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User Name: Your Member ID

Password: Your Member ID + firstinitial + last initial (both lower case)

Once you log in to the website, youcan change your username and/orpassword to something more memorable, but it must contain:

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Please note, this is not the login toaccess JFAS directly through the Elsevier website. In order to accessthe Journal, using your ACFASlogin credentials, please log in toacfas.org/jfas and click on the linkat the bottom right “read currentand past issues online.” Once on theJFAS website, you are not requiredto log in again.

If you have any questions about thischange, please don’t hesitate to contactthe College at 773-693-9300, or viaemail at [email protected].

VOLUME 19 ISSUE 4

ACFAS

page 2

NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

page 5 page 12

Rural Practice OffersUnique Challengesand Satisfaction

Member Online LoginDetails ChangingTo serve you better, ACFAS recently upgraded its member/customer databaseand the acfas.org website security. This increase in security requires membersto use a new username and password when logging into acfas.org and iscurrently in effect.

ACFAS SurveyLet Your Voice be Heard!

ASC 2013: A Red-LetterEvent

Do you remember being a medical student?I recall during my first couple of years at thePennsylvania College of Podiatric Medicine, Iwas constantly studying to get through classesand make the grade. I didn’t think much beyond my next exam and I certainly didn’tunderstand the intricacies involved with getting a residency. As my eyes were openedto the many different aspects of our profession,my interest in foot and ankle surgery grew,and my goal was to obtain a podiatric surgicalresidency, which at that time were limited. Fortunately, I had some great mentors in thoseearly years to guide me and keep me focusedthrough the arduous residency process and Iwas able to achieve my goal. Without thesegreat role models however, the result may havebeen quite different.

During my four years of residency at the University of Pennsylvania Health Systems/Presbyterian Medical Center I obtained awell-rounded medical education and wasable to perfect my surgical skills. But, did it prepare me for life beyond residency? Although my residency provided top-notcheducation and training, it was not all encom-passing, and my mentors became vital onceagain as I planned my future.

In the infamous words of Dr. Seuss, “It’s notabout what it is but what it can become.”Today’s students and residents are tomor-row’s surgeons and leaders. Students andresidents need role models beyond the

classrooms, clinics, and ORs to assist in theirlife training. Mentorship is vital to our youngmembers and our profession as a whole.

ACFAS realizes the importance of our youngmembers and is actively involved with mentor-ship. Each member on the Board of Directorsis a liaison to one of the podiatric medicalschools. The directors visit the schools andspend personal time with the students providing academic lectures, clinical advice,and guidance on life beyond school. Our Divisions are also focused on student andresident education and mentorship providinglectures, hands-on workshops, and sage advice throughout the year.

The College fosters academic developmentamong our young members and understandstheir financial constraints. We provide mone-tary support to our student surgical clubs andgive scholarships to our Annual ScientificConference. At our conference, young mem-bers experience educational sessions devotedspecifically for them, participate in round tablediscussions and have many opportunities to network and interact socially among ourprofession’s educators and leaders. We alsounderstand the challenges our young mem-bers face and ACFAS actively supports resi-dency development and provides financialsupport for the national residency facilitator.

I’m proud to say ACFAS has become home tomany students and residents during these early,formative years and our young membership

continues to increase. I’m currently the liaisonto the Temple University School of PodiatricMedicine and I can honestly say that being amentor has been some of my most gratifyingwork. If you are currently not a mentor, it’s timefor you to become involved. Do for them whatothers have done for you. Don’t underestimatethe influence you can have over our youngmembers. Here’s a quote from a student atTUSPM that demonstrates the importance ofACFAS mentorship.

“ACFAS has always been a positive andtremendously influential experience for me.It has shown me what possibilities existwithin the realm of foot and ankle surgery,connecting me with people committed to advancing the profession in countless waysand whose doors are always open to students.Without a doubt, I owe much of where I amtoday and what I intend to do with my careerto the College.” — Jeremy Walters

In his novel “Cutting for Stone,” Dr. AbrahamVerghese states home is not where you arefrom, but where you are wanted. To all stu-dents and residents striving for excellence infoot and ankle surgery, I say welcome home.You are wanted by ACFAS. We realize that youare tomorrow’s future leaders and surgeonsand we are ready to guide you. Come join ourhome of proven leaders and lifelong learners.

Michelle L. Butterworth, DPM, FACFASACFAS President

perspective

01 | volume 19 issue 4 | update: news from the american college of foot and ankle surgeons | www.acfas.org

MENTORSHIP: A YOUNG MEMBER PERSPECTIVE

Questions for Dr. Butterworth? Write her at [email protected].

June 1–2, 2012

PracticeManagement/Coding WorkshopPortland, OR

June 15–16, 2012

Foot and AnkleArthroscopyRosemont, IL

August 11–12, 2012


September 14-15, 2012

Advances inForefoot SurgeryWorkshopand Seminar Denver, CO

September 21-22, 2012

Advances inForefoot SurgeryWorkshopand Seminar Louisville, KY

October 5-6, 2012

Advances inForefoot SurgeryWorkshopand Seminar Detroit, MI

October 12–13, 2012

PracticeManagement/Coding WorkshopArlington, VA

October 19-20, 2012

Advances inForefoot SurgeryWorkshopand Seminar Charlotte, NC

October 26-28, 2012

Diabetic Foot &Ankle SurgicalSymposium (andOptional Skills Wet Lab)Coconut Grove, FL (20minutes from Miami)

November 2, 2012

Surgical Solutionsfor Complications of the Forefoot Jersey City, NJ

November 3, 2012

Surgical Solutionsfor Complications of the Rearfoot and AnkleJersey City, NJ

November 10–11, 2012

Trauma of the Foot & AnkleRosemont, IL

December 15–16, 2012


Online access to your CME documentsas well as handouts from the 2012ACFAS Scientific Conference couldn’t beeasier—but act now before your time runsout! The deadline is June 1 for download-ing your Certificate of Completion, a complete report of your ACFAS 2012 attendance, and any session handoutsand PowerPoint presentations that youmay have missed, so don’t delay. Thelink to accessing these materials isacfas.org/sanantonio.

A big advantage of the College’s onlineCME records is round-the-clock access toyour CME docu-ments. Once you’vedownloaded and con-

firmed the accuracy ofyour records, that information will remain on the ACFAS website perma-nently. Available records extend as farback as 2008.

Carrying the theme of Open Minds, Debate, Possibilities, ACFAS 2013 willbe the profession’s go-to venue for enlightening scientific sessions, inten-sive workshops, illuminating posters, unmatched networking, a multitude ofexhibits, and more.

Be sure to also plan on attending thespecial preconference programs.Starting a day early—on Sunday, Feb-ruary 10—these in-depth sessionswill spotlight the College’s popularPerfecting Your Practice practicemanagement/ coding workshop,

plus other clinical workshops that areprocedurally focused.

And note that 2013 ushers in a schedul-ing change: for the first time ever, theconference will begin at the start of theweek. Be sure to keep the dates open forACFAS 2013—then stay tuned for excitingdetails to come!

volume 19 issue 4 | update: news from the american college of foot and ankle surgeons | www.acfas.org | 02

education

*To be waitlisted,please contactMaggie Hjelm,[email protected].

2012 EDUCATIONPROGRAMS

Last Chance to DownloadASC 2012 CME Materials

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acfas.org/education

ASC 2013: A Red-Letter Event

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SCIENTIFIC CONFERENCE

MINDS. DEBATE. POSSIBILITIES.

Mark your calendar for next year’s not-to-be-missed event: the 2013 ACFASAnnual Scientific Conference, slated for February 11-14 in lively Las Vegas.

With an increasing number of podiatristsgaining hospital privileges nationally, theissue of board certification arose and affectedthe profession the entire decade. Aware thatthe American Academy of Orthopaedic Surgeons (AAOS) had formed a committee to study podiatry for the purposes of limitingpodiatrists’ access to hospitals, the AmericanPodiatry Association House of Delegates resolved to institute a certification process in1960. This began a 15 year effort to create anacceptable certifying board in foot surgery.Since there was a need to qualify podiatristsfor hospital staff privileges, and avoid regula-tion by the medical profession, the ACFS wasdirected to establish this certifying board.

Months later, the AAOS received the reportfrom the Committee to Study the Practice ofPodiatry. In the report, Committee ChairmanDr. Francis West wrote about the contribu-tions of ACFS members: “The organizationof the American Podiatry Association (APA) is no longer being led by the “old line”, outpatient medical chiropodists whose activities were confined to what they call,“C-N-C” or corns, nails, and calluses. This organization is being directed by FACFS’(Fellows of the American College of Foot Surgeons), and while these members are nowsmall in number, they are setting the policiesand have the support of the practicing podia-trists. Every day, through their constant efforts,their position becomes stronger and their objectives less likely to be diverted.”

The AMA, in 1961, acting on the resolutionproposed by the AAOS, agreed that podia-trists’ access to hospital privileges should belimited without board certification. Thesame year, the APA passed Resolution 33,dealing with the requirements for nationalcertifying boards for special areas of podia-try practice. ACFS President Louis Newmanappointed nine doctors to form the initialAmerican Board of Podiatric Surgery(ABPS). The Board was chartered in 1963and approved by the Council of Podiatry Education (CPE) in 1965. Unfortunately, thisgroup never became functional, was disbanded, and eventually was replaced bythe National Board of Podiatric Surgery.This board obtained recognition from theCPE in 1975 and later changed its name toABPS and administered in the same officesas ACFS was in San Francisco until 1990.

The growth of the ACFS in the 1960s wasled by 10 presidents: Drs. William Edwards,Louis Newman, Lyle McCain, Robert Brennan, Ralph Fowler, John Collet, JamesMeade, Robert Rutherford, Samuel Abdoo,and Oscar Scheimer. In 1965, Dr. Earl Kaplanwas elected Executive Secretary of theACFS, succeeding Dr. Jack Kohl, and servedin that position until 1979. The past positionof Executive Secretary is equivalent to thecurrent role of the Executive Director, butthe Executive Secretary post was a part-timeposition held by a DPM.

The annual scientific meetings were held outside of the country many times during the1960s. The first international meeting, underthe leadership of new ACFS President, Dr. Kaplan, was planned for Havana, Cuba. Unfor-tunately, political upheaval of the time causedthe meeting site to be changed to MexicoCity. The College returned to Mexico in 1966with members of the Orthopaedic Society ofMexico in attendance. The first trans-Atlanticmeeting of the ACFS took place in 1968 inMadrid, Spain. This successful meeting waschaired by Dr. Kaplan and included Spanishorthopaedists and general surgeons.

Post-graduate education was a growing element in the profession. Dr. Kaplan had recently established the first residency pro-gram in foot surgery in Detroit, Michigan,at Civic Hospital. In 1960, Drs. DaltonMcGlamry and Joel Hill attended the first international ACFS scientific meeting inMexico City. Both enjoyed an intense interestin furthering foot surgery in the Atlanta area.Doctors Hospital in Tucker, Georgia, wouldbecome a renowned three-year residencytraining program. Also in 1960, the CaliforniaPodiatry Hospital was dedicated in San Francisco, providing another excellent facilityfor training in foot surgery.

In the beginning of the decade, ACFS President Edwards appointed Dr. RalphOwens and Dr. Ned Pickett as co-chairmen ofa publications committee. They initiated asemi-annual bulletin, (continued on page 8)


Jerome S. Noll, DPM, FACFAS

Part IV in the Exploration of the College’s First 70 Years During 2012

Give your patients the surgical information they need by supplementing your consultationswith the latest patient education handouts from your trusted source, American College of Footand Ankle Surgeons.

The College's latest peer-developed patient educational CD provides clear, concise handouts thatwalk patients through the before, during and after phases of numerous surgical procedures.

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practice management


Rural Practice Offers UniqueChallenges and Satisfaction Practicing in a rural environment has its dis-tinct rewards and limitations. For starters, justfrom a lifestyle perspective, rural practitionersrightfully extol the virtues of nonexistent roadrage—but they also might have to drive twohours simply to indulge a yen for sushi.

Robert Miller, DPM, FACFAS, knows muchabout the ups and downs of rural practice,and his background gives him the insight tocompare rural and urban settings. Fifteenyears ago, after completing his residency inbustling Philadelphia, Miller joined a smallpractice (with two DPMs) in Prestonsburg,Kentucky, a small town in the heart of Appalachia with a population of less than4,000. Miller’s practice serves an area span-ning about four counties, and many of hispatients may drive an hour to see him.

The Upsides: Filling a Niche, and MoreBeing a foot and ankle surgeon proficient inmultiple procedures is clearly a huge advan-tage in a rural setting. In fact, a major drawfor Miller when he interviewed for the practice years ago was the ability to fill a gap and provide much-needed additionalservices—something that yielded both professional satisfaction and businessgrowth benefits.

“At that time, the practice was performingonly forefoot surgery and had to refer

patients to larger cities for other procedures,”says Miller. “My training allowed us to expand our surgical services so that we couldkeep patients rather than send them out.”

The fact that the nearest podiatric surgicalpractices are about 60 miles north and 110miles east of Miller’s community offers another advantage of rural practice. “We don’thave to worry about competing with otherDPMs down the street for the same pool of patients,” he says. On the other, he notes thereare times when he wishes he could confer withanother surgeon about a perplexing case.

A peaceful, slower-paced environment is alsoappealing to many in rural practice. Indeed,rural settings excel in offering less traffic, lessstress, less pollution. Miller greatly appreci-ates his easy morning commute. It takes himjust 15 minutes to get to his practice, and hecan walk from his office to the hospital in lessthan 5 minutes. And being an outdoor enthu-siast, Miller also relishes the ability to runand ride his bike throughout a quiet setting.In short, he’s happily dialed down the stressmeter since his days in Philadelphia, and he’sgot balance in his life.

Limitations That Require AdjustmentsAs for the downsides of rural practice, Millerhas a good handle on what they are and offers insights on how to manage them. One


drawback is the lack of hospital funding thatrestricts the availability of the latest in tech-nology. Planning for this lack of resources isessential, says Miller. “For example, we knowthat if we’re going to require a possible bonegraft or bone substitute for large joint fusion,we have to order the graft material in advancebecause it isn’t kept in stock.”

Lack of access to advanced products maymean having to settle for using something thatworked 20 years ago but has now been replaced by improved options. “This can bechallenging and disappointing,” says Miller.“After reading in journals about remarkabletechniques that utilize great new internal fixation devices, as well as newer bone and tissue biologics, it’s frustrating to not have

access to them.” On the other hand, this forcesthe DPM to be resourceful and creative, andthat can provide a feeling of satisfaction thatcomes from a sense of self-sufficiency.

Another drawback noted by Miller: He’s always on call. Without a large cadre of otherfoot and ankle surgeons available, Miller andhis partner are the only ones who get thatphone call in the middle of the night.

Advice for Ensuring Success In general, Miller advises DPMs who enterrural practice to do so with an open mindand a willingness to be accepting. “The culture of a rural area has been instilled intothe population for many years, and surgeonscoming from a big city could be in for theshock of their life—and vice versa.”

It’s also important to be cognizant of thelocal medical mindset. “Many physicians inrural settings are conservative in their approach,” he says. “They would probablynot respect a doctor who opts for surgeryafter seeing a patient only once.”

As another piece of advice, Miller urgesDPMs to make sure they have spousal approval to move to a rural setting. “That’sabsolutely essential,” he says. Having a realistic grasp of what to expect—from theappealing aspects to the less desirable—isthe name of the game when considering arural practice.

“The culture of a rural area has been instilled into the population for many years, and surgeons coming from a big city could be in for the shock of their life—and vice versa.” — Robert Miller, DPM, FACFAS

When it comes tophysician employmentarrangements, the best advice you’ll ever hear is this:Know what you’re getting into!

Now more than ever—with physiciansjoining hospitals, ACOs, large practices, andmultipractice groups—DPMs must be savvyin deciphering these agreements. Get the insight you need by attending the “ContractConsternation” session, to be held at theACFAS Practice Management/CodingWorkshops offered through our 2012 Perfecting Your Practice series.

The eye-opening contracts seminar will pinpoint precisely what you need to knowbefore signing on the dotted line. Attendeeswill learn the anatomy of a contract from thesurgeon’s perspective, and will take homeACFAS’ unique new tool—a comprehensiveresource of annotated new model contracts

preparedspecifically for

DPMs by a healthcare attorney.

This informative tool walks surgeonsthrough sample contracts, flagging areas requiring special attention. “It highlightsand explains potential concerns for DPMsregarding various contract provisions,” saysStacy Cook, JD, LLM in Health Law, ofBarnes & Thornburg LLP. As the College’spractice legal specialist, Cook developedthis tool and will present at the seminar.

“If any of these concerns go unaddressedthey could later become great sources of regret,” warns Cook, who has counseled manydistraught clients after they unwittingly

signed“one-sided”

contracts. This sem-inar makes sure that DPMs

avoid that distressing scenario.

Other highlights of “Contract Consternation”include tips for finding the right attorney.Cook will show attendees how to interviewattorneys to determine their approach(something she says is critical) and how tomanage and limit attorney’s fees.

“Contract Consternation” is one of numerousofferings scheduled for the Practice Man-agement/Coding Workshops on June 1–2,2012 in Portland, Oregon, and October 1213,2012, in Arlington, Virginia. All registrantsof these workshops, including those who donot attend the contracts session, will receivethe ACFAS contracts tool free-of-charge. Toregister and obtain more details, visitacfas.org/pmm/seminar.

07 | volume 19 issue 4 | update: news from the american college of foot and ankle surgeon | www.acfas.org

practice management

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(continued from page 3) a predecessor to theCollege's Journal of Foot & Ankle Surgery. By 1963, College president, Dr. Lyle McCaininsisted the College move forward withtransforming the ACFS surgical bulletininto a scientific journal and the quarterlyACFS Journal began publication the follow-ing year. Dr. Ralph Owens was the editor, assisted by Drs. Howard Johnson, Don

Schubert, and Don Nott. In the followingyears, Drs. Schubert, Irvin Knight, andRichard Lanham, Jr., each served as editor.

The College’s fellowship examinationprocess saw significant changes in the 1960s.From grueling oral examinations conductedfar into the night at the national associationmeeting, the testing was moved to the ACFSwinter meeting, and eventually to a separate

two-day gathering in Chicago. An Examina-tions Committee was appointed that did notinclude board members. The first such committee was composed of Drs. SeymourFrank, William Lowe, Howard Reinherz, andRobert Weinstock. A candidate study guidefor the exam was proposed and planningthis compendium led the College to createa foot surgery textbook instead.

In this era of evidence-based medicine, research is paramount to advancing the science of foot and ankle surgery. That’s whythe College is pleased to provide financialsupport for research, and is now acceptingapplications for the 2012 ACFAS Clinicaland Scientific Research Grant.

“The grant empowers members to engagein the process of evidence-based medicinethrough research—a critical ingredient of innovation and advancement in foot andankle surgery,” says Robert Joseph, DPM,PhD, FACFAS, chair of the ACFAS Research/EBM Committee.

Applications for the grant will be accepteduntil September 1, 2012. The grant isawarded to ACFAS members investigatingtopics involving foot and ankle surgery. Theresearch must be clinical or laboratory-based, with clearly defined goals that meetall the criteria for grant submission.

Up to $20,000 will be granted, providing resources for studies that might otherwisenot have funding. Says Joseph: “The grantis an excellent way to support our membersand help sustain our position as leaders infoot and ankle surgery.”

Without a doubt, the benefits of research arefar-reaching. “Sound research provides an element of clarity and objectivity to physi-cians and patients alike that what we do assurgeons can yield a desirable and predictable result,” says Joseph. In addition,the grantee’s paper will be published in theJournal of Foot & Ankle Surgery.

For information on the criteria and other details regarding the grant application, visitacfas.org/grant.

Apply for the ACFAS Research Grant—and Help Us Move Forward

“The grant empowers members to engage in the process of evidence-based medicine through research—a critical ingredient of innovation and advancement in foot and ankle surgery.”— Robert Joseph, DPM, PhD, FACFAS


research

Be part of an important membership survey on a hot topic: the use of chemicalDVT prophylaxis following foot and anklesurgery. If you’re a licensed DPM, the College urges you to take a brief onlinesurvey regarding your experience withpostoperative DVT and whether—andhow—you prescribe agents to prevent DVT.

“There’s a great deal of debate today onthe role of chemical DVT prophylaxis infoot and ankle surgery, and if the Collegeis to continue being at the vanguard of our profession, a critical step will becharacterizing the impact of our practicebehaviors on health,” reports RobertJoseph, DPM, PhD, FACFAS, chair of theACFAS Research/EBM Committee.

While some paradigms exist for chemicalDVT prophylaxis following knee and hipreplacement, its use after foot and anklesurgery has not been well defined. “Thissurvey enables the College to appreciatethe practices of its members, which is essential for developing future bestpractices,” Joseph says.

Launched at the 2012 ACFAS Annual Scientific Conference, where it harnessed thelatest in technology via a smart phone app,the survey is now conveniently accessed onthe College’s home page. Your input is important—and it takes just moments to complete the simple 15 question survey—so please participate today at www.surveymonkey.com/s/ACFASDVTsurvey.

research


“There’s a great deal of debate today on the roleof chemical DVT prophylaxis in foot and anklesurgery, and if the College is to continue beingat the vanguard of our profession, a critical stepwill be characterizing the impact of our practicebehaviors on health.”— Robert Joseph, DPM, PhD, FACFAS

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Congratulations to one of our student clubs—the ACFAS Student Club at Temple University School of Podiatric Medicine—forwinning the TUSPM student body’s choicefor the 2012 Club of the Year Award. Theaward, given to a student organization foroutstanding dedication, commitment, andsupport to students, singles out the ACFASStudent Club from more than 15 other student organizations at the university.

“It’s an honor to be recognized in this way, especially given the number of other studentclubs on campus,” says Laura Sansosti, president of the club. “Our objective is to do as much as we can to augment classroomeducation, and this award confirms that we’reon the right track.”

The club, which started in the ‘80s, has along history of active involvement. Last yearalone, the club hosted numerous lectures,surgical case presentations, and hands-onworkshops. That flurry of programs is continuing this year, clinically supplementingwhat first- and second-year students learn in the classroom and preparing third-yearstudents for their externships.

“We want to give members as much expo-sure as possible so they’re prepared to go toclinic and start their rotations at differentresidencies,” says Sansosti. “We try to givethem extra hands-on experience to enrich,expand, and reinforce their learning.”

ACFAS students clubs, established at eachof the nine podiatric medical schools in theU.S., offer several advantages to members.Among these are access to scholarships,

funds, and support, plus many free e-bene-fits such as online access to JFAS, the weekly e-newsletter, member pricing on various offerings, and Members Only information on acfas.org.

news from the college

ACFAS Student Club GetsCampus-Wide Recognition


“Our objective is to do as much as we can to augment classroom education, and this award confirms that we’re on the right track.” — Laura Sansosti, President, ACFAS Student Club at Temple University School of Podiatric Medicine

In MemoryJohn T. Cloninger, DPM, FACFAS, Utah

John Pagliano, DPM, FACFAS, California

Lawrence M. Mandel, DPM, FACFAS, Kansas

Left to Right: Shivani Chandhok (VP) Sarika Parikh (Secretary) Elliot Busch (Treasurer) Laura Sansosti (President) Dr. Jason A. Piraino, DPM FACFAS (Faculty Advisor) and Brett Williams (President Elect).

Ever wonder how your practice benchmarksto other members’ practices? What thingswould you like to see the College do, or notdo, to help the profession and members? Letyour voice be heard on these importantquestions and many more in ACFAS’ trien-nial Practice Census and Member Opinionsurveys, which will be conducted onlinefrom mid-May through mid-June. EveryACFAS member will receive one of the twoonline surveys via random sample. You willalso be notified of the survey by fax.

Examples of the Practice Census queriesinclude:

�The percentage of your patients by etiology

�Hospital privileging and affiliations�Whether you have or may be joining a group practice

�Reimbursement and insurance problems�Where patient referrals come from

Examples of the Member Opinion survey queries are:

� “What’s in it for you?” (why you joinedthe College),

�What do you value the most … and theleast?

�How do you prefer to learn? face to face,via print, or online? and

�How would you reallocate the College’sbudget to better meet your needs?

You will receive the survey via e-mail in the next few days. Watch your inbox (or spam file) for an email from "MichelleButterworth, DPM” or "ACFAS President."The link will take you to a confidential survey website. Your responses will beanonymous and only reported in the aggre-gate by a third-party survey consultant.

Results will be posted on acfas.org in August so you can benchmark your practiceor opinions with other ACFAS members.

Need an incentive to participate?Five lucky respondents will receive thenew iPad or your registration fee forACFAS 2013 in Las Vegas. Just completeyour randomly-assigned survey by thedeadline to be entered into the drawing.

Watch for an e-mail or fax from ACFAS soon!

news from the college


ACFAS SurveyLet YourVoice beHeard!

To show support for the Federal Trade Commission’s recent efforts to promotecompetition, access and choice in health-care, ACFAS wrote the agency backing theirrecent actions to encourage competition inthe healthcare market.

The FTC had recently commented on pro-posed legislation in some states that would severely limit non-MD health professions frompracticing to the full extent of their education,

training, licensure and board certification. Inresponse, the FTC received some pushbackfrom Capitol Hill citing “states’ rights.”

ACFAS, the Coalition for Patient Rights, andother healthcare professions have followedwith letters encouraging the FTC to continuetheir work in this area.

ACFAS President Michelle Butterworth,DPM, FACFAS, wrote, “The FTC has expressed opinions on pending state legislation… which would affect the practice of our

licensed and highly trained physicians. Butthis is just the tip of the iceberg. ACFAS mem-bers have been the target of anticompetitivebusiness practices in virtually every state overthe past 25 years. Such anticompetitivemeasures limit competition, impair freemarkets for healthcare services, risk addi-tional cost increases to our already costlyhealth system, and fail to improve patientsafety. Restraint of trade and anticompetitive

initiatives promoted through legislation andregulation can also discourage the growingtrend of interprofessional, team-based patient care.”

ACFAS will continue to monitor the FTC’sefforts to review regulations and legislationin support of fair competition among allqualified healthcare professionals.

To read the full ACFAS FTC letter, visitacfas.org/FTC 2012.


“ACFAS members have been the target of anticompetitive business practices in virtually every state over the past 25 years.”— Michelle Butterworth, DPM, FACFAS, ACFAS President

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Pewter LevelDePuy Orthopaedics, Inc.Musculoskeletal Transplant Foundation — MTFOrthoHelix Surgical Designs, Inc.OsteoMed, L.P.

ACFAS.org | JFAS.org | FootHealthFacts.org | 773-693-9300

Biomet Sports MedicineBioPro, Inc.MedtronicMerz PharmaceuticalsNextremity Solutions

Podiatry Foundation of PittsburghSolana Surgical, LLCStrykerSynthes, Inc.

Bronze Level

VOLUME 19 ISSUE 4 | NEWS from the AMERICAN COLLEGE OF FOOT AND ANKLE SURGEONS

©2012 American College of Foot and Ankle Surgeons8725 West Higgins Road, Suite 555Chicago IL 60631-2724. All rights reserved.

in this issue

Get details about these member services at acfas.org/benefitspartners.

Employee Contracts

Apply for ACFASResearch Grant page 9 page 3page 7

Part IV in the Explorationof the College’s First 70Years During 2012

Documents

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