Fall 2011 - Canadian Federation of Podiatric Medicine

The Journal of The Canadian Federation of Podiatric Medicine | Volume 4 Number 2 | fall 2011 

JOURNAL 

RCMP Heritage Museum 

Regina, Saskatchewan 

Highlights of the Forensic Podiatry Seminar 

See page 17

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CFPM CONTACTS 

PRESIDENT 

Dr. Brian Johnson – St. John, NB 

1-888-706-4444 

CEO 

Stephen Hartman – Waterloo, ON 

1-888-706-4444 

BOARD OF DIRECTORS 

Elmer Biscaia – Brampton, ON 

Brian Cragg – Markham, ON 

Julie DeSimone – Sudbury, ON 

Peter Guy – Whitby, ON 

Olga Lalande – Barrie, ON 

Vish Ramcharitar – Brampton, ON 

Kirsten Weller Ainsworth – Timmins, ON 

Sonia Maragoni – Alliston, ON 

Ian McLean – Alliston, ON 

Sally Brodrick – Winnipeg, MB 

Vicki Werkman – Oakville, ON 

Tony Farrugia – Beeton, ON 

COMMITTEES 

Education Committee 

Peter Guy (Co-Chair); Brian Cragg (Co-Chair) 

Research Committee 

Vish Ramcharitar (Chair) 

Assistant Development 

Vicki Werkman (Chair) 

Seal of Approval 

Sonia Maragoni; Ian McLean 

First Nations 

Kirsten Weller Ainsworth (Chair) 

Insurance 

Stephen Hartman (Chair) 

Membership 

Olga Lalande (Chair) 

National Issues 

Brian Johnson (Chair) 

Conference 

Stephen Hartman (Chair) 

International Committee 

TBA 

CFPM journal 

Editor 

Cindy Hartman 1-888-706-4444 

Advertising & Classifieds 

Cindy Hartman 1-888-706-4444 

Published By 

CFPM 

Printed By 

St. Jacobs Printery Ltd. 

CFPM 

200 King St. S., Waterloo, ON N2J 1P9 

1-888-706-4444 Fax: 519-888-9385 

www.podiatryinfocanada.ca 

disclosure 

The Editor and Board of Directors of the 

Canadian Federation of Podiatric Medicine do 

not accept responsibility for opinions expressed 

by contributors to the Journal; and while every 

effort is made to ensure accuracy, they cannot 

accept responsibility for any inaccuracies in the 

information provided. 

© Canadian Federation of Podiatric Medicine, 

Fall 2011 

Publication Number 42242022 

JOURNAL 

fall 2011 | Volume 4 Number 2 

In this issue... 

President’s Message: 

Dr. Brian Johnson ..................................... 4 

Dr. Jack Hutter receives Honorary 

PEIPA Membership ........................... 4 

Darco, World Leader 

in the Manufacturing of 

Postoperative Shoes ............................ 7 

A Simple Comparison of Negative 

Casting Methods and Their Affect on 

the Orthotic Device Produced 

A. Brian Stoodley .................................. 10 

CFPM 12th Annual Clinical 

Conference ........................................ 14 

CFPM Forensic Podiatry 

Seminar Highlights ........................... 17 

Dr. Jack Hutter receives Honorary 

PEIPA Membership 

CFPM Winter Getaway 

Cruise Seminar Highlights ................... 20 

Secrets of Success: “Staff Education 

Leads to Job Satisfaction” 

Lynn Homisak ...................................... 22 

Understanding Your Insurance 

Mark Holman ...................................... 26 

CFPM Attends Canadian Life 

and Health Insurance 

Association Conference .................... 26 

Classifieds .......................................... 33 

Upcoming Conferences ..................... 39 

page 4 

A Simple Comparison of Negative Casting Methods 

page 10 

Highlights of the CFPM Forensic Podiatry Seminar 

in Regina, Saskatchewan 

page 17 

Highlights of the CFPM 

Winter Getaway Cruise Seminar 

page 20 

CFPM Journal | Spring 2011 3

Message from the President... 

Once again this is shaping up to be 

another busy year for the C.F.P.M. 

The Mexican Cruise was a great success due 

mainly to the teaching skills and knowledge 

base of Dr. Jack Hutter, our keynote speaker. 

In August, we had the Forensic Podiatry 

Convention in Saskatchewan. This is a 

rapidly expanding area of podiatry. We held a 

Memorial Service at the R.C.M.P. Heritage Museum for our late 

good friend and Past President, Dr. Brian Brodie. 

The 2011 Clinical Conference and Convention in Toronto in 

October once again promises to be the Premier Podiatric Event 

in Canada! Earlier this year, the C.F.P.M. was represented 

at the Canadian Life and Health Insurance Association 

conference in Huntsville, Ontario. In September, in Gatineau, 

Quebec, we will be represented at the Canadian Health Care 

Antifraud Association Conference with our C.E.O., Stephen 

Hartman delivering an address to the delegates. 

By: Dr. Brian Johnson 

If we are ever to understand each other in this country, 

we need to learn how to communicate. With this in mind, it 

was refreshing to read in the Spring C.P.M.A. Newsletter, 

the new President, Dr. Stern, opening his communication to 

the C.P.M.A. Membership with ‘I’m sure many of you either 

read or heard about a reference’ in their fall 2010 Publication. 

(C.F.P.M.) The fact that the C.P.M.A. Membership is reading 

about or hearing about C.F.P.M. activities and advances is a 

step forward in communication. The fact that the C.P.M.A. has 

added our membership to its newsletter mailing list is another 

great and welcome step forward in communication. 

The C.F.P.M. has always been fully committed to podiatric 

national unity. I would like to congratulate Dr. Stern on his 

appointment and hope both associations can continue to 

communicate and work together towards protection of the 

public and advancement of the profession. 

Prince Edward Island Podiatry Association Inc. 

West Royalty Medical Center 

591 North River Rd. 

Charlottetown PE C1E 1K1 

Phone: 902-569-8637 Fax: 902-569-8635 

JACK HUTTER, D.P.M. 

It is with great pleasure that the Executive of the Association announces the award of an 

Honorary Podiatry Membership of the Prince Edward Island Podiatry Association to Dr. 

Jack Hutter. 

This is in recognition of his past and ongoing contributions to the Canadian Podiatry 

Profession. He is a role model, educator and a great friend and supporter of the Canadian 

Federation of Podiatric Medicine. 

Through his teachings and offerings, he brings to and enriches the Canadian Profession 

with the finer aspects of American Podiatric practice. This is particularly valuable as 

the Canadian Podiatry Profession is presently in the process of expanding its scope and 

standards of practice. 

4 CFPM Journal | Spring 2011

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A Simple Comparison of Negative Casting Methods and 

Their Affect on the Orthotic Device Produced 

A. Brian Stoodley, C. Ped (C), C. Ped Tech (C), Diploma of Orthopaedic Technology 

Clinicians tend to choose negative 

casting technique as per convenience, 

method first taught, what colleagues 

do, time it takes and cost of the casting material 

or the latest thing from our sales rep. Rarely, is 

the difference each negative casting technique 

makes on the positive cast and final orthoses 

considered, the lack of literature available on 

this matter proves this. 

In lab, a subjective and simple experiment 

with the most common casting techniques 

available to clinicians was performed. Three 

negative casts were taken of the same foot in 

subtalar neutral: prone-plaster slipper, supineplaster 

slipper and seated biofoam. The foot 

was landmarked with an indelible pencil at the 

calcaneal bisection, 1st met head & 5th met 

head (plantar and sides) which transferred to 

the negative cast. A plaster mixture was poured 

into the negative cast to create a positive cast. The positive 

cast was simply cleaned, obvious foreign bumps/imperfections 

removed, and the landmarks transferred/reinforced. The positive 

casts were then further landmarked to create consistent points 

to measure from, see pictures below. A modified version of the 

method set out by J. W. Philps in “The Functional Foot Orthosis” 

(Chapter 5, also refer to page 49, fig. 5.18) 

The following table represents the summary of my measurements 

of the positive casts yielded from each of the negative casting 

techniques used: 

Prone 

Plaster 

Slipper 

Supine 

Plaster 

Slipper 

Seated 

Biofoam 

Cast 

Heel Width 

(mm) 

MTPJ Width 

(mm) 

Arch 

Length 

(mm) 

Relative 

Arch Height 

(mm) 

Resting 

Calcaneal 

Bisection 

68.42 97.61 175.0 29.0 3 varus 

72.3 99.10 180.0 31.0 5 varus 

72.68 104.85 188.0 26.0 2 varus 

J. W. Philps (The Functional Foot Orthosis, 2nd Ed. pg. 39) 

describes the modification of a positive cast is a procedure that, 

“involves a harmonious blend of technical skills together with 

certain empathy for the foot and its comfort when wearing the 

orthosis.” Philps goes on to suggest some of the purposes of 

plaster cast modification: 

1. Removes the risk of blisters in the medial longitudinal arch. 

2. Allows for tissue spread around the heels. 

3. Allows for elongation of the weight bearing foot. 

4. To encourage or effect a redirection of forces through the foot. 

One can easily agree with the merits of positive cast modification 

however it is important to address the following observations to 

establish a proper starting point. For obvious reasons, the starting 

point of positive cast modification dictates the final shape of the 

orthoses and has direct influence on patient outcomes. 

Observations: 

1. The prone plaster cast yields the narrowest heel width at 

68.42 mm which is 3.88 mm < the supine plaster cast and 

< 4.26 mm the biofoam cast. 

This measurement is very significant to the width of the heel cup 

on our completed orthoses. 

If the heel cup is too narrow, your patient may be irritated as 

the heel cup will dig in to the plantar aspect of the heel. Special 

attention should be given to expanding the positive cast of a 

plaster slipper cast prone>supine to avoid this potential problem. 

Continued on page 13 


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Continued from page 10 

If the heel cup is too wide, your patient will have shoe fitting 

issues, will lose function support and the plantar calcaneal heel 

pad will not be contained. In regard to the biofoam cast, attention 

should be given to avoid plaster expansion at the heel as the fat 

pad has already been expanded sufficiently to accommodate 

weight bearing. 

2. The prone plaster cast yields the narrowest MTPJ width 

at 97.61 mm which is 1.49 mm< the supine plaster cast and 

CFPM 12 th Annual 

FRIDAY 

Oct. 21, 2011 

View the 

complete agenda at 


Clinical Conference 

October 20 -22, 2011 

Doubletree by Hilton, Toronto, ON 

FRIDAY, OCT. 21, 2011 

8:30 am 

Registration Plaza A Ottawa Roo 

9:00 - 10:00 AM 

10:00 - 10:45 am 

10:45 - 11:45 am 

11:45 AM - 1:30 pm 

1:30 pm - 2:30 pm 

Be Different or Be Dead 

How to Distinguish Yourself in 

the Faceless Herd 

Roy Osing 

How Insurance Can Help your practice (30 min) 

Mark Holman Sponsored by: Holman Insurance 

Demystifying Liability Insurance (30 min) 


An Introduction 

Corticosteroid Inj 

This lecture will provide an introduction to cortico 

musculoskeletal conditions of the foot. This is a wonder 

offered Friday afternoon. - Ian Reilly 

Keynote Lecture: Orthotics and Inserts - 

Dr. Benno Nig 

Workshop: Introduction to Cortic 

This hands on and instructive workshop will add to the prac 

will inject into artificial lower extremities as they work t 

limited to 25 participants. Sign up is required on a first com 

Extra fee applies - ian 

2:30 - 3:30 pm 

3:30 - 4:30 pm 

Unstable Shoes - Functional Concepts 

and Scientific Evidence 

Dr. Benno Nigg 






SATURDAY 


Registration now 

available online at 


4:30 - 5:30 pm 

5:30 - 7:00 pm 


8:30 am 

Registration Plaza A Ottawa Roo 

9:00 - 10:00 AM 

10:00 - 10:45 am 

10:45 - 11:45 am 

11:45 AM - 1:30 pm 

1:30 pm - 2:30 pm 

Be Different or Be Dead 

How to Distinguish Yourself in 

the Faceless Herd 

Roy Osing 

How Insurance Can Help your practice (30 min) 


Demystifying Liability Insurance (30 min) 


An Introduction 

Corticosteroid Inj 

This lecture will provide an introduction to cortico 

musculoskeletal conditions of the foot. This is a wonder 

offered Friday afternoon. - Ian Reilly 

a veteran health journalist exa 

Keynote Lecture: Orthotics and Inserts - 

Dr. Benno Nig 






2:30 - 3:30 pm 

3:30 - 4:30 pm 

Unstable Shoes - Functional Concepts 

and Scientific Evidence 

Dr. Benno Nigg 






4:30 - 5:30 pm 

5:30 - 7:00 pm 

a veteran health journalist exa 


AGENDA 

Thursday 


8:30 am 

Registration 

9:00 AM 

noon - 1:00 pm 

1:00 - 4:00 PM 

Plaza A 

Workshop : 

Local & Regional AnAesthesia 

This course offers clinicians a fantastic opportunity 

to gain skills and confidence in regional 

anaesthesia, to refresh anatomy in 

the most hands on approach possible, and 

cover detailed specific theory relating to 

lower limb anaesthesia with state of the art 

teaching aids. limited to 40 participants. Sign-up 

required, extra fee applies - Ian Reilly 

Lunch 

Workshop: 

Local & regional Anesthesia 

(Continued) 

Toronto Room 

CPR recertification 

Sign up required. 

Extra fee applies. 

workshop: Be Different 

or Be Dead 

Distinguish Yourself from The 

Faceless Herd, and Create your 

ONLY Statement - roy osing 


9:00 pm - 11:00 pm Welcome Reception, terrace room doubletree hotel 

m Montreal Room Toronto Room - Assistants Program 

to 

ections 

steroid injection therapy for common 

ful precursor to the hands on workshop 

Using Web Videos to Promote Your Practice 

Gary Ignotofsky 

Sponsored by: Webpower Videos 

Regaining Control with Patient Compliance 

Patient non-compliance will only happen…if we let it. This session will address various ways to maintain 

necessary control when and where it is needed. The result? A more efficient, well-run office! 

Time Out! 

If you had a chance to get back lost time…would you manage it better? Learn some “beat the 

clock” strategies that can have you feeling better at the end of each work day. - Lynn Homisak 

break with exhibitors 

Aligning the Skeleton (plaza A) 

g 

Podiatry Tic-Tac-TOE 

Who’ll be the winner? Play along with this toe-tally awesome question and answer board game - 

test your knowledge. See how much you know by getting three X’s in a row (horizontal, vertical, 

or diagonal). Think it’s easy? Think again! - Lynn Homisak 

Lunch with exhibitors 

osteroid Injections #1 

ticality of the earlier lecture. Participants 

owards clinical competency. Enrolment is 

e, first serve basis. 

reilly 





reilly 

Cryonic NeuroCryoStimulation System: 

A new drug free, non-invasive treatment for pain management, 

inflammation and musculo-skeletal trauma 

Marie-Claude Zizka 

Sponsored by: Superior Medical 

How to build an effective Web Strategy (30 min) 

Glenn Lombardi, Geoff Gitelson Sponsored by officite 

Social Networking & Rep Management (30 min) 


In office Dispensing… Dirty Little Secrets 

For practitioners and assistants 

Are you a little curious to find out what you don’t know? - Lynn Homisak 

Mission Possible: Stop Practice Crime Now! 


Practice crimes are more common than you think - but that doesn’t make them right. Lynn travels in and out of 

offices and will present a number of real-life crimes. Your mission, my friends…should you decide to accept 

it… is to listen carefully; then ask yourself…are you a victim…or the culprit? But more importantly…are you 

ready to put an end to it?! - Lynn Homisak 

b reak with exhibitors 

Keynote Lecture: AndrÉ Picard (Plaza A) 

Putting Our Best Foot Forward on Health Reform 

mines the changes coming to Canada’s health care system and the impact they will have on podiatry. 

Wine and cheese reception with the exhibitors 


m Montreal Room Toronto Room - Assistants Program 

to 

ections 

steroid injection therapy for common 

ful precursor to the hands on workshop 

Using Web Videos to Promote Your Practice 

Gary Ignotofsky 

Sponsored by: Webpower Videos 

Regaining Control with Patient Compliance 

Patient non-compliance will only happen…if we let it. This session will address various ways to maintain 

necessary control when and where it is needed. The result? A more efficient, well-run office! 

Time Out! 

If you had a chance to get back lost time…would you manage it better? Learn some “beat the 

clock” strategies that can have you feeling better at the end of each work day. - Lynn Homisak 

break with exhibitors 

Aligning the Skeleton (plaza A) 

g 

Podiatry Tic-Tac-TOE 

Who’ll be the winner? Play along with this toe-tally awesome question and answer board game - 

test your knowledge. See how much you know by getting three X’s in a row (horizontal, vertical, 

or diagonal). Think it’s easy? Think again! - Lynn Homisak 

Lunch with exhibitors 





reilly 





reilly 

Cryonic NeuroCryoStimulation System: 

A new drug free, non-invasive treatment for pain management, 

inflammation and musculo-skeletal trauma 

Marie-Claude Zizka 

Sponsored by: Superior Medical 

How to build an effective Web Strategy (30 min) 


Social Networking & Rep Management (30 min) 


In office Dispensing… Dirty Little Secrets 


Are you a little curious to find out what you don’t know? - Lynn Homisak 

Mission Possible: Stop Practice Crime Now! 


Practice crimes are more common than you think - but that doesn’t make them right. Lynn travels in and out of 

offices and will present a number of real-life crimes. Your mission, my friends…should you decide to accept 

it… is to listen carefully; then ask yourself…are you a victim…or the culprit? But more importantly…are you 

ready to put an end to it?! - Lynn Homisak 

b reak with exhibitors 

Keynote Lecture: AndrÉ Picard (Plaza A) 

Putting Our Best Foot Forward on Health Reform 

mines the changes coming to Canada’s health care system and the impact they will have on podiatry. 

Wine and cheese reception with the exhibitors 


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Dr. Jerome Schoffler, Bedford, TX 


Dr. Bradford Unroe, Louisville, KY 


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Highlights of the 

In August, podiatric forensic scientists, Wesley Vernon, D. Pod. M., Ph. D. 

and Jeremy Walker, D.Pod.M. shared their expertise with a keen group of 

25 Canadian podiatrists and chiropodists in Regina, SK. Attendees at this 

specialty seminar received an overview of the field of forensic podiatry, several 

hands-on demonstrations and case studies. 

While in Regina, a memorial reception was held at the RCMP Heritage 

Centre in honour of CFPM past president, Dr. Brian Brodie, who passed away in 

November, 2010. During the reception the Dr. Brian Brodie Memorial Award for 

Canadian research was introduced. 

Attendees Dr. Simon 

Davies, Dr. Axel 

Rohrmann, Philippa 

Davies and Dr. 

Hannah Shenouda 

utilize their new skills. 

RCMP 

Heritage Centre – 

Heidi Allred 

Wesley Vernon and 

Jeremy Walker 

demonstrate the art 

and science of 

forensic podiatry. 

From left: Jeremy 

Walker, Dr. Brian 

Johnson, CFPM 

President, Mrs. 

Gillian Brodie, 

Stephen Hartman, 

CFPM CEO and 

Wesley Vernon. 


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Highlights of the CFPM 

Winter Getaway Cruise Seminar 

In March, a small but enthusiastic group of Canadian podiatrists 

and chiropodists attended the CFPM Winter Getaway Cruise 

Seminar onboard the beautiful Norwegian Star while cruising 

the Mexican Riviera. Primary speaker, Dr. Jack Hutter, D.P.M. of 

Wisconsin impressed the group with his knowledge and expertise 

in such areas as neuropathy, wound care and culture analysis. Julie 

DeSimone shared her tips on marketing a podiatric practice and 

Stephen Hartman, discussed his views on the future trends in 

healthcare. As always, the highlight of the seminar was the roundtable 

discussions on clinical and administrative issues and solutions where 

many issues were discussed and the group shared information and 

supported one another. 

Not only was the seminar extraordinary, but the trip to the 

Mexican Riviera was funfilled and relaxing. With ports of calls in 

Cabo San Lucas and Puerto Vallarta, it was the ideal way to spend 

the remaining days of our Canadian winter!! Look for more CFPM 

Winter Getaways Seminars to be planned in the future. 

Thank you to our generous sponsor Vittoria Phoenix for their 

valuable contribution to the success of this year’s event. Thank you 

to Kerry Burnett to the informative workshop on new and helpful 

products from Vittoria Phoenix. 

Seminar speakers, from left: Dr. Jack Hutter, Kerry Burnett 

of Vittoria Phoenix, Julie DeSimone, Stephen Hartman 


What Does Paragon 

Have in Common 

With the Aerospace 

Industry? 

• All orthotics are not equal – we utilize the same milling technology that is used to make aircraft engines 

to create our line of direct-milled orthotics. 

• Accuracy to 0.0001" means precise fit and greater corrective value. 

• Other labs make their direct-milled orthotics on equipment designed for making cabinets and doors. 

You have not tried a direct-milled orthotic until you have tried a Paragon direct mill. 

UFO 

Two devices to choose from 

Unitized 

GREATER DURABILITY – no loss of angles due to fatigue 

ACCURACY – more accurate than thermo-formed orthotics 

PRECISE FIT – patients love the fit and feel 

SUPERIOR CLINICAL RESULTS 

Warning: Due to the high accuracy of these devices they are not recommended for doctors who have poor casting technique 

or do not have the ability using a Sani-Grinder to shorten the length of the orthotic at the time of dispensing if needed. 

We recommend “flexible” type orthotics (of the three flexibilities) for all foot types except the morbidly obese patient. 

For our complete catalogue 

and details call 1-800-665-8900 

UK toll-free: 0808-1000-631 

Email: info@paragonorthotic.com 

Web: www.paragonorthotic.com 

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M aking T echnology W ork T hrough k noW ledge and e xperience

Secrets of Success: “Staff Education 

leads to Job Satisfaction” 

By: Lynn Homisak, SOS Healthcare Management Solutions, LLC - www.soshms.com 

As a management company, we are often confronted with 

complaints about staff. Well, let me say that we receive 

GOOD remarks too, but the complaints are the ones 

we’re asked to FIX! In analyzing the problems, we find they usually 

fall in one (or all) of these three categories: poor training, poor 

communication and/or undefined job descriptions, each one a potential 

crisis if nothing is done to correct it. Experience also 

tells us that lack of a formal program, where 

new and existing staff can acquire some 

necessary educational tools, is often 

the underlying issue. 

Quality instruction for staff should 

always start with a proper in-house orientation/training 

program. Creating additional 

pathways for them to learn more about general 

podiatric knowledge, patient care, patient relations, office 

management strategies, team-building, positive attitudes, 

dealing effectively with change, etc. is equally 

important. Luckily, there are a variety of programs 

available for staff (local division, state and nationwide) 

to take advantage of; that can provide such 

instruction and help make up for the lack of formal 

schooling. So why wouldn’t you send them? Wait…I hear your 

concerns: 

Concern #1: “I would consider sending them, but they 

tell me they don’t want to (or can’t) go.” 

Ideally, you should have a policy put in place that requires all 

full time staff to attend at least one conference/year (much the 

same as you are required to obtain continuing education credits.) 

If you don’t have a policy that addresses this…it’s not too late 

to create one. One of the biggest reasons attending outside 

programs even becomes an “issue” is in part because you let it. 

If you truly believe it is the best thing for your practice AND 

for them, you will make a better effort to help them understand 

the reason that this policy is put in place at the onset and how 

everyone stands to benefit from it. 

Concern #2: “I don’t want them to start thinking they 

can change things in our office just because they hear 

new ideas.” 

It’s true that not all ideas they come back with will work for 

you, but if you close your mind to new ideas, you risk losing 

potential growth and improvement in your practice. For example, 

a staff person in another office may have a way of dealing with 

collection issues that can significantly improve your current 

protocol. This could save not only time and money for the 

practice, but frustration and stress for your employee! Your staff 

picks up this interactive exchange of ideas through open 

discussions, recognizes its potential 

in your office and is anxious to 

make things better. Their desire 

to implement new techniques 

or design success strategies that 

can make their job easier and/ 

or increase efficiency should never 

be dismissed. On a deeper note, this 

type of involvement encourages a sense 

of belonging and importance in the 

practice which in turn can cultivate 

additional contributions. Their 

participation proves to be both 

exhilarating and productive and 

they experience enthusiasm in ways 

they’ve never felt before! 

Concern #3: “I get very little feedback 

from them, so I feel sending them is a 

waste of time for them and a waste of 

my money.” 

I know you’ve heard this said before, but if you or your staff 

person brings back even one new useful idea, it will be worth 

the expense to send them; however, if you do not focus on the 

importance of learning, neither will they. Set and communicate 

your expectations up front. Explain that you appreciate his/her 

time at the program and as such, they will get compensated 

for being there. In return you expect them to share with you 

and other staff what they have learned and how they can 

apply that knowledge to the practice. Require that they take 

notes; explaining that a post-seminar in-office meeting will be 

scheduled to review program content. With the understanding 

that they will be asked to communicate their new found 

knowledge, they will be persuaded to listen more intently and 

even acquire practical solutions to problems they currently face 

in the office. However, be sure to follow through. If you say this 

is important, but the meeting always gets put on the back burner, 

you weaken the relevance and therefore the purpose of the 

Continued on page 34 


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Understanding Your Insurance 

By Mark Holman, B.A., C.A.I.B., R.I.B. (Ont.) 

Vice President, Holman Insurance Brokers Ltd. 

As the endorsed Insurance Broker of the CFPM Holman 

Insurance Brokers Ltd. would like to help provide understanding 

and education to your complex insurance needs. 

Do you have questions, we have answers. 

Q. What happens if I retire, die or cease to do business? 

A. Remember professional liability policies are written on a 

“claims made basis”. Once you lapse or cancel your policy 

you will no longer have coverage for work that has been 

performed in the past. To solve this problem we can provide 

‘run-off ’ or extended reporting coverage. If you take 

out this cover, if any claims come in after you have retired, 

they will be covered if they arise from your business activity 

while you had coverage in effect. This cover would ensure 

that any late claims are still covered while the extended reporting 

coverage is in effect. You must contact us (or your 

Estate) to arrange this cover, and a charge will apply. 

Q. If students work in my practice as part of their supervised 

training, does my insurance cover this? 

A. Yes, as long as they are working as part of their training 

with the approval of their college. Any treatment carried 

out will be on your patients and as they will be working 

under your direct supervision at all times you will be 

responsible for everything they do. You must, however, 

ensure that they have been certified by their College 

as being competent in any technique you ask them to 

carry out. A student must never be allowed to carry out 

treatment without supervision. 

Q. What happens to my professional liability insurance if I 

move to another province or work outside of Canada? 

A. Our policy provides liability insurance coverage Canada- 

Wide. We can cover you for special circumstances outside 

of Canada if you have temporary work outside of Canada 

for a number of other reasons. 

For further information regarding the above or any other 

insurance matter, please feel free to contact Mark Holman 

at mark.holman@holmanins.com, 1-800-567-1279 or visit 

our website at wwwwww.podiatricinsurance.ca. 

Your endorsed Insurance Broker of the CFPM 

CFPM Attends Canadian Life and 

Health Insurance Association Conference 

In May, representatives from the CFPM attended the 

Canadian Life and Health Insurance Association (CLHIA) 

Conference in Huntsville, ON. CFPM board members Peter 

Guy, Sonia Maragoni and Ian McLean proudy represented our 

national association at the CFPM booth. The CFPM attends 

this annual meeting in order to build positive and lasting 

relationships with members from the insurance industry who 

determine insurance policies and manage insurance claims. 

Attendance at the CHLIA conference is part the CFPM 

Insurance Committee’s plan to educate and collaborate with 

members of the insurance industry. This is an excellent 

opportunity for the CFPM to educate the individuals from the 

insurance industry on the many beneficial services of chiropody 

and podiatry in Canada. 

Stephen Frank 

(centre), Vice 

President of the 

Canadian Life and 

Health Insurance 

Association with 

CFPM Board 

Members, Sonia 

Maragoni and 

Ian McLean. 


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Help your patients 

get antifungal relief fast 

with 

(ciclopirox olamine 1%) 

At week one, 

93% of Loprox® patients showed improvement in tinea pedis 

• Clinical response: 93% (n=43) of Loprox® 

vs. 71% (n=42) of clotrimazole patients; p≤0.01 1† 

Loprox ® cream or lotion is indicated for the topical treatment of the following dermal infections: tinea pedis, tinea cruris, and tinea corporis 

due to T. rubrum, T. mentagrophytes, E. floccosum, M. canis; cutaneous candidiasis (moniliasis) due to C. albicans; and tinea (pityriasis) 

versicolor due to M. furfur. 

Loprox ® cream had a 0.4% incidence of adverse reactions in controlled clinical trials. These included pruritus at the site of application, 

worsening of clinical signs and symptoms, and mild to severe burning reported in a few cases. 

† Recommended dosing: minimum 4 weeks, twice daily. 

CFPM Journal 

CDN.CIC.09.12.03E 

See prescribing summary 

and study parameters on page 

Client: SANOFI-AVENTIS 

41047 CFPM Journal 

Colour: 4/c process 

28 CFPM Journal | Spring 2011 

Brand: Loprox 

Ad No: 141196 

Trim: 8.5" x 11" 

41047/2011/01/19/RB 

41047_Loprox_Journal_Ad_CFPM_Journal_EN

CFPM Journal 

THERAPEUTIC CLASSIFICATION 

Topical Antifungal Agent 

INDICATIONS AND CLINICAL USE 

LOPROX® (ciclopirox olamine 1%) Cream or Lotion is indi cated for the topical treatment of the 

following dermal infections: tinea pedis, tinea cruris and tinea corporis due to Trichophyton 

rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporum canis; 

cutaneous candidiasis (moniliasis) due to Candida albicans; and tinea (pityriasis) versicolor 

due to Malassezia furfur. 

LOPROX® is not proposed for vaginal application. 

Loprox ® 

CONTRAINDICATIONS 

Hypersensitivity to any of the components of this medication (see Dosage Forms: Composition 

in the Product Monograph). 

SPECIAL POPULATIONS 

Use in pregnancy: (also see Supplemental Product Information): There are no adequate or 

well-controlled studies in pregnant women. This drug should be used during pregnancy only 

if clearly needed. 

Prescribing Summary 

Use in Nursing Mothers: It is not known whether this drug is excreted in human milk. 

Because many drugs are excreted in human milk, caution should be exercised when LOPROX® 

is administered to nursing women. 

Use in Children: Patient Safety and Selection effectiveness in Criteria 

children below the age of 10 years have not 

been established. 

THERAPEUTIC CLASSIFICATION 

Topical Antifungal Agent 

INDICATIONS AND CLINICAL USE 

LOPROX® (ciclopirox olamine 1%) Cream or Lotion is indi cated for the topical treatment of the 

WARNINGS 

following dermal infections: tinea pedis, tinea cruris and tinea corporis due to Trichophyton 

LOPROX® is not for ophthalmic use. 

rubrum, Trichophyton mentagrophytes, Epidermophyton floccosum, Microsporum canis; 

cutaneous PRECAUTIONS candidiasis (moniliasis) due to Candida albicans; and tinea (pityriasis) versicolor 

If due a reaction to Malassezia suggesting furfur. sensitivity or chemical irritation should occur with the use of LOPROX®, 

LOPROX® treatment is should not proposed be discontinued for vaginal and application. appropriate therapy instituted. 

CONTRAINDICATIONS 

ADVERSE REACTIONS 

Hypersensitivity LOPROX® is well to tolerated any of the with components a low incidence of this medication of adverse (see reactions Dosage Forms: reported Composition in clinical 

in trials. the LOPROX® Product Monograph). 

Cream had a 0.4% incidence of adverse reactions in controlled clinical trials. 

These included pruritus at the site of application, worsening of clinical signs and symptoms, 


and mild to severe burning reported in a few cases. 

Use in pregnancy: (also see Supplemental Product Information): There are no adequate or 

In a controlled clinical trial with 89 patients using LOPROX® Lotion and 89 patients using 

well-controlled studies in pregnant women. This drug should be used during pregnancy only 

the vehicle, the incidence of adverse reactions was low. The side effects included pruritus 

if clearly needed. 

occurring in three patients and burning, which occurred in one patient. 

Use in Nursing Mothers: It is not known whether this drug is excreted in human milk. 

To monitor drug safety, Health Canada collects information on serious and unexpected 

Because many drugs are excreted in human milk, caution should be exercised when LOPROX® 

effects of drugs. To report a serious or unexpected reaction to LOPROX®, you may notify 

is administered to nursing women. 

Health Canada by toll-free telephone at 1-866-234-2345. 

Use in Children: Safety and effectiveness in children below the age of 10 years have not 

been established. 

Administration 

Safety Information 

DOSAGE AND ADMINISTRATION 

WARNINGS 

Gently massage LOPROX® into the affected and surrounding skin areas twice daily, in the morning and 

LOPROX® evening for is a minimum not for ophthalmic of 4 weeks. use. Clinical improvement with relief of pruritus and other symptoms 

usually occurs within the first week of treatment. If a patient shows no clinical improvement after 

PRECAUTIONS 

two weeks of treatment with LOPROX®, the diagnosis should be redetermined. Patients with tinea 

If a reaction suggesting sensitivity or chemical irritation should occur with the use of LOPROX®, 

versicolor usually exhibit clinical and mycological clearing after two weeks of treatment. 

treatment should be discontinued and appropriate therapy instituted. 

ADVERSE REACTIONS 

LOPROX® is well tolerated with a low incidence of adverse reactions reported in clinical 

trials. LOPROX® Cream had a 0.4% incidence of adverse reactions in controlled clinical trials. 

These included pruritus at the site of application, worsening of clinical signs and symptoms, 

and mild to severe burning reported in a few cases. 

Brand: Loprox 

In a controlled clinical trial Ad No: with 141196 89 patients using LOPROX® Lotion and 89 patients using 

Trim: 8.5" x 11" 

the vehicle, the incidence of adverse reactions was low. The side effects included pruritus 

occurring in three patients and burning, which occurred in one patient. 

To monitor drug safety, Health Canada collects information on serious and unexpected 

effects of drugs. To report a serious or unexpected reaction to LOPROX®, you may notify 

Health Canada by toll-free telephone at 1-866-234-2345. 


CFPM Journal 

Colour: Grayscale 

Safety Information 

Administration 

of ciclopirox olamine has been revealed. However, a higher incidence of systemic absorption 

of ciclopirox olamine in the rat was noted in the group given 30 mg/kg orally as compared 

to controls. 

SYMPTOMS AND TREATMENT OF OVERDOSAGE 

There have been no clinical reports of acute overdosage with LOPROX® (ciclopirox olamine) 

Cream or Lotion by any route of administration. From acute toxicity studies of ciclopirox 

olamine cream 1% in adult rats, oral doses of 36 g/kg produced no evidence of toxic signs. 

DOSAGE FORMS 

Availability: LOPROX® Cream is available in tubes of 45 g. 

LOPROX® Study Lotion is available Reference 

in a 60 mL bottle. 

1. Kligman AM, et al. Evaluation of ciclopirox olamine cream for the treatment of tinea pedis: 

Multicenter, double-blind comparative studies. Clin Ther 1985;7(4):409-17. 

Double-blind, multicentre study of 87 patients with both plantar and interdigital tinea pedis. 

Patients were randomized to either twice daily ciclopirox olamine 1% cream (n =43) or 

clotrimazole 1% cream (n =44) for four weeks. 

SUPPLEMENTAL PRODUCT INFORMATION 


Use in Pregnancy: Reproduction studies have been performed in the mouse, rat, rabbit, and 

monkey (via various routes of administration) at doses 10 times or greater than the topical 

human dose. No significant evidence of impaired fertility or harm to the fetus due to the use 

of ciclopirox olamine has been revealed. However, a higher incidence of systemic absorption 

of ciclopirox olamine in the rat was noted in the group given 30 mg/kg orally as compared 

to controls. 

SYMPTOMS AND TREATMENT OF OVERDOSAGE 

There have been no clinical reports of acute overdosage with LOPROX® (ciclopirox olamine) 

Cream or Lotion by any route of administration. From acute toxicity studies of ciclopirox 

olamine cream 1% in adult rats, oral doses of 36 g/kg produced no evidence of toxic signs. 

DOSAGE FORMS 

Availability: LOPROX® Cream is available in tubes of 45 g. 

LOPROX® Lotion is available in a 60 mL bottle. 

Product Monograph available upon request or at www.sanofi-aventis.ca. 

Copyright © 2010 sanofi-aventis. 

All rights reserved. sanofi-aventis Canada Inc. 

Laval, Quebec H7L 4A8 

CDN.CIC.09.11.02E 

Product Monograph available upon request or at www.sanofi-aventis.ca. 

Copyright © 2010 sanofi-aventis. 

All rights reserved. sanofi-aventis Canada Inc. 

Laval, Quebec H7L 4A8 

CDN.CIC.09.11.02E 


41047 Sanofi LoproxPI_CFPM_Journal_EN 

CFPM Journal 

DOSAGE AND ADMINISTRATION 

Gently massage LOPROX® into the affected and surrounding skin areas twice daily, in the morning and 

evening for a minimum of 4 weeks. Clinical improvement with relief of pruritus and other symptoms 

usually occurs within the first week of treatment. If a patient shows no clinical improvement after 

two weeks of treatment with LOPROX®, the diagnosis should be redetermined. Patients with tinea 

versicolor usually exhibit clinical and mycological clearing after two weeks of treatment. 


CFPM Journal 

Colour: Grayscale 

Brand: Loprox 

Ad No: 141196 

Trim: 8.5" x 11" 


41047 Sanofi LoproxPI_CFPM_Journal_EN 



Plaster-supine- 8 degrees varus, Plaster-prone-6 degrees varus 

& biofoam-5 degrees varus. Consecutively, each one more 

functionally supported than the other. 

As a clinician, we have to recognize that by positioning the foot 

in subtalar neutral, we are already adding correction to the cast 

we are taking thus we may need to add, take away, or not use 

posting according to the cast technique used to avoid over/under 

correction. 

Conclusion: 

In conclusion, as medical professionals we constantly strive to 

find the best ways to cast: plaster, biofoam, STS sock, wax, direct 

mold, Amfit, force plate, digital scanning, weight bearing, nonweightbearing, 

semi-weight bearing, dynamic and the list goes 

on and on…. refer to “Contemporary Pedorthics” (Decker/Albert 

pg. 260) for some more research for the advantages/disadvantages 

of casting methods. The Prescription Foot Orthotic Laboratory 

Association website does a great job differentiating casting 

methods, especially in this age of digital technology. 

It is the author’s opinion that there is no best way to cast a 

patient. A clinician has to be diverse enough to cast in multiple 

ways to accommodate the needs of the patient. For example a 

pregnant lady may not be able to lay prone while you plaster cast 

her, a patient with a Stress # doesn’t appreciate you pushing on 

the dorsal aspect of their foot while taking a biofoam cast and 

some patients move their feet around 

trying to see you as you plaster cast 

them in the supine position. Every 

casting method has its strengths and 

weakness; it is up to the clinician to 

recognize what they are and how they 

can utilize them to their advantage. 

Along with casting technique/ability, 

a clinician should pride themselves on 

their ability to design a pair of orthoses. 

Many clinicians do not focus on the 

technical side of their trade by actually 

manufacturing but you should be able 

to recognize and articulate your lab 

order as to your casting method. The 

clinician should understand how and 

what is being done to their negative 

cast at the lab. 

Although our lab sample is very 

small, the experiment reflects the fact 

that different casting methods yield 

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Every casting method has its strengths 

and weakness; it is up to the clinician to 

recognize what they are and how they 

can utilize them to their advantage. 

different results however as long as we address the strengths and 

weaknesses of our chosen casting method our patients will get 

the best final orthoses available. 

Research Texts/References/Consultations: 

The Functional Foot Orthosis, 2nd Edition, J. W. Philps 

Foot Orthoses and Other Forms of Conservative Foot Care, 

Thomas Michaud 

Contemporary Pedorthics, Decker/Albert 

Clinical Biomechanics of the Lower Extremity, Ronald Valmassy 

Reducing Bulk in our Orthotics-presentation, Mark Glen, C. Ped 

Casting- Freeman Churchill, C. Ped (C) 

An original version of this article, including cast land marking 

methods can be found at www.biotechorthotics.com 

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520 Champagne Drive

Classifieds 

POSITION: Full Time 

chiropody position 

available (Locum) 

LOCATION: Niagara Region – Welland, 

Niagara Falls, St Catharines 

POSITION DESCRIPTION: Excellent 

employment opportunity in a busy multi-site 

private chiropody practice. Looking for 

qualified chiropodist for full time locum, with 

possibility for part time following locum. 

New grads welcome. 

CONTACT: Tonya Ventresca or 

Dawn-Marie Clarke 905-735-7700 

Email resumes to cvfoc@bellnet.ca 

Permanent, full time 

assistant-winnipeg, mb 

Required to work for a busy podiatry 

practice. Essential to have pre-cert in 

pedorthotics and member of American 

Society of Podiatric Medical Assistant 

(ASPMA) with part one clinical certification. 

Salary upon experience. First aid certificate 

essential. No experience req’d, should 

be able to communicate in English, Hindi 

& Punjabi. Written English req’d. Valid 

driver’s licence. Provide support services 

to podiatrist, maintain own patient load 

for orthotics, prepare and maintain lab 

equipment. Maintain records, inventories of 

supplies, general clerical duties, invoicing, 

pricing, collection of outstanding debts. 

Computer skills, critical thinking, job task 

planning, organising, problem solving, oral 

communication and written skills. ASPMA 

certificate number required. 

Apply: by mail or email: 

Dr. Divya Vadgama 

202-1750 Main Street 

Winnipeg, MB R2V 1Z7 

Email: vadgamafootclinic@live.ca 

No phone calls pls 

chiropody position 

available-mississauga, on 

Location: 155 Forum Drive, Suite. 111, 

Mississauga, ON L4Z 3M9 

Company Name: MICBA Forum Italia 

Community Services 

About us: MICBA Forum Italia Community 

Services, operates a Supports for Daily Living 

Program (SDL) offered at 155 & 195 Forum 

Drive, Mississauga. Our Supports for Daily 

Living Program (SDL) enables seniors 65 

and older to continue living independently 

in their apartment units by providing daily, 

pre-scheduled in-home personal support, 

housekeeping and attendant care services 

for a minimum of 1.5 hours per day, per 

resident. Our Assistive Living Program 

provides essential supportive services to 

seniors 65 and older; we are based in a 60 

unit senior’s residence. 

Our programs are funded and regulated by 

the MOHLTC via the Mississauga Halton LHIN. 

Our programs are in operation 24/7/365 

and delivered by Personal Support Workers 

free of charge to clients based on individual 

assessment. 

Description of Position: Chiropodist 

needed to provide chiropody services to our 

well and frail elderly seniors at our location 

1 x month. Expect to serve 5-8 residents per 

month, charging $25.00-$30.00 per visit. 

Fully equipped and private medical office for 

visiting chiropodist on site. Applicants must 

be in good standing with a college, reliable, 

dependable, good communication skills both 

verbal and non-verbal; along with a caring 

and friendly attitude. 

Interested candidates should send their 

resume and cover letter using one of the 

following methods below. 

Nancy Claro, Program Director 

MICBA Forum Italia Community Services 

155 Forum Drive 

Mississauga, Ontario L4Z 3M9 

Fax: (905) 507-3016 

E-mail: nclaro@forumitalia.ca 

(quoting “Chiropodist” in the subject line) 

We thank all those that apply. Most closely 

qualified will be contacted and others will 

have their resume kept on our database for 

further opportunities. 

For further information about MICBA Forum 

Italia Community Services, please visit our 

website: www.micba.com 

Chiropody position 

available-oakville, on 

A multi-disciplinary clinic in Oakville is 

looking to add a Chiropodist to our team! 

This clinic offers the opportunity to work 

with other health and wellness professionals, 

including Chiropractors, Massage Therapists, 

Naturopaths, and Physiotherapists. We also 

implement an in-house patient referral 

program. 

Candidate should be registered with the 

College of Chiropodists of Ontario, and have 

a positive attitude. 

Rent and payment will be discussed during 

the interview. 

Anyone interested in this opportunity 

should forward their resume and contact 

information to: chantelleroush@gmail.com 

Part time Chiropodist- 

Uxbridge, On 

Mayne Foot Care is a well established 

Chiropody practice requiring a part time 

registered Chiropodist to join our team. We 

are a full service chiropody clinic looking for 

an outgoing, compassionate individual to 

provide excellent patient care and service. 

Current certification in local anesthesia, full 

prescribing rights and soft tissue surgery is 

preferred. New graduates are welcome to 

apply. Initially two days per week with the 

opportunity for further involvement. Please 

forward your resume and cover letter 

(including your availability) to: 

Email maynefootcare@powergate.ca 

Full time chiropodist 

required - Midland, ON 

Advanced Foot & Orthotic Clinic in Midland, 

Ontario is currently seeking a FULL TIME 

REGISTERED CHIROPODIST. Previous experience 

is an asset however new graduates are 

welcome. Our growing clinic requires an 

individual that provides the highest quality of 

Chiropody care with the utmost attention to 

customer service. We specialize in preventative 

foot care and biomechanics. We are 

keen to hire a high energy candidate that 

would like to build a career with us. Located 

just 90 minutes north of Toronto, Midland offers 

a tight knit community atmosphere and 

recreational opportunities that are unlike any 

other. With beaches, trails and boating in the 

summer, and skiing and snowmobiling in the 

winter, living on the shores of the Georgian 

Bay is like bringing your cottage home! 

Interested candidates are asked to please 

e-mail your resume to 

erinfairbanks@advancedfootclinic.ca. 



meeting. As their employer, you have a responsibility to guide 

them and help strengthen their skills. Your actions can make or 

break their willing participation. 

Concern #4: “I’m afraid the only reason they want 

to get together with other office staff is to compare 

salaries and gossip. Frankly, I don’t need them 

exposed to that kind of conversation!” 

Keeping your staff in a “bubble” is not the answer. In fact, 

networking with their colleagues can create an extremely 

beneficial support system for them. If you treat them fairly 

and develop open, honest communication with them regarding 

their total compensation package, you should have nothing to 

fear. Proactively discussing these concerns together turns the 

focus from negative anxiety to positive energy and creates a 

gratifying environment for staff through development, teaching, 

appreciation and respect. In the end, it not only provides a healthy 

awareness and education for both the doctor AND the assistant, 

but it also leads to increased teamwork, job satisfaction…actually 

reducing staff turnover. 

So, the next time a meeting is announced that will benefit 

your staff, do yourself (and your staff ) a favor. Discuss with 

them the positive impact they can have on the practice and 

their value to the office by attending. In fact, if circumstances 

present themselves, attend with them! Enthusiasm to implement 

new ideas is accelerated and things actually get accomplished 

when you care enough to learn together. Sports teams benefit 

from learning and training together…so too can YOUR team! 

Remember, as you raise the educational bar for your staff, they 

raise the professionalism and value of your practice. It’s job 

satisfaction at its finest. See for yourself! 

Ms. Homisak, President of SOS Healthcare Management 

Solutions, was inducted into the Podiatry Hall of Fame 

and is the 2010 recipient of Podiatry Management’s 

Lifetime Achievement Award. Her experience in practice 

management expands over 4 decades. She is an Editorial 

Advisor for Podiatry Management Magazine and is 

recognized nationwide as a speaker, writer and expert 

in staff and human resource management. 


Always a step ahead 

You are the specialist for the fabrication of orthotics and prosthetics, Landis International is your 

expert partner for equipment, tools and advice. Your equipment needs special attention and care we 

are your source of information for maintenance, quick fix and advice. 

Supreme Vacuum Presses 

The Supreme Fume Buster 

Are you sure that the air in your lab is safe and clean? 

Dual 

Vacuum Press 

17’’ x 18’’ 

• 3/4HP motor with 

dust collector 

• 3400 RPM 

Gast Vacuum 

Pump 

Supreme Mini Grind Pro 

Available on 

option, stand 

and long dust 

bag 

Single 

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10’’ x 17’’ 

The most efficient heavy-duty bench grinder on the market 

More models 

available, 

visit our web 

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our line of 

equipment 

Fume Buster 3’ 

Also available: 

Space Saver 19” or standard 4’or 5’ 

Vented or charcoal model available 

The Fume Buster 

uses a downdraft 

system which is 

highly efficient and 

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ceiling mounted 

system 

Supreme Orthotic Work Station 

The refillable metal 

container, reduces 

replacement charcoal 

cost by more than 

50% 

Supreme Sanders 

Proven track record through years of use for reliability and performance 

Complete station for the manufacturing of foot orthoses 

The 48” Work Station is 

available as a single work 

station or complete (as 

shown on this picture). 

Workmaster 1000 

Heavy duty sander at 

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Landis International Inc. 

800 Rossiter 

Saint-Jean-sur-Richelieu, Québec 

J3B 8J1 

Supreme S-400 

Compact, highly efficient 

and versatile 

Supreme S-600 36” 

with 2 hoods 

Can accommodate 2 workers 

The complete model includes: 

• Dual Vacuum press 

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• Built-in 18” Fume Buster 

To order or to talk to an expert: 

1-800-634-0806 

For more information concerning us: 

www.landisinternational.ca 


You need professional 

equipment you can rely on 

Integral easy grip handle 

Integrated thermal printer 

(can be used with paper or label rolls) 

Clear display showing test 

status, numerical results, 

waveform and interpretation 

Simple user interface 

Colour coded, 

easy connect tubing 

A family business operating for over 20 years and 

distributor of podiatry equipement and medical 

products in the foot care industry, Canicom has become 

a trusted reference for Podiatrists and Chiropodists 

across Canada. Our solid partnership with leading 

manufacturers allows us to offer a wide range of highquality 

product lines such as: 

Bentlon: Podiatric Chairs, Water Drills or Vacum, 

and Cabinets | Huntleigh: Dopplers, Software with 

personalized graphics | Bush: Burs | AlphaOrthotics: 

Bunion-Aid, Insoles, Mid-foot Brace | Miltex: 

Instruments | Aesculap: Instruments | MediHoney: 

Wound Care | Tuttnauer: Sterilization 

… and more! For more information, please contact us. 

Our dedicated and highly-qualified team will be happy 

to help you find the best products to meet your needs. 

Coming soon to Canada. Pending medical device approval. 

Automatic Ankle Brachial Index System 

www.canicom.ca 

T 514-256-8562 • 1-800-276-8562 

info@canicom.ca 


The Profession of Podiatry in 

Newfoundland and Labrador 

A Release by the College Executive Council 

The profession of Podiatry is currently 

unregulated in Newfoundland and 

Labrador. There are currently 6 qualified 

Podiatrists practicing out of 3 private practices 

in the province. These qualifications include 

D.Ch., D.Pod.M., D.P., and D.P.M.. 

Podiatry is widely accepted as an integral 

part of the health care team in Newfoundland 

and Labrador. It is relatively new to the area as 

the oldest standing clinic was introduced in 2002. 

Since its inception into the Province, the profession 

of Podiatry has quickly become mainstream and is 

recognized as the primary source of foot care for its residents. 

The scope of Podiatry in the province encompasses mainly 

routine care, diabetic ulcer care, orthopedics and biomechanics. 

Generally speaking podiatrists work closely with the medical 

doctors and other allied health professionals to achieve a 

multidisciplinary approach to patient care. 

There is currently a group of Podiatrists forming a Podiatry 

Association for the practitioners of the Province. All qualified 

practitioners recognize that it is a crucial first step to unify the 

profession and ultimately work together to promote Podiatry in 

Newfoundland and Labrador. One of the primary initiatives 

the Association has on its agenda is to receive regulation by the 

Province. 

The Health Professions Act in Newfoundland and Labrador 

established an umbrella model in July 2010. This Bill has 

enacted the Health Professions Act, an umbrella model for 

governance of certain health professions. The Bill will allow for 

the governance of multiple health professions under one Health 

Professions Council in combination with profession specific 

colleges. It will give to the Health Professions Council the 

responsibility for the regulation of all professions captured by the 

legislation, including provisions of registration, quality assurance 

and discipline. 

It provides for the creation of profession specific colleges which 

would be a source of professional expertise to assist and guide 

the council in the establishment of criteria or benchmarks for 

registration, entry to practice, and continued competency matters. 

The Bill will authorize profession specific colleges to establish, 

in by-laws, the scope of practice, the standards of practice and a 

code of ethics for the health profession it represents; and identify 

in the Schedule those health professions to which the legislation 

will apply. 

There were several medical provider groups granted 

regulation under this act. Podiatry was not granted 

legislation, however, government representatives 

have agreed to reevaluate the decision in the near 

future. The main focus of the newly formed 

Podiatry Association will be to work with 

government officials to get the Profession of 

Podiatry regulated in the near future. 

With regulation, the Podiatry Association 

hopes to protect our professional title through 

holding strict requirements to the future members 

of the College. It is through regulation that we can hold 

our profession to the highest standard of podiatric care for the 

public. Following the footsteps of our other provinces, we hope to 

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The radial waves break down scar tissue and 

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tendons and ligaments. Radial Therapy is 

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Available for a three-week demo period at your clinic! 

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Upcoming Events 

2011 

Sept. 16 – 18, 2011 

Insights and Advancements in 

Foot & Ankle Surgery 

• Atlantic City, NJ 

• www.podiatryinstitute.com 


Southwest Foot & Ankle 

Conference 

• Frisco, TX 

• www.txpma.org 


Annual Las Vegas Scientific 

Seminar 

• Las Vegas, NV 

• www.internationalfootankle.org 


Update 2011 

• San Diego, CA 


Oct. 15 – 22, 2011 

Annual Hawaii Seminar 

Hyatt Regency Maui Resort 

and Spa 

• Maui, Hawaii 

• www.nwpodiatricfoundation.org 


CFPM 12 th Annual Conference 

• Toronto, ON 

• www.podiatryinfocanada.ca 


Super Bones Conference 


• www.superbonesconferences.com 


Podiatry in Paradise... 2 nd Annual 

“No Nonsense” Seminar 

• Key West, FL 

• www.gtef.org 

Oct 22 -23, 2011-08-22 

Diagnostic Imaging of the 

Foot & Ankle 

• Winnipeg, MB 

• Contact martincolledge@shaw.ca 

for more information 


ACFAOM Annual Meeting 

• Orlando, FL 

• www.acfaom.org 

Nov. 3 – 6, 2011 

21 st Annual Conference 

• Sanibel Island, FL 



AAPPM Fall Practice Management 

Workshop 

• Ft Lauderdale, FL 

• www.aappm.com 


Canadian Association 

of Wound Care 

17 th Annual Conference 

• Ottawa, ON 

• www.cawc.ca 


PFA 52 nd Annual Symposium 

• Albuquerque, NM 

• www.pedorthotics.org 


Desert Foot Conference – 

Diabetes 

• Phoenix, AZ 

• www.desertfoot.org 


Mid Atlantic Podiatry Conference 

• Fall Church, VA 



The Society of Chiropodists and 

Podiatrists Annual Conference 

• Harrogate, UK 

• www.scpod.org 

Dec. 2 – 4, 2011 

Podiatry Institute Conference 

• Chicago, IL 


Dec. 8 – 10, 2011 

Academic Approach to Diabetic 

Foot Reconstruction 

• San Antonio, TX 

• www.cme.uthscsa.edu 

2012 

Jan. 5 – 8, 2012 

AAPPM Million Dollar Practice 

Management Workshop 

• Ft. Lauderdale, FL 


Jan. 27 – 29, 2012 

New York Podiatric Clinical 

Conference 

• New York, NY 

• www.nyspma.org 

Feb. 2 – 4, 2012 

19 th Annual Ski Conference 

• Park City, UT 


Feb. 9 – 11, 2012 

25 th Annual Lake Tahoe 

Ski Seminar 

• South Lake Tahoe, Nevada 


Feb. 19 – 26, 2012 

Winter Seminar at Sea 

• East Caribbean Cruise 


Feb. 29 – March 4, 2012 

AAPPM Mid Winter Practice 


• Pittsburgh, PA 


March – 29 – April 2, 2012 

Super Bones Conference 

• Paradise Island, Bahamas 

• www.superbonesconferences.com 

March 29 – April 1, 2012 

Update 2012 

• Atlanta, Georgia 


May 4 – 6, 2012 

Surgical Pearls by the Sea 

• Newport, RI 


May 5 – 11, 2012 

Podiatry Goes Afoot in Scotland 

• www.gtef.org 

May 17 – 20, 2012 

AAPPM Spring Practice 


• Scottsdale, AZ 


May 17 – 19, 2012 

Wine Country Podiatric 

Symposium: 

Escape to Napa Valley 

• Napa Valley, CA 


June 28 – July 1, 2012 

Best of TPMA and Podiatry 

Institute 

• Houston, TX 


June 27 – 29, 2012 

8 th Annual Seattle 

Summer Seminar 

• Seattle, WA 


June 29 – July 6, 2012 

Summer Seminar at Sea 

Alaska Cruise 


July 12 – 15, 2012 

AOSSM Annual Meeting 

• Baltimore, Maryland 

• www.sportsmed.org 

July 13 – 14, 2012 

CFPM/AAPPM Practice 

Management Seminar 

• Toronto, ON 


July 19 – 22, 2012 

AAPPM Summer Boot Camp 

• Pittsburgh, PA 


Jul. 22 – 28, 2012 

International Association 

for Identification 

• Phoenix, AZ 

• www.theiai.org 

July 26 – 29, 2012 

Foot prints in the Sand 

• Hilton Head Island, SC 


August 2012 

Pacific Coast Conference 

• Portland, OR 


Aug. 16 -19, 2012 

APMA National Scientific Meeting 

• Washington, DC 

• www.apma.org 

Sept. 2012 

Insights and Advancements 

in Foot & Ankle Surgery 

• Philadelphia, PA 


Sept. 27 – 30, 2012 

Update 2012 

• San Diego, CA 


Oct. 26 – 28, 2012 

APMA Region One Conference 

• Danvers, MA 


Oct. 26 – 27, 2012 

CFPM 13 th Annual Conference 

• London, ON 


Nov. 1 – 4, 2012 

Hallux Valgus & Related Forefoot 

Deformities 

• Sanibel Island, FL 


Nov. 8 – 11, 2012 

AAPPM Fall Practice 


• Ft. Lauderdale, FL 


2013 

Feb. 16 – 18, 2013 

CFPM Winter Getaway Seminar 

• Mont Tremblant, QC 


Jul. 11 – 14, 2013 


• Chicago, IL 


Jul. 21 – 25, 2013 

APMA Annual Scientific 

Conference 



Aug. 4 – 10, 2013 

International Association 

for Indentification 

• Providence, Rhode Island 


Oct. 17 – 19, 2013 

2013 World Congress 

• Rome, Italy 

• www.fipnet.org 

2014 

Jul. 10 – 13, 2014 


• Seattle, WA 


Jul. 24 – 27, 2014 


Conference 

• Honolulu, Hawaii 


Aug. 10 – 16, 2014 

International Association for 

Identification 

• Minneapolis, MN 


2015 

Jul. 23 – 26, 2015 


Conference 

• Orlando, FL 



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Fall 2011 - Canadian Federation of Podiatric Medicine

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