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Hello, welcome to Podiatry 
practice Mastery. 

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This is section 15 out of 20. 
I'm I have more notes here and 

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I'm kind of getting tired of do 
me every day here, but this was 

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a good one. 
When I when I was at this 

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recent, a BPM meeting, someone 
brought up an idea of hiring a 

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pedorthist in your practice. 
And let me explain kind of the 

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the backstory in our practice. 
The struggle, the struggle we've

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had, I don't know, you might be 
doing shoes. 

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So, we used to do shoes and we 
found that the, the juice wasn't

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worth the squeeze, for our 
patients, we have a very high 

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Sports Medicine practice and we 
do just one day of Diabetic Care

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per week. 
So I do one day and the other 

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two, doctors, two of the doctors
do just a half day. 

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So that's what are we do? 
All of our diabetics and We so 

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we don't do a lot of that. 
We kind of one way of doing we 

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wanted to do less as we limit 
our access. 

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So we each have different days -
Friday, the other doctors ones 

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on Tuesday and ones on Thursday,
and then otherwise, you can't be

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seen lately. 
Of course, we'll see wounds and 

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things like that, but we're not 
going to do nail care. 

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And so, I know some practices 
don't do any nail care or they 

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have someone else doing the Nail
Care. 

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The, the challenge for us is 
when we were doing the, the 

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shoes is that the page that 
there were a lot of returns, and

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we didn't really, I think that 
real big problem was as I'm 

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thinking back as we didn't have 
one person that was responsible 

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for it. 
I think that's the key. 

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So this is the idea of having 
like a pedorthist or a North 

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assist in your practice. 
The the practices that do this 

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really well. 
They have a they have to someone

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on staff, let's say you pay them
$25 an hour to do a do too. 

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To be a pedorthist or an 
orthotist they they can do for 

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you was so if you need someone 
with that comes with diabetes 

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they can just pretty much sighs.
Everyone for the diabetic shoes.

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Have the pick out the shoes, 
things like that and dispense 

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them. 
But beyond that, what I'm kind 

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of excited about is that they 
could also dispense and caste 

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people and make adjustments for 
braces. 

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So all these afos that we're 
trying to do in our practices 

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and whereas, yes, we can 
certainly have one of our own 

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staff do it but By having a 
pedorthist on staff or hiring 

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someone, it just can raise the 
level even of thinking about the

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different types of braces and 
shoe modifications and things 

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that can be done, especially for
a busy practice, they could have

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different days of different 
offices and they can help with 

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other things in the office. 
So I like that idea. 

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The pedorthist course isn't too 
complex. 

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I think we had it over at Shoal 
so I like this idea that they 

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could do the shoes, they could 
do the orthotic dispensing, they

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could do the orthotic scanning. 
They could do all the braces and

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then I think it would feasibly 
increase the amount of braces 

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that we're doing in our office. 
And then that would pay kind of 

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their, let's say they're there, 
their hourly rate things like 

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that. 
So that was, that was one of the

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other takeaways here of a hiring
other types of ancillary people.

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I know, I was kind of 
interested. 

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There's a some I think you guys 
know the inventor of correctos 

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Ray. 
He interviewed him a while back 

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and I'll put a link to the 
interview here. 

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Underneath here, or on the side 
of the video that this audio. 

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But rate he has an interesting 
practice free talks about all of

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us. 
Correctos right. 

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He's selling correctos for 
everyone but then he has instead

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of Physicians assistants or 
medical assistance, he has 

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naturopathic Physicians. 
And I think it's the kind of the

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natural nature of his correctos 
and things like that, but I 

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thought that was a neat idea so 
he has his practice with. 

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I think there's three of them 
and that that work for him or 

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work with him or something like 
That so and then there was 

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another idea of hiring instead 
of a pedorthist, one of the 

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other doctors, they actually had
a primary care within within the

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practice. 
So this way with a primary care 

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in the practice, you could they 
could do like they can see the 

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patient's for the signing off 
for the diabetic, the Vie 

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diabetic verification that you 
need for the shoes, that's one 

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reason. 
But another reason is by having 

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a physician on staff weather, 
Whether they're or virtual this 

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is, my didn't know about. 
So if they're there, that's 

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great. 
They're actually working out of 

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your office, but some doctors 
are like, almost like doctors 

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for rent, MD's for rent. 
So for five hundred dollars a 

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month or whatever. 
They sign off on. 

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They cosine different notes. 
What would the notes before? 

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Well the notes could be for a 
physician's assistant that could

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work for you because in our 
state we can't hire them but an 

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MD could do that. 
They could also I think here in 

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Massachusetts now nurse 
practitioners can practice 

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independently. 
So they don't need If a primary 

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care but also we were talking a 
little bit about like pharmacies

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having a, an office Pharmacy in 
some of these other types of 

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things that you could do in your
office and you might need a 

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medical doctor. 
So there are medical doctors 

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that you can hire that they will
just kind of sign off. 

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I most like sign off on your 
note saying that you did certain

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things or the other staff 
managing the staff. 

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So anyway, that's an idea of a 
couple of other people that you 

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could hire within your practice.
If you didn't just want to hire 

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more podiatrist, one of the 
struggles, we have, And I've 

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talked to other people about 
this about hiring, a physician's

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assistant and nurse 
practitioners, I think, if you 

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would have a maybe a, let's say,
a nursing home practice where 

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you're doing a lot of nursing 
homes, and I'll certain patients

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that you want to do this with, 
but my perception, the 

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perception of my partner is that
if we tend to see more as 

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podiatrist, so when we're doing,
let's say the nails are other 

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types of things. 
You might see in other problem, 

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you're going to treat a 
posterior tibial, tendon 

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dysfunction, you're going to get
an x-ray, you're going to do a 

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vascular study, you're going to 
do all these other things that 

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you might see more. 
Then then what the physician's 

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assistant or nurse practitioner,
depending on your training for 

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that for that type of a person? 
Just, because of your training. 

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That's why we currently don't 
have them. 

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I'd love to know what you guys 
think or if it works really 

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great. 
In your practice hiring, these 

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other ancillary staff, who have 
you have? 

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If you have any other types of 
Staff, I've always dreamed about

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having someone That could help 
patients with weight loss 

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because I always that's kind of 
an area that I feel like I can 

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help and I could help patients 
more or like a, like a health 

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coach or something else like 
that. 

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Kind of having a concierge 
practice where you have a health

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coach there, that would help 
your patients, reach their goals

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for weight loss, and diabetes 
control and things like that. 

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Anyway, I hope you guys found 
this beneficial, if you want to 

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learn more, I would ask you to 
go to Podiatry, practice Master 

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e.com and in there, you can get 
my foot treat my patient 

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presentations, which is like 
this too. 

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Tool patients presentations 
tool, which I use every single 

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day I was using it a ton 
yesterday, like three or four 

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patients with Achilles 
tendonitis and just simplifies 

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kind of how we treat and kind of
going down the list of treatment

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options. 
Hope that helps you. 

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And once again, please send me 
e-mail. 

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Donít Podiatry, practice Master 
e.com, let me know your 

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thoughts, give me some feedback.
What other topics you'd like to 

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talk about or if you want to be 
interviewed, I'd love to 

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interview. 
Those interviews are fun. 

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Got an identity, fun one 
yesterday. 

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With a gentleman. 
He had some great. 

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Great tips. 
You'll be seeing soon. 

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Okay, have a good one.