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.  We reserve the right to edit submissions and responses. Please note: t

he deadline for all submissions and responses is 12 noon Eastern Standard Time on Tuesday for that week's issue.

NEW QUESTIONS  

Question: Where can bulk casting foam be purchased?  We like to use individual casting trays with bulk foam, which cuts waste and is cost effective when making supports in house. Our supplier just informed us that they were no longer distributing bulk foam.

- Edith James


 

PREVIOUS QUESTIONS OR COMMENTS WITH RESPONSES

Question: Flat feet--some are born with the condition, and it often causes no problems. But flat feet in children are often overlooked. Arches that disappear when standing and ankles turning inward are signs. We believe flat feet should be checked out to prevent problems later. What are some strategies to increase awareness and provide help for flat feet?

- Robert Schwartz, Eneslow Pedorthic Enterprises

Response: These are some observations from my 48 years in the shoe and footcare professions. Not in every case, but commonly, a flat foot is a normal foot for many people. In many parts of the world, flat feet are the norm, rather than the exception. Since virtually all last designs were created for a population in Europe, where flat feet are the exception, people with flat feet often develop pain while trying to wear footwear built on these lasts. Feet have been evolving to regional environments for millions of years. Those of us whose ancestors evolved on the flat open areas in central Africa, India, and Australia will usually have flat feet at birth and throughout their life. The Masai are frequently cited in publications as representative of this condition. The relatively recent transport and migration of large segments of these populations tends to mask the origins of the evolution of foot types. Flat feet are ideal for walking barefoot over flat dirt surfaces. Many of the people who still live in these areas of our world continue to walk comfortably barefoot. Who do you think is more comfortable in the 1890 photograph of an African safari? Is it the guy in the boots and pith helmet in the front or the guy in the background who carried his luggage, for hundreds of miles, while barefoot?
 
In a small survey we did for Munro Shoes, in the 1990s, on African American women's feet, we found all subjects we evaluated had flat feet with a weight-bearing styloid process of the fifth metatarsal, a posterior-projecting calcaneus, and a straight or slightly lateral deviation of the forefoot on the rear foot. It was obvious to us that most shoes, designed on European based lasts (adducted last, moderate to high heel-to-shank transition, and shallow back-curve on the counter), were not going to fit these feet and would be uncomfortable. It did explain why the Daniel Green mule was the best selling shoe among African-American women for decades. 

The "take home message" here would be - we need to design lasts and stylish footwear for people whose feet are normal and ideal for the environment of their ancestors. In the U.S. they need to be able to purchase footwear built from lasts made for the contours of their foot type to be used in a society covered with flat concrete and blacktop walking surfaces.
 
In other cases, the flat foot has progressed from a high forefoot varus resulting in a foot positioned in moderate to severe pronation while standing. Many orthopedists refer to this as "too many toes" when viewed from the rear. This is the type that needs early orthotic or surgical intervention. This can occur in people of any ancestry and is relatively rare in our general population. With this form, the leg will gradually shift more medial over the foot. This shifts the body's weight over the medial arch, everts the calcaneus, and shifts the talar head to a weaker part of the spring ligament resulting in a collapse of the arch. Orthotic management needs to address the forefoot varus with the goal of keeping the leg centered over the foot in walking and in stance. Surgically osteotomies can be done to reposition the forefoot relative to the rearfoot. The educational goals for the pedorthist would be to recognize the difference between the progressive flatfoot deformity (a frontal plane malalignment) from the normal, inherited flatfoot (a sagittal plane alignment).
 
- William Coleman, DPM

Response: During my years of working with my mentor and co-founder, Dr. Palmer, his practice consisted of a high percentage of orthopedic pediatrics. With his Master's Degree in genetics, he donated many years to the study of club feet and reconstructive procedures. He often referred his patient's to my pedorthic clinic for functional feet orthoses, Whitman, Whitman Roberts Orthoses; all casted in Rectus position (non weightbearing, subtalar neutral while reducing the forefoot upon the neutral, aligned hindfoot). We also made gait plates to induce intoe our out-toe, dispensed torque heels attached to the soles of shoes, along with medial heel and forefoot wedges, etc.  However, in your question for strategies to increase awareness and provide help for flat feet, we developed a brochure using a Krames brochure as our guideline and giving Krames credit for contributing to the brochure. We had hoped that in time, they might produce the brochure for this campaign.  It is titled "What your physician wants you to know - Your Feet - Your Child's Feet".  Our goal with this brochure was to get the brochure into the hands of pedorthists on a national basis, once they had achieved a specific level of understanding of the milestones of the growing child's foot and the timeframe by which we can actually attempt to correct these deformities, before ontogeny occurs. Learning how to properly cast these feet (similar to the Ponsetti technique principles; molding the foot with a cast versus us using a thermoplastic to remodel the foot). But before we can implement a national campaign, we need to ensure that the pedorthic community has education focusing on pediatric prevention, biomechanics, conservative and advanced techniques and posting.  It is detrimental that we not reposition a foot incorrectly. Carl Riecken and I were working on this before his passing using the slogan for this national campaign as "These little feet grow like "Popcorn", let's mold them while their Hot!"  (hince - for you RMPI former students - we always make freshly popped popcorn during our class!...fond memories - right?) 
 
The intent is to have pedorthist's in the country to place their logo on the brochures and desiminate them in pediatrician's offices, orthopedic offices, day care facilities, laundromats, retail shoe stores, etc. However, in our opinion, our present curriculum does not adequately educate a pedorthist on pediatric pedorthics to a competency level.  We would recommend that any person desiring to market their pedorthic services to the pediatric marketplace, should first receive a certificate of completion of a pediatric prevention and biomechanics course. I am sure that many of the current pedorthic schools would be eager to work together on creating a well-rounded, multi-discliplinary approach to launch this national campaign! The RMPI would offer it's facility and dormitory rooms to sponsor this endeavor!
 
This brochure will be on our website soon at www.rmpi.org "Outreach" - Bionic Kidz Outreach

- Pamela Haig, C. Ped.

 

Question: There was an article in the recent LER magazine's special educational series supplement that caught my attention.  It was regarding diabetic orthotics.  Without making this long and drawn out, I will get to the point.  Some of the healthcare practitioners that were interviewed stated that custom diabetic orthotics (A5513) are only needed occasionally.  A quote from Bill Meanwell states, "The A5513 is needed occasionally."  He goes on to say "The problem that we have in our industry is that we get paid more for the custom device than the OTS (off the shelf). You are thinking with your wallet and not with your head."  There were also other healthcare practitioners quoted who stated that OTS or A5512 were appropriate for the majority of their patients. 
 
I know that in my practice, I see alot of diabetics, and the majority of them have at least moderate nueropathy, boney prominances, high pressuure areas with callusing, wide feet, etc.  The majority of these patients will require more than an OTS heat moldable orthotic.  In my experience, the OTS orthotics that are available are cheap, mostly only dual lam. They generally wear out quickly.  The other issue I have is that these devices never contour 100% to the patient's foot when heat molded.  You also will have to add a scaphoid pad to the medial/longitudinal arch to make a total contact orthotic.  What happens to the lateral longitudinal arch?  It will just flatten.  Then, adding a metatarsal pad takes time to get in the correct location.  Adding any further modifications like heel lift, adding a reverse Mortons extension as proposed by Marybeth Crane, DPM, takes even more time.
 
The big question then is: is this the correct orthotic for someone requiring all these modifications?  The other question is: how do you get paid to do all of this work?  A custom diabetic orthotic can be manufactured with almost all of the features listed above.  If a practitioner is going to put that much work into the orthotic, they need to be paid for the work.  I don't have time to try to make a Cadillac out of a Pinto and get reimbursed poorly for it.  The time spent "customizing" the orthotic could be spent seeing other patients or charting.
 
It concerns me that one of the Pedorthic profession's educators is being quoted in a highly reviewed journal as saying that pedorthists are "thinking with their wallet and not with their head."  This is not the impression we want other allied professionals to have of us.  I don't want my local referral sources thinking that I am fabricating custom orthotics for their patients simply to make more money.  Does anyone else have an opinion on this?
 
- C. Ped. 

Response: With respects to Bill Meanwell, if I'm thinking with my wallet every patient gets an A5512, as the difference in compensation doesn't really justify the difference in cost to manufacture customs. As a percentage to cost the A5512 inserts are far more profitable than the customs. But should this even be an argument? Isn't it up to the doctor to determine what the patient needs? Medicare requires a doctor's order (prescription) for each patient. Every time we see a prescription that does not specify custom inserts we either fit the patient with OTC inserts or we contact the doctors office with a recommendation for customs and request a prescription to match the treatment. During a Medicare audit we were turned down on customs for a patient because the doctors order did not specify the need for custom made inserts, so we simply don't bill for customs unless we have a prescription for them in hand.  
As to modifying the OTC inserts, we avoid having to augment the inserts largely by using a casting platform when we mold the insert, this holds the arch up and allows for a weight bearing molding. If we need to modify the inserts much beyond trimming them to fit the shoes we would request a script for customs. I would agree with Bill that the vast majority of our patients don't really need customs even though I also believe most would benefit from them. If your OTC inserts are requiring extensive mods in order for them to function correctly maybe you should consider a higher quality insert?

- Russell Dotson, C. Ped.

Question: In a recent discussion between DME students working nursing homes and Retail Students, two different perspectives came into debate. One perspective was that the "DME" company could "drive" the prescription by completing the CMN form for the physician using the patient's nursing home facesheet as the means for obtaining the primary and secondary diagnoses, and that the physician was responsible for verifying the information on the CMN form completed by the DME provider.  The second perspective was that the "DME" company was performing an illegal action by completing any aspect of the CMN form, other than the beneficiary's (patient's) name, date of birth and Medicare number. Typically, in a retail setting the attending physician will usually complete the forms where the nursing home attending physician usually leaves them blank, with only his signature. Thus, the DME perspective is to assist the physician with completing them, and the DME student felt this was legal, while the Retail student said this was illegal. In my clinical experience and as an educator, I agree with the Retail Student. 

Another consideration: Can a DME company have the attending physician sign a document stating that he (the physician) gives permission/allows the pedorthist who is assessing, fitting and dispensing the shoes, to assist with completing the form on his behalf; as long as he has agreed and approves of the primary and secondary diagnoses on the form completed by the pedorthist and then followed up with his (the physician's) signature on the CMN?

If anyone knows where there might be a formal document from Medicare defining any of these topics, I would appreciate receiving a copy. If anyone feels there is a person of authority that we could ask this question of and obtain some form of written validity, I would appreciate receiving their contact information.

- Pamela Haig, C. Ped.

Response: I am constantly seeing questions regarding Medicare guidelines on the TSB and who can bill, what documentation is required and what doctors can order the shoes. Does anyone read the Medicare manual and lcds? It lays out plainly who can order shoes, what documentation should be in your hands (if you are dispensing shoes) and who can dispense shoes. There is even a timeline now that became effective January 1, 2011 which states that the primary care physician treating diabetic patients must see and examine patient's feet within six months of the shoe dispensed. The ordering doctor may or may not be the PCP but if they are not, the PCP must review the chart notes on the foot exam and sign off on that exam.  The shoes can then be ordered and the PCP has to complete the Medicare certification statement in full (the supplier is no longer able to fill in the blanks or prompt the doctor in any way.) The list goes on to explain the full timeline.  LCD states "The Supplier is the person or entity that actually furnishes the shoe, modifies, and/or insert to the beneficiary and that bills Medicare. The supplier may be a podiatrist, pedorthist, orthotist, prosthetist or other qualified individual. The Prescribing Physician may be the supplier. The Certifying Physician may only be the supplier if the certifying physician is practicing in a defined rural area or a defined health professional shortage area".  In the past, a pharmacist could dispense shoes, which is why you often find many rural area pharmacies still dispensing them. As of last July, a face to face encounter between the patient and the supplier is a requirement. An initial visit, including documenting all measurements, problems relating to the foot diagnosis and whether there is stock of the shoes is a must. Any supplier that did not have a part in seeing the diabetic patient beforehand, a certification statement, and a prescription per item and/or chart notes would be making a huge mistake. The next steps are to fit the patient with the proper footwear, heat mold the inserts (if dispensing A5512) and document the date. You cannot be a supplier and not know your LCD and Medicare guidelines. Not knowing this info will cause you to lose money, the product and possibly your ability to dispense footwear.

- Charlotte, C.Ped.

Question: What is the best slip resistant shoe for culinary field customers who have plantar fasciitis?   Typically the prescription from the podiatrist will request the supply of a running/walking shoe to be used with the orthotic that we are to supply, but none of the running/walking shoe brands we carry have proved to be really slip resistent on wet, greasy kitchen floors.  We carry Sanita clogs that seem to work well after their plantar fasciitis has gone away, and we just picked up Klogs that are labeled slip resistant, but neither meet the requirements of the podiatrist's Rx for the initial treatment phase.  Help!
 
- John Mishasek, BOCPD, C. Ped.   

Response: New Balance 512 is OSHA approved for slip resistant.  It comes in multiple widths, and comes with a removable insole to accommodate orthotic devices.

- Jesse J Fischer, Pedorthist Intern.

PREVIOUS QUESTIONS WITHOUT RESPONSES

By Alex Knapp

New Scientist reports on an interesting new player in the fight against the antibiotic resistant MRSA - copper.

MRSA is one of a number of antibiotic-resistant superbugs that have become a massive public health problem in recent years. They spread especially fast within hospitals, with an estimated 7 million people worldwide catching health care-associated infections each year.  

Most efforts to prevent their spread have focused on finding new antibiotics or improving hygiene, but Bill Keevil of the University of Southampton, UK, believes that the natural antibacterial properties of copper could be a simple and effective way to combat them. Full Text 

Sponsor - PCP Medical  Also: Announcing! New Course Listings - Elwood, Indiana - May 11-20 - Elwood, Indiana - May 21-30

ELWOOD - 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 11 - 20, 2011

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 (Elwood Course Location Only).  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. 

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 Solutions for Foot Pathologies Seminars

Attendees will learn the importance of visual and digital analysis: pressure points, foot type, foot size and gait. Understanding activities and pathologies such as age, medical conditions and injuries (sports, diabetes, arthritis) will be discussed. Common foot pathologies will be reviewed, including methods of treatment utilizing state of the art technology. A hands-on workshop is also included. ABC - 7.75 Scientific Credits; BOC - 8.25  

For information on Aetrex Worldwide Solutions for Foot Pathologies Seminars, please contact the Aetrex Marketing Department at: marketing@aetrex.com.

2011 Solutions for Foot Pathologies Seminars Calendar:       

April

15      Teaneck, NJ

22      Manchester, NH

May

12      Cleveland, OH

June

7       Erie, PA

16      Montgomery, AL

21      Seattle, WA

July

12      Oakland, CA

14      Long Beach, CA

27      No. Kansas City, KS

August

23      Teaneck, NJ

September

13      Atlanta, GA

October

12      Phoenix, AZ

19      Baton Rouge, LA

November

17      Teaneck, NJ

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

Under Development for January, February, March - Connecticut and Texas

·        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

MAY, 2011

CHICAGO, IL May 14: Arizona AFO, Inc. presents 'The Custom AFO Workshop' in a convenient one day format! Whether or not you are new to custom AFOs, you will not want to miss this great opportunity. Industry experts with many years of experience will share their ideas to help you be the best you can be. $150.00 Fee Includes; Lectures, hands on casting workshop, handouts, casting materials, breaks, lunch and more!

WHAT YOU WILL LEARN; · The latest in appropriate L coding · Which AFO to use for treatment of various indications · How to obtain the best cast possible · How to provide quality AFO products · Tips for selecting appropriate footwear and footwear modifications · Ideas for marketing to referral sources, and much more.......

Total CEUs; This program has been approved for 6.5 credits through ABC, and 7 credits through BOC. To Enroll; CALL (877) 780-8382 and ask for the "Workshop Registration", Email your contact info to education@arizonaafo.com, or go to www.ArizonaAFO.com and use Keyword: Workshop.

CLASS SIZE IS LIMITED SO SIGN UP TODAY!

JULY, 2011

The Shoe Service Institute of America, in partnership with CFS Allied Health Education, would like to announce a C.Ped. course to be presented prior to this summers SSIA convention in St Petersburg, FL. The American Board for Certification has approved a total of 14 CEUs that can be earned for the low cost of $395 during this two-day course.

Thursday July 14, 2011

8am - 5pm (One hour break for lunch plus two 15 minute breaks)

Basic Observational Gait Analysis - 4 Hours ($99)

This class explores various components used in observational gait analysis

by using live demonstrations of both normal and pathological gait.

Objectives include exploring components of normal gait, discussing muscle

and joint activity during normal gait, use of basic and advanced

observational components for gait analysis, and recognizing pathological

gait patterns. Labs are included to practice the techniques demonstrated.

Lower Extremity Casting Techniques I - 3 Hours ($99)

This class explores step by step procedures for weight bearing static &

dynamic impression foam casts, semi-weight bearing impression foam casts,

non-weight bearing plaster slipper casts, non-weight bearing fiberglass

slipper casts, bivalve custom shoe casts, subtalar control foot orthosis

Casts & UCBL Casting

Friday July 15, 2011

8am - 5pm (One hour break for lunch plus two 15 minute breaks)

Foot Examination and Assessment Techniques - 7 Hours ($199)

This class explores step by step procedures for performing foot, ankle and

lower extremity assessments. These include: Range of Motion, Quantitative

Sensory Testing, Muscle Strength Testing, Lateral Block, Hallux

Hyperextension, Metatarsal Raise, Vascular Assessment, Integumentary System,

PTTD Palpation and Single Heel Raise, and more! Labs are included to

practice the techniques demonstrated.

Total CEUs: 14 Hrs. Cost: Two-day package is $395 (Courses can be taken separately at above prices)

Enrollment and information: www.learnpedorthics.com/ssiaenroll.htm 

 
AUGUST, 2011

Atlanta, GA, August 13: Arizona AFO, Inc. presents 'The Custom AFO Workshop' in a convenient one day format! Whether or not you are new to custom AFOs, you will not want to miss this great opportunity. Industry experts with many years of experience will share their ideas to help you be the best you can be. $150.00 Fee Includes; Lectures, hands on casting workshop, handouts, casting materials, breaks, lunch and more!

WHAT YOU WILL LEARN; · The latest in appropriate L coding · Which AFO to use for treatment of various indications · How to obtain the best cast possible · How to provide quality AFO products · Tips for selecting appropriate footwear and footwear modifications · Ideas for marketing to referral sources, and much more.......

Total CEUs; This program has been approved for 6.5 credits through ABC, and 7 credits through BOC. To Enroll; CALL (877) 780-8382 and ask for the "Workshop Registration", Email your contact info to education@arizonaafo.com, or go to www.ArizonaAFO.com and use Keyword: Workshop.

OCTOBER, 2011

San Jose, CA, October 15: Arizona AFO, Inc. presents 'The Custom AFO Workshop' in a convenient one day format! Whether or not you are new to custom AFOs, you will not want to miss this great opportunity. Industry experts with many years of experience will share their ideas to help you be the best you can be. $150.00 Fee Includes; Lectures, hands on casting workshop, handouts, casting materials, breaks, lunch and more!

WHAT YOU WILL LEARN; · The latest in appropriate L coding · Which AFO to use for treatment of various indications · How to obtain the best cast possible · How to provide quality AFO products · Tips for selecting appropriate footwear and footwear modifications · Ideas for marketing to referral sources, and much more.......

Total CEUs; This program has been approved for 6.5 credits through ABC, and 7 credits through BOC. To Enroll; CALL (877) 780-8382 and ask for the "Workshop Registration", Email your contact info to education@arizonaafo.com, or go to www.ArizonaAFO.com and use Keyword: Workshop.

CLASS SIZE IS LIMITED SO SIGN UP TODAY!

NOVEMBER, 2011

Phoenix, AZ, Nov 19: Arizona AFO, Inc. presents 'The Custom AFO Workshop' in a convenient one day format! Whether or not you are new to custom AFOs, you will not want to miss this great opportunity. Industry experts with many years of experience will share their ideas to help you be the best you can be. $150.00 Fee Includes; Lectures, hands on casting workshop, handouts, casting materials, breaks, lunch and more!

WHAT YOU WILL LEARN; · The latest in appropriate L coding · Which AFO to use for treatment of various indications · How to obtain the best cast possible · How to provide quality AFO products · Tips for selecting appropriate footwear and footwear modifications · Ideas for marketing to referral sources, and much more.......

Total CEUs; This program has been approved for 6.5 credits through ABC, and 7 credits through BOC. To Enroll; CALL (877) 780-8382 and ask for the "Workshop Registration", Email your contact info to education@arizonaafo.com, or go to www.ArizonaAFO.com and use Keyword: Workshop. 

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: Modern pedorthic facility with emphasis on total footcare is seeking pedorthic salesperson to join our staff.  Hourly + commission in a fast paced, can do environment.  Join our winning team as business grows:  www.ComfortShoe.com  Email Resume' to Edith@ComfortShoe.com with Pedorthic Newswire resume in subject line. 3/2

Seeking to Hire: Pacific Medical Inc is a large Prosthetics & Orthotics company with many offices located in Northern California and the Pacific Northwest.  We currently have a Certified Pedorthist position available in Medford, OR. Southern Oregon is a great location for outdoor recreation with the Rogue River, the Cascade Mountains, Crater Lake, and the Pacific Coast all nearby. Our Medford practice is an extremely busy five employee office inside a large orthopedic center and is looking to hire a pedorthist. This will be a full time position with competitive base salary and benefits including a percentage of commission generated by office revenue. Our company will consider paying for orthotic fitter training courses if candidate wishes to advance by gaining additional certifications. Candidate must have a friendly personality and good work ethic. Phone, email or fax: Justin Williams, CP
Pacific Medical, Inc. Prosthetics & Orthotics; Phone: (541)613-4706; Fax: (541)608-2497; Email: jwilliams@pacmedical.com 2/23

Seeking to Hire: MediQuest is an 11 year old Springdale, AR headquartered DME Provider. Need is for Oklahoma City Regional area C-Ped Field Representative. Established accounts with rapidly growing patient base and opportunity. High commissions with expenses and benefits or salary plus commission possible. Job would entail measuring/fitting diabetic shoes w inserts and initiating progress notes collection and prescription collection; and sale of diabetic testing supplies with occasional other observed orthotic needs. Must enjoy people, be organized, dependable and teachable. If you're looking for something better with a bigger opportunity send resume. Good  support from HQ.  Email resumes to trjoseph@sbcglobal.net. 2 References required. Tom Joseph, Director of Diabetic Services, MediQuest, Inc. I will respond within 24 hours. 2/16

Seeking to Hire: Experienced Sales Professional. Amfit, an industry leader in equipment and supplies for the manufacture of custom foot orthotics is looking for an ambitious sales professional. If you would like to be a part of a dynamic team that is well respected in the Pedorthic Community, we'd like to hear from you. Please email in confidence to: Arjen Sundman, President: asundman@amfit.co 1/12

Seeking to Hire: FOOT SOLUTIONS, Flower Mound Texas-FULL TIME PEDORTHIST: If you enjoy helping people, FOOT SOLUTIONS offers a unique opportunity unlike any other in the medical retail world. At FOOT SOLUTIONS we offer great hours and very attractive incentive plans. It's a career you can be proud of! As a team member, you will receive training in foot anatomy & pathology and product knowledge. This position offers no nights or Sundays! You must be available Saturdays plus 4 weekdays.  Our store hours are 10am to 6pm weekdays and 10am to 5pm Saturdays. This position will require you to be career oriented, a self starter, highly motivated, customer service driven, and strong listening skills. The position requires someone who truly enjoys helping people. You will also possess strong follow-up skills, be goal driven and have a positive attitude. You will be a good problem solver, and have a strong attention to detail.  You will have a minimum of 3+ years of face-to-face sales experience and a minimum HS Diploma or GED is required, Bachelors is preferred.  Our ideal candidate will have experience in Pedorthics/Cpeds, or a background in Health Management is highly preferred. Competitive Salary commensurate with experience. Please send resume to Foot Solutions, 2321 Justin Rd Suite 205, Flower Mound TX 75028, Attention Mike Carey, C-Ped. or email careylax@aol.com   1/5

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