NEW QUESTIONS AND COMMENTS

Question: I recently received the following email from a PT asking for ideas.  I thought I would throw it out there to the PNW readership for help, as I do not do very much in the way of pediatric pedorthics:

I am a pediatric physical therapist who does home health through Missouri and Illinois Early Intervention. I am working with a child who has such severe skin breakdown that he cannot wear shoes.  The skin disease is not yet diagnosed, but he's struggled with it since birth and is now  about 18 months old.  He is walking, but cannot have anything on his feet without blisters/sores/breakdown.  Sometimes it is the seam inside the shoe, and sometimes it is the friction of the shoe moving. We have tried shoes with good support, a "croc" shoe with no seams, and a sandal. None work. I'm looking for some brainstorming ideas. I was thinking of the material they use between skin and a prosthesis for an amputee, or a type of "diabetic" shoe for a toddler, or a special sock. Any ideas?!  I would love to hear your take on this unique situation.

I will pass on any ideas.  Thanks for your help, PNW!

- Erick Janisse, C. Ped., CO, National Pedorthic Services, Inc. 

Comment: There were some inaccuracies in a recent article published by O&P Edge magazine.  In an effort to relieve any confusion, I have prepared the attached statement.  Please publish this in the next edition of Pedorthic Newswire.  It will also help to encourage pedorthists to participate in the survey that is active now regarding our education process.

- Chris Costantini, C.Ped., Chairman, CAPE Committee

Question: This past week over 45,000 runners participated in the New York Marathon. Runners of all shapes, sizes, and stamina levels were challenged to their potential and beyond. What advice would you give to them to keep their feet in good shape, before, during and after participating in a strenuous 26.2 mile marathon? Is the RICE formula sufficient?

     Rest your feet.

     Ice helps keep inflammation and swelling down.

     Compression with ACE wraps will also reduce swelling.

     Elevation will help your feet rest up for the next big run.

What do you suggest?

- Robert S. Schwartz, C. Ped.

PREVIOUS QUESTIONS AND COMMENTS WITH RESPONSES

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

Response: In response to the request for non-leather footwear that is good for plantar fasciitis, New Balance makes several excellent models.  They make a synthetic leather walking shoe, model 811 (MW811 for men or WW811 for women).  They also make an excellent running shoe, made of synthetic and mesh called the 1123.  (The models numbers are MR1123MC for men and WR1123MC for women).  Both of these styles are made in the USA, which is nice.

-  Larry Gershberg, Owner and Herb Steb, C. Ped., New Balance North Jersey

Question: Am I missing something?  How are other practitioners fabricating their diabetic fo's?  The descriptor for A5513 is "Diabetic multiple density insert, custom molded from model of patient foot," and the descriptor for L3020 is "Foot insert, removable, molded to patient model, longitudinal/metatarsal support, each."  To me, there really is no difference here, with the exception of the "longitudinal/metatarsal support." Obviously, the A5513 has the same features, and if there are labs fabricating "custom molded" diabetic fo's by heating up a prefab and "forming" it over a patient's mold, they are not a true custom fo, as they do not take on the shape of the patient's feet.  I fabricate my A5513 fo's with trilam (with a pzote or pcell topcover), with either an eva or cork archfill if needed for heavier or more active patients.  If I were to fabricate an L3020 for a diabetic patient, it would be built pretty much the same way.  Doesn't a diabetic need to have a soft conforming top cover to accommodate prominent bones and high pressure areas?  Wouldn't you use the same type of top cover for an L3020 that you are giving to a diabetic?  So, what is the difference between the A5513 and L3020?
 
To me, losing a patient and knowing that they might go elsewhere and receive substandard care is not something that I am OK with.  An accommodative orthotic is an accommodative orthotic.  Whether it is a diabetic orthotic or an accommodative orthotic for diabetes or arthritis, it's pretty much fabricated the same way (with the exception of some different materials).  I think it all boils down to reimbursement.
 
Don't get me wrong, I am not trying to reinvent the wheel or stir the pot, but to hopefully gain a better understanding as to why, in our small profession, we do things so differently.  Let's try to share our ideas and constructive criticism in a positive manner and come up with positive solutions - not just for pedorthists, but also for our patients.
 
- Joe Eads, C. Ped., COF

Response: Joe, you MAY be missing a key point.  I do not mean this disrespectfully, but it is a key nuance.  I will oversimplify to make the point.  "Every" accommodative diabetic custom foot orthosis (with guts/control) may be an L3020, but not every L3020 is an A5513.  You cannot simply look at the description of A5513; you have to look to the elaborations in the LCD.  They key point is this: "The base layer of the device must be at least 3/16 inch of 35 Shore A or higher material. [...] The specified thickness of the lateral portions of the base layer must extend from the heel through the distal metatarsals and may be absent at the toes."  So, if your device has a base layer of cork (i.e. a cork shell) and that shell stops PROXIMAL to the mets rather than extending DISTAL to the mets (and being 3/16 inch at the mets), then your L3020 is NOT an A5513.  You are committing fraud if you bill it as an A5513 and it does NOT HAVE THE 3/16" BASE LAYER EXTENDED UNDER THE METS.  We use the A5513 all the time in custom molded shoes.  However, the required design of the A5513 is rarely the best for OTS (off the shelf) shoes.  Rarely is it a plus to make the device that thick at such a critical pressure area (the mets).  Now, on some we may need to in order to unload one or more of the mets, however, rarely are such unloads fabricated from the base layer (i.e. extensions of the cork shell).  We are usually adding our unloads from a different, firmer material, such as Nickleplast.   

If you use a diabetic trilam and cork device, the cork is the base layer, not the royal blue pelite.  If all you have under the mets is the royal blue pelite, your base layer does not extend to the distal mets.  We may all fabricate our devices different ways and attempt to support and unload the foot in different ways.  However, if your BASE layer does not extend TO THE DISTAL METS and isn't 3/16 INCH UNDER THE METS, then it is NOT an A5513 and should not be billed that way.

- PNW Reader

PREVIOUS QUESTIONS AND COMMENTS WITHOUT RESPONSES

Question: How have Medicare's new documentation requirements for dispensing diabetic shoes affected your business? Have you seen a decrease in prescription referrals to your office? Have the doctors been cooperating with your requests? What has been the biggest challenge for you as a supplier?

- Curious and frustrated fellow C. Ped.

Comment: Went through my first prepayment review...and flunked!  Thanks to the certifying doctor who checked off "poor circulation" on the certifying form...and upon receiving the patient's notes from the doctor...no mention of poor circulation!   He did, however, note neuropathy, but did not check that off on the certifying form.  So no pay!

It's totally ridiculous that the Pedorthist needs to worry about the Rx that the Doctor signs. Are we not filling a prescription??  Do pharmacists need to get patient notes for all their prescriptions??? PFA must make this matter their number 1 priority. I am accredited by ABC; they have seen all my forms, etc. and I am golden with them. Then Medicare pulls a facility visit and checks everything including patient files...no problem there.   Because the certifying Doctor doesn't do his/her job, I am penalized.  Totally unfair.   Thanks for letting me vent.

-Rick Snyderman C. Ped., L.Ped

Comment: I have been reading the PNW on and off in the past months.  I say it this way because there are times I can't read it, as I get so frustrated with the issues. I am disappointed in our Pedorthic Industry support system. PFA & ABC were supposed to be there to have the Pedorthic Industry best interests at "heart." I haven't seen much help. It doesn't appear to this Pedorthist, that they wish to help the industry survive.  I get very frustrated with the issues, medical supply shops and others who have no real training doing our job, the lack of reimbursement...but I digress, we all know the issues. I unfortunately see the demise of the industry in the near future. No one would want to come into this industry with the problems with reimbursement and other issues, especially if they do their homework first.

I agree that educational requirements need to change, but an associate's degree is very expensive to come into an industry where you lose money by taking insurance, if you do quality work. Very sad situation.  Eight years ago, when I decided to come into this industry. I thought it would continue to retirement.  Unfortunately, it has retired before I was ready.

Unfortunate, as in my town there is really no quality place for the people to go, and I don't just mean the diabetic. Most places that do the orthotics do poor quality work, providing more risk than value. The quality places are either stopping altogether or, like myself, only seeing cash pay patients.  This is so unfortunate for the public.

It is very sad to see where the industry is going, as it is so important.

- Lee A. Hunter

ANNOUNCEMENTS

Former PFA President Matt Mirones Joins New York City and National Boards

Matthew Mirones, former president of the Pedorthic Footwear Association and former New York State Assemblyman, has been appointed to two public service boards in his native New York, and also to a special national board working on behalf of Americans with diabetes.

The first honor occurred October 20, 2010, when Mirones was appointed by New York City Mayor Michael R. Bloomberg to the Board of Directors of the New York  City Industrial Development Agency (IDA), which is charged with authorizing tax exempt financing for industrial companies and not-for-profit organizations that are expanding or improving services in the city.

As an IDA Board member, Mirones also becomes a member of the Capital Resource Corporation (CRC), which also authorizes tax-exempt financing for companies and non-profits attempting to enlarge the services they provide within New York City. Both the CRC and the IDA are administered by the New York City Economic Development Corporation. Read the rest here.

Source: Pedorthic Foundation

SpendingPulse October 2010 Retail Report: Many U.S. Retail Industry Sectors Swing to Positive Momentum

MasterCard Advisors' SpendingPulse, a macro-economic report tracking national retail and services sales, today provided summary results for performance of specific U.S. retail industries in October, 2010. During the month, sales in most sectors posted positive year-over-year growth compared with retail sales a year ago. From a sector-by-sector point of view, categories continued to stabilize, building strength onto the more tepid growth seen in previous months. Nevertheless, there were a few exceptions, wherein a few sectors demonstrated weakness compared to the same month in 2009.

Michael McNamara, Vice President, Research and Analysis for MasterCard Advisors SpendingPulse, observes, "Overall, October showed a noticeable improvement compared to the same month last year. eCommerce continued to post solid year-over-year growth, similar to the strong performance in September, while positive financial market performance seemed to help higher-end sectors such as Luxury and some sub-sectors of Jewelry. Further, building on September's gains, Family and Children's Apparel performed well in the immediate post back-to-school clearance season, which was also impacted by the cold weather settling into some parts of the country by early October. Growth in travel, spurred by early fall weekend vacations and online holiday ticket sales, helped lift certain sectors."

Year-over-year overall apparel sales were up a sharp 8.2%, building on the 3.8% gain in September. Full Text

Source: BusinessWire

Best Holiday Sales In Four Years Expected As Consumers Return

By Marilyn Much

You're not likely to find the Grinch wandering the malls this holiday season.

If recent forecasts are on target, retailers should enjoy the best Christmas sales in four years. After giving retailers a so-so 2009 holiday, consumers are in more of a buying mood this year, with apparel, TVs and gadgets such as the iPad among the top sellers. Full Text

Source: Investor Business Daily

Expectant and New Mothers to Receive Free Foot Scans at Foot Solutions of Estero

The "little piggies" of expectant and new mothers are not nearly as excited as the carefree pig on the new Geico commercial. Instead of crying "whee, whee, whee" all the way home, their feet are usually crying for pain killers. In an effort to help new mothers and moms-to-be with foot, back & joint pain associated with pregnancy, Foot Solutions of Estero-Fort Myers will be offering free full pedorthic analysis, foot scans and balance and gait analysis. In addition, expectant or new mothers will receive a discount on shoes or arch supports to correct and prevent foot problems associated with pregnancy. Full Text

Source: naplesnews.com

 "Momma" [and Pedorthist] from Pennsauken Helps Build Lives in Africa

By Kevin Riordan

At St. Dymphna's School in Tanzania, the students call Merida Reiner "Momma."

No wonder. The East African school for disabled children is her baby. And Reiner is one proud parent. "We started out with nothing," says the 61-year-old grandmother of six, who lives in Pennsauken. "Now we've got three classrooms, 27 children, and a waiting list of 13. Last year we put electricity in. Now my goal is running water for the village."

The strikingly youthful Reiner is a pedorthist, fabricating ankle braces and other devices for her husband, Maple Shade podiatrist Steven Reiner. Full Text

Source: Philadelphia Inquirer

Diabetic Foot Ulcers in Underinsured Patients

By Diane Ames, DNP, APRN-BC

According to the CDC, almost 24 million Americans have diabetes, and it is estimated that six million of those individuals are undiagnosed.¹ In 2007, financial costs attributed to diabetes totaled $174 billion.² Additionally, comorbidities linked with diabetes may lead to serious complications and create additional economic and individual burdens. The development of diabetic foot ulcers (DFUs) is one such complication.

DFU treatment utilizes a considerable portion of health-care dollars and may also lead to significant disability and a decrease in quality of life. Patients with diabetes have a 15%-25% lifetime risk for developing a foot ulcer.^3,4 When ulceration occurs, the risk for infection is present and may range in severity from a superficial area to one that pervades the bone. About 25% of diabetic foot infections will extend to deeper subcutaneous tissue or bone, and up to 50% of those individuals will have a recurrent ulcer within the next few years.⁵ Infection is the leading risk factor for amputation among those with DFUs.⁶ Full Text

Source: Clinical Advisor

New Database Shows How Much Drug Companies Pay Doctors

By Faye Flam

Warren Joseph is a podiatrist on a mission. He wants the medical world to become better informed about the devastating consequences of diabetic foot ulcers. He says he has no problem that Pfizer, the world's largest drug company, pays him to get the word out. Since 2009, the Roxborough foot doctor has made $67,000 in speaking fees, plus $4,600 for consulting and $13,000 in expenses.

The bigger point, Joseph says, is that diabetic foot ulcers cause more than 80,000 amputations each year. By getting the word out, "I'm saving limbs," says Joseph, who specializes in treating diabetics. Full Text

APMA Issues Statement on Barefoot Running

Barefoot running has become an increasing trend, and a possible alternative or training adjunct to running with shoes. While anecdotal evidence and testimonials proliferate on the Internet and in the media about the possible health benefits of barefoot running, research has not yet adequately shed light on the immediate and long term effects of this practice. Full Text

Source: APMA

Crocs Steps into Toning Footwear Category

Plastic clog maker Crocs Inc is stepping into the burgeoning market for footwear that shapes and tones while the wearer walks.

The company believes it has spotted a gap in the market with sleeker-styled shoes that have a concealed three-layer design to stimulate leg muscle activity while walking. In contrast, with most current athletic or flip flop options, the toning features are highly visible.

"Despite the toning categories exponential growth, the market is missing casual lifestyle shoes. The Crocs Tone collection fills that void," explains Dale Bathum, global vice president of product. Full Text

Source: just-style.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

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

FEBRUARY, 2011

Foot Solutions Pedorthic Pre-Certification Course: Class date February 14-25, 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 Seminar Calendar:                                                                            

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

·        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

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

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

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

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

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

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

Seeking State-Licensed Pedorthists in the Following States:

FLORIDA

OKLAHOMA

ARKANSAS

ALABAMA

ILLINOIS

OHIO

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

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

FITTERS RECEIVE THE FOLLOWING FEES:

All marketing supplies are FREE
All shipping costs are FREE

The training is FREE
Leads are FREE

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

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