ACFAS
NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS
VOLUME 23 ISSUE 5
Give Your Research Even More Exposure
JFAS Offers New Open Access You can now publish your research in The Journal of Foot & Ankle Surgery (JFAS) as a traditional subscription article or as an Open Access article. Open Access means readers worldwide, not just JFAS subscribers, will have free, immediate and permanent access to your article through ScienceDirect.com, which in turn leads to more article citations and downloads. Open Access also increases scientific inquiry and collaboration because more readers will see your article. D. Scot Malay, DPM, MSCE, FACFAS, JFAS Editor, notes that many sources
of research funding now require the studies they support to be published as Open Access. “Open Access could improve the chance that your work will be funded,” he says. And when JFAS studies receive widespread exposure and adequate funding, foot and ankle surgery advances and the College’s reputation as the voice of the profession is strengthened. ACFAS members receive a 50 percent discount on the cost for Open Access publication. Visit jfas.org for more information on Open Access publishing in the Journal or to submit your article.
e-Book Puts Arthroscopy at Your Fingertips The first e-Book from ACFAS, Arthroscopy of the Foot and Ankle, combines practical approaches from leaders in the profession with more than 40 videos to show you not only what works in arthroscopy, but why. Accessible from any device, this e-Book brings you inside the mind of the author, giving you an exclusive look at the latest arthroscopic techniques your peers have practiced and perfected. Self-assessments are also included after each chapter to test your knowledge and give you the chance to earn CME. continued on page 7
New Complications Seminar Set for NYC
Get on the Road with ACFAS page 3
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Always Moving Forward President’s Perspective page 2
perspective
ALWAYS MOVING FORWARD “You must never stand still . . .” —John Wooden, Basketball Coach One of John Wooden’s best messages for sports can be applied to the business of medicine: “You must never stand still. You’re either moving upward a little bit or you’re going the other way. You can’t expect to go upward too quickly, but you can surely go down very quickly. Progress comes slowly but steadily if you are patient and prepare diligently.” When ACFAS sent out its most recent member survey, it asked what we should do to continue moving forward. The overwhelming response, as it has been for years, was to increase, even further, our promotion of board-certified foot and ankle surgeons to consumers, other healthcare professions and the media to garner more patient referrals. For years, we’ve invested heavily in consumer education (FootHealthFacts.org, our consumer PR campaign, etc.), so we decided to launch a significant second public relations campaign aimed at other healthcare professionals. First, we did our research and probed healthcare providers in eight specialties. It was clear we’d have the most success getting our message across with three groups: nurse practitioners, diabetes educators and family physicians. We then retained the national communications firm of Fleishman Hillard to conduct a print and social media adver-
tising campaign, develop a special website and exhibit at trade shows—all with the theme of “Take A New Look at Foot & Ankle Surgeons.” The campaign clearly explains the unique training and surgical expertise we offer to patients, and, most importantly, why these healthcare professionals can feel confident in referring their patients to us. Our research showed that “trust” was a major concern for these referrers. To get a taste of our campaign messages, I urge you to visit TakeANewLook.org, including the video that appears on the homepage. You can download several fact sheets and a “When to Refer Guide” for your own use in building relationships with referring professionals. I had the pleasure of being in our exhibit booth at the recent American Association of Nurse Practitioners conference. Believe me, it was an eye-opening experience! Many of the nurse practitioners who stopped at the booth said while they do refer patients to DPMs, it’s not always for surgical problems. It was energizing to be able to share how we as surgeons can truly help by being both their surgical and nonsurgical partners in their patients’ care. Board Member John Steinberg, DPM, FACFAS, staffed our booth at the diabetes educators conference in August, and Board Member Christopher Reeves, DPM, FACFAS, will staff our booth at the family physicians conference in September.
Questions for Dr. Grambart? Write him at president@acfas.org.
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Now, the rest is up to YOU! Here’s how: Launch your own “Take A New Look” campaign focusing on these three specialties in your hometown. Many of the NPs, MDs and DEs have seen our ads in their own journals and social media. 䡲 Download the documents described above in our Healthcare Provider Marketing Tools section in the Marketing Toolbox at acfas.org/marketing where we have even more information on what makes you a certified and trusted surgeon. 䡲 Make sure your practice information is up to date on acfas.org. Patient referrals are geographically generated from your member profile on both TakeANewLook.org (for healthcare professionals) and FootHealthFacts.org (for patients). 䡲 Become an active member on your hospital medical staff. Join a committee, attend surgical Grand Rounds and M & Ms or offer to lecture at a local or state society. However you choose to educate other healthcare professionals on your unique training and expertise, always heed John Wooden’s advice to “not stand still.” Let’s all work together to encourage our healthcare colleagues and patients to Take A New Look at Foot and Ankle Surgeons and show them what we offer to provide the best patient care possible. 䡲
Sean T. Grambart, DPM, FACFAS ACFAS President
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education
2016–2017 EDUCATION PROGRAMS
Looking for a New Spin on Frequent Forefoot Surgery? Get on the Road This Fall Get a fresh view of the forefoot procedures you perform most frequently. Our regional program, ACFAS on the Road: Refining High-Frequency Forefoot Surgery, is headed to the Eastern Seaboard and the Southwest this fall with new tips, tricks and techniques for your treatment of the forefoot. This two-day workshop, which provides 12 continuing education contact hours, begins on Friday night with a surgical complications presentation and case studies, plus you’ll be able to present your own cases for panel discussion. Saturday includes lectures from expert faculty and hands-on sawbones labs where you’ll practice and discuss the techniques and approaches that were just presented. Visit acfas.org/ontheroad to register— we’ll see you on the road soon!
September 24–25, 2016 (Saturday/Sunday)
October 22–23, 2016 (Saturday/Sunday)
Comprehensive Reconstruction of the Foot & Ankle
Complications Seminar
MedCure Surgical Training Center Portland, OR
New York Marriott Downtown New York, NY November 5–6, 2016 (Saturday/Sunday)
October 1–2, 2016 (Saturday/Sunday)
All About the Ankle
Foot & Ankle Arthroscopy
Sheraton Suites Fort Lauderdale at Cypress Creek Fort Lauderdale, FL
Orthopaedic Learning Center & Marriott Suites O’Hare Rosemont, IL
November 12–13, 2016 (Saturday/Sunday)
October 7–8, 2016 (Friday/Saturday)
Foot & Ankle Arthroscopy
Refining High-Frequency Forefoot Surgery Workshop & Seminar
Orthopaedic Learning Center & Marriott Suites O’Hare Rosemont, IL
Sands Resort Bethlehem, PA
December 2–3, 2016 (Friday/Saturday)
October 14–15, 2016 (Friday/Saturday)
Refining High-Frequency Forefoot Surgery Workshop & Seminar
Refining High-Frequency Forefoot Surgery Workshop & Seminar Marriott Phoenix Airport Hotel Phoenix, AZ April 28–29, 2017 (Friday/Saturday)
DoubleTree Tampa Airport Hotel-Westshore Tampa, FL
Refining High-Frequency Forefoot Surgery Workshop & Seminar
October 21–22, 2016 (Friday/Saturday)
Tysons Corner Marriott Vienna, VA
Coding & Practice Management Workshop Hilton Chicago/Magnificent Mile Suites Chicago, IL
*To be waitlisted for sold-out courses, contact Maggie Hjelm at hjelm@acfas.org.
For a full listing of upcoming educational opportunities, visit acfas.org/education.
2016 On the Road Schedule October 7–8, 2016 (Friday/Saturday)
October 14–15, 2016 (Friday/Saturday)
December 2–3, 2016 (Friday/Saturday)
Refining High-Frequency Forefoot Surgery Workshop and Seminar Bethlehem, PA Sands Resort
Refining High-Frequency Forefoot Surgery Workshop and Seminar Tampa, FL DoubleTree Tampa Airport-Westshore
Refining High-Frequency Forefoot Surgery Workshop and Seminar Phoenix, AZ Marriott Phoenix Airport
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education
New Complications Seminar Heads to NYC Every surgeon has complications. ACFAS’ new Complications 2016 Seminar: Minimize Your Complications and Maximize Your Patient Outcomes, October 22–23 at the New York Marriott Downtown, will discuss pre-op assessment to post-op management and everything in between. This course uses case-based presentations to demonstrate which strategies lead to optimal patient outcomes. Critically analyze some of the most common complications and learn how to think quickly on your feet when unexpected ones arise. Panel discussions on ankle arthritis, sports medicine and more will take place each day, plus you’ll have a chance to present your own challenging cases on Saturday night. Space is limited, and spots are filling up fast. Register today at acfas.org/education.
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Complications 2016 Seminar Minimize Your Complications and Maximize Your Patient Outcomes
Session Topics 䡲 䡲 䡲 䡲 䡲 䡲 䡲 䡲
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Achilles Tendinopathy/Tear Ankle Sprain/Instability Bunion Cavus Foot Diabetic/Charcot Foot Fusion Misadventures
October 22-23, 2016 New York Marriott Downtown | New York, NY
Hallux Limitus Hammertoe/Lesser MTP Complications Lisfranc Osteochondritis Dissecans Peroneal Disorders Pes Plano Valgus Posttraumatic Osteoarthritis Total Ankle Replacement Trauma Misadventures
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2016 ACFAS Podcasts
Podcasts Are Brain Food Feed your brain, for free, with ACFAS’ Podcast Library. Listen to expert panelists’ views on timely surgical, clinical and practice management topics while you’re at home, traveling or on break between patients. New podcasts are released every month to keep pace with the latest trends and breakthroughs in foot and ankle surgery. Visit acfas.org/e-Learning for the complete podcast library and to access archived recordings.
AuGuST
MAY
Maximizing Your Quality of Life: Employment Best Fit for You
Calcaneal Fracture Management: Open vs. Closed
Moderator: Mike Vaardahl, DPM, FACFAS
Moderator: Paul Dayton, DPM, FACFAS
Panelists: Russell Carlson, DPM, AACFAS; Dustin Prins, DPM, FACFAS; James Sang, DPM, FACFAS; Mindy Trotter, DPM, AACFAS; Eric C. Riley, DPM, MS, FACFAS
Panelists: John R. Clements, DPM, FACFAS; Travis A. Motley, DPM, FACFAS
Great Toe Fusion Surgical Treatment of Patients with Collagen Elasticity Disorders
Moderator: Matthew Hopson
Moderator: Shane Hollawell, DPM, FACFAS
Panelists: Roman Orsini, DPM, FACFAS; Shane Hollawell, DPM, FACFAS; John Levin, DPM, FACFAS
Panelists: Roman Orsini, DPM, FACFAS; Lowell Weil, Jr., DPM, MBA, FACFAS; Michael H. Theodoulou, DPM, FACFAS
MARCH
JuLY
Moderator: Benjamin Overley, DPM, FACFAS
They Really “Like” Me: Growing Your Practice with Social Media Moderator: Roya Mirmiran, DPM, FACFAS Panelists: Lauren Kishman, DPM, AACFAS; Angie Bice, Officite; Michael Dujela, DPM, FACFAS Lateral Ankle Instability
In Memory Robert P. Baldauf, DPM, FACFAS Glenville, NY
FEBRuARY Osteochondral Lesions of the Talar Dome
Panelists: Will DeCarbo, DPM, FACFAS; Jason Devries, DPM, FACFAS; Martin Chaney, DPM, FACFAS; Christopher L. Reeves, DPM, FACFAS
Panelists: Adam Budny, DPM, FACFAS; Noman Siddiqui, DPM, AACFAS; Stephen Schroeder, DPM, FACFAS
JuNE
Thomas E. Sgarlato, DPM, FACFAS Los Gatos, CA
Moderator: Jason Miller, DPM, FACFAS
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Panelists: Lawrence DiDomenico, DPM, FACFAS; Christopher Hyer, DPM, FACFAS; Glenn Weinraub, DPM, FACFAS
Moderator: Nicholas J. Bevilacqua, DPM, FACFAS
Tourniquets: Current Recommendations
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TAR
Moderator: Eric Barp, DPM, FACFAS
Robert N. Osdyke, DPM, FACFAS Saint Louis, MO
Jerome A. Tirsch, DPM, FACFAS Agoura Hills, CA
APRIL
Panelists: Jarret Cain, DPM, FACFAS; G. Dock Dockery, DPM, FACFAS; Robert Fridman, DPM, FACFAS
JANuARY unilateral vs Bilateral Surgeries Moderator: Amber Shane, DPM, FACFAS Panelists: Jeremy Cook, DPM, FACFAS; Thanh Dinh, DPM, FACFAS; Brett Sachs, DPM, FACFAS
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research
Don’t Wait: Apply Now for the 2016 Clinical and Scientific Research Grant Don't miss your chance to find some funds to help pay for your most-recent research; apply for the ACFAS 2016 Clinical and Scientific Research Grant before the September 15, 2016 deadline. For the past decade, the ACFAS Clinical and Scientific Research Grant program has helped advance evidence-based medicine to improve the clinical practice of foot and ankle surgery and elevate the patient experience. This year, we continue the tradition with ACFAS awarding up to $40,000 in research funds. Apply for the 2016 grant at acfas.org and take the first steps toward setting your research in motion.
“ACFAS encourages its members to embrace evidence-based medicine (EBM) and strives to fund topics that will enhance members’ knowledge, understanding and practice,” says Katherine Dux, DPM, FACFAS, chair of the College’s Research-EBM Committee.
Remember, applications are due September 15, 2016. Send any questions about the 2016 research grant to research@acfas.org.
The committee has also identified the following “wish list” of research topics it would like to see funded as part of the College’s grant awards: 䡲 䡲
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vitamin D in bone healing; Plantar plate repair: osteotomy or no osteotomy?; and patient-reported outcome measures before and after foot surgery.
practice management
The Path to Proper Reimbursement Starts in October Workshop Find out if you’re coding your cases correctly—register now for our Coding and Practice Management Workshop scheduled for October 21–22 in Chicago. Case-based and interactive, this workshop teaches you everything you need to know to simplify your coding and reimbursement practices. Expert faculty will guide you through multiple-procedure cases and show you how to code a sample patient encounter from start to finish. You’ll also receive supplemental handouts, checklists and forms specially created for this workshop. Visit acfas.org/practicemanagement to register today.
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“As usual, ACFAS has put together a fantastic course with information I can use daily in my practice. This is the most instructive coding workshop I’ve ever attended.” — Clark Johnson, DPM, FACFA
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news from the college
Summer Board Meeting Highlights The ACFAS Board of Directors met July 14– 15 in Monterey, California for its annual summer board retreat. Highlights of the meeting included: 䡲
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Selection of 2017 Clinical Consensus Statement (CCS) topics (Adult and Pediatric Flatfoot) and changes to how the CCS panels are composed. Discussion on future CME programming and the next CME member survey. Numerous policy changes following bylaw amendments approved by members in April. Revision of position statements on history and physical examinations, credentialing and surgical delineations, and TAR privileging guidelines. Updates on the California Joint DPMDO-MD Licensure Initiative, the APMA Student Recruitment Task Force and hospital privileging issues.
Review of the “Take A New Look at Foot and Ankle Surgeons” public relations campaign rollout and joint ventures with nurse practitioners and diabetes educators. 䡲 Approval of the 2015 financial audit and staff incentive plan. The audit showed total revenues of $6.0 million, expenses of $5.5 million and net assets of $8.0 million. 䡲 Revisions of the Strategic and Business Plan, appointment of the 2016 Nominating Committee and new Journal of Foot & Ankle Surgery section editors. 䡲 Conducted the 2015–2016 CEO performance evaluation. The next board meeting will take place October 27–29 in Cleveland and will include a visit with Kent’s ACFAS Student Club. Contact ACFAS Executive Director Chris Mahaffey, CAE, at mahaffey@acfas.org for questions regarding the College’s board agendas or governance. 䡲
Class of 2016, Your First Year of ACFAS Membership Is Gratis If you’re a first-year podiatric surgical resident, your first year of ACFAS membership is free. Thanks to the Regional Divisions’ support, your dues for the first year are waived (a $118 savings), plus you’ll receive all cost benefits of membership, including: 䡲
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a subscription to The Journal of Foot & Ankle Surgery (JFAS); member pricing on conferences, products and services; and access to acfas.org and the Journal through the new JFAS iPad app.
Apply for membership now at acfas.org.
continued from cover
Arthroscopy of the Foot and Ankle e-Book Chapters Ch. 1: Overview and History of Ankle Arthroscopy
Ch. 6: Arthroscopic Treatment of Ankle Osteochondral Lesions
Ch. 2: Arthroscopic Anatomy of the Ankle and Subtalar Joint
Ch. 7: Arthroscopic Treatment of Anterior Ankle Impingement
Ch. 3: Principles of Arthroscopy: Fluid Management, Piston Paw Rotation, Portal Placement, Instrumentation, Postoperative Care
Ch. 8: Arthroscopic Ankle Arthrodesis
Ch. 4: Practical Aspects of Arthroscopy: Consent, Draping, Postoperative Concerns Ch. 5: Soft Tissue Pathology of the Ankle
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Ch. 9: Arthroscopic Treatment of Trauma
Ch. 14: Complications Ch. 15-I: Postoperative Care of the Arthroscopic Patient Ch. 15-II: Postoperative Rehabilitation Physical Therapy
Ch. 10: Subtalar Joint Arthroscopy
Ch. 16-I: Arthrodiastasis, Arthroscopic Stabilization
Ch. 11: Small Joint Arthroscopy of the Foot
Ch. 16-II: Posterior Approaches
Ch. 12: Tendoscopy of the Ankle
Ch. 16-III: Arthroscopy of the Total Ankle
Ch. 13-I: Endoscopic Plantar Fasciotomy Ch. 13-II:Endoscopic Gastrocnemius Recession
Purchase the e-Book at acfas.org and watch future issues of ACFAS Update for news on other e-Books in the works.
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news from the college
First Stop on the PR Campaign Trail: Nurse Practitioners Conference ACFAS debuted its national “Take A New Look at Foot and Ankle Surgeons” public relations campaign at the American Association of Nurse Practitioners (AANP) conference in San Antonio in June. With nearly 5,000 nurse practitioners in attendance, ACFAS President Sean T. Grambart, DPM, FACFAS and staff capitalized on the opportunity to promote the profession and underscore the value of referring patients to foot and ankle surgeons. Dr. Grambart also met with AANP’s Orthopaedic Group Chair Michael Zychowicz, NP, to discuss how AANP and ACFAS can collaborate on future referral and educational programs. “Take A New Look” also exhibited at the American Association of Diabetes Educators conference in San Diego in early August and will appear at the American Academy of Family Physicians conference in September in Orlando. For more on ACFAS’ referral campaign, visit TakeANewLook.org.
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patient outreach
Turn Over a New Leaf with Fall FootNotes Do your practice marketing efforts need a boost? Start by downloading the latest edition of FootNotes from the ACFAS Marketing Toolbox at acfas.org/marketing. This free patient education newsletter can be easily customized with your practice contact information then posted on your website and social media outlets or printed and distributed to your patients. Articles in this latest issue include: 䡲
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Increase your reach even further by supplementing this issue with the PowerPoint presentation Dos and Don’ts for Diabetic Foot Care, another free resource available in both English and Spanish at acfas.org/marketing. November is National Diabetes Month and a fitting time to educate your patients on diabetic foot health while simultaneously promoting your practice.
Make the Switch from Sandals to Shoes Safely Regular Foot Exams Help Keep Diabetic Feet Healthy Wear the Right Shoe to Avoid Achilles Tendon Injuries
Two New Patient Education PowerPoints Now Available Connect with your patients and community— and promote your practice—with two brand new PowerPoint presentations ready for download from the ACFAS Marketing Toolbox. Common Foot Injuries Among Runners and Foot & Ankle Injuries Requiring Immediate Care each outline symptoms and treatment options and include a customizable slide for your practice’s contact information. Use these presentations and their accompanying scripts when meeting with patients or
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when speaking at local health education events this fall. Visit acfas.org/marketing for more presentations and other free resources, including infographics, the seasonal FootNotes patient newsletter and fill-in-the-blank press release templates. Watch ACFAS Update and This Week @ ACFAS for updates on new Toolbox products as they’re released throughout the year.
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health policy
ACFAS Submits Comments on MACRA The College submitted official comments to the Centers for Medicare and Medicaid Services (CMS) expressing its concerns with several provisions of the proposed Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
surgeons would disproportionately receive a negative payment adjustment. The College has asked CMS to delay implementation for a year and to delay any further measures so physicians can acclimate themselves to the new measures.
The College’s letter to CMS explains why using a foot and ankle surgeon for care is a distinct benefit for Medicare and its beneficiaries. It also highlights how, despite showing this distinct benefit, foot and ankle
MACRA creates two new Medicare payment methods: the merit-based incentive payment system (MIPS) and the alternative payment method (APM). These two new payment systems represent the transition
away from reimbursement based on feefor-service to reimbursement based on quality (among other factors). Physicians will now choose to participate in either MIPS or an APM. Direct any questions or concerns about MACRA to Sarah Nichelson, JD, ACFAS director of Practice Management, Health Policy and Research, at sarah.nichelson@acfas.org or (773) 444-1322.
Submit Your Application for ACFAS Board Nominations The ACFAS Nominating Committee seeks dedicated members to serve on the College’s Board of Directors. If you are an ACFAS Fellow, believe you are qualified and would like to help lead the profession, send your nomination application by September 20, 2016. Visit acfas.org/nominations for the nomination application and complete details on the recommended criteria for candidates. For more information, contact Executive Director Chris Mahaffey via email at mahaffey@acfas.org or (773) 693-9300.
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Questions regarding eligibility criteria should be directed to Nominating Committee Chair Richard Derner, DPM, FACFAS, via email at richd87@mac.com or (703) 491-9500. The Nominating Committee will announce recommended candidates to the membership no later than October 31, 2016. Candidate information and ballots will be emailed to all voting members no later than December 15, 2016. Electronic voting ends on December 30, 2016. New officers and directors will take office during ACFAS 75, February 27–March 2, 2017 in Las Vegas.
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VOLUME 23 ISSUE 5 | NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS
©2016 American College of Foot and Ankle Surgeons 8725 West Higgins Road, Suite 555 Chicago IL 60631-2724 All rights reserved
Get details about these member services at acfas.org/benefitspartners.
in this issue
NPs Take a New Look at Foot & Ankle Surgeons
Listen to ACFAS Podcasts
Apply for 2016 Research Grant
page 8
page 5
page 6