APMA News - March/April 2018 - APMA4

SUPPLEMENT TO APMA NEWS

YOUR APMA / PAGE 4

APMA WELCOMES NEW YOUNG
PHYSICIANS' PROGRAM LEAD
APMA is excited to announce a new staff lead for the Young
Physicians' Program, Tiffany Kildale. Kildale comes to APMA with
a deep understanding of podiatry and young physician concerns
after serving as association manager for the American Society of
Podiatric Surgeons (ASPS) for eight years. In the newly created
role as career development manager at APMA, she will spearhead
young physician projects, including the continuing work on the Young Physician
Transition Series, as well as working with other staff members on career awareness
and student recruitment initiatives. She can be reached at takildale@apma.org. Look
for more information about Kildale and her plans for her new role in a future issue of
Your APMA.

IN THIS ISSUE OF
APMA NEWS ...

This issue of APMA News contains
two articles of particular interest of
young physicians. Be sure to check
out these important topics!

Continued from Page 3

pain and was happy with the results of her
surgery six months after the surgery. Additionally, the patient did not seek any medical
treatment for right foot pain until a year after
last treating with the insured podiatrist.
The podiatric expert for the defense
believed that the placement and position of
the K-wire was within the standard of care
and met the goal to stabilize the osteotomy.
The expert also felt the patient's reported
symptoms post-surgery were inconsistent
with a surgical nerve injury.
The defense team agreed that this case
was medically defensible and felt that if the
patient had loss of mobility in her right toe, it
was related to the patient's failure to perform
post-operative range-of-motion exercises as
instructed.
The defense was eventually successful in
convincing the patient to dismiss the lawsuit
against the insured. While the outcome was
ultimately favorable for the podiatrist, the
cost was high. He had to endure three and
a half years of the stress of being involved
in a lawsuit.
Could the podiatrist have done anything
to prevent this meritless lawsuit? There were
several clues prior to surgery that this patient
might be problematic down the road:
* At the first two visits (for the surgery
pertaining to this claim), the insured
recommended conservative treatment
options, but the patient refused and was
"very adamant" about having surgery on
her right foot because of pain when wearing her dress shoes

The insured also suggested she obtain a
second opinion regarding surgery, but the
patient did not follow through on obtaining
a second opinion
When a patient demands surgery and is
not following through with your instructions
and recommendations preoperatively, it
may be a good indication that he or she will
not adhere to your instructions and recommendations postoperatively. Such was the
case here.
While a particular procedure may be
indicated, not all patients are good surgical
candidates. If in the process of taking the
patient's initial history or in the course of
treating the patient, he or she presents with
certain "red flags," you might want to consider other options. Red flags include:
* The patient demands surgery or dictates
treatment
* The patient has unrealistic expectations
with regard to the surgical outcome
* The patient does not adhere to instructions
and/or recommendations
While you do have a duty to provide the
standard of care to your patients, you are
not bound to provide treatment against your
better judgment. If you and your patient cannot agree on a plan of treatment, consider
formally terminating your relationship with
the patient.
*

For more information, contact the PICA Risk
Management department at 800-251-5727,
ext. 2107.

STUDENT RECRUITMENT
In the last few years, student recruitment and
the sustained future of podiatry have been
hotly debated. A June 2016 summit with a
broad swath of stakeholders demonstrated
the profession's commitment to this topic.
On page 10, learn more about recent efforts
in this arena, and in particular how young
physicians play a critical role in cultivating
the next generation of podiatrists.

COVERAGE CORNER
Whether you are joining a new practice or
adding a new associate to your team, are
you familiar with the rules for billing with a
Medicare Provider Transaction Access Number (PTAN)? Head to page 46 for important
information about this topic, including how to
get your own PTAN and the potential repercussions of using someone else's number for
services you provided.

The 2018 Young Physicians'
Institute will be held October
20 and 21 in Nashville, TN.
Registration for componentsponsored attendees will open
on May 1. If you are interested
in being part of this leadership
development meeting, talk to
your component today!

APMA gratefully acknowledges the
support of PICA, a ProAssurance
Company, founding sponsor of the
Young Physicians' Program.



Table of Contents for the Digital Edition of APMA News - March/April 2018

Contents
APMA News - March/April 2018 - Cover1
APMA News - March/April 2018 - Cover2
APMA News - March/April 2018 - 3
APMA News - March/April 2018 - 4
APMA News - March/April 2018 - 5
APMA News - March/April 2018 - 6
APMA News - March/April 2018 - 7
APMA News - March/April 2018 - Contents
APMA News - March/April 2018 - 9
APMA News - March/April 2018 - 10
APMA News - March/April 2018 - 11
APMA News - March/April 2018 - 12
APMA News - March/April 2018 - 13
APMA News - March/April 2018 - 14
APMA News - March/April 2018 - 15
APMA News - March/April 2018 - 16
APMA News - March/April 2018 - 17
APMA News - March/April 2018 - 18
APMA News - March/April 2018 - 19
APMA News - March/April 2018 - 20
APMA News - March/April 2018 - 21
APMA News - March/April 2018 - 22
APMA News - March/April 2018 - 23
APMA News - March/April 2018 - 24
APMA News - March/April 2018 - 25
APMA News - March/April 2018 - 26
APMA News - March/April 2018 - 27
APMA News - March/April 2018 - 28
APMA News - March/April 2018 - 29
APMA News - March/April 2018 - 30
APMA News - March/April 2018 - 31
APMA News - March/April 2018 - 32
APMA News - March/April 2018 - 33
APMA News - March/April 2018 - 34
APMA News - March/April 2018 - 35
APMA News - March/April 2018 - 36
APMA News - March/April 2018 - 37
APMA News - March/April 2018 - 38
APMA News - March/April 2018 - 39
APMA News - March/April 2018 - 40
APMA News - March/April 2018 - 41
APMA News - March/April 2018 - 42
APMA News - March/April 2018 - 43
APMA News - March/April 2018 - 44
APMA News - March/April 2018 - 45
APMA News - March/April 2018 - 46
APMA News - March/April 2018 - 47
APMA News - March/April 2018 - 48
APMA News - March/April 2018 - 49
APMA News - March/April 2018 - 50
APMA News - March/April 2018 - 51
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APMA News - March/April 2018 - 55
APMA News - March/April 2018 - 56
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APMA News - March/April 2018 - 79
APMA News - March/April 2018 - 80
APMA News - March/April 2018 - 81
APMA News - March/April 2018 - 82
APMA News - March/April 2018 - Cover3
APMA News - March/April 2018 - Cover4
APMA News - March/April 2018 - APMA1
APMA News - March/April 2018 - APMA2
APMA News - March/April 2018 - APMA3
APMA News - March/April 2018 - APMA4
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