The Foot & Ankle Weekly
Jul. 30, 2013

Mark your calendars for ACFAOM's 2014 Annual Clinical Conference in Old Town Alexandria, Va., June 5-8, 2014
ACFAOM is excited to announce the details for ACFAOM's 2014 Annual Clinical Conference, which will be held at the Hilton Old Town Alexandria in historic Alexandria, Va., just minutes away from Washington DC. ACFAOM members will be able to attend the conference and earn 24 CECHs for FREE, plus receive a 10 percent savings on your PICA Premium.

Focusing on the clinical conditions faced in the typical podiatric office, ACFAOM 2014 will be based on clinical cases and presented in an interactive and practical manner, with demonstrations and hands-on learning. The program will feature five 4-hour sessions: Biomechanics, Wound Care, Medicine/Dermatology, Imaging, and the Business of Podiatric Medicine. There will also be an optional 4-hour Billing & Coding Workshop on Sunday Morning. Bring the family for a learning experience for everyone; you on how to be a more astute and capable clinician; your family learning about our Nation’s history.

More information will be available during the coming weeks and will be posted at Mark your calendars today!

Meet Russell Caprioli, DPM - today at 9 p.m. ET
Dr. Russell Caprioli will be the guest on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Caprioli is the Chief of Podiatry and Residency Director at Long Island Jewish Medical Center in Nassau County, N.Y. He is an author, lecturer, and member of the American Association of Diabetic Educators. To register for this FREE weekly, and unique, learning experience that will give you additional insights into the profession's past and future click here.More

Lower limb amputation rates have dropped
Despite an increase in diabetes cases nationwide, fewer people with diabetes are facing lower leg and foot amputations than a decade ago, according to the results of a new study. Because diabetes leads to circulation problems and nerve damage, those who develop the disease are at a higher risk of amputation, especially when faced with slow-to-heal diabetic foot ulcers. Research has suggested that at many as 25 percent of people with diabetes will face amputation.More

Regular wound cleaning tied to faster healing
Ahram Online
Chronic wounds such as diabetic foot ulcers and pressure ulcers may heal faster when they are cleaned out frequently, a new study suggests. So-called debridement involves removing dead or infected tissue and any foreign bodies or bacteria from slow-healing wounds, such as with a scalpel or special cream.More

Enzyme may ID nerve injury in diabetes
MedPage Today
An enzyme associated with neural injury increased significantly in patients with diabetes and with diabetic neuropathy, suggesting potential as a biomarker for peripheral neuropathy in diabetic patients, investigators reported.More

Addressing posterior malleolar ankle fractures
Podiatry Today
Posterior malleolar ankle fractures can be a challenge to reduce and fixate. Accordingly, these authors provide compelling case examples and emphasize the use of computed tomography and a posterior approach to facilitate optimal outcomes.More

Who should solve the doctor shortage?
When 25 million people are added to the ranks of the insured under the Affordable Care Act, there may not be enough primary care physicians waiting to see them. The Association of American Medical Colleges has projected a shortage of 90,000 physicians over the next ten years, a problem some think an expansion of nurse practitioner and physician's assistant roles can solve. More

Your patients deserve expertise, not 'good enough'
By Mike Wokasch
As healthcare professionals, we may have a tendency to look at expertise in the narrow context of science and medicine. While the implications of expertise may differ, it is important to appreciate that expertise is not defined by academic achievement or job function. The person who can make your burger perfect every time, the incredibly knowledgeable and attentive restaurant server, the meticulously accurate and precise laboratory technician or the electricians and plumbers "who just know" what's wrong and how to fix it — all have a level of expertise that they have developed.More

CAI patients with poorest sensation report more sprains in their history
Lower Extremity Review
Decreased plantar cutaneous sensation in patients with chronic ankle instability (CAI) is associated with number of prior ankle sprains, according to research from Old Dominion University in Norfolk, Va. Investigators used Semmes-Weinstein monofilaments to assess plantar cutaneous sensation in 10 patients with CAI, which was defined as having a history of at least one ankle sprain and at least two episodes of giving way in the previous six months.More

Physician liability: Your team, your legal risk
American Medical News
Leadership consultant Daniel O'Connell, Ph.D., compares a successful healthcare team to a well-coordinated football squad. Led by a quarterback, the players discuss the upcoming play, determine their roles and shift accordingly as the game begins. But as in sports, healthcare teams that exhibit poor communication and faulty handoffs can encounter disastrous results. In the healthcare context, such missteps can lead to adverse outcomes and lawsuits, he said.More

Lack of effectiveness of hyperbaric oxygen therapy for the treatment of diabetic foot ulcer and the prevention of amputation
Diabetes Care
Hyperbaric oxygen (HBO) is a device that is used to treat foot ulcers. The study goal was to compare the effectiveness of HBO with other conventional therapies administered in a wound care network for the treatment of a diabetic foot ulcer and prevention of lower extremity amputation. More