Fall 2024 Issue of FPMA Footprints

PAGE 35 PAGE 30

PAGE 22

SAM Conference Information and Registration Forms Assist with the Diabetic Foot/Shoes Outreach Project FPPC’s Legislative Picks

A publication of the Florida Podiatric Medical Association

Vol. 77, #2, FALL 2024

Student Recruitment is Something We All Need to Participate In PAGE 28

IT’S TIME FOR A CONVERSATION

WITH YOUR PATIENTS LEARN MORE AT JUBLIARX.COM

JUBLIA is a trademark of Ortho Dermatologics’ affiliated entities. ©2020 Ortho Dermatologics’ affiliated entities. JUB.0051.USA.20

CONTENTS VOL. 77, #2, FALL 2024

28

President’s Perspective: Bigger and Better Together Under the Big Top .........5 Larissa Schmidt, DPM

Message From the CEO/ED: Charting a Course with Our 5 Pillars ............................6 Karen N. Lambert

Membership: FPMA Welcomes the BUSPM Class of 2028 .............9 FPMA Provides Watkins’ Manuals to BUSPM Class of 2026 ............................................... 10 FPMA Young Member Seminar Series Returns ..... 11 Young Member Article: From Trainee to Trainer: Tips from a Young Physician......................................... 12 Young Member Article: How Podiatry Became My Passion......................................................... 14 FPMA Component Presidents 2024 .......................... 17 Annual Election of FPMA Officers – 2025 ................ 18 FPMA Partners with Orlando Production ................. 18 In Memoriam ...................................................................... 19

Insurance Affairs: Insurance Report Update: Emerging Issues and Successful Accomplishments ....................................... 20

24 Public Affairs: Student Recruitment Is Something We All Need to Participate In ....................................... 28 FPMA Needs Your Help: Assist with the Diabetic Foot/Shoes Outreach Project ...................... 30

FPMS: 2024 FPMS Scholarship Recipients ........................... 31

Legislative Update: FPPC’s Legislative Picks................................................. 22

APMA Update: FPMA Delegation Attends 2024 HOD and Conducts Congressional Visits ............................ 24

Legal: Can I Do This? Can I Do That? I Have Questions! The Value of Declaratory Statements................................. 26

CONNECT WITH FPMA

Conference News: FPMA 2024 Summer Conference Recap ................ 32 SAM 2025 Registration Forms/ Join Us for SAM 2025 ..................................................... 35

www.fpma.com Florida Podiatric Medical Association

| 3

Managing Partial Foot Amputations • Limb Preservation • Gait Restoration • Propulsion with Proximal Stability

Carbon footplate

SAFO

BlueROCKER

Studies have shown destructive forces are distal to the residuum using BlueROCKER®, thereby preserving the residual foot.

Permission to reprint FPMA Footprints articles may be obtained by contacting the editor.

OFFICERS Larissa M. Schmidt, DPM President David M. Schweibish, DPM President-Elect Adriana P. Strimbu, DPM Vice President Liana G. Seldin, DPM Treasurer Diana E. Rogers, DPM Secretary Alissa B. Zdancewicz, DPM Immediate Past President STAFF Karen N. Lambert CEO/Executive Director Becky Reese Public Affairs/Website Coordinator Gin Grand Membership Coordinator Dee Muller Administrative Manager

Published October 2024 • Volume 77 Issue 2 • 2024

EDITOR Cary M. Zinkin, DPM The recommendation of any benefits, products, or services to our membership does not constitute a warrantee by the Florida Podiatric Medical Association, Inc., or the Florida Podiatric Medical Society, Inc. Each member must decide for himself or herself as to the value and benefit of any product purchased. The Florida Podiatric Medical Association, Inc., or the Florida Podiatric Medical Society, Inc., is not liable for any defects or failure of any benefit, product, or service purchased by any member.

FPMA Footprints is published by Innovative Publishing. Direct all inquiries to Aran Jackson at (844) 423-7272.

10629 Henning Way, Suite 8 Louisville, KY 40241 (844) 423-7272 www.innovativepublishing.com

PRESIDENT’S PERSPECTIVE

FPMA Footprints is published by The Florida Podiatric Medical Association 3375-F Capital Cir. NE, Ste. 201 Tallahassee, FL 32308 Phone: (800) 277-3338 Fax: (850) 681-0899 Website: www.fpma.com

Bigger and Better Together Under the Big Top

By Larissa Schmidt, DPM FPMA President

Using the “Bigger and Better Together” concept designated for SAM 2025, it is easy to apply the same theme as we take a look back at some of this past year’s FPMA projects and events and highlight the talent of FPMA’s extraordinary members responsible for advancing the organization through their actions and leadership. We’ve done our best to capture the excitement of a state component on the move in this issue! So, grab your popcorn and enjoy this edition of FPMA Footprints magazine.

FPMA membership represents a variety of acts, from innovators of foot and ankle surgery to those who still do house calls.

Although diverse in their approach to the practice of podiatry, FPMA members all assemble under the “FPMA tent” and together this past year, we have expanded FPMA membership to become APMA’s largest statewide podiatric medical component.

The fundamentals of what we do start with educating future podiatric physicians and the public. Many FPMA members have gone above and beyond this year, donating their time to volunteer with our partners at Special Olympics Florida and the FPMA Diabetic Shoe Distribution Program as well as participating in DPM Mentor/Student recruitment efforts. These activities have served as a platform from which FPMA is able to provide solid public service messaging and demonstrate our members’ abilities and services as podiatric physicians.

In 2024, FPMA turned the spotlight on deepening our engagement with Barry University School of Podiatric Medicine students, further developing relations with Florida’s 23 podiatric residency directors and offering continued support of Florida’s eight fellowship programs. FPMA members participating in these programs are acknowledged as the future of the profession.

FPMA continues to identify and provide exceptional events for young practitioners (YPs) at FPMA’s annual conferences and

has relaunched the Young Member Seminar Series for 2024-2025 incorporating topics relevant to young members’ advancing professional careers.

We salute FPMA members who treat the young (and young at heart) each day within their practices. We value everyone’s efforts in being their area’s leading experts in foot and ankle care.

FPMA also works tirelessly to represent our profession and the work our physicians do on a larger scale within the political and insurance arena. An example is the FPMA Meet the Candidates Forum, which is hosted biennially. This event is specifically held to make member advocacy efforts less of a high-wire act by educating policymakers as to podiatric education and training and identifying podiatry’s important role within the larger medical community.

Our abilities are grounded in our fundamental skills as physicians; however, as an expanding organization, the work FPMA does could be equated to a trapeze act requiring skill to balance and value different perspectives — offering members true support throughout all stages of their careers and earning our members’ trust through our ongoing member-centric actions and deeds.

As a small profession, we are bigger and better together under the “FPMA big top”.

Join us, engage and find out why!

Florida Podiatric Medical Association

| 5

MESSAGE FROM THE CEO/ED

Charting a Course with Our 5 Pillars

By Karen N. Lambert

Where did the summer go? As I write this, we have just celebrated Labor Day. With fewer than 140 days left until SAM 2025, it has dawned on me that it is time to pack the summer of 2024 away and put it in the rearview mirror. The time has come to advance to the multitude of events and activities awaiting FPMA and our members this fall.

I would like to provide a recap of FPMA summer activities and a snapshot of what lies ahead through the lens of the FPMA 2023-2025 Strategic Plan and its five pillars of concentration. FPMA leadership continues to reference this document as a comprehensive road map to success and utilizes the plan actively, on an ongoing basis, to guide association activities.

Advocate GOAL: Attain parity with MDs/DOs in the health care system via legislative activity; promote policies and mechanisms that ensure timely access to podiatric care.

As FPMA did in 2020 and 2022, we held a 2024 Meet the Candidates event September 13-14, 2024, in conjunction with the FPMA Fall 2024 Executive Board meeting in Tampa, Florida.

podiatry and address issues of concern, thereby strengthening relationships with these stakeholders.

During these meetings, FPMA advocated for the inclusion of Florida licensed podiatric physicians in the state of Florida’s FRAME program.

Additionally, later in the month of September, FPMA leadership will once again sit down with leadership of the Florida Osteopathic Medical Association (FOMA) to discuss common goals and preview potential legislation for the upcoming 2025 Florida legislative session. This is a prime opportunity to identify differences and/or link and align legislative priorities. The annual meeting serves to further strengthen the relationship between FPMA and FOMA.

FPMA lobbyists assembled a field of approximately 11 lawmakers and one candidate with whom FPMA attendees engaged over the course of the two-day event.

Lead GOAL: Recruit and develop leaders to ensure future FPMA success; increase member enrollment and engagement; improve efficiency and effectiveness of FPMA governance structure.

This event was intended to assemble a lineup of elected officials with whom FPMA members further develop relationships for the purpose of influencing future public policy decisions.

FPMA members were provided the opportunity to personally engage with key legislators, discuss the profession of

As a means of recruiting and connecting with future leaders, FPMA President-Elect David M. Schweibish, DPM, attended and hosted a New Student Orientation session for the Barry University School of Podiatric Medicine (BUSPM) Class of 2028 on August 23, 2024, on-site in Miami Shores, Florida. As a result of

6 |

FPMA Footprints

Dr. Schweibish’s messaging, FPMA was able to welcome 46 new BUSPM student members who signed up for FPMA/ APMA membership.

On August 30, 2024, FPMA President Larissa M. Schmidt, DPM, attended the BUSPM Rite of Passage Ceremony on behalf of the Florida Podiatric Medical Association and in support of the BUSPM Class of 2026’s medical milestone.

Finally, each member of the BUSPM Class of 2026 was gifted with Watkins’ manuals by the Florida Podiatric Medical Society (FPMS). FPMS hopes this valuable reference guide provides these students with quick access to must-know clinical information in preparation for exams.

Manage GOAL: Grow a strong and sustainable membership base; ensure association financial sustainability.

FPMA continues to grow our membership base and maintain its position as the largest APMA state component. Per the FPMA strategic plan, the FPMA Membership Committee is tasked with reducing attrition to less than 3 percent annually.

During the 2024-2025 fiscal year (FY) dues renewal process, FPMA identified 30 nonreturning members (just 2.4 percent), well within the margin.

MEMBER STATS IN 2023-2024 FISCAL YEAR

52

new members

FPMA was successful in recruiting 52 new members and reinstated an additional 38 members during FY 2023-2024, for a total of 90 members.

For the benefit of our members, FPMA continues to identify new corporate affinity partners. These partnerships are intended to bring resources and value to FPMA members. This summer, FPMA introduced the services of Dean Dorton Healthcare to address the critical needs of FPMA members. Dean Dorton’s experienced team is available

38

reinstated

to assist with credentialing services, staff augmentation, and co-sourced business office support.

FPMA will transition its 401(k) Multiple Employer Plan (MEP) from Transamerica to Fisher Investments in early fall. As one of America’s top financial advisers, Fisher will work with FPMA members to optimize retirement programs and provide ongoing one-on-one financial guidance to maximize wealth creation for our members.

90 total

For further information regarding the FPMA 401(k), Dean Dorton Healthcare and all FPMA member benefits, please visit the FPMA website at www.fpma.com/member_benefits.php.

Finally, year-end financial reporting, care of Thomas, Howell, Ferguson, CPA, finds FPMA “in a strong financial position” (as of 5-31-24) with robust long-term investment balances and appropriate cash on hand after liabilities.

Educate GOAL: Better educate members on the value of membership and expand educational resources; enhance the public’s understanding of services provided by members and create a career interest in young people.

Over the summer, the FPMA Public Affairs Committee took the time to revisit the list of FPMA members who previously signed on as a mentor to speak about “Podiatry as a Profession” at Florida universities and state colleges. FPMA will coordinate with career advisers and student clubs on Florida academic campuses to secure speaking engagements for our members this fall and into the spring semester. Ultimately, our goal is to create an interest among young people to consider pursuing podiatry as a career. The issue of low podiatric student enrollment must be addressed as the future of the profession depends on it.

Florida Podiatric Medical Association

| 7

MESSAGE FROM THE CEO/ED

ntitled-4 1

If you are reading this and are interested in participating in this vital FPMA program, please contact FPMA Public Affairs staffer Becky Reese at breese@fpma.com. Please consider getting involved in this very worthwhile program!

The FPMA Public Affairs Committee will continue its efforts to develop a “Foot Safety in the Workplace” presentation for the purpose of sharing information with other professional organizations and state agencies (e.g., the Florida Department of Elder Affairs, Florida Department of Agriculture, Florida Department of Transportation, etc.). If provided consistently and in a professional manner, it is anticipated that this podiatric information will be included in their internal electronic newsletters and communications. Falls Prevention Awareness will be featured in September and Diabetes Awareness will be highlighted in November. FPMA intends to incorporate a link to the “Find a Physician” feature on the FPMA website for the convenience of locating FPMA members in local communities.

The FPMA Summer Conference was held June 7-9, 2024, at the Hyatt Regency Coconut Point Resort in Bonita Springs, Florida. As always, the conference was in demand, well attended and provided a wealth of education. What made this summer conference different? FPMA provided education in a hybrid manner. Through collaboration with CME Online, FPMA was able to livestream the 2024 Summer Conference education lineup to those who registered to attend virtually.

Unlike SAM, attendance of the FPMA Summer Conference is intentionally kept to smaller registration numbers, so the hybrid option may prove beneficial to all FPMA members. Because this initial test was successful, select future Summer Conference education may continue to be livestreamed, or recorded and reproduced, for FPMA member edification.

FPMA online educational offerings, for physicians and their staffs, may be accessed via the FPMA or CE Broker websites.

Communicate GOAL: Develop and maintain effective means of communications with FPMA members.

We know our members are extremely busy. For your convenience, FPMA has established text messaging for communication with members. Should you require assistance from FPMA staff, please contact FPMA via text at (850) 224-4085.

Follow FPMA on all social media platforms to keep abreast of FPMA activities year-round.

In closing, I would like to thank each of you for your membership. FPMA leadership and staff remain available and dedicated to serving you each day with the same commitment and values you have come to know and expect. We are grateful for the opportunity.

If I may be of service to you, please contact me directly at klambert@fpma.com or via text/telephone at (850) 224-4085.

For Molecular Testing

In-Office Podiatry Laboratory

LET'S BUILD A LAB KEY BENEFITS

ENHANCED PATIENT CARE FAST TURNAROUND TIME

Make the insightful decisions necessary in today's rapidly evolving healthcare environment by building for the future. Let's work together to establish an on-site molecular laboratory for

INCREASE PRACTICE REVENUE

your practice.

COMPETITIVE ADVANTAGE

 Native Lab Services provides full service

TURN-KEY SOLUTIONS

laboratory consulting from build out to monthly compliance.

Contact us today to learn more!

CALL US 561-331-1756 EMAIL US info@nativelabservices.com WEB www.nativelabservices.com

8 |

FPMA Footprints

2/26/24 3:15 PM

 Consultants are nationally certified and multi-state licensed Medical Technologists.  Test in-house for Nail Fungus and Wounds with antibiotic resistance genes  Labs are 100% Physician Owned Let our experts help expand your practice and stand out from the rest!

MEMBERSHIP

FPMA Welcomes the BUSPM Class of 2028

By Becky Reese, FPMA Public Affairs/Website Coordinator

FPMA, represented by President-Elect David Schweibish, DPM, welcomed new Barry University School of Podiatric Medicine (BUSPM) students during the New Student Orientation on August 23, 2024. Dr. Schweibish spoke and showed a PowerPoint presentation about FPMA membership to the new students. FPMA also provided students with a complimentary lunch.

Members of the Florida Podiatric Medical Student Association (FPMSA) also spoke during the presentation.

New podiatric students were encouraged to sign up for complimentary FPMA student membership at the end of the program.

FPMA President-Elect David Schweibish, DPM, welcoming the BUSPM Class of 2028.

FPMSA President Malachi Brown and President-Elect Cassandra Saint-Louis provide information to new BUSPM students.

Left to right: Megan Yeung, FPMSA secretary; Cassandra Saint-Louis, FPMSA president-elect; David Schweibish, DPM, FPMA president-elect; Maria Torrelbea, FPMSA treasurer; and Malachi Brown, FPMSA president.

Florida Podiatric Medical Association

| 9

MEMBERSHIP

FPMA Provides Watkins’ Manuals to BUSPM Class of 2026

By Becky Reese, FPMA Public Affairs/Website Coordinator

The Barry University School of Podiatric Medicine (BUSPM) Class of 2026 Rite of Passage Ceremony took place on Friday, August 30, 2024.

This special occasion marks podiatric students’ transition from classrooms to the clinical portion of their education.

FPMA continued the tradition of providing these students with the Watkins’ Manual of Foot and Ankle Surgery as a gift from the association. This manual provides quick access to essential information on anatomy, pharmacology, microbiology, disease prevention and

management of foot and ankle disorders.

Florida Podiatric Medical Society (FPMS) voluntary dues go toward the purchase of these manuals each year, so FPMA members are responsible for providing this very important and beneficial resource to young podiatric practitioners.

BUSPM Class of 2026 with their new Watkins’ manuals provided care of FPMA member donations to the Florida Podiatric Medical Society.

FPMA is proud to support students of podiatric medicine. Any podiatric student matriculating at the Barry University School of Podiatric Medicine is eligible for a complimentary FPMA student membership.

10 |

FPMA Footprints

By Becky Reese, FPMA Public Affairs/Website Coordinator

The popular FPMA Young Member Seminar Series is a recurring seminar series designed to serve as an educational and professional resource for FPMA young members. FPMA recognizes our young members as the future of the podiatric profession and wishes to provide the tools and resources necessary for success now and throughout young members’ podiatric careers.

The FPMA Young Member Seminar Series officially kicked off on August 14, 2024, with a seminar sponsored by Dean Dorton titled “Aim For Your Best Financial Life.”

These seminars will take place every other month through June 18, 2025. All seminars offered will take place online and are non-CECH. The following topics are planned for the coming months (please note that these topics are subject to change): • October 16, 2024: “Communication of Complication Risks with Advanced Surgical Procedures,” sponsored by PICA • December 18, 2024: “First Year of Residency – What to Expect,” presented by FPMA President Dr. Larissa M. Schmidt • February 19, 2025: “ABFAS Board Certification – Keys to Success,” presented by FPMA Secretary Dr. Diana Rogers • April 16, 2025: “Fellowships 101 – What You Need to Know,” presented

by FPMA Past President and Florida Fellowship Director Dr. Andrew Belis • June 18, 2025: “The Cost of Doing Business – Billing & Coding,” presented by FPMA President-Elect Dr. David Schweibish For more information about the FPMA Young Member Seminar Series, including a link to the Young Member Seminar Series Archives page, which includes access to past seminar information and videos, visit the FPMA website at www.fpma.com/fpma_ young_member_seminar_seri.php.

Florida Podiatric Medical Association

| 11

MEMBERSHIP

FPMA Young Member Seminar Series Returns

MEMBERSHIP

From Trainee to Trainer:

Tips from a Young Physician

By Nishu Vora, DPM, MPH, FACPM, AACFAS

There is so much to learn and prepare for during every stage in our careers, from undergrad to podiatry student to resident to fellow to attending physician. We endeavor to matriculate through each milestone to reach that light at the end of the tunnel of practicing physician. I am grateful for the position I am in and would like to provide some insight and guidance to soon-to-be podiatric school graduates.

My road led me from home and undergrad in Chicago to podiatry school and residency in San Francisco to a fellowship in Fort Lauderdale.

Ultimately, I joined a private practice that was affiliated with my fellowship and became faculty for both the residency and fellowship.

It’s a weird feeling to be sitting side by side with residents and fellows one week and teaching them the following week. There is a lot more responsibility on your shoulders, but it also pushes you to be better when training residents. Trust in your training and your instincts. Although you may think about it for the first couple of months, it eventually becomes the new normal. Navigating clinic,

12 |

FPMA Footprints

patient care, emergencies, complex surgeries, resident dynamics, hospital politics, lectures, case logging, boards, volunteering and medical missions can be frightening, but becomes more and more second nature. It is very rewarding as you grow as an attending and establish your teaching style. Residents and fellows seem to appreciate it, and it’s always important to give back to our field where we can.

Fellowship played a large role, not only during the job search but also in becoming a mentor so quickly.

More and more fellowships are being accredited every year, allowing for increasing our competency as practitioners and surgeons. Most residencies have rigorous curriculums

and prepare you well to be a competent practitioner. A fellowship can help hone and polish your skills and make you more efficient, which was my reasoning for pursuing a fellowship and why I recommend it.

The following is a compilation of insights from over the years: Job Search and Application Process • Leverage Your Network: Reach out to mentors, colleagues, attendings and industry professionals for potential job leads. Many positions are filled through word of mouth.

• Perform a Targeted Job Search: Identify your ideal location and practice style and begin your search accordingly. Utilize job boards, like

the FPMA Career Center, APMA, Indeed, DocCafe, LinkedIn, the American College of Foot and Ankle Surgeons (ACFAS) and state job boards. Try cold-calling offices and ask for the office manager to discuss any openings that may be available.

You can even mail or fax your CV, but make sure to personalize and customize each cover letter to the specific office you are applying to.

Begin your search somewhat early in your final year of training.

• Tailor Your CV: Submitting your CV provides a first impression to your possible employer. Make sure it is succinct and well formatted.

Have a trusted colleague review it.

Highlight your unique skills, such as medical missions, chief resident experience, minimally invasive surgeries, etc. Ensure your CV is polished and error-free.

• Follow Up: Consistently follow up on your applications, even if you haven’t received a response. You’ll get a lot of “we’ll keep your CV on file and reach out if anything opens up.” Don’t be discouraged by this and keep reaching out to find your dream job.

Interviewing and Contracting • Interview Preparation: Usually, the interview process begins with a call or two to the office manager and then the physicians. This will be followed by an in-person visit. You just spent multiple years training in a hospital or private office, so use those instincts to get a feel for the position you are interviewing for and the people working there to see if it is the right fit. Practice your responses to common interview questions and research potential employers. Be prepared to discuss your own skills and career goals and how they align with the practice’s.

• Practice Pros and Cons: There are multiple benefits that can come with a position, including billing and coding assistance, marketing for your position, and great EMR. Look out for red flags

KEY TAKEAWAYS Leverage Your Network

Review the Fine Print

Perform a Targeted Job Search

Seek Legal Advice

Tailor Your CV

Licensing and Credentialing

Follow Up

Building Your Practice

Interview Preparation

Documentation and Billing

Practice Pros and Cons

Fellowship played a large role, not only during the job search but also in becoming a mentor so quickly. More and more fellowships are being accredited every year, allowing for increasing our competency as practitioners and surgeons.

like multiple associates leaving, nearby competitors, seeing only uninsured patients, and lowball offers.

• Review the Fine Print: Carefully examine your employment contract, paying attention to salary, bonuses, benefits, dental/medical, retirement, APMA/ACFAS dues, malpractice insurance and other essential terms.

Everything is always negotiable!

• Seek Legal Advice: Consider consulting with a contract lawyer to ensure your rights are protected; $400-$800 now will save you thousands and multiple headaches later.

Transitioning to Practice • Licensing and Credentialing: Initiate the licensing and credentialing process early to avoid delays. Hospital and surgery center privileges can take anywhere from two to four months due to all the background checks and once-a-month medical staff meetings.

Reach out to the medical staff office of the hospital to find out the credentialing process. Insurance plans take even longer and take a minimum of two

months, with one plan taking me almost nine months.

• Building Your Practice: Develop relationships with local physicians and specialists to establish a referral network. Volunteer at local high schools and events and bring your business cards. Consider taking emergency room calls to increase patient volume.

It can take more than a year to have a fully booked schedule, so don’t get discouraged. Stay involved in organizations like FPMA and APMA to continue building your network.

• Documentation and Billing: Notes are always a pain. Download and utilize your templates from training to streamline your documentation process and familiarize yourself with billing regulations. Explore AI scribe tools to enhance efficiency. Be detailed in your note-taking in case insurance companies decide to audit. Billing is a whole new language. Learn how to bill correctly early if you weren’t exposed enough during your training. Take a course and lean on your mentors and partners to make sure you are maximizing each visit.

Florida Podiatric Medical Association

| 13

MEMBERSHIP

How Podiatry Became

My Passion

By Cassandra Saint-Louis, Student Doctor

This past summer, I had the joy and privilege of attending the FPMA Summer Conference in Bonita Springs. It took place in a beautiful location with lots of friendly faces. I had the opportunity to network with podiatrists and lecturers.

I enjoyed listening to lectures pertinent to my needs as a second-year podiatry student. We heard from great speakers including Timothy Miller, DPM, who lectured on residency and externship; Luke Cicchinelli, DPM, who focused on riskology; and David Schweibish, DPM, who provided a very powerful lesson on the money of medicine. I also had the opportunity to participate in a minimally invasive surgical activity using the cheilectomy technique. This was most impressive because I could share this experience with many of my colleagues.

Medicine has always been a passion of mine, and I knew I wanted to practice medicine from a very early age.

Unfortunately, I did not have anyone to mentor me, and I would be a first-generation doctor in my family.

My parents did their best to provide my siblings and me with the best possible education. I was enrolled in magnet programs in the inner cities from a young age, all of which centered around medicine and the environment.

14 |

FPMA Footprints

But my journey to medicine was not a smooth ride.

I completed a BS in biomedical science at the University of South Florida and a Master of Biomedical Science at Barry University. I decided to go on a gap year before applying to medical school.

During my gap year, I prepared for the MCAT and obtained my professional teaching license in Florida. During that time, education had grown to be a

passion of mine. The need for quality teachers in underserved communities would often be at the forefront of my mind, so I answered the call.

I made it a mission of mine to get a strong foundation in the areas of math and science for my future students. It truly was an incredible time. It shaped me into a strong leader and effective communicator, so much so that I was promoted to the chair of our school’s math and science department.

But I still longed to be in medicine, a long-unfulfilled passion of mine.

The catalyst that steered me toward podiatry was witnessing my mother undergo a grueling recovery with her foot. She was middle-aged at the time, and suffered a terrible injury that left her with two fractured toes. My mother had a history of chronic leg pain, so we knew seeing a podiatrist would be her best option.

After watching the team of podiatrists provide the best care for my mother, I fell in love with the field of podiatry. We understood her treatment plan, were issued shoes that would best support her feet, and she regained mobility a year later.

I was honestly fascinated with the field of podiatry and did not realize how vast the selections would be within this specialty. Through research, I learned that surgery would be a skill I could develop. Surgery always seemed like a distant dream, but it is highly attainable within this field.

I was honestly fascinated with the field of podiatry and did not realize how vast the selections would be within this specialty. Through research, I learned that surgery would be a skill I could develop.

Surgery always seemed like a distant dream, but it is highly attainable within this field.

Becoming a podiatrist would be more than reaching a personal goal of mine; it would extend far beyond me. I see how it will significantly benefit my community. As I shadowed podiatrists interacting with patients at the Barry Clinic, I noticed the types of cases that would frequently come in. Some of them were related to chronic health issues, while others were related to trauma, and I was reminded of the many people in my family, church and neighborhood who suffered with these same issues, most of whom

were unwilling to see a doctor. Many have very little knowledge of how to properly care for themselves and this is something I could address.

Thus, I am excited to conduct research, learn, advocate and educate through podiatry.

Ms. Saint-Louis is a member of the Barry University School of Podiatric Medicine Class of 2027. She also currently serves as the Florida Podiatric Medical Student Association (FPMSA) president-elect.

Florida Podiatric Medical Association

| 15

Giving You An Edge in the Fight Against Disease

Our dedicated team offers 24-48 hour turnaround time for routine pathology cases.

We offer mycology services and web-based reporting.

When you call our lab, one of our customer service representatives will answer the phone.

These are just some of the ways we work to provide our clients with the highest level of care for their patients without compromise!

Contact us at 954-977-7959 or visit our website and read testimonials at lauderdalepathology.com

16 |

FPMA Footprints

FPMA Component Presidents 2024 GULF CENTRAL FLORIDA Dr. Bryan A. Spooner 1866 Buford Blvd.

Tallahassee, FL 32308 (850) 894-1820, 656-9293 (FAX) bas@tlhpodiatry.com

BROWARD Dr. Adam J. Oxios 17013 Pines Blvd.

Pembroke Pines, FL 33028 (954) 450-4200 aoxios@gmail.com www.thebcpma.com

HERNANDO Dr. John E. Baker 6317 Sealawn Dr. Spring Hill, FL 34607 (352) 597-2223, 597-2061 (FAX) jebaker@tampabay.rr.com

CENTRAL FLORIDA Dr. Timothy J. Miller 3701 Avalon Park West Blvd., Ste. 225 Orlando, FL 32828 (631) 312-7581 timothymiller63@gmail.com CHARLOTTE Dr. Andre M. Williams 352 Milus St. Punta Gorda, FL 33950 (941) 626-1804, 347-7271 (FAX) awilliam33dpm@yahoo.com COLLIER Dr. Jenny W. Adams 3435 Pineridge Rd., Ste. 102 Naples, FL 34109 (239) 260-7476, 260-7608 (FAX) dradams239@gmail.com

LEE Dr. Michael J. Wilkins 5238 Mason Corbin Ct., #102 Fort Myers, FL 33907 (239) 936-5400, 936-9572 (FAX) mikewilkinsdpm@gmail.com

PALM BEACH Dr. Xavier A. Sanchez 8645 N. Military Trl., Ste. 501 Palm Beach Gardens, FL 33410 (561) 838-7250, 619-2928 (FAX) xaviersanchezdpm@gmail.com

MANASOTA Dr. Louis S. Giannone 411 Commercial Ct., Ste. G Venice, FL 34292 (941) 412-3000, 412-3005 (FAX) l.s.giannone@gmail.com

PINELLAS Dr. Robin M. Katz 6600 34th Ave. N. St. Petersburg, FL 33710 (727) 343-2244, 347-0777 (FAX) rkatz4@gmail.com

HILLSBOROUGH Dr. Zenobia A. Bowen 6632 Glencoe Dr. Temple Terrace, FL 33617 (813) 261-0382 zeebowen@aol.com

NORTH CENTRAL FLORIDA Dr. Diana E. Rogers 7915 SW 85th Ter. Gainesville, FL 32608 (954) 401-2610 drogers@fpma.com

POLK Dr. James E. Koon 635 First St. N. Winter Haven, FL 33881 (863) 294-0670 cypresspodiatry@aol.com

INDIAN RIVER Dr. Amberly C. Paradoa 3735 11th Cir., #201 Vero Beach, FL 32960 (772) 299-7009, 562-7138 (FAX) ircpma2018@gmail.com

NORTHEAST FLORIDA Dr. Jorg A. Bober 1409 Kingsley Ave., Ste. 9G Orange Park, FL 32073 (904) 637-0037, 639-6017 (FAX) julbober@gmail.com

LAKE-SUMTER Dr. Chad C. Watkins 914 E. Dixie Ave. Leesburg, FL 34748 (352) 805-4317, 805-4298 (FAX) watkins207@comcast.net

NORTHWEST FLORIDA Dr. Mark S. Isenberg 4311 Bayou Blvd., #A8 Pensacola, FL 32503 (727) 639-1973, (866) 258-9993 (FAX) msidpm@thefootdoctors.org

ST. JOHNS Dr. Craig S. Schein 508 Sebastian Sq. St. Augustine, FL 32095 (904) 824-0869 podno2@msn.com VOLUSIA Dr. Andrew B. Green 21 Hospital Dr., Ste. 170 Palm Coast, FL 32164 (386) 586-7373, 586-7346 (FAX) gatorpod1@gmail.com

NORTHWEST GULF CENTRAL

DADE Dr. Lucita M. Clersaint 58 NE 167th St. Miami, FL 33162 (305) 944-1610, 944-1670 (FAX) lmclersaint@aol.com www.miamidadepod.com

NORTH EAST

ST. JOHNS

EMERALD COAST

NORTH CENTRAL

VOLUSIA CENTRAL

HERNANDO

BREVARD

LAKE-SUMTER

EAST CENTRAL FLORIDA Dr. Macalee Harlis Jr. 1680 SE Lyngate Dr., Ste. 201 Port St. Lucie, FL 34952 (772) 210-3339, 404-7819 (FAX) macaleeharlisjrdpm@gmail.com

POLK

PINELLAS

INDIAN RIVER HILLSBOROUGH EAST CENTRAL

MANASOTA

CHARLOTTE

PALM BEACH

LEE

BROWARD

COLLIER

EMERALD COAST Pending

DADE

Florida Podiatric Medical Association

| 17

MEMBERSHIP

BREVARD Dr. David M. Schweibish 2020 N. Hwy. A1A, Ste. 101 Indian Harbour Beach, FL 32937 (321) 777-4774, 777-4788 (FAX) david311@me.com

MEMBERSHIP

Annual Election of FPMA Officers – 2025 Annual elections will be held at the FPMA General Membership Meeting on Wednesday, January 29, 2025, at Disney’s Coronado Springs Resort.

The offices to be filled are: • President-elect • Vice president • Treasurer • Secretary • APMA Delegates (5) (two-year terms) (The FPMA president is automatically a delegate; the president-elect and vice president are automatically alternates.)

Note: End of two-year delegate terms: • Edward Fazekas, DPM • Dennis Frisch, DPM • Andre Williams, DPM • Cary Zinkin, DPM

Any member of the association wishing to be considered for nomination by the Nomination Committee for any of the offices previously listed is hereby requested to forward a letter of intent to the chairman of the FPMA Nomination Committee and the FPMA CEO/executive director.

Please include any background material you deem helpful to your candidacy.

Andre M. Williams, DPM FPMA Nomination Committee Chairman awilliam33dpm@yahoo.com Karen Lambert FPMA CEO/Executive Director klambert@fpma.com

THE DEADLINE FOR SUBMISSION OF LETTERS OF INTENT IS FRIDAY, DECEMBER 20, 2024.

FPMA Partners with Orlando Production We are excited to announce a new partnership between the Florida Podiatric Medical Association (FPMA) and Orlando Production. Having provided exceptional AV and video production services for past FPMA events, Orlando Production has demonstrated a deep understanding of FPMA’s needs and a commitment to excellence.

As a result, FPMA leadership has decided to officially partner with Orlando Production, making it easier for our members to access high-quality video production services at

18 |

FPMA Footprints

an affordable rate. This partnership will empower members to effectively promote their brand and reach a broader audience with professional video content.

To enhance your brand with professional video content, contact Douglas Loran at Orlando Production at (954) 347-3789.

In Memoriam

Dr. Strickland received his podiatric degree from Temple University School of Podiatric Medicine and served in the U.S. Army for two years before beginning his professional life as a podiatrist in St. Petersburg, Florida, in 1958. He was an integral contributor to the advancement of podiatric medicine, having served as a member of the Florida State Board of Podiatric Medicine for two terms (1983-1991 and 1999-2007). In this capacity, he helped shape the rules that govern podiatric medicine in the state of Florida.

Dr. Strickland had been a member of FPMA for 65 years. Early in his career, he had served as president of the Pinellas County Podiatric Medical Association. He later served as FPMA president in 1971. Dr. Strickland also served on several FPMA Committees, including as chair of the Nominating Committee, Legislative Committee, and Bylaws and Resolution Committee.

Dr. Strickland was presented with the FPMA Podiatric Physician of the Year Award three times (in 1992, 1999 and 2008). He also received the FPMA President’s Award three times (in 1985, 1996 and 2006). He was presented with the Meritorious Service Award by the APMA president at SAM 2013. This award is presented to members in good standing in recognition of outstanding

accomplishments on the local, state or regional level in scientific, professional or civic endeavors that have had a profound impact on podiatric medicine.

Dr. Strickland was well regarded by FPMA members and staff, and never hesitated to get involved. He was also a member of the “Pinellas Pioneers,” a group of seasoned members of the FPMA Pinellas Component who would meet socially from time to time.

Dr. Strickland is survived by Linda, his wife of 63 years, two children and several grandchildren.

Dr. Richard A. Strauss of Lake Worth, Florida, passed away on March 19, 2024, at the age of 84. Dr. Strauss had served on the FPMA Convention Committee and was a member of FPMA for almost 60 years.

CONNECT WITH US

www.fpma.com Florida Podiatric Medical Association

| 19

MEMBERSHIP

Dr. James G. Strickland passed away on July 26, 2024, at the age of 91. He had retired to Roswell, Georgia, after being in practice with his nephew (and fellow FPMA member), Dr. Joseph Strickland, in St. Petersburg, Florida.

INSURANCE AFFAIRS

Insurance Report Update:

Emerging Issues and Successful Accomplishments

By Mark S. Block, DPM

I have been approached by several providers who received letters requesting copies of records for specific Medicare services. The billings in question were related to the use of the E&M/25 modifier and associated billing for surgical treatment of nails (CPT codes 11730/11732).

I immediately reached out to my contacts at First Coast Service Options (FCSO). I was informed that these audit letters originate from the Noridian Supplemental Medical Review Contractor (SMRC). The SMRC is tasked with performing data analysis and conducting medical record reviews on claims billed with CPT codes 11730 and 11732, with or without modifier 59, as well as select E&M codes billed with modifier 25 for dates of service from January 1, 2022, through December 31, 2023.

the bottom of the letter, (833) 8504133, with any additional questions or concerns.

They further informed me that providers should contact Noridian using the phone number provided at

I’m keeping this issue on my radar and maintaining an ongoing dialogue with APMA, updating them with any new

20 |

FPMA Footprints

I recommend that anyone who has received one of these audit letters contact their medical malpractice carrier, especially if they have a rider for these types of issues. It is advisable to do this before the deadline to submit records expires. Failure to comply with the request could result in the auditor denying the claims, leading to repayments and other punitive actions.

information and emphasizing the need to address concerns. Additionally, I’m keeping communication open with the carrier to assist with any issues that may arise.

In the past and more recently, I have chaired an APMA subcommittee addressing the 25-modifier issue.

This work led to the development of a 25-modifier toolkit. As previously reported, my recent committee efforts have concentrated on providing updated guidance and education, which is now available to all current APMA members on the APMA members’ website. I would encourage anyone who feels the need for a better understanding of

appropriate 25 modifier utilization to access this material.

As always, I will keep the membership updated and provide guidance as applicable relating to this audit.

The following is a synopsis of some recent accomplishments I previously reported.

I. Modifier 58 Update • I identified a reimbursement issue when codes 97597/98 were appended with a “58” modifier and submitted to FCSO. • FCSO was denying payment for these codes when the “58” modifier was used.

• I subsequently contacted FCSO to report the error.

• FCSO acknowledged the mistake and agreed to correct their claims processing system to ensure proper reimbursement for these codes with the “58” modifier when used correctly.

II. Open Meeting with FCSO – Skin Substitute/CTP Draft LCD • I recently participated in an FCSO Open Meeting to discuss the draft policy on “Skin Substitute Grafts/ Cellular and Tissue-Based Products for Diabetic Foot Ulcers and Venous Leg Ulcers.”

• I was provided the opportunity to point out various issues contained in the draft and suggested changes to improve the policy for both patients and providers.

• After the meeting, I submitted written comments with the hope that this constructive feedback would be considered in the final policy.

III. FCSO has revised their article on “Billing and Coding: Surgical Treatment of Nails,” with significant updates: KX Modifier Updates • 11730: The KX modifier can now be used for repeat procedures within eight months, which was not previously allowed.

• 11750: Initially, the KX modifier was

removed, but after it was brought to FCSO’s attention, they have committed to reinstating it in the next update.

Summary • The KX modifier is allowed for both 11730 (newly permitted) and 11750 (as previously allowed).

• The LCD/article is under scrutiny due to utilization concerns, and any misuse could lead to penalties and further restrictions.

• Adherence to the documentation guidelines outlined in the revised article (A57666) is crucial. These guidelines are available on the FCSO website and through the APMA Coding Resource Center.

IV. I had previously communicated to my contacts at FCSO regarding an issue where podiatric physicians and surgeons were receiving denials when submitting claims using the new HCPCS code J1010. This code replaced the deleted codes J1020, J1030 and J1040. Claims were being denied due to an error in the claims adjudication process that excluded podiatric physicians.

In response, FCSO informed me that the issue has been resolved. The provider type (30) for podiatrists was recently

added to the claims processing system for the J1010 code in both FCSO and Novitas. The denials were likely due to claims being processed before this correction was made. Providers were advised to resubmit their claims, as they should be processed correctly, and payments should be received for previously denied claims.

This resolution should bring closure to the issue and ensure correct processing is moving forward.

In closing, I continue to address problematic areas on behalf of the membership and profession, striving for positive outcomes. Every effort is made to provide timely updates and guidance, and to address emerging issues before they become a burden to the profession.

FPMA members can reference previous FPMA Insurance Alerts as well as my insurance reports for background information contained in this publication. For a detailed archive of past and present issues, log in to the FPMA website and visit the Insurance News/Medicare Updates page at www.fpma.com/insurance_news_ medicare_update.php.

Florida Podiatric Medical Association

| 21

LEGISLATIVE UPDATE

FPPC’s Legislative Picks

By Chris Hansen, FPMA Lobbyist

Each year after the Florida legislative session ends, another entity begins its work: the Florida Podiatry Political Committee (FPPC). Their task is to raise dollars from podiatrists and allocate those dollars to the campaigns of pro-podiatry candidates. This cycle has gone on for many years and is often the reason for FPMA’s legislative successes.

The 2024 election cycle kicked off on August 20 with Florida’s primary election. Candidates are most vulnerable in their primaries, and long-lasting relationships are often formed by groups like our PAC. This year was no exception. We had great results on August 20 and hope to build on those victories in November. Set forth below are FPMA’s primary election results and a recap of one of our VIP races.

FPMA Election Results – Primary The FPPC supported the following candidates elected without opposition:

State Representative

22 |

FPMA Footprints

HD 92

Kelly Skidmore (D)

Delray Beach

HD 95

Christine Hunschofsky (D)

Coconut Creek

HD 96

Dan Daley (D)

Sunrise

HD 97

Lisa Dunkley (D)

Lauderhill

HD 101

Hillary Cassel (D)

Hollywood

HD 108

Dotie Joseph (D)

North Miami

2024 Primary Results – August 20, 2024 State Senate SD 5

Tracie Davis (D)

Win 95%

SD 7

Tom Leek (R)

Win 47%

SD 13

Keith Truenow (R)

Win 67%

SD 19

Randy Fine (R)

Win 73%

SD 21

Ed Hooper (R)

Win 85%

SD 25

Kristen Arrington (D)

Win 50%

State Representative HD 19

Sam Greco (R)

Win 63%

HD 20

Judson Sapp (R)

Win 64%

HD 32

Debbie Mayfield (R)

Win 64%

Dave Weldon (R)

Lose 35%

HD 41

Bruce Antone (D)

Win 63%

HD 49

Heather McArthur (R)

Lose 15%

HD 76

Vanessa Oliver (R)

Win 71%

HD 109

Ashley Gantt (D)

Win 53%

Rep. Kristen Arrington Candidate, Senate District 25

Our friend Sen. Victor Torres was term-limited and could not run again for Senate District 25. After evaluating the seat, FPPC chose to support Rep. Kristen Arrington over the senator’s wife, who was also a candidate. It was a tough decision, but the right one for podiatry.

Not only did Arrington win the primary

over Mrs. Torres, but she also defeated a third candidate in former Congressman Alan Grayson. Sound decisions like this provide a solid foundation for productive relationships with future legislators.

The Senate district still has the general election in November, but Arrington is considered a heavy favorite.

To find out more about the FPPC and how to contribute, visit the FPMA website Advocacy page at www.fpma.com/advocacy.php.

Florida Podiatric Medical Association

| 23

APMA UPDATE

FPMA Delegation Attends 2024 HOD and Conducts Congressional Visits

By Becky Reese, FPMA Public Affairs/Website Coordinator

The APMA House of Delegates (HOD) is the legislative and governing body of APMA and is composed of certified delegates and alternates from each component society and the American Podiatric Medical Students’ Association (APMSA). The HOD meets once a year to hold elections and make decisions about the strategic direction of APMA. The Florida delegation, consisting of 10 delegates and three alternates, along with FPMA CEO/Executive Director Karen Lambert, attended the annual APMA House of Delegates in Washington, D.C., on March 16-17, 2024.

On Sunday, March 17, Lawrence A. Santi, DPM, assumed the office of APMA president at the adjournment of the HOD. FPMA delegation members went to the Hill on Monday, March 18, and met with eight Florida U.S. House and

Senate members. FPMA thanks the following FPMA delegation members for representing our organization at the HOD: Drs. Mark Block, Edward Fazekas, Robert Frimmel, Dennis Frisch, Terence McDonald (chief delegate), Diana Rogers, Larissa Schmidt, Andre Williams, Alissa

Zdancewicz and Cary Zinkin, as well as alternates Drs. John Goggin, David Schweibish and Adriana Strimbu. A special thanks also goes out to FPMA CEO/Executive Director Karen Lambert for her assistance in planning attendance for this event.

Podiatric student Riley Westover (left) joined FPMA President Larissa Schmidt, DPM, and FPMA Committee on Governmental and Legislative Affairs Co-Chair Edward Fazekas, DPM, in meeting with various U.S. House and Senate members.

24 |

FPMA Footprints

Top Left: FPMA President Larissa Schmidt, DPM, attended the APMA HOD in Washington, D.C., with the FPMA delegation.

Bottom Left: FPMA delegation members chat with Legislative Aide Gabby Fazekas (right) while waiting to meet with Florida Rep. Scott Franklin.

Top Right: FPMA delegation members met with Florida Sen. Darren Soto. Front row (left to right): CEO/Executive Director Karen Lambert; Terence McDonald, DPM; Florida Sen. Darren Soto; and Andre Williams, DPM. Second row (left to right): podiatric student Riley Westover; David Schweibish, DPM; Edward Fazekas, DPM; Alissa Zdancewicz, DPM; and Larissa Schmidt, DPM. Bottom Right: Immediate Past President Alissa Zdancewicz, DPM on Capitol Hill.

LEARN MORE AT: WWW.FPMA.COM/EDUCATION.PHP Florida Podiatric Medical Association

| 25

LEGAL Can I Do This? Can I Do That? I Have Questions!

The Value of Declaratory Statements

By Jason D. Winn, Esq., FPMA General Counsel

The practice of podiatric medicine in Florida is regulated by the Florida Statutes, also known as the practice act (laws), and the Rules as promulgated by the Florida Board of Podiatric Medicine. In Florida, the “Practice of podiatric medicine” refers to the diagnosis or medical, surgical, palliative, and mechanical treatment of ailments of the human foot and leg. The surgical treatment of ailments of the human foot and leg shall be limited anatomically to that part below the anterior tibial tubercle. The practice of podiatric medicine shall include the amputation of the toes or other parts of the foot but shall not include the amputation of the foot or leg in its entirety. A podiatric physician may prescribe drugs that relate specifically to the scope of practice authorized herein. (F.S. 461.003(5), 2024)

There are certain restrictions in the practice act for grounds for discipline as well as requiring a written release when prescribing or administering dimethyl sulfoxide (DMSO). (F.S. 461.0134,

26 |

FPMA Footprints

2024) Violating these will result in disciplinary action. In Rule, the Florida Board of Podiatric Medicine has several violations listed that can be a basis for disciplinary action. However, what about everything that is not listed?

Does that mean a Florida podiatrist can perform those services/procedures?

Not exactly!

There are several factors to consider.

Is it within the standard of care for podiatric physicians to do? Do you have the proper training and education to perform the procedure? Does the Food and Drug Administration (FDA), Department of Health (DOH) or other governmental entity have a warning about performing those procedures?

If you have the proper training, it is within the standard of care and there are no adverse warnings about these procedures, you must then ask: Is this within the scope of practice for podiatric physicians?

When you are faced with questions like these, there is only one entity that can provide you with an answer that is binding: the Florida Board of Podiatric Medicine! That’s right — you can simply ask the Board whether you are allowed to perform a certain procedure or service, and they have an obligation to tell you yes or no. This is called a declaratory statement.

Any substantially affected person (i.e., a licensee or applicant) may seek a declaratory statement regarding an opinion of a board, or the department when there is no board, as to the applicability of a statutory provision, or of any rule or order of the board, or department when there is no board, as it applies to a licensee’s particular set of circumstances, pursuant to section 120.565, Florida Statutes. The petition seeking a declaratory statement must state with particularity the licensee’s set of circumstances and must specify the statutory provision, rule or order that the licensee believes may apply to the set of circumstances.

A declaratory statement is a means for resolving a controversy or answering questions or doubts concerning the applicability of statutory provisions, rules, or orders over which the board, or department when there is no board, has authority, pursuant to rule 28-105.001, Florida Administrative Code.

A petition for declaratory statement may be used only to resolve questions or doubts as to how the statutes, rule, or order may apply to the petitioner’s particular circumstances. A declaratory statement is not the appropriate means for determining the conduct of another person or for obtaining a policy statement of general applicability. A petition for declaratory statement must describe the potential impact of the statutes, rules or orders upon the petitioner’s interests.

Over the years, the Board has received the following questions with petitions for declaratory statements: 1) Is offering a tetanus booster while treating chronic, nonhealing lower-extremity wounds within the scope of practice for DPMs? 2) Is the practice of hyperbaric oxygen for wound care of the foot, ankle, and leg within the scope of practice for DPMs? 3) Is performing a physical examination for the Federal Motor Carrier Safety Administration within the scope of practice for DPMs?

When you are faced with questions like these, there is only one entity that can provide you with an answer that is binding: the Florida Board of Podiatric Medicine! That’s right — you can simply ask the Board whether you are allowed to perform a certain procedure or service, and they have an obligation to tell you yes or no. This is called a declaratory statement.

(You can find answers to these declaratory statements at www. floridahealth.gov/licensing-andregulation/declaratory/declaratorystatements.html.)

Pursuant to rule 28-105.003, Florida Administrative Code, the board, or department when there is no board, may hold a hearing to consider the petition for declaratory statement. If a hearing is held, it shall be in accordance with sections 120.565 and 120.57, Florida Statutes. Within 90 days of the filing of the petition with the Department of Health, the board, or department when there is no board, shall render a final order denying the petition or granting the declaratory statement.

So, if you ask a question and it is determined not to be within the scope of practice, you are then restricted from performing that service or procedure. Be careful concerning the questions you ask, for you are setting precedent and the standard of care.

Not only does the DOH – Board of Podiatric Medicine take disciplinary action against your license, they are also the only ones that can answer your question, “Can I do this?” Don’t accept anything less than an answer from the Board. Your license is on the line!

LEGAL DISCLAIMER The information contained herein is provided to you “as is” does not constitute legal advice, and is governed by our Terms and Conditions of Use. We make no claims, promises, or guarantees about the accuracy, completeness, or adequacy of the information.

The FPMA, its employees, agents, or others that provide information on or through this will not be liable or responsible to you for any claim, loss, injury, liability, or damages related to your use of this information. Seeking the advice of competent legal counsel is recommended.

Florida Podiatric Medical Association

| 27

PUBLIC AFFAIRS

Student Recruitment Is Something We All Need to Participate In

By Dr. Liana Seldin, Co-Chair, FPMA Public Affairs Committee

Podiatric medicine is an integral part of our healthcare system. Just ask any patient whose nonhealing wounds were healed by a podiatrist. Or a patient who sustained a Lisfranc injury missed during a trip to the emergency room. Or a patient whose heel pain finally got resolved under the care of a podiatrist.

I know I am preaching to the choir.

But what more can we do to educate the public, especially studious, honor roll-winning young adults applying to graduate programs?

Odds are that an undergrad who has never suffered a significant foot or ankle injury, an infected, ingrown toenail or an incalcitrant plantar wart may never have crossed paths with a Doctor of Podiatric Medicine.

According to the American Association of Colleges of Podiatric Medicine (AACPM), approximately 1,000 applicants seek acceptance into podiatric medical schools each year. In the fall of 2024, 573 first-year students entered into study. In contrast, 55,188 applications were submitted for allopathic medical schools for the entering class of 2022-2023.

The issue of student recruitment in the podiatric field is not a new one. But despite many efforts made over the years, we have not effectively cracked the code on enhancing public awareness of our profession.

Let’s face it — podiatric medical schools face challenges attracting sufficient numbers of applicants. Many young people are completely unaware of our profession because it is not in the standard of care to have a routine podiatric exam if no indications of pathology exist. In contrast, every healthy child needs an annual physical by a pediatrician and routine dental care by a dentist twice a year.

28 |

FPMA Footprints

Student recruitment efforts are worth pursuing. Many of the fourth-year podiatric medical students who rotate through my office tell me it was a podiatrist who treated their injury, or a podiatric scribing experience, that motivated them to pursue podiatric medicine.

Essentially, the biggest impact we as podiatric physicians can make is on a personal level: • If you have children, volunteer for Career Day at their school. You may very well make a lifelong impression from just

one presentation. As a bonus, it is a great marketing tool for your practice (teachers and school staff members have feet, too).

• Become involved in your alumni associations at the high school and undergraduate levels to highlight your success stories. Speaking to prehealth students at your alma mater could make a significant impression.

• Prehealth students love suturing workshops! Put one together and experience the enthusiasm.

• Providing a lecture concerning podiatry could encourage the formation of prepodiatry clubs on college campuses, thus creating a community of students interested in the field. These clubs can offer networking opportunities, provide resources and host events that promote podiatry.

• There is no better way to encourage someone to become a podiatrist than having a potential applicant visit your practice and shadow you. Experiencing the impact we make on our patients firsthand is exciting.

To get started, sign up for the APMA Mentor Network. You can now opt in through your APMA account profile on www.apma.org, making the process easier than ever: 1. Log in to www.apma.org 2. Click “My Account” at the top of the screen 3. Click “Update Contact and Mentor Info” 4. Scroll down and select the box next to “Become a Podiatry Mentor” 5. Click “Save”

To make the process even easier, both the FPMA and APMA websites have customizable PowerPoint presentations and handouts available for your use.

All of us need to get involved in student recruitment, as this is the key to sustaining the progress of our profession, respect of our physician colleagues, and quality of the work we do. The key to doing this is to continue attracting

smart, motivated and caring future student doctors to our profession.

Get started today by visiting the FPMA website’s DPM Mentors/Student Recruitment page at www.fpma.com/ dpm_mentors_student_recruitmen.php.

Dr. Liana Seldin participated in the Minority Women in Medicine Pre-Health Summit at the University of Miami on April 14, 2024. A suture workshop was provided for Summit attendees.

Florida Podiatric Medical Association

| 29

PUBLIC AFFAIRS

FPMA Needs Your Help:

Assist with the Diabetic Foot/ Shoes Outreach Project

By Becky Reese, FPMA Public Affairs/Website Coordinator

FPMA first announced the creation of the Diabetic Foot/Shoes Outreach Project in the spring 2023 issue of FPMA Footprints. Planning began in January 2023, when the FPMA lobby team met with Rep. Melony Bell (R-Fort Meade) and Sen. Corey Simon (R-Tallahassee) and secured their support in receiving the funding needed to bring this important program to Floridians in need. Through a funding initiative request care of the Florida Senate and House of Representatives, the project was instituted for fiscal year 2023-2024.

The primary goal of the Diabetic Foot/ Shoes Outreach Project is to provide education to the public on the importance of diabetic foot care and provide diabetic shoes and socks to Florida’s most vulnerable residents. The program prioritizes the elderly, people with poor physical health, individuals who are economically disadvantaged and the physically disabled.

• Okeechobee • Putnam • Suwannee • Taylor • Union • Wakulla • Washington

The project is geared toward individuals diagnosed with Type 1 or Type 2 diabetes living in one of the 29 Florida counties listed below.

• Baker • Bradford • Calhoun • Columbia • DeSoto • Dixie • Franklin • Gilchrist • Glades • Gulf • Hamilton • Hardee • Hendry • Holmes • Jackson • Jefferson • Lafayette • Levy • Liberty • Madison • Monroe • Nassau

FPMA needs your help! This project has been extended until December 31, 2024, and funding is still available to continue providing shoes to diabetic Floridians in need. FPMA is still seeking healthcare clinics, podiatrists and diabetes managers to assist with diabetic shoe distribution in the counties listed above in order to successfully complete this project.

If you have any leads, please contact FPMA CEO/Executive Director Karen Lambert via email at klambert@fpma.com.

30 |

FPMA Footprints

DSR Consulting & Management LLC is assisting FPMA with this project.

To access additional information about this project, visit the FPMA website’s Diabetic Foot/Shoes Outreach Project page at www.fpma.com/diabetic_foot_ shoes_outreach_p.php.

Should you have patients who qualify and you wish to participate in this project, please complete the provider survey at the following link — www.solecareoutreach. com/join-the-network — or scan the QR code provided above.

AUGUST 2024 UPDATE • A total of 1,194 pairs of shoes/ socks/inserts have been donated.

• Total amount spent so far:

$101,705.

• Our goal is to donate

886 more pairs of shoes.

• There is approximately

$78,295 left

to spend on this project.

• Read feedback from diabetic shoe recipients at www.fpma.com/docs/ FPMS_Diabetic_Shoe_Success_ Stories.pdf.

2024 FPMS Scholarship Recipients FPMS

By Becky Reese, FPMA Public Affairs/Website Coordinator

The Florida Podiatric Medical Society (FPMS) was formed in 1927 to serve as the philanthropic arm of FPMA. While it is separate from FPMA, the Society was formed by and for association membership to assist in procuring new sources of funding, which are used for podiatric student scholarships and other philanthropic activities. Every member of FPMA is automatically a member of FPMS. The 2024 Barry University School of Podiatric Medicine (BUSPM) Commencement Ceremony took place on Saturday, April 27, 2024. FPMA President Larissa Schmidt, DPM, provided scholarships to two of the graduating students.

Student Doctor Elizabeth Mendez (right) was presented with both the FPMA Past President’s Scholarship and the Dr. Irving and Muriel Block Scholarship

by Larissa Schmidt, DPM, FPMA president (left), on Saturday, April 27, 2024.

Student Doctor Sheena Cherukara was presented with the Dr. Mark Lambert Scholarship on Saturday, April 27, 2024, during the BUSPM Commencement Ceremony.

Florida Podiatric Medical Association

| 31

CONFERENCE NEWS

FPMA 2024 Summer Conference Recap

By Becky Reese, FPMA Public Affairs/Website Coordinator

The FPMA 2024 Summer Conference, which took place June 7-9, 2024, at the Hyatt Regency Coconut Point Resort in Bonita Springs, Florida, was well attended. Due to the size of the venue, a maximum of 230 podiatric physicians and 90 X-ray assistants were eligible to attend. The FPMA exhibit hall was sold out and provided space for 46 exhibitors.

This conference is offered each summer to provide FPMA members the opportunity to secure continuing education contact hours (CECH) by attending lectures in the mornings, which allows attendees and their families time to enjoy recreational activities in the afternoons and evenings. Leisure activities arranged in advance by FPMA included a putting competition, a mixology class, Camp FPMA S’mores, the FPMA Golf Tournament, and the Cornhole Tournament of Champions.

The conference began with the official FPMA Summer Conference Welcome Reception, sponsored by BakoDx. A

32 |

FPMA Footprints

non-CECH Lunch & Learn, sponsored by Progressive Medical Solutions, was offered on Friday, and a non-CECH Breakfast & Learn, sponsored by Legally Mine, was offered on Saturday. The physician program offered attendees a maximum of 8.5 CECH depending on lectures attended.

on-site registrants each year and, due to high demand, the conference sells out annually. With the advent of an online educational offering, FPMA was able to provide education remotely/virtually for podiatric physicians who preferred not to travel to earn CECH.

In addition to the physician conference program, an X-ray assistant program was offered during the conference for podiatric X-ray assistants seeking initial licensure and recertification.

This conference would not be successful without the work of the FPMA Convention Committee and FPMA staff, as well as the participation of FPMA industry partners.

We especially wish to thank our exhibitors and those who sponsored conference events. Their financial support makes conferences like these possible.

FPMA’s annual Summer Conference can accommodate only a limited number of

Florida Podiatric Medical Association

| 33

CONFERENCE NEWS

FPMA thanks the following sponsors for their continued support

DIAMOND SPONSOR

34 |

FPMA Footprints

DIAMOND SPONSOR

DIAMOND SPONSOR

GOLD SPONSOR

GOLD SPONSOR

GOLD SPONSOR

GOLD SPONSOR

BRONZE SPONSOR

BRONZE SPONSOR

BRONZE SPONSOR

BRONZE SPONSOR

S A M 25

Physician Registration Form Registration Deadline: December 18, 2024

Science & Management Symposium

January 29 - February 2, 2025

Please use a separate form for each registrant. Some events may require separate fees. All communication regarding SAM 2025 coming from FPMA or exhibitors who receive the pre-conference physician attendee list or capture registrant data on-site will be sent to the contact information provided below.

Attendee Information Last Name

First Name

Degree

Address City

Zip Code

State

Phone (daytime)

Phone (cell)

Email

License No.

(required to register)

APMA No.

Additional Information Per the Americans With Disabilities Act of 1990, check here if you have a disability and may require accommodations to participate fully. Please describe below:

Guest Badge

Guest badges are limited to one per attendee and are only for immediate family members. Badges are required for access into the SAM 2025 Exhibit Hall. All guests must be accompanied by a registered SAM attendee.

(Check to reserve)

Registration Fees

Check here to acknowledge you will contact FPMA via email (admin@fpma.com) if you need to cancel your complimentary ($0) SAM 2025 registration. If you do not cancel your conference registration in advance of the conference, you will be charged a $100 fee. Please include your credit card information on page 2 of this form.

By November 25, 2024

After November 25, 2024

FPMA Member

$0

$200

FPMA/APMA Life Member

$300

$400

APMA Member

$525

$625

Non-APMA Member

$975

$1,075

Student

$25

$25

FPMA/APMA Resident

$100

$200

Non-FPMA/Non-APMA Resident Friend of FPMA/ Federal Services

$200

$300

$475

$575

Page 1 of 2

(Continued on next page)

Florida Podiatric Medical Association

| 35

Please provide your credit card information below, even if you are registering for $0. Providing your credit card information will secure your SAM 2025 Conference registration. SAM 2025 registration forms will not be processed unless this information is included. If you are registering for $0, your credit card will not be charged unless you fail to contact FPMA in advance of the conference to cancel your conference registration. FPMA is required to provide the number of registered attendees to the conference hotel in advance of the conference to determine total meal numbers. If you are a no-show and paid $0 to attend SAM 2025, you will have to pay a $100 fee to cover the meals ordered for you in advance.

Payment

Total Registration Amount: $

Exp. Date

Visa

Card Number

MasterCard

Cardholder Name

American Express

Cardholder Signature

Check Enclosed

Billing Address

Please make checks payable to Florida Podiatric Medical Society, Address: 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

Return completed registration form with payment to: Mail: Florida Podiatric Medical Society 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

CVV

Email: admin@fpma.com Fax: (850) 681-0899 Web: FPMASAMCONFERENCE.COM

Please contact FPMA at (850) 224-4085 to confirm registration if you do not receive an email confirmation within seven (7) business days of submitting your completed registration form.

PLEASE NOTE: -Educational topics are subject to change as the program schedule develops.

-All registration fees must be paid in full, in advance.

-Payment must be received with your registration form.

-Registrations without complete payment will not be processed.

Cancellation Policy: Cancellation requests must be made via email (admin@fpma.com) and received by December 18, 2024.

Refunds will be processed after the event.

No refunds will be available for no-shows or cancellations received after December 18, 2024.

Location: Disney’s Coronado Springs Resort 1000 W. Buena Vista Drive Lake Buena Vista, FL 32830

Hotel Information

To Make Reservations: Go to https://book.passkey.com/event/507996 44/owner/70576/home

Room Rates: Campus (Run of House): $255.00 per room, per night Tower (Run of House): $305.00 per room, per night Tower Concierge: $405.00 per room, per night

Book by January 6, 2025 By registering, you agree to these terms and conditions. SAM 2025 physician attendees will receive a link to the SAM 2025 online conference evaluation within three weeks of the conclusion of the conference, pending all conference fees being paid and attendance verified by FPMA. Once the on-line conference evaluation is completed by an attendee, a Certificate of Attendance based on CECH earned will be available for printing/downloading.

(Sign here)

(Date)

Page 2 of 2

36 |

FPMA Footprints

CONFERENCE NEWS

Join Us for SAM 2025

By Becky Reese, FPMA Public Affairs/Website Coordinator

Mark your calendar for the next FPMA annual Science & Management Symposium (SAM), taking place January 29-February 2, 2025, at Disney’s Coronado Springs Resort in Lake Buena Vista, Florida!

For the majority of FPMA members, attendance of FPMA’s two annual educational conferences is complimentary as a part of FPMA membership (if they register by the complimentary registration deadline).

SAM 2025 conference registration fees will increase after November 5, 2024, for podiatric physicians as well as attendees of the podiatric X-ray assistant and medical assistant programs, so be sure to register early.

The deadline for preconference registration for all SAM 2025 attendees is December 18, 2024. After that date, podiatric physicians will have to register on-site at the conference (please note that assistant program registration will not be available on-site at the conference). For your convenience, SAM 2025 registration forms for podiatric physicians, podiatric

X-ray assistants (those seeking initial licensure and recertification), and podiatric medical assistants are included in this issue of FPMA Footprints. You can also register online, and find out more about the conference, by visiting the SAM website at www.fpmasamconference.com.

We encourage you and your assistants to register promptly so FPMA can get appropriate head counts for food and beverage, events and seating.

Hotel reservation information is available on the SAM website under the Hotel & Travel tab. There are three types of discounted rooms available in the FPMA room block, and a link to make your online reservation is available on the website. Attendees need to secure their hotel room reservation by

January 6, 2025, in order to receive the SAM 2025 conference rate, so it is recommended that you book your hotel room ASAP. As in previous years, long lunch breaks will provide physician attendees time to grab a bite and then explore the conference exhibit hall, where numerous vendors will be available to showcase their products and services.

To access information about SAM 2025 and all the activities that are being planned in advance of the conference, visit the SAM website at www.fpmasamconference.com.

Conference activities and information will be updated on a regular basis on the SAM website until the conference takes place at the end of January, so visit often to keep up with all that SAM 2025 has to offer!

Florida Podiatric Medical Association

| 37

Podiatric X-Ray Assistant Registration Form

S A M 25

Registration Deadline: December 18, 2024

Science & Management Symposium

January 29 - February 2, 2025

Please use a separate form for each registrant.

Attendee Information

All communication regarding SAM 2025 will be sent to the email address provided below.

Last Name

First Name

PXA License #

Address

Physician/Employer:

City

Zip Code

State

Phone (cell)

Email (required)

Per the Americans With Disabilities Act of 1990, check here if you have a disability and may require accommodations to participate fully. Please describe below:

Registration Fees 1st Assistant (By 11/25/24)

2nd Assistant 3rd Assistant Any Assistant (By 11/25/24) (After 11/25/24) (By 11/25/24)

Initial course for certification by Florida Board of Podiatric Medicine

$175

$160

$140

$190

Recertification: Florida Board of Podiatric Medicine

$175

$160

$140

$190

NOTE: Educational topics are subject to change as the program schedule develops.

All registration fees must be paid in full, in advance.

Payment must be received with your registration form.

Registrations without complete payment will not be processed.

Cancellation Policy: Cancellation requests must be made via email (admin@fpma.com) and received by December 18, 2024. Refunds will be processed after the event. No refunds will be available for no-shows or cancellations received after December 18, 2024.

Payment Total Registration Amount: $

Exp. Date

Visa

Card Number

MasterCard

Cardholder Name

American Express

Cardholder Signature

Check Enclosed

Billing Address

Please make checks payable to Florida Podiatric Medical Society, Address: 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

Return completed registration form with payment to: Mail: Florida Podiatric Medical Society 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

CVV

Email: admin@fpma.com Fax: (850) 681-0899 Web: FPMASAMCONFERENCE.COM

Hotel Information Location: Disney’s Coronado Springs Resort 1000 W. Buena Vista Drive Lake Buena Vista, FL 32830

38 |

FPMA Footprints

To Make Reservations: Room Rates: Go to Campus (Run of House): $255.00 per room, per night Tower (Run of House): $305.00 per room, per night https://book.passkey.com/event/507 Tower Concierge: $405.00 per room, per night 99644/owner/70576/home

Book by January 6, 2025

Podiatric Medical Assistants (Front or Back Office) Registration Form

S A M 25 Science & Management Symposium

Registration Deadline: December 18, 2024

January 29 - February 2, 2025

Please use a separate form for each registrant.

Attendee Information

All communication regarding SAM 2025 will be sent to the email address provided below.

Last Name

First Name

Address

Physician/Employer:

City

Zip Code

State

Phone (cell)

Email (required)

Per the Americans With Disabilities Act of 1990, check here if you have a disability and may require accommodations to participate fully. Please describe below:

Registration Fees 1st Assistant Assistant 1st (By 11/25/24)

2nd Assistant Assistant (By 11/25/24)

3rd Assistant Assistant 3rdAssistant Assistant AnyAny (By 11/25/24) (By11/25/24) 11/25/24) (After (After 11/25/24)

Front Office Assistant

$175

$160

$140

$190

Back Office Assistant

$175

$160

$140

$190

NOTE: Educational topics are subject to change as the program schedule develops.

All registration fees must be paid in full, in advance.

Payment must be received with your registration form.

Registrations without complete payment will not be processed.

Cancellation Policy: Cancellation requests must be made via email (admin@fpma.com) and received by December 18, 2024. Refunds will be processed after the event. No refunds will be available for no-shows or cancellations received after December 18, 2024.

Payment Total Registration Amount: $

Exp. Date

Visa

Card Number

MasterCard

Cardholder Name

American Express

Cardholder Signature

Check Enclosed

Billing Address

Please make checks payable to Florida Podiatric Medical Society, Address: 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

Return completed registration form with payment to: Mail: Florida Podiatric Medical Society 3375-F Capital Circle NE, Ste. 201, Tallahassee, FL 32308

CVV

Email: admin@fpma.com Fax: (850) 681-0899 Web: FPMASAMCONFERENCE.COM

Hotel Information Location: Disney’s Coronado Springs Resort 1000 W. Buena Vista Drive Lake Buena Vista, FL 32830

To Make Reservations: Room Rates: Go to Campus (Run of House): $255.00 per room, per night Tower (Run of House): $305.00 per room, per night https://book.passkey.com/event/507 Tower Concierge: $405.00 per room, per night 99644/owner/70576/home

Book by January 6, 2025

Florida Podiatric Medical Association

| 39

Florida Podiatric Medical Association 3375-F Capital Cir. NE, Ste. 201 Tallahassee, FL 32308

Did you enjoy this complimentary issue of FPMA Footprints magazine?

Interested in becoming a member of FPMA? Contact us to find out more!

Email ggrand@fpma.com or call/text 850-224-4085.

FPMA is currently the only statewide medical association advocating for and serving the needs of podiatric physicians in Florida. Our organization provides programs and activities that enhance the success of podiatric physicians.

Join us today!