Volume 16 - Issue 9 - September 2003

Feature »

Playing To Win At The Insurance Game

By Neal Frankel, DPM | 6215 reads | 0 comments

Who would have thought that when we finally went into practice after years of podiatry school and residency, we would be more dependent on third party payers for our existence than our patients? In fact, recent studies have indicated that, on the average, we spend one-half to one full hour per patient on paperwork and insurance matters. For many podiatrists to whom I have spoken, the “hassle factor” of trying to get paid from insurance companies seems to be the primary reason many of them are not happy with private practice.
Keep in mind this is a game of sorts. The insurers want to keep



Editor's Perspective »

Are Eight Schools Too Many For Podiatry?

By Jeff Hall, Editor-in-Chief | 3352 reads | 0 comments

Three years ago, enrollments at podiatry schools were in serious decline and it was deemed a crisis situation. It got to the point where some even suggested reducing the number of podiatry schools from seven to six or perhaps five. However, experienced educators noted that enrollment trends are very cyclical and, sure enough, there have been positive increases in enrollment the last two years.
According to the American Association of Colleges of Podiatric Medicine (AACPM), the total first year enrollment at the six AACPM schools improved to 461 in 2003, a 15 percent increase from two years



Feature »

Exploring New Advances In Digital Arthrodesis

By Gerard V. Yu, DPM, Andrew Vincent, DPM, and Wissam Khoury, DPM | 16823 reads | 0 comments

Over the years, a multitude of techniques have been described and employed for digital arthrodesis, ranging from arthroplasty and arthrodesis to flexor tendon transfer and lesser digital implants. Each procedure has a place in surgical correction of digital deformities. Digital arthrodesis, in particular, provides permanent and reliable correction of deformities and is considered by the senior author to be a favored technique, especially when it comes to managing digital deformities of a biomechanical etiology.
Two fundamental techniques, the end-to-end arthrodesis and the peg-in-hole arthro



Continuing Education »

Identifying Skin Malignancies On The Distal Lower Extremity

By James Q. Del Rosso, DO, FAOCD | 5105 reads | 0 comments

Cutaneous malignancies and benign neoplasms simulating malignancy commonly affect the distal lower extremity, including the foot. One may see a variety of malignancy categories such as epithelial tumors, adnexal neoplasms, melanoytic neoplasms, vascular neoplasms and soft tissue tumors. Histologic confirmation of diagnosis is essentially mandatory, warranting the need to send all tissue specimens, including biopsy, incisional and excisional specimens, for pathology examination.
In some cases, the pathologist may incorporate immunohistochemical stains to differentiate specific tumor types. D



Feature »

Key Insights On Orthotic Materials

Moderator: Robert Phillips, DPM Panelists: William Olson, DPM, Douglas Richie Jr., DPM, Paul Scherer, DPM and Christopher E. Smith, DPM | 20985 reads | 0 comments

In order to help bring orthotic therapy into sharper focus, some of the top thinkers on biomechanics share their insights on various orthotic materials. They discuss the importance of addressing the patient’s specific activity and pathology in arriving at an appropriate orthotic prescription, and offer their views and experiences on the efficacy of various orthotic materials. Without further delay, here’s what they had to say to questions posed by Robert Phillips, DPM.

Q: What type of feet do you feel almost always need rigid orthotics? What type of feet should never be put into a



Forum »

Giving A Helping Hand To Colleagues In Need

By John McCord, DPM | 2169 reads | 0 comments

I ran into a young family physician in the hospital last week. He is one of the sharpest new doctors in our community and refers to podiatrists often. He looked terrible and seemed almost in shock. He let me know his job had just been terminated at the clinic where he was employed. He had one day to discharge his patients from the hospital or turn them over to other physicians. He was being replaced by a physician’s assistant.
The bad stuff that our profession dealt with in the 1990s because of health care reform is still happening to our MD friends. We often complained during the ‘70s an



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