The Foot & Ankle Weekly
Oct. 2, 2012

Join us next week for ACFAOM's 2012 Clinical Conference, Oct. 11-14, at Disney World
ACFAOM 2012 is just over a week away, but there is still time to register for one of the most educational and entertaining conferences in the country! Online registration will be open until Wednesday, Oct. 3, at which point all registrations will be on-site only at the Hilton Orlando Lake Buena Vista. Daily registration will be available onsite if you cannot attend the full conference.

Located just across the street from Downtown Disney, the conference provides endless opportunities to relax and enjoy the Disney attractions while gaining invaluable clinical skills from our faculty. Be sure to visit Disney's Not-So-Scary Halloween Party and the Epcot International Food & Wine Festival during your stay.

The focus of the ACFAOM conference will be Wound Management, Medicine, Dermatology/Pathology, and Biomechanics using both didactic and hands-on workshop learning, with additional sessions on Billing & Coding, and the latest technologies for Podiatric Imaging. New features this year include an exciting survey of Lasers in Podiatric Practice: Pros and Cons, plus a surgery track presented by ASPS. You can also save 10 percent on your PICA premium by attending. Click here to register now.More

Meet Dan Waldman, DPM, - today at 9 p.m.
Dr. Dan Waldman will be the guests on today's Meet the Masters audio-conference (at 9 p.m. ET) with host, and former ACFAOM president, Dr. Bret Ribotsky. Dr. Waldman is the owner and medical director of Blue Ridge Foot Center in Asheville, N.C. He is also on the Board of Directors at the Orthopedic Surgery Center and has staff privileges at several area hospitals in North Carolina. 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

A looming US doctor shortage
Bloomberg Businessweek
When the Affordable Care Act's insurance mandate takes effect in 2014, some 30 million newly covered patients - people generally treated in emergency rooms now - will be shopping for doctors. That's a problem because the U.S. has 15,230 fewer primary-care physicians than it needs, according to the U.S. Department of Health and Human Services.More

Patients describe what they consider good customer service
American Medical News
When it comes to satisfying patients as customers, practices need well-trained physicians, easy access to patients' histories and long appointments - or at least the impression of long appointments, according to a Harris Interactive Poll issued Sept. 10. "As other industries try to build customer loyalty, they are setting certain expectations for service," said Vaughn Kauffman, principal and leader of the payer advisory practice at the consulting firm PwC. "And consumers are carrying those expectations into healthcare."More

Effects of minimalist shoes on running gait
Lower Extremity Review
Research suggests that when transitioning to a minimalist running shoe, foot strike pat­tern is key to preventing lower extrem­ity injuries. A transitional minimalist shoe, with slightly thicker and softer soles, may help prevent certain injuries in some runners.More

Obesity boosts gout risk
Food Consumer
Gaining too much weight or being obese in early and mid-life can drastically increase risk of gout, according to a new study in The American Journal of Medicine. Janet W. Maynard, M.D., MHS at Johns Hopkins University School of Medicine in Baltimore and colleagues conducted the study and found the cumulative incidence of gout by age 70 years for women at 3.6 percent among those who were overweight at the baseline and 7.9 percent among those with obesity at the baseline. More

Current concepts in surgery for adult-acquired flatfoot
Podiatry Today
Although an abundance of research into the treatment of adult-acquired flatfoot has led to improved standardization of surgical options, discrepancies still exist in how surgeons approach stage II flatfoot. These authors offer insights into surgical management of stage II AAF with a special emphasis on medial transpositional osteotomy of the posterior calcaneus and lateral column lengthening. More

Rethinking device design to improve compliance
Lower Extremity Review
Reducing the shaft height of a removable cast walker, which results in a lighter device and may also help improve postural stability, can help improve compliance in patients at risk for diabetic foot ulcers without compromising the device's offloading capability.More

Survey of medical students shows little understanding of healthcare overhaul
Retuers Health via MedCity News
The 2010 Affordable Care Act affects almost every aspect of the U.S. healthcare system, but many future doctors who will be operating under its policies admit they don't know that much about the law. In a survey of about 850 medical students in Minnesota, less than half said they understood the healthcare law's basic components, and more than 40 percent said they had no opinion on the law.More

3 ways for docs to market face-to-face
There are lots of ways to market your practice, from direct mail to social media, that offer convenience and a minimal time commitment from physicians. But to really connect with the type of patients you hope to attract, some strategic facetime between your doctors and the public is a must. Here are three in-person options worth considering. More

Make the most of patient education opportunities at your practice
Physician's Practice
When you hear the term "patient education," do you think only of the interaction that takes place in the exam room between a provider and their patient, and usually around helping a patient manage illness? It can be so much more than that. There are opportunities to engage patients in a variety of settings, and to expand the scope from disease management to comprehensive care. More

The pattern of tibial nerve excursion with active ankle dorsiflexion is different in older people with diabetes mellitus
Clinical Biomechanics
The peripheral nervous system has an inherent capability to tolerate the gliding (excursion), stretching (increased strain), and compression associated with limb motions necessary for functional activities. The biomechanical properties during joint movements are well studied but the influence of other factors such as limb pre-positioning, age and the effects of diabetes mellitus are not well established for the lower extremity. The purposes of this pilot study were to compare the impact of two different hip positions on lower extremity nerve biomechanics during an active ankle dorsiflexion motion in healthy individuals and to determine whether nerve biomechanics are altered in older individuals with diabetes mellitus.More