Send your comments, questions, responses, articles or case studies to Pedorthic Newswire at editor@pedorthicnewswire.com. Your emails will be reviewed by pedorthists and the editors of Pedorthic Newswire, and selected submissions will be posted in an upcoming issue for feedback from other readers. Please note: the deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.

The Staff of the Pedorthic Newswire wishes all of our readers

a safe and happy Thanksgiving!

NEW QUESTIONS AND COMMENTS

Question: Is anyone currently using any of the following Network Service Vendors (NSV) to communicate electronically with Medicare, and if so, would you share your recommendations either with the group or with me directly by e-mailing brett.richey@richeyco.com?  Thanks.

ECC Technologies

IVANS

McKesson CareBridge

MedXpress

Nebo Systems, Inc.

VisionShare

- Brett Richey

Question: I see a large number of cavus feet in my facility. While it's common to see them in pronation control or other inappropriate shoes, I've seen a "trend" in running shoes that has me scratching my head. Biomechanics 101 tells us that people with cavus, supinators, under-pronators, locked-foot (pick your favorite term) tend to strike harder on the lateral heel. They also tend to overload the lateral column. I have observed high-end "neutral cushion" shoes from several manufacturers that have gel or visco polymer pods or wedges in the outsole under the lateral heel.

Many of these shoes also have a thicker and higher durometer outsole on the medial aspect. This would be called a varus wedge if my memory is correct. I suspect the engineers' belief is that hi-tech gels and polymers are better at attenuating impact? I've seen many patients crushing the lateral aspect of these shoes when they are almost new with very little to no mileage on them. This can cause peroneal tendinitis, illiotibial band syndrome, medial compartment overload of the knee as well as lateral ankle instability.

I thought the theory behind neutral cushion was that the shoe is neutral AND cushioned? Some of these shoes are listed as such and they cost well over $120 retail, yet they clearly are nothing more than a giant varus wedge. Fitting them on a patient with cavus or high degree of tibial varum is like putting reading glasses on someone that is near sighted...not the proper correction. Perhaps someone on the design/engineering side of the industry can shed some light on this, because I just don't get it.

Maybe during controlled testing in labs, these material and design combos perform admirably. In the real world, when you factor in center of gravity, tibial angle, ground reaction, body weight, terrain...not to mention foot type...many of these shoes fail miserably. This is what I call "over-shoeing" a patient, and it has become more common in the last few years. This also raises the question of why some runners seem to do well in minimalist or neutered shoes as I like to call them. Personally, I am not a fan of running in what amounts to training flats or less. I have read several accounts where runners say they got rid of their big running shoes and orthotics in favor of stripped down shoes and they actually did better.

It may not be that they were simply running the way God made them. Perhaps what really happened is they were no longer "over-shod" and their under-pronating foot was allowed to function a bit more normally? As always your thoughts and comments are most welcome. Please be gentle with your replies.

- Brian Graham, C. Ped.

Question: I live in Brunswick, GA 31520, and desperately need an internship. I have been unsuccessful calling on my own and really need help!

- Jonathan Watkins, 404-936-8280

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: We are pleased with the Chaco brand sandals for providing excellent arch support.  Also, Sole sandals (they are flip-flops) have an excellent foot bed with great support.  Earth has several vegan choices in shoes that would be good.

- Skip Chandler, PT, C. Ped.

Original 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

Previous 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 Response: In regards to "PNW Reader's" comments: No disrespect taken.  The base layer of my diabetic fo's runs through the met heads, so I am providing proper diabetic fo's.  What I am trying to get across is that an A5513 and an accommodative L3020 are made the same as far as the positive cast is concerned in my practice.  We are trying to accommodate and not biomechanically correct.  The only difference, as we have both pointed out, is the material used, and every practitioner has their favorite material.  The base material should taper as it goes under the met heads toward the toes.
 
Also stated in the LCD is: Code A5513 describes a total contact, custom fabricated, multiple density, removable inlay that is molded to a model of the patient's foot so that it conforms to the plantar surface and makes total contact with the foot, including the arch.  A custom fabricated device is made from materials that do not have predefined trim lines for heel cup height, arch height and length, or toe shape.
 
I think that pretty much sums it up.  So if there are labs heat molding prefabs to a positive model of a patient's foot, then they are not following these guidelines.  Unfortunately I think this happens.  I have used multiple labs for fabrication and the majority of orthotics come back with no arch, too wide of a heel cup, odd trimlines.
 
- Joe Eads, C. Ped, COF

New Response: I am quite sure that it is the PNW reader that mis-interpreted the LCD.  The base layer of the device is the bottom layer of the multiple density inlay or footbed. The base of the footbed itself must be at least 3/16 inch of 35 shore A or higher material for an A5513.  It goes on to say that the base layer is allowed to be thinner in the custom-fabricated device than the A5512 because appropriate arch fill (longitudinal, transverse and lateral) or other additional material will be layed up to maintain shape and achieve total contact and accommodate each patient's individual needs. The arch fill is not just a cookie under the longitudinal arch-it is referring to the posting which supports all the arches under the foot.

You seem to think that because it is under the footbed that it becomes the base layer.  This is not the case.  The base layer they refer to is still the base layer of the footbed itself -- the bottom of the multiple-layered footbed, which may be thinner distal to the metatarsal heads so as to accommodate hammer-toes, cocked-up toes, etc.

If you go back and carefully read the entire LCD you cannot rationally interpret it any other way.  I believe that PNW-Reader was out of line with his/her interpretation of the guidelines. 

- Burt Humphries, C. Ped.

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.

Response: The RICE formula has good application when a runner has experienced a sprain of a joint or strain of a muscle/muscle group. This approach has been the standard 'first line of defense' for treating minor injuries for many years.  Some runners will be able to ward off nagging injuries sufficiently to keep running. 

However, the first principle for an aspiring or seasoned marathoner is adequate preparation.  'Guts' and 'iron will' are no substitute for training.  There are numerous running clubs in large and even small metropolitan areas that provide coaching, training schedules and other advice that is very helpful.  These groups can be found through local running specialty stores and on the Internet.  Training injuries are often the result of 'too much, too fast.'  This applies to beginners and seasoned runners as well.  Running too far, too fast, sudden changes in terrain, and inadequate footwear are some common errors in training. We as pedorthists can play an important role in identifying alignment, as well as shoe issues that can be corrected, and thus alleviate a foundation cause for many injuries. 

While there is much information on the Internet, there is a potential downside.  Some individuals will be successful with 'self-treatment,' while others may cause serious injury (egs. stress fracture) when they don't seek professional advice.

There are products in the shoe industry promoted as 'recovery' shoes, but as yet, I am uncomfortable recommending any of these.

- Skip Chandler, PT, C. Ped.

PREVIOUS QUESTIONS AND COMMENTS WITHOUT RESPONSES

Question: How many practitioners out there are using digital cameras to capture photographic evidence to support custom orthotics or shoes? How do you organize/store these? Do you only use digital photos for the "at risk" cases, or all cases?

- Rick E. Sevier - BS Ed. BOC Orthotist C. Ped. L. Ped CPOA

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.

ANNOUNCEMENTS

Orlando, FL--The Pedorthic Foundation recognized Dick Schwartz, C.Ped. chairman of the Board of Aetrex Worldwide, Inc. by creating the Richard B. Schwartz Award in his honor, presenting it to him at  a November 17 reception kicking off the North American Pedorthic Congress in Orlando, Florida.

Schwartz, one of the pioneers in the field of pedorthics, earned his certification in the early 1970s, just after the Board for Certification in Pedorthics was established. He combined his understanding of pedorthics with his knowledge of footwear manufacturing to shape the growth of Aetrex Worldwide, Inc. as a maker of comfort and wellness footwear and foot orthoses and the leading producer of digital foot-scanning equipment. Read the full announcement here.

Source: Pedorthic Foundation

AAOP President Announces Gold Award in MarCom Contest

Scott Cummings, PT, CPO, FAAOP is pleased to announce that the American Academy of Orthotists and Prosthetists' O&P Career Awareness campaign won the Gold Award in the MarCom Award Contest in the category of External Communication Program.The Academy's O&P Career Awareness campaign was developed to increase awareness about the career opportunities available in the Orthotic and Prosthetic profession. The campaign consists of a video, A Future with Meaning: Making a Career of Making a Difference as well as a brochure that provides a comprehensive overview of the profession and information on how to enter one of the CAAHEP approved education programs.

The Academy's Paul E. Leimkuehler Online Learning Center (OLC) also received honorable mention in the category of Web Based Training.

"This type of recognition highlights the work of the Academy and our efforts to advance the profession. The many volunteers who dedicated their time to work with staff on the Career Kit and Online Learning Center projects are to be commended," stated Cummings.

The MarCom Awards is an international creative competition that recognizes outstanding achievement by marketing and communication professionals. The 2010 competition included more than 5,000 entries throughout the United States and several foreign countries.

Source: AAOP

The Pedorthic Foundation honored Ernesto Castro, C.Ped., as the fifth recipient of the Dawn Janisse Award during the recent North American Footwear Congress, held Nov. 18-20 in Orlando.

Castro received the Award from Dennis Janisse, C.Ped., who introduced the late Dawn Janisse to the pedorthic community first as an employee of his company, National Pedorthic Services; their work together grew into a deeper appreciation of each other, and they became husband and wife. The Dawn Janisse Award was created to recognize her work in fund-raising for the Foundation and in promoting greater public understanding of the contributions pedorthics makes to health. Read the full announcement here.

Source: Pedorthic Foundation

UK: The Death of the Sensible Shoe

Traditional, thick sole, lace-up, comfortable shoes that your mother always made you wear as a child have virtually disappeared from the market. They have been replaced by trainers, with more companies now allowing the American style footwear to be worn to work rather than the tough, British, black, leather stalwarts.

The news brings to an end the decade's long association of "sensible shoes" with countless professions such as nurses, teachers, police officers and traffic wardens. Full Text

Source: Independent Online

Shoppers Won't Use Credit Cards As Much This Holiday Season

By Andrea Chang

The buy now, pay later mentality may be taking a backseat to debit cards and cash this holiday season. With budgeting a big concern this year, Americans are expected to rely less on credit cards for their holiday purchases, according to a survey expected to be released by the National Retail Federation.

The survey, which polled 8,778 consumers this month, found that 43% of holiday shoppers will rely on debit cards as their primary form of payment and 25.7% will mainly use cash, both slight increases over last year. Full Text

Source: Los Angeles Times

Canadian Footwear Wants Staff to Balance Work, Life

By John McFerran

With its familiar slogan We Fit You, Canadian Footwear is not only making a promise to customers, but also offering a pledge to the 100 people the company employs, says president Brian Scharfstein." When people come to work with us, I try to meet with them at some point to discuss that if they cannot fulfill what they want to do through what we're doing, then they really shouldn't be here," he says. "Because we're very focused on lifestyle and life balance, it is just as essential that our people believe we are the right fit for them as they are for us. When they go home at the end of the day, they need to feel good about where they've been."

Scharfstein and his wife, Pam Cipryk, are partners in the second-generation family business, which has become renowned not only for carrying Canada's largest footwear inventory, but for its expertise as a foot health specialist (Scharfstein is a certified pedorthist). Canadian Footwear has three locations in Winnipeg, two in Calgary and an e-commerce store that sells online to customers across North America. "Our focus is on our customers' needs, which means educating them has become more important than selling to them. We're helping them buy. We're selling an experience," he says. Full Text

Source: Winnipeg Free Press

40 Years of Happy Feet

When he apprenticed under a master cobbler as a young teenager in his native Italy, Elio DiFelice learned a basic thing about shoes that is a foundation of his family's business decades later: no two feet are alike, and fit is the essence of a good shoe.

DiFelice, who moved to Canada as a young man and ended up marrying Lucy, a girl from his Italian home town of Castropignano, worked at the former Sunbeam shoe factory in Port Colborne before striking out on his own with his own shoe store on Albert Street in Thorold. A couple of years later he moved to a new storefront at 9 Front St. South in the city, making custom shoes and doing repairs, and also eventually moving into retail sales of footwear. Full Text

Source: Niagara This Week

Diabetes and Foot Care

By Amber Fitzsimmons, BraunAbility Mobility Advisor, M.S. Physical Therapy

November was established as National Diabetes Awareness Month to raise awareness about diabetes, which has been ruled a major public health threat of epidemic proportions by the Centers for Disease Control and Prevention and continues to increase substantially each year[1]. Today, there are nearly 25 million children and adults living with diabetes in America, and every hour more than 166 adults are diagnosed and approximately eight die from the disease.

For diabetes sufferers, National Diabetes Awareness Month should serve as a reminder of the importance of foot care. Diabetes can impair blood flow to the feet and cause nerve damage or an infection, which may cause an unavoidable amputation. Over 60% of nontraumatic lower-limb amputations occur in people with diabetes. Full Text

Source: Health News Digest

Type 1 Diabetes May Be Preventable

Finnish and Canadian researchers suggest an infant diet change may help prevent type1 diabetes from being initialized in children at risk for the disease. Hans Akerblom of the University of Helsinki led researchers in Finland and Canada in a pilot study of the diet intervention -- using an hydrolyzed casein-based formula when weaning infants -- rather than a regular cow's milk formula. Full Text

Source: UPI.com

Adidas Accuses California Soccer Clothing Company of Infringing on its Logo

German athletic clothing company Adidas is apparently pretty serious about defending its three-stripe logo. Adidas and its U.S. subsidiary, Adidas America Inc., have filed a trademark infringement lawsuit in federal court in Los Angeles, accusing a Gardena company of selling soccer clothing with "confusingly similar imitations of Adidas' three-stripe mark." 

The lawsuit, filed Oct. 21, seeks monetary damages and a court order prohibiting Conrad Asher Licensing Group Inc. from marketing clothing that infringes on Adidas' trademark.  Full Text

Source: Los Angeles Times

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   

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.

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.   

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:                                                         

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

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. 10/20

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

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