Message from the Chair
As my tenure as your Podiatric Health Section chair comes to a close after the meeting in Boston, I would like to thank each of you for your energy and effort over the past two years. With your help we have made a beginning in raising awareness of public health in the podiatric community. We have also made strides in raising the awareness of podiatric medicine in the larger public health universe.
Instead of feeling our progress has been made and now we can breathe a sigh of relief, I would like to try to rev you up for the undoubtedly successful chairmanships of Dr. Chris Robertozzi and then Dr. Janet Simon. Here are a few topics where we can use your talent and energy to reach our goals.
Our membership is a critical arena that needs a continued action plan. Membership Chair Rodney Peele, JD, has worked hard in placing ads in APMA news and with meeting officials from APHA to assist in our growth as a Section. Dr. Janet Simon got the ball rolling with the APHA pins that can be seen at several APMA functions. Dr. Arthur Helfand raised the bar with his letter to APMA and his resolution to this year's House of Delegates meeting. The support of affiliated organizations such as the American Society of Podiatric Executives has assisted our membership drive. Many other members have recruited peers to join and reverse the downward spiral of membership numbers. We must continue this level of effort to break the cycle of up and down interest in podiatric public health.
Our relationship with APMA has never been better. The high visibility of our new Chair, Dr. Robertozzi, and the hard work of Dr. Phill Ward will carry us through for several years. We have also enjoyed the work of APMA staff and Section members Faye Frankfort and Rodney Peele, JD. Their dedication to both organizations will insure that the interests of all podiatrists are continued. John Carson, although retired from his long-held position with APMA, is still active and involved in the Podiatric Health Section. These folks are like a shining light, guiding us to great successes.
The Section's relationship with APHA is also on the upswing. APHA staff have been available for assistance whenever it was requested of them. They understand that our small numbers do not reflect a small interest in the APHA. We have room for improvement in this area as we see our Section goals achieved. Dr. Helfand's text, Podiatric Public Health, published by APHA, is an example of how we can work together to benefit our profession while raising our visibility in the public health community. Dr. Marvin Rubin and Dr. Neil Horsley have been voices of experience when dealing with the infrastructure of APHA. Seeing an opportunity and seizing it is what leadership is all about.
The Newsletter has been raised to a new level by Dr. Janet Simon. I have received many compliments about the quality and usefulness of this communication tool. She will be assisted by Dr. David Alper this next year while she assumes the position of chair-elect. To be effective, the newsletter editor needs your copy, especially that of the students who have an interest in public health.
Student involvement is an area that our section needs to focus on. There is a student liaison position and a large APHA student organization which would be valuable for our students to get involved with. We need student members, student abstracts and research, and we need student chapters at each of the colleges. Dr. Anthony Iorio and Dr. Chih Yen have each helped to bring students into the fold. Dr. Janet Simon organized the visit to the Temple University during our last APHA Annual Meeting to discuss public health.
Current CME Chair Dr. Pat DeHeer has worked hard on the Annual Meeting offerings but needs to have more abstracts to develop the posters and lectures for a stellar meeting. Dr. DeHeer needs assistance in reaching out to our podiatric colleges to encourage student presentations at the Annual Meeting.
As you can see, there are many individuals that have worked so hard over the past two years and so many more that I can't name them all. I am grateful to all of you. I have enjoyed leading the Section and hope to work as hard on the issues facing all of us in the future.
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Section Membership Report
The Section membership drive saw some success in the first six months of the year. As of January 31, the section had 159 members and accounted for 0.58 percent of APHA membership. By June 31, the figures were 203 members and 0.74 percent of APHA membership, showing that the Section membership was increasing faster than the APHA overall membership.
The Section has grown steadily all year, with large increases in April when APHA and Section members promoted membership at the APMA House of Delegates meeting and the spring meeting of the American Society of Podiatric Executives. The section gained five members in January, 20 in February, 13 in March, 29 in April, 14 in May, and 20 in June, for an overall increase of 101 members this year. The actual size of the Section changes on a daily basis as memberships expire or are renewed.
With the APHA Annual Meeting approaching in early November, APMA was planning to run several announcements to continue raising awareness in the podiatric medical profession about the Section. While the drive to add members will continue, the Section may also want to establish a strategy to retain current members.
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NEW TO APHA ?
Would you like to get your feet wet in APHA and the Podiatric Health Section?
Here are some ideas that will help you get more out of this organization than just a membership card:
Wear the blue and white APHA membership pins at APMA meetings and events. This serves to increase the visibility of our Section and will hopefully result in new members. These pins are available by e-mailing email@example.com your request for one to be sent to you.
Look for opportunities to represent our Section at APHA functions, especially during the Annual Meeting and at committees and Public Health Coalitions.
- Become a member of your state or local public health association and become active. There are valuable opportunities for podiatrists to participate.
- Encourage the public health practice of podiatric medicine and vice versa.
- Encourage global podiatric health efforts, including international podiatric organizations or charitable medical services where needed.
- Continue to speak about APHA to podiatric medical students, provide leadership models and educational opportunities in public health.
- Partner with other Sections and Special Interest Groups and Caucuses that share our interests.
- Develop a research basis for podiatric public health.
- Partner with APHA and APMA legislative efforts to insure podiatric and public health friendly policies.
Whether the issue is the aging population, chronic diseases such as diabetes, obesity, or arthrtis or more acute concerns regarding our role in the next pandemic, insure that podiatric physicians are involved in health policy development for our country.
Together we can change health care, improve the lives of our patients, positively impact our communities and contribute to a challenging future.
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Upcoming Podiatric Sessions in Boston, November 2006
The 134th APHA Annual Meeting and Exposition in Boston, Nov. 4-8 will include several sessions on podiatric medicine. In addition, DPMs and students of podiatric medicine are welcome at the annual meeting of APHA's Podiatric Health Section on Sunday, Nov, 5 starting at 9:00 a.m. in the Douglas Room at the Westin Waterfront Hotel.See www.apha.org/meetings/ for detailed information about the APHA Annual Meeting.
The first session sponsored by the Section on Nov. 7 will focus on diabetic foot management. Trustee Joseph M. Caporusso, DPM, will present "Elements of APMA's 'Knock Your Socks Off' campaign: How to perform a diabetic foot exam," Emily Marie Splichal, of the New York College of Podiatric Medicine, will present "Alpha Lipoic Acid: An Alternative Treatment for Diabetic Neuropathy," and Donald E. Saye, DPM, will present "Biofilms, Recurring and Antibiotic Resistant Infections."
The second session on Nov. 7 sponsored by the Section will be about obesity and its effect on foot pathology, including a presentation by public health stalwart Marvin J. Rubin, DPM, on "Effects of Lower Extremity Developmental Disabilities on Childhood Obesity," Other presentations in this session will address the team model of diabetes care, and opportunities for intervention based on the characteristics of people with diabetic retinopathy.
Later the same day, there will be a session on podiatric medical concerns in the geriatric population, a longtime concern of the Podiatric Health Section. APMA Director of Scientific Affairs James R. Christina, DPM, will present a "Review of APMA's walking survey." Other topics will include a presentation by Pasquale Cancelliere of the Ohio College of Podiatric Medicine on "Eliminating the number one preventable risk factor for lower limb disease and amputations," and a presentation by James J. DeResta, DPM, MPH, on "At the forefront of care for geriatrics with diabetes: An improvement project to better patient care and change practice behavior of Optometrists and Podiatrists."
Once again, there will also be a session on podiatric medical care in developing countries and volunteer clincs, a topic of particular interest to the Section's scientific chair, Patrick DeHeer, DPM.
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DPM & OD Team up for Family Presentation
James J. DiResta, DPM, MPH, Department of Surgery, Anna Jaques Hospital, 25 Highland Avenue, Newburyport, MA 01950 and his daughter, Katharine D. Sullivan, OD, Ophthalmic Research Associates (ORA), 863 Turnpike Street, North Andover, MA 01845. will be teaming up to give their presentation at the APHA Annual Meeting on Tuesday, Nov. 7, 2006.
Podiatrists and optometrists are the primary health care providers of foot and eye care in America and are often the first to identify pedal and ocular complications in older Americans with diabetes. An initiative to improve upon the practice behavior of these limited licensed physicians to reduce the complications of lower extremity amputation and blindness is the impetus behind our improvement project.
Our goal is to increase the screening of diabetics for peripheral arterial disease, distal peripheral neuropathy and retinopathy. We will strive to see that this population group has semiannual ABI and monofilament testing by podiatrists along with an annual dilated eye exam by optometrists.
In the present health care system we have a variety of self managed and physician managed/coordinated plans, and while third party payers have directed their energies to quality performance measures through primary care physicians with incentive programs affecting all providers, many of the early signs and symptoms related to the complications of diabetes are brought first to DPMs and ODs as older patients have traditionally entered those practices on their own.
In the present environment where the large majority of Medicare patients are not in PCP controlled insurance products, the need to establish and implement quality measures for specialists such as DPM and OD providers is lacking. By bringing this initiative forward a new, specialist-driven approach to the complications of chronic disease management and a benefit compensation system directed toward the specialist provider will serve as a future model for others.
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APF Participating at the APHA Annual Meeting in Boston
The American Physicians Fellowship for Medicine in Israel was established in 1950 as a non-profit organization dedicated to advancing the state of medical education, research and health care in Israel. The fellowship helps support physicians participating in advanced fellowship training in the U.S. and Canada as well as maintaining a registry of North American physicians and health care workers prepared to go to Israel if an emergency need arises. To fulfill its mission the fellowship focuses on the following areas: fellowship opportunities for Israeli medical professionals, medical student development and the medical volunteers on-call for Israel.
The Emergency Medical Volunteer program provides training in disaster and emergency management in Israel through courses given two or three times yearly. This program was developed to supply Israel’s civilian hospitals with physicians when their Israeli counterparts are required to perform military duty. The fellowship is recognized by the State of Israel as the only organization authorized to send medical volunteers to Israel during emergencies. Podiatrists are invited to take this CME approved course which is given over a five to seven day period in Israel to learn the skills necessary in the world of terror today.
The course is given in conjunction with the Israel Ministry of Health and the Medical Corps of the Israel Defense Forces. The course includes lectures, field work and hands-on experience during a full mass casualty event drill at a major Israeli hospital as well as field experiences with the medical corps of the Israel Defense Forces. There is also an afternoon in the Messer Simulation Center at Sheba Medical Center at Tel HaShomer Hospital in Tel Aviv. Included in the course work are lectures by the Israel Search and Rescue Teams on call to natural disaster areas in Israel and around the world.
The potential this course brings to podiatrists interested in public health and disaster management is significant. The training was comprehensive but given in a relaxed manner. Podiatrists are welcome on the course and are expected to perform in the emergency drills transparently with the medical members of the course. Course participants have included internists and pediatricians including pediatric intensivists, emergency room physicians, urologists, plastic surgeons, trauma and orthopedic surgeons, cardiologists, nurses, and anesthesiologists and medical students. The podiatric implications in disasters were considered in discussions, but in times of emergencies the role of the podiatric physician can be expanded with the training provided in this course.
The advantage of this course is that the information comes from a source that has all too frequently seen the toll of mass casualty events. The course can be used as a teaching springboard to bring to our communities as to how to be prepared and how to improve efficiency in these events.The fellowship will be exhibiting at the APHA Annual Meeting in Boston in November. There is an opportunity to learn about this organization at the meeting and see the implications for interaction of the two organizations to enhance preparation for natural disasters or participation in the management of mass casualty events. If you would like more information about the fellowship or the Emergency Volunteer Program or the Emergency Medicine and Disaster Management Course, please e-mail firstname.lastname@example.org or visit the American Physicians Fellowship for Medicine in Israel booth at the APHA Annual Meeting, Nov. 4 – 7, 2006.
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Action Board Legislative Update
A bill in Congress (S. 440/H.R. 699) would improve access to foot health care for Medicaid beneficiaries by ensuring that all states cover services provided by podiatric physicians. Millions of Americans suffer from foot health care problems annually, and people with diabetes are susceptible to devastating amputations due to foot ulcers that go untreated. More education about preventive services provided by foot and ankle specialists can prevent foot amputations, and more access to foot and ankle specialists can keep Americans walking and active in life.
This bill, which would modify the definition of "physician" in Medicaid to more closely match the definition used in most other federal health programs, would give a Medicaid beneficiary the option to see a podiatric physician for foot care services, if necessary and desired. Check with the American Podiatric Medical Association to learn whether your senators or representative have cosponsored the legislation and, if not, please ask your elected officials to join more than 200 of their colleagues in support of S. 440 and H.R. 699.
Now is also the time to urge Congress to restore funding for health professions training in Title VII of the Public Health Act. The program, run by the Health Resources and Services Administration, was the only federal source of assistance for interdisciplinary podiatric medical residency training. The funding supported nationally recognized care and training for foot and ankle care, until Congress cut support for health professional training last year. The Senate has agreed to restore $7 billion in funding for various health and education programs by HRSA, while the House has agreed to at least $4 billion. Please ask your senators to make sure that money, which would return federal funding to 2005 levels (before the cuts in 2006), will be available, and ask your representative to push for full restoration of the federal support of these vital programs.
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PHILIP H. DEMP, DPM, MA, MS, PhD, adjunct clinical professor,Temple University School of Podiatric Medicine and adjunct professor, Temple University Department of Mathematics, wishes to report that the research project entitled," Developmentof a Geometric Forefoot Model: A Tool for Clinical Decision Making"has been officially funded by the NIH ($100,000) effective Sept. 5, 2006.
This will be a collaborative study by the Gait Study Center of Temple University School of Podiatric Medicineand the Motion Analysis Laboratory of the Hospital for Special Surgery, New York City.
Dr. Demp's contribution will be a proposed geometrically based forefoot modelbased on his pilot study,"Morphometric Evolution of theMetatarsal Length Pattern: Biomechanical Implications." Dr. Demp will also be involved in constructing the geometric models, interpretingfinal results and co-authoring manuscripts. It is the ultimate objective of this research team to develop a mathematical model of the foot structure that is sensitive to aberrant function and can be used to plan more effective conservative and surgical treatments.
James J DiResta, DPM, MPH alerts us to the publication of his paper based on his poster presentation sponsored through the Podiatric Health Section at the 2004 APHA Annual Meeting in Washington, D.C. in the Spring 2006 issue of The Diabetic Foot. His poster presentation was entitled: ABI screening: improving the recognition and treatment of peripheral arterial disease, an independent risk factor for cardiovascular events. A PDF copy of this article may be obtained by contacting the Section newsletter editor at email@example.com.
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NYCPM’s DPM-MPH Program
The New York College of Podiatric Medicine has entered into an agreement with Brooklyn College, one of the 11 senior colleges of the City University of New York. This new cooperative program will enable NYCPM students to earn a Master of Public Health (MPH) degree while pursuing their DPM degree.
The 46-credit Brooklyn College program offers evening courses during two semesters and the summer. NYCPM students who participate in the program will have a choice of concentrations – community health, health care management, or health care policy and administration. Eight require core courses in public health, environmental health, epidemiology, health policy and management, biostatistics, social and behavioral sciences, field experience, and research methods are supplemented by a number of elective courses.
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Heading off DPN
Long-term aerobic exercise can prevent the onset or course of diabetic peripheral neuropathy, according to researchers publishing their findings recently in the Journal of Diabetes Complications.
A group of investigators studied the effect of long-term exercise training on 78 participants with type 1 or 2 diabetes. Thirty-one participants were randomized to engage in a supervised program of brisk walking on a treadmill for at least four hours per week. The remainder stuck with their usual habits. Participants were followed up for four years, during which members of both groups were evaluated for diabetic peripheral neuropathy. A significantly greater proportion of the non-exercising control participants developed the condition during the study period.
Here is another substantiated reason for podiatry to be prescribing aerobic exercise to our patients. Behavior modification requires repeated messages to our patients, so remember at each visit to ask your patients how their exercise regimen is being adhered to. It’s not any different than asking about their medication compliance.
Balducci S, Iacobellis G, Parisi L, Et al.:Exercise Training can modify the natural history of diabetic peripheral neuropathy. J Diabetes Complication 20:216-223, 2006.
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Richard H. Baerg, DPM, MPH
APHA /APMA Life member, Dr. Richard H. Baerg, of Las Vegas, died at home on June 18, 2006. He was 69 years old.
Dr. Baerg graduated from California College of Podiatric Medicine as Valedictorian in 1968. He served an internship at Highland Alameda County Hospital in Oakland, Calif., and a surgical residency at California Podiatry Hospital in San Francisco. He was awarded a Mead Johnson Fellowship to attend University of California, Berkeley, where he earned a Masters in Public Health in 1971. He was board certified by ABPS, ABPOPPM, and ABPPH, and had a special interest in public health. He contributed a chapter for the second edition of the textbook, "Public Health and Podiatric Medicine" by Art Helfand, DPM, which will be published later this year.
Dr. Baerg was dean and acting Ppesident of the New York College of Podiatric Medicine from 1971-1974, academic dean of CCPM, 1974-1976, director of Southern California Podiatric Medical Center, 1976-1978, president of Illinois College of Podiatric Medicine, 1978-1979, and director of podiatry services for the Department of Veteran’s Affairs, Central Office, 1979-1986. He was Chief of Podiatry at Loma Linda VA from 1984-1989, and he enjoyed private practices in Beverly Hills, Calif., and Chapel Hill, N.C. He contributed over 30 journal articles, and several textbook chapters. He retired in 2002 to Las Vegas to care for his 92-year old mother.
Dr. Baerg is survived by his mother, Ruth E. Baerg, his children, Carol E. Janssen, William R. Baerg, Michael D. Baerg, five grandchildren, and two brothers, Dr. David C. Baerg, and John E. Baerg, of Las Vegas.
Donations in his memory may be made to the APMA Educational Foundation, 9312 Old Georgetown Rd., Bethesda, MD 20814, or Summit Ministries, P.O. Box 207, Manitou Springs, Colorado, 80829.
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Health Literacy Resource
We are pleased to present you with an exciting new resource for public health professionals: The Quick Guide to Health Literacy. The Quick Guide is produced by the U.S. Office of Disease Prevention and Health Promotion and is written for health professionals at the national, state, and local levels. It contains:
§ A basic overview of key health literacy concepts.
§ Techniques for improving health literacy through communication, navigation, knowledge-building, and advocacy.
§ Examples of health literacy best practice.s
§ Suggestions for addressing health literacy in your organization.
If you are new to health literacy, the Quick Guide will give you the information you need to become an effective advocate for improved health literacy. If you are already familiar with the topic, you will find user-friendly, action-oriented materials that can be easily referenced, reproduced, and shared with colleagues.
The Quick Guide to Health Literacy and other tools for improving health literacy can be found at http://www.health.gov/communication/literacy If you would like to request a hard copy of this resource, or if you have any questions, please contact Stacy Robison at (240) 453-8271.
Health Literacy Fellow
Office of Disease Prevention and Health Promotion
Department of Health and Human Services
1101 Wootton Parkway, Suite LL100
Rockville, MD 20852
Phone: (240) 453-8271
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Volunteer Resource Web Site
Volunteers looking for opportunities in the health care filed now have a new resource. HealthCare Volunteer is a free, Web-based service that connects anyone interested in offering their time for health-related work to an appropriate volunteer opportunity. The service, created by a medical and dental student, is aimed at mobilizing volunteers to work on health care access issues in locations around the world. Since its debut in January 2006, the site has welcomed tens of thousands of visitors.
The Web site connects those both with and without health care training. In addition, organizations in need of volunteers can list their opportunities on the site for free. For more information http://www.healthcarevolunteer.org
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DPM’s With MPH or Equivalent Degrees
University of Texas Hlth. Sci. Ctr., 1979 (MPH)
Richard H. Baerg, DPM, MPH, MS (deceased)
University of California at Berkeley, 1971 (MPH)
Barry S. Collet, DPM, MPH
Harvard University, 1979 (MPH)
Carla Emery Culberson, DPM, MPH
Emory University, Rollins Sch of Public Hlth.,
Atlanta, GA 2004
Philip H. Demp, DPM, MS, PhD
Polytechnic University, Brooklyn, 1979 (MS)
James J. DiResta, DPM, MPH
Dartmouth Medical School. 2004 (MPH)
Robert Eckles, DPM, MPH
New York, N.Y.
University of Pittsburgh, 1977 (MPH)
Lloyd Eisenberg, DPM, MPH
Chevy Chase, Md.
GWU School of Public Health, 1994 (MPH)
Allan Evangelista, DPM, MPH
Loma Linda University, 1998 (MPH)
Richard B. Feldman, DPM, MHSA
West Haven, Conn.
University of Michigan Sch. Of Pub. Hlth., 1976 (MHSA
Johnnie B. Felkins, DPM, MPH
University of Illinois Sch. Of Pub. Hlth., 1978 (MPH)
William. D. Fishco, DPM, MS
Long Island University, 1995 (MS)
Robert G. Frykberg, DPM, MPH
Harvard School of Public Health, 1994 (MPH)
Gerald A. Gorecki, DPM, MPH
West Haven, Conn.
University of Pittsburgh, 1972 (MPH)
Drew A. Harris, DPM, MPH
New Brunswick, N.J.
Univ. of Medicine & Dentistry NJ, 1999 (MPH)
Elizabeth S. Hawkins, DPM, MPH
Baton Rouge, La.
University of Tennessee at Knoxville, 1976 (MPH)
Richard O. Jones, DPM, MPH
University of Washington, 1990 (MPH)
Lawrence Lavery, DPM, MPH
University of Texas Hlth. Sci. Center, 1992 (MPH)
Leonard A. Levy, DPM, MPH
Ft. Lauderdale, Fla.
Columbia University Sch. Of Public Health, 1967 (MPH)
Loretta Logan, DPM, MPH
Hunter College School of Hlth. Sciences, 1995 (MPH)
Victor S. Marks, DPM, MPH
White Plains, N.Y.
New York Medical College, 1998 (MPH)
Richard B. Patterson, DPM, MSPH
University of Missouri at Columbia, 1980 (MSPH)
Ivar E. Roth, DPM, MPH
Newport Beach, Calif.
Univ. of Illinois Medical Center Sch. of Pub Hlth (1978)
Mark Rothstein, DPM, MPH
Univ. of Illinois Medical Center Sch of Pub Hlth (1983)
Marco A. Rubio-Ardila, DPM, MPH
University of Hawaii Sch of Public Health
Lily Shimahara, DPM, MPH
University of California at LA, MSHS (2005)
University of California at LA, MPH (2006)
Nicholas Sol, DPM. MBA
Colorado Springs, Colo.
University of Colorado-Denver, 2004 (MBA)
Scott M. Solier, DPM, MSPH
Salt Lake City
University of Utah, 1981 (MSPH)
Patris Toney, DPM, MPH
Des Moines, Iowa
Des Moines University, 2004 (MPH)
Russell Trahan, DPM, MPH
New York, N.Y.
Columbia University Mailman Sch. of Public Health, 1996
John V. Tran, DPM, MPH
New York Medical College, 2002 (MPH)
Jacqueline Truong, DPM MPH
Columbia University School of Public Health, 2002 (MPH)
Resident, Cambridge Health Alliance, 2006
Nsima Usen, DPM, MPH
Dearborn Heights, Mich.
Temple University, 2002 (MPH)
Marvin Waldman, DPM, MPH, MS
University of Illinois Sch. of Pub. Hlth, 1981 (MPH)
University of Michigan Sch of Pub. Hlth., 1986 (MS)
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Podiatric Health Newsletter Archives