Apma News Oct 2009

The Magazine of the American Podiatric Medical Association

The Team Approach for Limb Salvage APMA, SVS Alliance DPMs, Vascular Surgeons Together at California Center Hands Across the Border: APMA Meets in Toronto

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Volume 30 Number 9

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OCTOBER 2009

APMANews

America’s Foot and Ankle Physicians and Surgeons

OCTOBER 2009

APMA News (ISSN 8750-2585) is published monthly, except bimonthly in July/August and November/December, by the American Podiatric Medical Association, 9312 Old Georgetown Road, Bethesda, MD 20814-1621 (301-581-9200). Periodicals postage paid at Bethesda, MD, and at additional mailing offices. APMA News is distributed as an APMA membership benefit. Statements of opinion expressed in this magazine are not necessarily endorsed by the APMA. Acceptance and publication of advertisements, news stories, or product information does not imply endorsement or approval of the company, product, or service by the American Podiatric Medical Association. Printed in USA. Fax 301-530-2752.

l FEATURES l

Annual Subscription Rates

O Canada! Dr. Chelin Revisits the Annual Meeting By David Zych . . . . . . . . . . . . . . . . . . . . . . . . 28 Canadian DPMs welcome APMA.

A $35.00 subscription to APMA News is included in the annual membership dues of the American Podiatric Medical Association. Subscriptions are unavailable to nonmembers who are eligible for membership. Subscriptions for all others in the United States are $75.00 prepaid; foreign subscriptions are $100.00 prepaid. Single copies are $10.00 prepaid. Remittances should be made payable to the American Podiatric Medical Association. Additional member subscriptions are $40.00. For additional information, telephone 301-581-9200.

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All insertion orders are to be received in writing to be considered for publication. Display advertisements and Dates to Remember notifications announcing professional or scientific meetings, seminars, conferences, etc., will be considered from APMA affiliated organizations, component societies, regions, colleges of podiatric medicine, approved residency programs, other recognized non-podiatric institutions, and nonaffiliate, podiatric groups. Affiliates, component societies and regions, colleges of podiatric medicine, and approved residency programs receive a preferred rate for display advertisements and Dates to Remember. Commercial advertisers should contact the APMA News advertising representative, the WalchliTauber Group, 2225 Old Emmorton Road, Suite 201, Bel Air, MD 21015. Telephone 443-512-8899, or e-mail to [email protected]. Direct camera-ready advertising copy and insertion orders to Advertising, APMA News, 9312 Old Georgetown Road, Bethesda, MD 208141621. Make checks payable to the American Podiatric Medical Association (APMA), and send them to Cash Management Box at the same address. Prepayment is requested on affiliate and non-affiliate group ads. Affiliate, non-affiliate, and commercial rate charts available on request. See rates for Dates to Remember and classified ads in respective headings (must be prepaid). A 5 percent surcharge will be added if an invoice must be sent. See schedule for deadlines. Assistant Editor I Aimee R. Condayan Art Director/Production Manager I Edith A. Caro Advertising Manager I Rachel Richards Editor Emeritus I David J. Zych © MMIX, APMA

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APMA and SVS Establish Cooperative Alliance By David Zych . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 DPMs team with vascular surgeons to fight amputations. Podiatrists, Vascular Surgeons Join in California By Aimee Condayan . . . . . . . . . . . . . . . . . . . . . 16 Amputation prevention center to open in Los Angeles. APMA Annual Scientific Meeting By Amie Hornbaker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Crossing the border into Toronto.

Dr. Soulier Hikes to Promote APMA By Aimee Condayan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Climbing all the peaks in Utah! Dr. Albright to Retire from Scholl College By Dean M. Wakefield, APR . . . . . . . . . . . . . . . . . . . . . 44 A significant career in education. Dr. Mandracchia Named Chief Medical Officer By Timothy Sprinkle . . . . . . . . . . . . . . . . . . . . . . . 52 Breaking stereotypes at Broadlawns Medical Center. Making a Successful Practice By Jeffrety Frederick, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 From the American Academy of Podiatric Practice Management, the voice of podiatric practice management for the profession.

l DEPARTMENTS l In Short . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 President’s Message By Ronald D. Jensen, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Talking Practice Enhancement By John Guiliana, DPM, MS . . . . . . . . . . . . . . . . . . . 32 Insurance Advisor By William F. Munsey, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Committee Nominations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Federal Advocacy Forum By Phillip E. Ward, DPM . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Podiatric Medicine in the News By Mike Kulick . . . . . . . . . . . . . . . . . . . . . . . . . 48 New Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Death Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 News from the American Podiatric Medical Students’ Association . . . . . . . . . . . . . . . 56 New Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 Development Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 APMAPAC Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65 Resolutions Deadlines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 Classified Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Dates to Remember . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78 Advertising Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

ON THE COVER: Enhancing limb salvage through teamwork. Original photograph ©istockphoto.com/Pete Saloutos. Cover design by Edith A. Caro.

“No Doctor Is an Island”

APMA and Vascular Surgeons Form Alliance

t was a summit meeting between two health-care professions with much in common. On August 21, 2009, the leadership of the Society for Vascular Surgery (SVS) met in Bethesda, MD, with the leadership of the American Podiatric Medical Association to enthusiastically hammer out details of a strategic collaboration between the two organizations, a collaboration that will encourage a team approach for doctors in the treatment of patients with critical limb ischemia, especially in the diabetic population, in order to reduce complications, speed healing, and lower amputation rates.

A joint statement, drafted at an earlier meeting in Tucson, AZ, last February has now been approved by the APMA and SVS boards and the organizations have moved quickly to establish a dialogue between their highest leaders. The approved agreement reads as follows: “The specialties of podiatry and vascular surgery have a common interest in caring for patients with diabetes. The American Podiatric Medical Association and the Society for Vascular Surgery plan to collaborate on several activities to reduce amputations through raising awareness and improving care of people with diabetic foot problems. Areas of common interest and potential collaboration include (a) professional education, such as special journal supplements and joint symposia; (b) public education; (c) health policy and advocacy; (d) research; and (e) best practice initiatives, through practice guidelines and interdisciplinary centers.” continued on page 14

By DAVID ZYCH

12 APMA News l October 2009

APMA News l October 2009

13

SVS AND APMA Alliance

continued from page 13

At the Bethesda meeting, these areas of common interest were explored and specific plans were discussed. SVS was represented by President Anton Sidawy, MD, MPH, professor of surgery at both Georgetown and George Washington Schools of Medicine in Washington, DC, and director of the vascular surgery residency program at Georgetown University and Washington Hospital Center; President-Elect Robert Zwolak, MD, PhD, professor of surgery at Dartmouth Medical School; Vice President Richard Cambria, MD, professor of surgery at Harvard Medical School and chief of vascular and endovascular surgery at Massachusetts General Hospital; and Executive Director Rebecca Maron, CAE. APMA was represented by President Ronald Jensen, DPM; President-Elect Kathleen Stone, DPM; Treasurer Joseph Caporusso, DPM; and Executive Director and CEO Glenn B. Gastwirth, DPM. “This meeting was arranged as a first step to implement the agreement approved by the respective Boards of SVS and APMA,” said Dr. Gastwirth. “We are identifying clinical issues and questions important to both our memberships and working together to find solutions that will benefit our patients.” The agreement, according to Dr. Jensen, was vital because it gave “direction to both organizations” on current and future goals. Patient care was the underlying theme of the meeting in Bethesda, and both groups felt that the alliance was a natural evolution in the care of patients with diabetes. “Our relationship with podiatric medicine is vital for patient care,” said SVS President Anton Sidawy, who is also editor of the Journal of Vascular Surgery. Dr. Sidawy noted that the cooperation between SVS and APMA is essential and ongoing. “This agreement is a formal way to codify the important relationship between vascular surgeons and podiatric medicine that exists, and I am very excited about moving forward with our plans.” The value of this alliance was summed up earlier by David Armstrong, DPM, PhD, when he called the collaboration between podiatric medicine and vascular surgery as “toe and flow.” Dr. Armstrong, along with Joseph Mills, MD, a noted vascular surgeon and co-director with Dr. Armstrong at the Southern Arizona Limb Salvage Alliance (SALSA), hosted the earlier February meeting between APMA and SVS leaders, a precursor to this second meeting at APMA headquarters. “Toe and flow” characterized the team approach in treating patients with diabetic complications. In this equation, the “toe” is the podiatrist, and the “flow” is the vascular surgeon. Dr. Stone said that this characterization speaks to what DPMs do every day with patients with diabetes and peripheral vascular disease. “When we’ve performed Doppler studies and diagnosed that the patient is in trouble, what is our next step? It’s the vascular surgeon, and being part of this team is a way to further our goals outlined in Vision 2015.”

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SVS AND APMA Alliance

The alliance had its genesis at SALSA, where Drs. Armstrong and Mills were increasingly enthused about the success of their work through the team approach in limb salvage and diabetes care. “Joe (Dr. Mills) is a leader in SVS and he called many of his colleagues, telling them how successful SALSA has become,” said Dr. Armstrong. “I was doing the same, talking to Dr. Gastwirth and then-President Dr. Ross Taubman about bringing podiatry and vascular surgery together.” Neither Dr. Armstrong nor Dr. Mills realized at first how significant the SALSA experiment would be and how “phenomenal” the pairing of DPMs and vascular surgeons could be. “That was really the genesis of toe and flow,” said Dr. Armstrong. “When you put things together to an irreducible minimum, you have someone taking care of the foot and someone taking care of the flow into the foot. It was that simple.” Dr. Mills called diabetic foot treatment a microcosm of American’s health-care system: “The only way to do better with problems like diabetic foot care is to work as a team,” he said. “We’ve been doing this here for a year; it’s been tried before and worked to a variable extent. To me, it’s the wave of the future. If you can get the right people working together in a seamless environment to take care of the patient, the patient will get better because there is less fragmented care. And I think we can actually show it’s cheaper.” Dr. Armstrong called that statement the “secret sauce in SALSA,” adding that this collaboration is, if not a match made in heaven, at least a match made in the clinic: “When we brought our colleagues from SVS and APMA together last February, I think we all had a realization of what a fortuitous and historic kind of meeting it was.”

Previous page: SVS and APMA meet at APMA headquarters in Bethesda, MD.

Dr. Taubman said that initial meeting was exploratory, in order to gauge the interest between SVS and APMA on common areas of concern. “The synergy, however, was immediately palpable as the two organizations realized their complementary roles in treating patients that have wounds and vascular disease. It is incredibly exciting to see such positive results in such a short period of time.” “What we are seeing now makes it even more significant than what it was in February,” said Dr. Armstrong. “We see this SVSAPMA collaboration blossoming into something really special.” Things surely began to blossom at the Bethesda meeting in August. Among the collaborative projects agreed upon was appointing a group representing both organizations to write a position statement on the multidisciplinary approach to the care of the diabetic foot. “It’s a statement that will be sent out to the world,” said Dr. Sidawy, adding that such a statement “will have legs” as it reaches to the Centers for Medicare and Medicaid Services and other health organizations. “It’s a statement that will underscore what is right and best for the patient,” said Dr. Gastwirth, adding that it will be clinically oriented and scholarly. Both groups also agreed to produce a supplement on the care of the diabetic foot that will be jointly published in the Journal of Vascular Surgery (JVS), edited by Dr. Sidawy, and the Journal of the American Podiatric Medical Association (JAPMA), edited by Warren Joseph, DPM. Current plans call for the SVS to publish the articles in its July issue, with JAPMA publishing them in the combined July-August issue. The top-quality scientific articles will raise the bar for patient care in this area and promote the podiatric-vascular surgeon team approach. The SVS-APMA alliance will also establish joint postgraduate courses to be held at the annual scientific meetings of both organizations, particularly in the areas of diabetes and wound care. This prospect would be meaningful for both DPMs and vascular surgeons, and under consideration are plans for SVS coming to APMA’s Annual Scientific Meeting, and vice versa.

Below: Left to right—Glenn B. Gastwirth, DPM, executive director and CEO, APMA; Robert Zwolak, MD, president-elect, SVS; Joseph M. Caporusso, DPM, treasurer, APMA; Ronald D. Jensen, DPM, president, APMA; Anton Sidawy, MD, president, SVS; Kathleen M. Stone, DPM, president-elect, APMA; Rebecca Maron, CAE, executive director, SVS. (Not shown: Richard Cambria, MD, vice president, SVS.)

Richard P. Cambria, MD, vice president of SVS, with APMA President-Elect Kathleen M. Stone, DPM.

Cooperation in the area of practice models brought much discussion, with the bottom line being that DPMs and vascular surgeons who work together are critical for wound care. Dr. Zwolak said the groups should spearhead a template so that people can see the benefits of the two groups working together. “The team approach to treat the diabetic patient is exactly what we can do,” said Dr. Sidawy. “It is a major initiative to come out of this meeting. When there is no podiatric physician available to our patient, there is a giant hole in his or her care.” APMA Treasurer Joseph Caporusso is also vice chair of the Peripheral Arterial Disease (PAD) Coalition, a group of approximately 50 different organizations that represent the gamut of health-care personnel working toward education in this area, including SVS. “We want and need relationships with all the medical specialties that can help deal with our patients,” he said. “The more we work as a team, the more it helps our patients.” Dr. Stone strongly agreed, adding that “If we don’t start reaching out to other groups we will not reach our goal set by Vision 2015.” Dr. Armstrong said that there is a strong similarity here with cancer care. “The epidemiology is similar,” he said. “When someone has a limb amputated, his or her five-year survival rate is similar to patients with some cancers. But we don’t think about it that way; we don’t organize our care that way. If you have cancer, you can be damn sure that you’re not going to go to your general practitioner for treatment. You are going to go to a cancer center. The key here is that we have to organize toe and flow centers to provide the same level of concentrated care.” Dr. Mills adds: “Before we had Dr. Armstrong and his people here, we would take care of the patients’ wounds, get them to where they were stable, and then at some point they would have to be referred for off-loading or further care. Now, from the moment patients are in the hospital, they are taken care of by David’s group, working to get the foot totally healed and keeping it from breaking down again.” Another benefit of the collaboration is an understanding that each organization will be available to support and advocate for efforts in areas of common interest. In this area, both groups hope to work on appropriate reimbursement rates for ankle brachial indices, as well as supporting APMA’s efforts in its Title XIX initiative with Congress. Dr. Caporusso calls the agreement a feather in APMA’s cap: “With the increase in our knowledge and education we are able to do things to save limbs. We work hand in hand with specialists who see every day what podiatrists do across the country. I’m looking to establish relationships in my area of McAllen, TX, so that podiatrists will have access to SVS physicians.” SVS and APMA Alliance continued on page 20

APMA News l October 2009

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Podiatrists, Vascular Surgeons Team in California

Dr. Andros’ specialty is revascularization of diabetic limbs and he co-directs the Diabetic Foot Global Conference, or “DFCon,” with David G. Armstrong, DPM, PhD, of the Southern Arizona Limb Salvage Alliance (SALSA). “You have to focus on the future,” Dr. Andros said, “because that’s where you’re going to live. And the future is this: Diabetic foot care needs to be specialized care provided by a team of podiatrists and vascular surgeons, because there’s no other model that has worked.” The center will span an entire 4,000-square foot floor. It’s unique round design will include a large nurse’s station in the center, surrounded by 24 rooms, which will allow staff to efficiently keep track of patients. “Another thing we’re talking about is not having a waiting room,” Dr. Rogers said. “There will be a receptionist as people come in. I got this idea after my wife had our baby, and I saw how labor and delivery works. You have one room and you stay in that room the whole time. The patients won’t have to move around at all. People with diabetes have limited mobility as it is.” continued on page 18

W

hen it comes to amputation prevention in patients with diabetes, there’s no better partnership than that of podiatric physicians and vascular surgeons.

The Amputation Prevention Center at Valley Presbyterian Hospital (VPH) in Los Angeles is slated to open its doors on December 1, making it the third limb-salvage center in the United States in which DPMs and vascular surgeons work on the same team under the same roof. Lee C. Rogers, DPM, director of the Amputation Prevention Center at Broadlawns Medical Center in Des Moines, IA, and Nicholas J. Bevilacqua, DPM, attending surgeon at Broadlawns, will serve as the associate medical directors, with vascular surgeon and proponent of podiatry George Andros, MD, as medical director.

Palm trees©istockphoto.com/S. Greg Panosian

By AIMEE CONDAYAN

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APMA News l October 2009

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CALIFORNIA TEAM continued from page 17

In addition to the innovative design of the center, it will utilize some exciting technology, such as a water scalpel and a three-dimensional wound camera. “My research presentation won first place at APMA’s annual meeting in Toronto because of this camera,” said Dr. Rogers. The camera takes three-dimensional images of wounds and other body parts. The images are then scanned into a computer, which outputs the exact area and volume of whatever it’s measuring. “It works great for wounds because I can take a picture one week, do some wound treatment, then next week take the image again and it tells me exactly how much different it is. With all these things coming together, and the focus being on vascular surgery and podiatry, there will be a reduction in amputation.” Dr. Rogers is coauthor of an article soon be published in the Journal of the American Podiatric Medical Association (JAPMA), explaining how they reduced the amputation rate by 72 percent in one year at Broadlawns by implementing a six-step program. “We’re going to take that same model and bring it to the hospital in LA,” Dr. Rogers said. The doctors and the hospital believe that the opening of this center will and must mark a step toward more if its kind. “SALSA and Georgetown University Hospital’s limb-salvage program are highly integrated centers,” said Dr. Andros. The reason for this, in part, he continued, is the relationship that APMA and the Society of Vascular Surgeons (SVS) have developed. “We’re going to be doing a joint publication, which has been pushed by Dr. Armstrong, his partner at SALSA, Dr. Joe Mills, and me. What we’ve wanted to do is put together a program that can be replicated. It’s not ideal if we only have four amputation centers in the country. We’ve got to have 44. That’s going to be one of our jobs--to replicate this center--so there are centers focusing on the diabetic foot because that’s where the amputations are. Like the famous bank robber, Willie Sutton said, ‘I rob banks because that’s where the money is.’ I take care of diabetics because that’s where the amputations are.” The LA location of the center also is ideal because it will serve the large Hispanic population in the area, who suffer a higherthan-average incidence of diabetes, said Dr. Andros. VPH and Drs. Rogers, Bevilacqua, and Andros also see the center as possibly being a big hub for medical tourism. “People

Previous page: ©istockphoto.com/Greg Panosian Near right: Geroge Andros, MD. Middle: Lee C. Rogers, DPM, left, and Nicholas J. Bevilacqua, DPM, right. Far right: David G. Armstrong, DPM, PhD.

THE PODIATRY INSTITUTE

are looking for alternatives to amputation—on the Internet, and elsewhere,” Dr. Rogers said. Not only will this center strengthen the relationship between DPMs and vascular surgeons, but that, in turn, Dr. Rogers said, could mean a step toward parity for DPMs. “I’m working in a hospital in Iowa right now where the chief medical officer is a DPM— he runs the entire hospital. When I go to work, I’ve never felt, as some of my colleagues have, that I’m ‘just a podiatrist.’ I think this new center will be like that as well, because of the emphasis the hospital is placing on podiatric care as the center of limb salvage.” In addition to his position at VPH, Dr. Rogers, has been appointed to serve as chair of the Foot Council for the American Diabetes Association (ADA) for the next two years, which also is a positive step toward partnership building between DPMs and other physicians. The purpose of the ADA interest group on foot care is to establish national standards for foot care. Its members develop educational programs in foot care management, promote clinical and scientific research of diabetic foot disease, and foster national and international collaboration between agencies concerned with diabetes research and educational programs geared toward amputation prevention. The chair is called upon to write position statements from the ADA on diabetic foot care, many of which are published in the journal Diabetes Care.  In this position, Rogers will be responsible for chairing the panels on diabetic foot complications at the ADA’s Scientific Sessions, which draw more than 15,000 scientists, physicians, and other health professionals. He also will chair the diabetic foot section at the ADA annual meeting to be held in Orlando in June 2010, where he will be responsible for the content and speaker selections for the section. As the demand for diabetic foot care increases, so does the need for limb-salvage teams, and the center at VPH brings us one step closer to reducing unnecessary amputations. n

MORE 2010 CONFERENCES APRIL 8-11

October 23-25, 2009

BOSTON

UPDATE 2010 APRIL 29 - MAY 2

Newport

Rhode Island Podiatric Medical Association, COSPONSOR

MAY 13-15

Napa Valley

WINE COUNTRY PODIATRIC SYMPOSIUM

JULY 22-25

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APMA REGION ONE CONFERENCE Sheraton Ferncroft Resort Danvers, MA

UP TO

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Hilton Head

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SEPT. 10-12

November 5-8, 2009

SANIBEL ISLAND

Overland Park

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SEPT. 30 - OCT. 3

19th Annual Sanibel Conference

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San Diego

UPDATE 2010

The Florida Package: Nov. 6

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888.833.5682 770.939.0393

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THE PODIATRY

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www.podiatryinstitute.com Images courtesy of Greater Boston Convention & Visitors Bureau, © Lee County Visitor & Convention Bureau, and Park City Chamber/Visitors Bureau (Dan Campbell)

18 APMA News l October 2009

20.0

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TENTATIVE SCHEDULE; DATES SUBJECT TO CHANGE. MORE INFORMATION TO BE POSTED ONLINE

UP TO

February 4-6, 2010

Philadelphia

NOV. 4-7 See the article in this issue on page 12 for more information about the partnership between APMA and SVS.

Atlanta

Setting the Standard inin wound-care education for nearly aa decade! Setting the Standard wound-care education for nearly decade!

SVS AND APMA Alliance

continued from page 15

Benefits to APMA Patient care comes first, but the SVS-APMA alliance has positive benefits for both groups, including, for example, dispelling the atavistic ideas that vascular surgeons just treat varicose veins or that podiatrists are concerned only about toenails. “The average person doesn’t know the training that’s involved to become a podiatrist or a vascular surgeon. Podiatric training is quite similar to physician training, and in some cases even more rigorous,” said Dr. Mills. “Vascular surgical training is unbelievably rigorous to get to where one can do complex open procedures. It helps both of our fields by letting people know what the depth of each specialty is. It’s great we can help each other and it’s great for our patients.” Dr. Armstrong calls the benefits to APMA “enormous,” adding that “it brings podiatry to the rest of medicine. We are in the hospital every day because of complications due to diabetes. And we provide that care really well. But no doctor is an

island. With the many medical schools in the country, as well as community health providers, something like registry of toe and flow doctors could be implemented. We could create an alliance by bringing like-minded physicians together. The benefits are untold.” He is clearly energized by the work being done in Tucson, adding, with a smile, that “our SALSA bowl runneth over.” Dr. Armstrong calls the SVS-APMA alliance a major event for APMA: “Members like to ask, ‘What has APMA done for me?’ Often, it’s about the member’s Medicare EOB, or why he or she isn’t on a certain plan. This alliance, however, I predict will be one of the most significant initiatives that the APMA has ever launched. I really mean it. As I look to the future of our profession, I see it not as one in isolation, just as our country didn’t have a future in isolation after the HawleySmoot Tariff era. Inclusion is the way forward for us. It’s podiatry’s version of internationalism and it’s the way to continued progress.” n

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20 APMA News l October 2009

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he fellowship position is offered for a one year period starting August, 2010 and extending until July, 2011. Three-year surgical training is preferred but two-year surgical training will also be considered. The goal of the fellowship is to improve and expand the training that was received in residency and to educate the fellow to the demands of running a practice with all aspects of billing, patient education, physician relations and office administration considered. The fellow is responsible for assistance in patient care, coverage of the emergency room and assistance with surgeries performed by all eight members of the staff. The fellow will also be responsible for completion of two academic papers for publication prior to the end of their fellowship. Applicants must be US citizens or permanent residents and hold or complete a California license. Please e-mail CV to [email protected] if interested.

Post-conference Course and Post-conference Course and Certification Exam April 1111 Certification Exam April

ConferenCe PArtnerS ConferenCe PArtnerS • Temple University School of Podiatric Medicine • Temple University School of Podiatric Medicine Accreditation Statement Accreditation Statement • World Union of Wound Healing Societies • World Union of Wound Healing Societies This This activity has been planned and implemented activity has been planned and implemented • American College of Hyperbaric Medicine • American College of Hyperbaric Medicine in accordance with with the Essential AreasAreas and Policies in accordance the Essential and Policies of theofAccreditation Council for Continuing Medical • New Cardiovascular Horizons the Accreditation Council for Continuing Medical • New Cardiovascular Horizons Education (ACCME) through the joint sponsorship of Temple Education (ACCME) through the joint sponsorship of Temple • Veithsymposium • Veithsymposium University School of Medicine and the Professional University School of Medicine andAmerican the American Professional • iLex/Biba Medical • iLex/Biba Medical Wound Care Association. Temple University School of Medicine is Wound Care Association. Temple University School of Medicine is accredited by the to sponsor Continuing Medical Education accredited byACCME the ACCME to sponsor Continuing Medical Education for physicians. for physicians. Certification Statement Certification Statement Temple University School of Medicine designates this educational activity for afor a Temple University School of Medicine designates this educational activity maximum of 30ofAMA Physician’s Recognition Award Category 1 Credit(s)™. Physicians maximum 30 AMA Physician’s Recognition Award Category 1 Credit(s)™. Physicians should only only claimclaim creditcredit commensurate with with the extent of their participation in theinactivity. should commensurate the extent of their participation the activity.

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