diabetic shoe on a problematic foot! At least DPMs, COs and CPs have considerable experience dealing with diabetes on various levels! So, rather than continually throwing our allied partners under the bus with an us against them attitude, how about we focus our collective energies on eliminating those providers who are TRULY not qualified to fit diabetic shoes under the TSD?

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

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.

Response: I would say I have had the privilege of being in a great company as a Pedorthist for the last ten years now. I have been under the umbrella of a comprehensive orthotic facility as opposed to duking it out, so to speak, as a solely pedorthic store. Throughout my years here, I have been offered the chance to become an orthotist but have turned it down. I appreciate what I do and wouldn't want to change it, even if it means more money. I like working with the geriatric and veteran demographics, and dealing with my sub-malleolar scope of practice has offered me plenty of challenges. I appreciated Jim's question/comment in the PNW about the new education levels and the future of pedorthics.

If you asked me even fresh out of high school what I would want to do with my life, I would have never replied, "I want to work with feet!" The company needed a pedorthist and the requirements at the time seemed doable to me so I went for it. It's easy for me to say that the new level of education is worth it, I would even argue necessary looking back. I wondered myself if I would have become a pedorthist had I been required to go through not just the Associates but the 1k clinical hours, which seems daunting. I think because of this, those who become pedorthists will do so for the specific choice to be one, rather than a blasé "four weeks of school and I get a pay raise," and I believe they will be much more equipped than I was when I began. I think in the end this will be a very good thing for our profession, and I look forward to seeing the benefits. I could speculate all day, but only time will tell.

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

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.

Response: Is this a brain buster?  With what little information you have, it sounds like it could be Erythromelalgia.  Stopping and cooling down is how it is managed. 

- Carole Romig, C. Ped.

Response: Find out if this person has been diagnosed with neuropathy; that would explain the symptoms being described, so start there.  If it is neuropathy, you can have it anywhere on the body. As you know, there is no cure for neuropathy.

Some patients have reported success in certain medications, however the patterns seem to indicate that this will vary considerably.  Unfortunately, most of the time we hear nothing works. Recommend the person to on endocrinologist.

- Althea Powell C .Ped.

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: We used to have problems with some returns on the carbon fiber footplates in the past as well. One thing that helped us was making a switch to a company that manufactured both a flat and a contoured version of the footplates. The bridging that occurs when placing a flat footplate into a shoe with a raised heel or exaggerated forefoot curvature increases the chance of breakage, and is an ill fit overall. I'm not saying this is the case with your patients, but for those who didn't know, I thought I would comment. As Chris Bonsall said, no matter what you do repetitive stress will eventually break the footplate.

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

ANNOUNCEMENTS

Pedorthic Foundation to Launch "Feet for Life"

& Honor Richard Schwartz at North American Pedorthic Congress

The Pedorthic Foundation will host a major reception on November 17 in Orlando, Florida, the evening before the opening of the first North American Pedorthic Congress, a three-day event being co-sponsored by the Pedorthic Footwear Association and the Pedorthic Association of Canada.

The reception includes two distinct components: one, the inauguration of the largest single charitable undertaking in the pedorthic community; and two, recognition of a long-time industry leader, Richard B. Schwartz, who has been a pedorthic leader from more than 40 years, by the establishment of an award in pedorthics named after him. Guests will enjoy food and drinks during an evening of fellowship and fun.   The Foundation's Board of Directors expects the reception to become an annual Pedorthic Foundation event; the inaugural celebration is being sponsored by Aetrex Worldwide, Inc., and will be held at the Walt Disney World Resort. To learn more about the event and the Foundation, please visit the Foundation's website, www.pedorthicfoundation.org.

The new charity undertaking is called "Feet for Life." The Foundation has been given an initial donation of 10,000 pairs of shoes, which will be provided to individuals with diabetes who have limited income and resources. The shoes will be distributed through credentialed pedorthists who sign up to participate in the initiative. Details of the program will be announced at the reception. Read the rest here.

GPS Smart Shoe(TM) Wins 2010 People's Choice Award

GTX Corp has won the prestigious 2010 People's Choice Award for Most Innovative Connected Location Device at the 4th Annual Locations & Beyond Summit this past week.

"We are honored to have won this prestigious award and look forward to continue to bring innovative and game changing technologies that transform how we utilize GPS tracking and stay connected to one another," says Patrick Bertagna, CEO and founder of GTX Corp. "GTX is known for its ground breaking and now award winning patented GPS Smart Shoe and its block buster Smartphone GPS Tracking Apps and continues to pave the way with innovative geo specific and proximity alerting GPS tracking applications that help you know where someone or something is at the touch of a button." Full Text

Source: MarketWatch

UK: Clothing prices rise for first time since 1990s

The Office for National Statistics said the annual rate of clothing and footwear inflation was 0.9 per cent in September, the first rise since 1992.

Prices rose by 6.4 per cent between August and September, the largest increase for that period since records began, as shopkeepers put up the prices of their autumn clothing ranges and started to prepare for next year's increase in VAT. Full Text

Course: The Telegraph

Slow Recovery Squeezes NYC's Small Biz

By Brian Chappatta

York's small business owners feel even more pessimistic about the economic outlook for their companies than the rest of the nation. Only 19% of entrepreneurs in the state intend to hire over the next six months and just 39% have a positive outlook on the economy and business prospects, according to an American Express survey released Monday. By comparison, last spring the survey showed 36% of companies planned to hire, and 53% had a positive view on the economy and business prospects.

It's not just forecasting future problems, either-61% of New York's small businesses have cash-flow issues, compared to the national average of 53%, according to the study. Additionally, a lower percentage of entrepreneurs here have capital investment plans than others across the country. Some 30% of New York small business owners describe their businesses as "a sinking ship," while 53% claim they are "staying afloat." Full Text

Source: Crain's New York Business

Shoes on Sale: Fashions With Heart

Designers are coming together once again to support the 17th annual QVC Presents "FFANY Shoes on Sale" charity event. More than 100 brands will donate fall styles to benefit breast cancer research and education. Here, a few of the featured labels that will be on display. Full Text

Source: Footwear News

Walkwel Shoes: Your sole provider since 1860

By Martha Tanner

For a small family-owned Canadian business to survive 150 years, it must be doing something right.

"We live by the golden rule," says Jack McCalpin, general manager of Walkwel Shoes & Pedicare Products. "Quality, service, satisfaction and comfort. We treat people the way we want to be treated. We are in the service business, not the self-service business."

The success of Walkwel Shoes has its roots in 1860, when William B. Hamilton began the manufacture of shoes and boots in Toronto under the company name of W.B. Hamilton Shoes. The confederation of Canada was still seven years away and the highlight of the year was a visit by Albert Edward, Prince of Wales, to lay the cornerstone of the Parliament buildings in Ottawa, the new capital of the United Province of Canada. Hamilton himself had come from Montreal, in Lower Canada, to work in the garment industry and had already worked a decade in the footwear industry before establishing his own company. Full Text

Source: Kingston This Week

xcellagen Product Candidate Activates Platelet Release of PDGF, an Important Growth Factor Fundamental to the Wound Healing Process

Cardium Therapeutics /quotes/comstock/14*!cxm/quotes/nls/cxm (CXM0.52, +0.02, +3.28%) today reported on new preclinical research findings that Excellagen, a topically applied formulated collagen wound management gel product candidate, activates platelet release of platelet-derived growth factor (PDGF) locally at the wound site. This growth factor has been shown to play an essential role in the wound healing process.

This research effort was undertaken for Cardium by an independent contract testing laboratory in an effort to further understand the statistically significant accelerated wound healing (as measured by the overall reduction in wound radius) in chronic diabetic foot ulcers that was observed in Cardium's Matrix clinical study during the first two weeks following administration of Excellagen formulated collagen (2.6%) topical gel, compared to the study's standard of care arm. In addition, detailed reviews of previous preclinical studies, the Matrix clinical study protocol and Excellagen application practices were undertaken. Full Text

Source: MarketWatch

Irvine Scientist Works on Transplant to Help Diabetes Patients

By Susan Valot

A stem cell scientist at UC Irvine hopes in the next few years to be able to test a new type of transplant for Type-I diabetes patients.

You control Type II diabetes with diet, exercise and medication. You control Type I the same way, plus frequent insulin injections. You can't live without those injections. That's because with Type I diabetes, your pancreas doesn't make insulin.

UC Irvine scientist Jonathan Lakey is trying to fix that. He's working on a type of islet cell transplant that uses a patch-like device to put the cells on the pancreas. Full Text

Source: South California Public Radio

Running Shoes 101: Comfort , Performance -- and Happy Feet

By Jeff Waddle, ManOfTheHouse.com

It hurts and defies logic, really, to shell out $100 or more for new shoes when your current pair still looks good. You can probably get away with holding onto dress shoes a little longer but clinging to an old pair of athletic shoes too long can cost you plenty. The American Academy of Podiatric Sports Medicine reports that if runners don't replace their shoes every 350 to 500 miles, they face a potential litany of injuries, including stress fractures, plantar fasciitis, shin splints and heel spurs. Exactly how long shoes will continue to provide the needed level of protection depends on individual size and weight.

Average runners pound their shoes on the ground around 700 times per mile so it doesn't require an active imagination to see how shoes lose their shock absorption rather quickly. And once that occurs, it can change your stride and alignment, meaning pain and possible injury are just down the road.

So whether you're a marathoner or you just like to take a spirited walk or light jog around the neighborhood, here's what to keep in mind when you shop for new shoes: Full Text

Source: Men's Life Today, KNDO.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 4^th, 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 4^th, 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 24^th-February 7^th, 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 24^th-February 7^th, 2011 - $3,995

February, 2011

Foot Solutions Pedorthic Pre-Certification Course: Class date February 15-25, 2011

Foot Solutions is an accredited facility that holds classes three times per year. The company's course will offer the pre-certification in Pedorthics 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

Upon completing our 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 Pedorthist).

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.

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

MONTHLY AND ONGOING

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

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

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

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

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

Pricing for the program is as follows:

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

Additional Handbooks: $10 each

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

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

or call or email Veanne Lupia at 1-800-673-8446, ext. 7006, veannel@nsra.org.

Aetrex Worldwide Pedorthic Results Seminars

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

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

2010 Pedorthic Results Seminars Calendar:                            

October                                              

          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: Wellness Life Systems, a leading national diabetic shoe provider, is seeking highly motivated Certified Pedorthists with excellent communication skills to join our team. We have positions available in many regions across the country. ACHC accredited, inserts created in our own orthotic lab. This unique opportunity allows the right individuals to: Get back to patient care! Perform in-home diabetic foot evaluations, shoe fittings, and deliveries in your local area; Manage your own territory and set your own schedule.  Call Frank, 816-268-6857, with questions, or send resumes to jobs@wellnesslifesystems.com Ongoing

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

Seeking to Hire State-Licensed Pedorthists in the following states:

Florida

Oklahoma

Arkansas

Alabama

Illinois

Ohio

Midwest Medical Services is seeking Certified Pedorthists for commission work.  Looking for a career with longevity and growth opportunity? Leads are provided; however you must be a self-starter who can generate your own leads as well. If you are interested in working with our team on the next level of Pedorthic care, please contact us immediately. Call 913-956-4049 or e-mail at kbarth@midwestmedservices.com.

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

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